{
  "module": "103.5",
  "title": "103.5 Diabetes, Kidneys, Cancer Screening, Lungs and Asthma",
  "pass_percent": 75,
  "pre_test": {
    "graded": false,
    "questions": [
      {
        "question": "An A1C of 6.0% falls in which range?",
        "options": [
          "Normal",
          "Prediabetes",
          "Diabetes",
          "Low blood sugar"
        ],
        "correct": 1,
        "explanation": "An A1C from 5.7% to 6.4% is in the prediabetes range."
      },
      {
        "question": "Which statement about type 2 diabetes is true?",
        "options": [
          "It can often be prevented or delayed",
          "It always starts in childhood",
          "It never needs medicine",
          "It is caused by eating one candy bar"
        ],
        "correct": 0,
        "explanation": "CDC says lifestyle changes can prevent or delay type 2 diabetes."
      },
      {
        "question": "Low blood sugar means a reading below:",
        "options": [
          "100 mg/dL",
          "126 mg/dL",
          "180 mg/dL",
          "70 mg/dL"
        ],
        "correct": 3,
        "explanation": "CDC defines low blood sugar as below 70 mg/dL."
      },
      {
        "question": "A client with diabetes is awake, shaky and sweaty with a reading of 60. What should the CHW do?",
        "options": [
          "Tell him to take extra insulin",
          "Leave and check on him tomorrow",
          "Help him follow his plan with 15 grams of fast sugar and recheck in 15 minutes",
          "Give him a large meal right away and skip rechecking"
        ],
        "correct": 2,
        "explanation": "The 15-15 rule is the CDC first step for a conscious person with low blood sugar."
      },
      {
        "question": "Which two conditions are the main causes of kidney failure?",
        "options": [
          "Asthma and allergies",
          "Diabetes and high blood pressure",
          "Colds and flu",
          "COPD and arthritis"
        ],
        "correct": 1,
        "explanation": "CDC names diabetes and high blood pressure as the main causes of kidney failure."
      },
      {
        "question": "At what age does the USPSTF recommend women start mammograms?",
        "options": [
          "30",
          "50",
          "40",
          "65"
        ],
        "correct": 2,
        "explanation": "The 2024 recommendation is a mammogram every 2 years for women 40 to 74."
      },
      {
        "question": "At what age should most adults start colorectal cancer screening?",
        "options": [
          "45",
          "35",
          "55",
          "60"
        ],
        "correct": 0,
        "explanation": "The USPSTF recommends colorectal screening from 45 to 75."
      },
      {
        "question": "Who is eligible for yearly lung cancer screening?",
        "options": [
          "Anyone with a cough",
          "All adults over 40",
          "Only people who have never smoked",
          "Adults 50 to 80 with a 20 pack-year history who smoke or quit within 15 years"
        ],
        "correct": 3,
        "explanation": "These are the USPSTF lung screening criteria, using low-dose CT."
      },
      {
        "question": "A child's asthma is in the red zone and she is struggling to talk. What should the CHW do?",
        "options": [
          "Wait to see if it gets better tomorrow",
          "Call 911",
          "Tell the parent to open a window",
          "Suggest a new inhaler brand"
        ],
        "correct": 1,
        "explanation": "Trouble walking or talking from shortness of breath is a danger sign that needs emergency help."
      },
      {
        "question": "A client in an old rental has repeated asthma attacks from mold. Which is an upstream action?",
        "options": [
          "Telling her to use her inhaler more",
          "Changing her medicine",
          "Helping her connect with tenant rights and healthy homes help to get repairs",
          "Telling her to keep the child inside"
        ],
        "correct": 2,
        "explanation": "Fixing the housing condition addresses the root cause of the trigger."
      }
    ]
  },
  "post_test": {
    "graded": true,
    "questions": [
      {
        "question": "Low blood sugar means a reading below:",
        "options": [
          "100 mg/dL",
          "126 mg/dL",
          "180 mg/dL",
          "70 mg/dL"
        ],
        "correct": 3,
        "explanation": "CDC defines low blood sugar as below 70 mg/dL."
      },
      {
        "question": "A client with diabetes is awake, shaky and sweaty with a reading of 60. What should the CHW do?",
        "options": [
          "Tell him to take extra insulin",
          "Leave and check on him tomorrow",
          "Help him follow his plan with 15 grams of fast sugar and recheck in 15 minutes",
          "Give him a large meal right away and skip rechecking"
        ],
        "correct": 2,
        "explanation": "The 15-15 rule is the CDC first step for a conscious person with low blood sugar."
      },
      {
        "question": "Which statement about type 2 diabetes is true?",
        "options": [
          "It can often be prevented or delayed",
          "It always starts in childhood",
          "It never needs medicine",
          "It is caused by eating one candy bar"
        ],
        "correct": 0,
        "explanation": "CDC says lifestyle changes can prevent or delay type 2 diabetes."
      },
      {
        "question": "At what age should most adults start colorectal cancer screening?",
        "options": [
          "45",
          "35",
          "55",
          "60"
        ],
        "correct": 0,
        "explanation": "The USPSTF recommends colorectal screening from 45 to 75."
      },
      {
        "question": "A client in an old rental has repeated asthma attacks from mold. Which is an upstream action?",
        "options": [
          "Telling her to use her inhaler more",
          "Changing her medicine",
          "Helping her connect with tenant rights and healthy homes help to get repairs",
          "Telling her to keep the child inside"
        ],
        "correct": 2,
        "explanation": "Fixing the housing condition addresses the root cause of the trigger."
      },
      {
        "question": "Who is eligible for yearly lung cancer screening?",
        "options": [
          "Anyone with a cough",
          "All adults over 40",
          "Only people who have never smoked",
          "Adults 50 to 80 with a 20 pack-year history who smoke or quit within 15 years"
        ],
        "correct": 3,
        "explanation": "These are the USPSTF lung screening criteria, using low-dose CT."
      },
      {
        "question": "Which two conditions are the main causes of kidney failure?",
        "options": [
          "Asthma and allergies",
          "Diabetes and high blood pressure",
          "Colds and flu",
          "COPD and arthritis"
        ],
        "correct": 1,
        "explanation": "CDC names diabetes and high blood pressure as the main causes of kidney failure."
      },
      {
        "question": "An A1C of 6.0% falls in which range?",
        "options": [
          "Normal",
          "Prediabetes",
          "Diabetes",
          "Low blood sugar"
        ],
        "correct": 1,
        "explanation": "An A1C from 5.7% to 6.4% is in the prediabetes range."
      },
      {
        "question": "At what age does the USPSTF recommend women start mammograms?",
        "options": [
          "30",
          "50",
          "40",
          "65"
        ],
        "correct": 2,
        "explanation": "The 2024 recommendation is a mammogram every 2 years for women 40 to 74."
      },
      {
        "question": "A child's asthma is in the red zone and she is struggling to talk. What should the CHW do?",
        "options": [
          "Wait to see if it gets better tomorrow",
          "Call 911",
          "Tell the parent to open a window",
          "Suggest a new inhaler brand"
        ],
        "correct": 1,
        "explanation": "Trouble walking or talking from shortness of breath is a danger sign that needs emergency help."
      }
    ]
  }
}