1. Which study was designed to test for superiority and showed that patients using a GLP-1 RA gained a statistically superior cardiovascular benefit compared to patients using placebo?

2. What is the correct cardiovascular FDA indication for liraglutide use in patients with type 2 diabetes already using metformin?

3. Which of the following is NOT a proposed mechanism of action for the cardiovascular benefits exhibited by some of the GLP-1 RAs?

4. Why are pharmaceutical manufacturers of new antihyperglycemic agents used in adults with type 2 diabetes expected to complete cardiovascular outcome trials (CVOTs)?

5. Which of the below could be a valid rationale to explain a neutral outcome of a GLP-1 RA cardiovascular outcome trial (CVOT) compared to placebo when a benefit actually exist?

6. A colleague prescribed his first GLP-1 RA for a patient. He asked how soon the CV risk protection will be achieved after initiating therapy. Which statement below is the most correct reply regarding onset of CV benefits?

7. Your patient is a 66-year-old Caucasian female. She has had type 2 diabetes for 10 years and has a baseline A1C of 7.3%. She currently takes metformin 1000 mg po BID. Her past medical history is only significant for migraines and GERD. Which study population best represents your patient?

8. Which answer best describes why the FDA does not require cardiovascular outcome trials (CVOTs) to be conducted on medications for treating type 1 diabetes?

9. Which GLP-1 RA has received an FDA indication for reducing the risk of a cardiovascular endpoint based on findings from a completed CVOT?

10. What is included in the typical primary composite major adverse cardiovascular event (MACE) outcome for GLP-1 RA cardiovascular outcome trials (CVOTs)?

Evaluation Questions

11. How confident are in your response regarding CV benefits with GLP-1 RAs?

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