RD Exam Domain II Questions And
Answers.
Low Hemoblobin -
\In community surveys, a frequent symptom of malnutrition is:
Osteomalacia -
\Which is the least common symptom in the elderly?
a) osteomalacia
b) osteoporosis
c) obesity
d) hypertension
- Age of Individual
- Sex of Individual
- Population Statistics -
\What is included in the study of demographics?
Water during an event to replace fluid -
\Athletes should receive:
75
1500 cal x 0.2 = 300 cal
300 cal/ 4= 75gm -
\How many grams of protein would you receive on a 1500 calorie diet which is 20%
protein?
Increase fluid intake
(because of the high protein intake) -
\A patient is on a high protein, low carb diet. What advice do you offer?
Low sodium, low saturated fat, low cholesterol, high calorie
(cardiac cachexia: unintended weight loss; blood backs up into the liver & intestines;
-causes nausea & decreased appetite
-diet: low sat fat, low trans fat, 2gm sodium, low cholesterol, high calorie; arginine &
glutamine may help)
,II MNT 11 -
\Nutritional prescription for a patient with cardiac cachexia includes:
30 lbs. Hemoglobin 9
(Infant Normal Hemoglobin: 9.5-13m/dL) -
\Which infant is at the greatest risk?
a) 20 lbs. Hemoglobin 10
b) 22 lbs. Hemoglobin 10.5
c) 19 lbs. Hemoglobin 11
d) 30 lbs. Hemoglobin 9
a) 20 lbs. Hemoglobin *10*
b) 22 lbs. Hemoglobin *10.5*
c) 19 lbs. Hemoglobin *11*
(Infant Normal Hemoglobin: 9.5-13m/dL) -
\Which infants have a normal hemoglobin level?
a) 20 lbs. Hemoglobin 10
b) 22 lbs. Hemoglobin 10.5
c) 19 lbs. Hemoglobin 11
d) 30 lbs. Hemoglobin 9
Hypoalbuminemia
(If patient has edema or ascites, restrict sodium)
II MNT 7 -
\An alcoholic patient has a low serum albumin, low hemoglobin, high ammonia,
abnormal liver function test, & ascites. Why is he on a 500mg sodium diet?
Hypoalbuminemia
(If patient has edema or ascites, restrict sodium)
Hypoalbuminemia is associated with edema and surgery.
II MNT 7 -
\An alcoholic patient has a low serum albumin, low hemoglobin, high ammonia,
abnormal liver function test, & ascites. Why is he on a 500mg sodium diet?
II. Use potato & rice flour
III. IM (Intramuscular) Vitamin B12 & Iron -
\Which of the following should be included in the diet for celiac disease?
,I. Decrease intake of eggs
II. Use potato & rice flour
III. IM (Intramuscular) Vitamin B12 & Iron
IV. Low calorie, high fat, high protein
BMI > 30, History of GDM -
\Who is most at risk for gestational diabetes?
Lead Poisoning
(*L*ead Poisoning: *L*ethargic, irritable, Diarrhea) -
\A child is lethargic, irritable and with diarrhea. The cause may be:
51 calories
(300 mL x .05 = 15 gm
15 gm x 3.4 calories = 51 calories) -
\How many calories are in 300mL of a 5% Dextrose solution?
See a physician immediately -
\A single 19 y/o female is 6 months pregnant. She has not gained ant weight & has not
seen a physician. Hemoglobin is 9. Hematocrit is 30. What is the most important
recommendation for her?
85%
(IBW: 67"- 60" = 7
7 x 5 = 35
100 + 35 = 135 (IBW)
%IBW: 115 lbs. (CWB) / 135lbs. (IBW) = 85%) -
\A female, 5'7", weighs 115 lbs. Six months ago she weighed 130 lbs. What is her
percent ideal body weight?
Vitamin B12, D
(B12: no animal protein; D: No Milk) -
\A vegan is allergic to milk. Which nutrients would you expect might be deficient in her
intake?
II. low fat only if steatorrhea, vitamin C, B12
III. calories according to current BMI, high protein -
\A patient with Crohn's Disease needs the following diet:
, I. high fat, high calorie, high protein
II. low fat only if steatorrhea, vitamin C, B12
III. calories according to current BMI, high protein
IV. high residue, low fat, fat soluble vitamins
V. low calorie, low residue, fat soluble vitamins, B12
Reduce intake of concentrated carbs & 5-6 small meals -
\Which of the following diets is appropriate for reactive hypoglycemia?
Patient A
*Pt A* Pt B Pt C
MFM
Serum Albumin *3.5* 2.6 4.0
Transferrin 275 125 450
Tricep skinfold *3* 16.8 17
MAMC 15 24.1 28.1
TLC 1000 3500
(Marasmus= Protein & Calorie Starvation
-serum albumin is *normal*
-triceps skinfold is *decreased*) -
\Which patient has marasmus?
Pt A Pt B Pt C
MFM
Serum Albumin 3.5 2.6 4.0
Transferrin 275 125 450
Triceps skinfold 3 16.8 17
MAMC 15 24.1 28.1
TLC 1000 3500
-Diet intake info
-Clinical data
-Lab data -
\When assessing nutrition status, what would be the most beneficial?
Assess the needs of the community -
\The first function of the public health nutritionist is:
Protein & Sodium
(*The renal solute load mainly measures Nitrogen & electrolytes (Sodium)*
II MNT 12 -
\Which nutrients affect the renal solute load?
Answers.
Low Hemoblobin -
\In community surveys, a frequent symptom of malnutrition is:
Osteomalacia -
\Which is the least common symptom in the elderly?
a) osteomalacia
b) osteoporosis
c) obesity
d) hypertension
- Age of Individual
- Sex of Individual
- Population Statistics -
\What is included in the study of demographics?
Water during an event to replace fluid -
\Athletes should receive:
75
1500 cal x 0.2 = 300 cal
300 cal/ 4= 75gm -
\How many grams of protein would you receive on a 1500 calorie diet which is 20%
protein?
Increase fluid intake
(because of the high protein intake) -
\A patient is on a high protein, low carb diet. What advice do you offer?
Low sodium, low saturated fat, low cholesterol, high calorie
(cardiac cachexia: unintended weight loss; blood backs up into the liver & intestines;
-causes nausea & decreased appetite
-diet: low sat fat, low trans fat, 2gm sodium, low cholesterol, high calorie; arginine &
glutamine may help)
,II MNT 11 -
\Nutritional prescription for a patient with cardiac cachexia includes:
30 lbs. Hemoglobin 9
(Infant Normal Hemoglobin: 9.5-13m/dL) -
\Which infant is at the greatest risk?
a) 20 lbs. Hemoglobin 10
b) 22 lbs. Hemoglobin 10.5
c) 19 lbs. Hemoglobin 11
d) 30 lbs. Hemoglobin 9
a) 20 lbs. Hemoglobin *10*
b) 22 lbs. Hemoglobin *10.5*
c) 19 lbs. Hemoglobin *11*
(Infant Normal Hemoglobin: 9.5-13m/dL) -
\Which infants have a normal hemoglobin level?
a) 20 lbs. Hemoglobin 10
b) 22 lbs. Hemoglobin 10.5
c) 19 lbs. Hemoglobin 11
d) 30 lbs. Hemoglobin 9
Hypoalbuminemia
(If patient has edema or ascites, restrict sodium)
II MNT 7 -
\An alcoholic patient has a low serum albumin, low hemoglobin, high ammonia,
abnormal liver function test, & ascites. Why is he on a 500mg sodium diet?
Hypoalbuminemia
(If patient has edema or ascites, restrict sodium)
Hypoalbuminemia is associated with edema and surgery.
II MNT 7 -
\An alcoholic patient has a low serum albumin, low hemoglobin, high ammonia,
abnormal liver function test, & ascites. Why is he on a 500mg sodium diet?
II. Use potato & rice flour
III. IM (Intramuscular) Vitamin B12 & Iron -
\Which of the following should be included in the diet for celiac disease?
,I. Decrease intake of eggs
II. Use potato & rice flour
III. IM (Intramuscular) Vitamin B12 & Iron
IV. Low calorie, high fat, high protein
BMI > 30, History of GDM -
\Who is most at risk for gestational diabetes?
Lead Poisoning
(*L*ead Poisoning: *L*ethargic, irritable, Diarrhea) -
\A child is lethargic, irritable and with diarrhea. The cause may be:
51 calories
(300 mL x .05 = 15 gm
15 gm x 3.4 calories = 51 calories) -
\How many calories are in 300mL of a 5% Dextrose solution?
See a physician immediately -
\A single 19 y/o female is 6 months pregnant. She has not gained ant weight & has not
seen a physician. Hemoglobin is 9. Hematocrit is 30. What is the most important
recommendation for her?
85%
(IBW: 67"- 60" = 7
7 x 5 = 35
100 + 35 = 135 (IBW)
%IBW: 115 lbs. (CWB) / 135lbs. (IBW) = 85%) -
\A female, 5'7", weighs 115 lbs. Six months ago she weighed 130 lbs. What is her
percent ideal body weight?
Vitamin B12, D
(B12: no animal protein; D: No Milk) -
\A vegan is allergic to milk. Which nutrients would you expect might be deficient in her
intake?
II. low fat only if steatorrhea, vitamin C, B12
III. calories according to current BMI, high protein -
\A patient with Crohn's Disease needs the following diet:
, I. high fat, high calorie, high protein
II. low fat only if steatorrhea, vitamin C, B12
III. calories according to current BMI, high protein
IV. high residue, low fat, fat soluble vitamins
V. low calorie, low residue, fat soluble vitamins, B12
Reduce intake of concentrated carbs & 5-6 small meals -
\Which of the following diets is appropriate for reactive hypoglycemia?
Patient A
*Pt A* Pt B Pt C
MFM
Serum Albumin *3.5* 2.6 4.0
Transferrin 275 125 450
Tricep skinfold *3* 16.8 17
MAMC 15 24.1 28.1
TLC 1000 3500
(Marasmus= Protein & Calorie Starvation
-serum albumin is *normal*
-triceps skinfold is *decreased*) -
\Which patient has marasmus?
Pt A Pt B Pt C
MFM
Serum Albumin 3.5 2.6 4.0
Transferrin 275 125 450
Triceps skinfold 3 16.8 17
MAMC 15 24.1 28.1
TLC 1000 3500
-Diet intake info
-Clinical data
-Lab data -
\When assessing nutrition status, what would be the most beneficial?
Assess the needs of the community -
\The first function of the public health nutritionist is:
Protein & Sodium
(*The renal solute load mainly measures Nitrogen & electrolytes (Sodium)*
II MNT 12 -
\Which nutrients affect the renal solute load?
