RD Exam - Domain II, MNT Questions And Answers
Verified 100% Correct
What does a GRF need to be before you decide to restrict
protein? - ANSWER in CKD I,2,3 - If GFR < 60, rx .8 g/kg
in CKD 4,5 - If GFR < 25, rx .6 g/kg
Protein and kcal needs for hemodialysis?
peritoneal dialysis? - ANSWER HD
Protein: 1.2 g/kg
Kcals: 30-35 kcal/kg
PD
Protein: 1.2-1.3
Kcals: < 60 years old, 35 kcal/kg (including dialysate)
≥ 60 years old, 30-35 kcal/kg
Normal blood glucose ranges (fasting and 2 hr post-prandial) -
ANSWER Fasting - 70-100 mg/dl
2hPH - < 140 mg/dl
Glucose ranges indicating DM
fasting glucose tolerance test casual
glucose hga1c - ANSWER fasting
≥126 mg/dl GTT ≥ 200 mg/dl
casual glucose ≥ 200 mg/dl if showing s/s of DM
HgA1c ≥ 6.5
Goal for a1c in DM - ANSWER <7%
Describe the curve on a glucose tolerance blood test in normal
,vs. DM patients - ANSWER Normal - sloped curve
Diabetic curve - rounded
Glycosylated Hemogloin - ANSWER measures % of hemoglobin
that has glucose attached
Goals for all diabetics - ANSWER -Maintain normal blood
glucose (70-130 fasting, peak postprandial not more than 180)
-Optimal lipid levels (LDL < 100, TG < 150, HDL >40M, >50F)
-BP control (<130/80)
Risk factors for gestational DM - ANSWER BMI > 30
history of GDM
Exchanges for bread/starch - ANSWER CHO: 15 g
Pro: 0-3 g
Fat: 1g or less
Exchanges for fruit - ANSWER CHO: 15 g
Pro: 0
Fat: 0
Exchanges for milk
(skim vs fat vs whole) - ANSWER Skim Milk -
CHO: 12 Pro: 8 Fat: 0-3
Lowfat Milk -
CHO: 12 Pro: 8 Fat: 5
Whole milk -
CHO: 12 Pro: 8 Fat: 8
Exchanges for vegetables - ANSWER CHO: 5g
, Pro: 2 g
Fat: 0
Exchanges for meat
(lean vs/ med-fat vs/ high-fat) - ANSWER Lean meat-
CHO: 0 Pro: 7 Fat: 0-3
Medium fat meat-
CHO: 0 Pro: 7 Fat: 4-7
High fat meat-
CHO: 0 Pro: 7 Fat: 8+
Exchanges for fat serving - ANSWER CHO: 0
Pro: 0
Fat: 5 g
Rapid-acting insulin - ANSWER onset: 5-15 min
duration: 4 hours
ex: aspart (Novolog), lispro (Humalog)
Short-acting insulin - ANSWER onset: 30-45 min
duration: 3-6 hours
ex: Regular insulin
Intermediate-acting insulin - ANSWER onset: 2-4 hours
duration: 10-18 hours
ex: NPH
Long-acting insulin - ANSWER onset: 2-4 hours
duration: 18-24 hours
ex: glargine (lantus), determir (Levemir)
Verified 100% Correct
What does a GRF need to be before you decide to restrict
protein? - ANSWER in CKD I,2,3 - If GFR < 60, rx .8 g/kg
in CKD 4,5 - If GFR < 25, rx .6 g/kg
Protein and kcal needs for hemodialysis?
peritoneal dialysis? - ANSWER HD
Protein: 1.2 g/kg
Kcals: 30-35 kcal/kg
PD
Protein: 1.2-1.3
Kcals: < 60 years old, 35 kcal/kg (including dialysate)
≥ 60 years old, 30-35 kcal/kg
Normal blood glucose ranges (fasting and 2 hr post-prandial) -
ANSWER Fasting - 70-100 mg/dl
2hPH - < 140 mg/dl
Glucose ranges indicating DM
fasting glucose tolerance test casual
glucose hga1c - ANSWER fasting
≥126 mg/dl GTT ≥ 200 mg/dl
casual glucose ≥ 200 mg/dl if showing s/s of DM
HgA1c ≥ 6.5
Goal for a1c in DM - ANSWER <7%
Describe the curve on a glucose tolerance blood test in normal
,vs. DM patients - ANSWER Normal - sloped curve
Diabetic curve - rounded
Glycosylated Hemogloin - ANSWER measures % of hemoglobin
that has glucose attached
Goals for all diabetics - ANSWER -Maintain normal blood
glucose (70-130 fasting, peak postprandial not more than 180)
-Optimal lipid levels (LDL < 100, TG < 150, HDL >40M, >50F)
-BP control (<130/80)
Risk factors for gestational DM - ANSWER BMI > 30
history of GDM
Exchanges for bread/starch - ANSWER CHO: 15 g
Pro: 0-3 g
Fat: 1g or less
Exchanges for fruit - ANSWER CHO: 15 g
Pro: 0
Fat: 0
Exchanges for milk
(skim vs fat vs whole) - ANSWER Skim Milk -
CHO: 12 Pro: 8 Fat: 0-3
Lowfat Milk -
CHO: 12 Pro: 8 Fat: 5
Whole milk -
CHO: 12 Pro: 8 Fat: 8
Exchanges for vegetables - ANSWER CHO: 5g
, Pro: 2 g
Fat: 0
Exchanges for meat
(lean vs/ med-fat vs/ high-fat) - ANSWER Lean meat-
CHO: 0 Pro: 7 Fat: 0-3
Medium fat meat-
CHO: 0 Pro: 7 Fat: 4-7
High fat meat-
CHO: 0 Pro: 7 Fat: 8+
Exchanges for fat serving - ANSWER CHO: 0
Pro: 0
Fat: 5 g
Rapid-acting insulin - ANSWER onset: 5-15 min
duration: 4 hours
ex: aspart (Novolog), lispro (Humalog)
Short-acting insulin - ANSWER onset: 30-45 min
duration: 3-6 hours
ex: Regular insulin
Intermediate-acting insulin - ANSWER onset: 2-4 hours
duration: 10-18 hours
ex: NPH
Long-acting insulin - ANSWER onset: 2-4 hours
duration: 18-24 hours
ex: glargine (lantus), determir (Levemir)
