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Domain 2 Questions with Explanations of Answers

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Domain 2 Questions with Explanations of Answers

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  • June 16, 2024
  • 75
  • 2023/2024
  • Exam (elaborations)
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Domain 2
In community surveys, a frequent symptom of malnutrition is:
a. scurvy
b. rickets

✅✅
c. low serum albumin
d, low hemoglobin - -d, low hemoglobin

Which is the least common symptom in the elderly?
a. osteomalacia
b. osteoporosis

✅✅
c. obesity
d. hypertension - -a. osteomalacia

What is included in the study of demographics?
I, age of individuals III. sex of individuals
II. population statistics IV. socioeconomic factors
a. I only
b. all of the above

✅✅
c. II, III
d. I, II, III - -d. I, II, III

Athletes should receive...
a. salt pills only during the summer months
b. extra protein

✅✅
c. carbohydrate loading two weeks prior to an event
d. water during an event to replace lost fluids - -d. water during an event to
replace lost fluids

How many grams of protein would you receive on a 1500 calorie diet which is 20%
protein?
a. 70
b.75

✅✅
c.64
d.300 - -b.75

A patient is on a high protein, low carbohydrate diet. What advice
should you offer?
a. increase fluid intake
b. decrease the intake of complex carbohydrates

✅✅
c. decrease fluid intake
d. decrease the intake of saturated fats - -a. increase fluid intake

An insulin-dependent diabetes living alone calls you with symptoms of

,nausea, vomiting and anorexia. What do you recommend?
a. continue with insulin and eat anything he can
b. continue with insulin and drink anything he can

✅✅
c. discontinue the insulin until he feels better
d. discontinue the insulin and eat whatever he can - -b. continue with insulin
and drink anything he can

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 - -d. 30 lbs. hemoglobin 9

Which of the infants in the above question have a normal hemoglobin
level?
a. a,b,d
b. b,d

✅✅
c. c,d
d. a,b,c - -d. a,b,c
a. 20 lbs. hemoglobin 10
b. 22 lbs. hemoglobin 10.5
c. 19 lbs. hemoglobin 11

An alcoholic patient has a low serum albumin, low hemoglobin, high
ammonia, abnormal liver function tests and ascites, Why is he on a
500mg sodium diet?
a. secondary renal failure
b.hypoaldosteronism

✅✅
c. hypoalbuminemia
d. hyperammonemia - -c. hypoalbuminemia

Which of the following should the patient in the above question have for
lunch?
a. 4 ounces cottage cheese
b.i ounce cheddar cheese

✅✅
c.i ounce roast beef
d.i ounce cold cuts - -c.i ounce roast beef

Which of the following should be included in the diet for celiac disease?
I. decrease intake of eggs II. use potato and rice flour
III, IM vitamin B12 andiron IV. low calorie, high fat, high protein
a. II, III
b. Ill, IV
c. I, II, IV

, ✅✅
d. II, IV - -a. II, III
II. use potato and rice flour
III, IM vitamin B12 andiron

Who is most at risk for gestational diabetes?
a. BMI <30
b. age <25, overweight

✅✅-c.BMI > 30, history of GSM
c.BMI > 30, history of GSM
d. conception within 10 months of last pregnancy -

A child is lethargic, irritable with diarrhea. The cause may be:
a. zinc toxicity
b. lead poisoning

✅✅
c. iron overload
d. vitamin A toxicity - -b. lead poisoning

How many calories are in 300ml of a 5% dextrose solution?
a. 51
b. 60

✅✅
c. 15
d. 200 - -a. 51

A single 19 year old female is 6 months pregnant. She has not gained any weight
and has not seen a physician.Hemoglobin is 9. Hematocrit is 30. What is the most
important recommendation for her?
a. see a physician immediately

✅✅
b. apply for WIC immediately c. join a teenage pregnancy support group
d. begin taking iron supplements - -a. see a physician immediately

. A female, 5'7" tall, weighs 115 lbs. Six months ago she weighed 130 lbs. What is
her percent of ideal body weight?
a. 85%
b. 83%

✅✅
c. 81%
d. 87% - -a. 85%

A vegan is allergic to milk. Which nutrients would you expect might be deficient in
her intake?
a. protein, calories
b. vitamin B12,D

✅✅
c. vitamin C, calcium
d. vitamin A, D - -b. vitamin B12,D

A patient with Crohn's disease needs the following diet

, I. high fat, high calorie, high protein
II. low fat only with steatorrhea, vitamin C, B12
III. high calorie, high protein according to current BMI
IV. high residue, low fat, fat soluble vitamins
V. low calorie, low residue, fat soluble vitamins, B12
a. I
b. II, III

✅✅
c. III, IV
d. V - -b. II, III
II. low fat only with steatorrhea, vitamin C, B12
III. high calorie, high protein according to current BMI

Which of the following diets is appropriate for reactive hypoglycemia?
a. reduce intake of concentrated carbohydrates, 5-6 small meals
b. increased complex carbohydrate, low fat, high protein

✅✅
c. decreased complex carbohydrate, low fat
d, high protein, high fat, high carbohydrate - -a. reduce intake of concentrated
carbohydrates, 5-6 small meals

Which patient has marasmus?
Patient A Patient B Patient C
Male Female Male
serum albumin 3.5 2,6 4.0
transferrin 275 125 450
a. A
b. B

✅✅
c.C
d. A,B - -a. A

When assessing nutritional status, which would be the most beneficial?
a. 24 hour recall, history of weight changes
b. medical history, diet order, socioeconomic status

✅✅
c. clinical observation, weight status, cultural habits
d. diet intake info, clinical data, laboratory data - -d. diet intake info, clinical
data, laboratory data

The first function of the public health nutritionist is:
a, assess the needs of the community
b. counsel patients with special dietary needs

✅✅
c. write pamphlets for educational purposes
d. expand the role of Dietitians - -a, assess the needs of the community

What nutrients most affect the renal solute load?
a. protein and carbohydrate

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