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Clinical Nutrition exam with 100% correct answers
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  • Clinical Nutrition
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  • Clinical Nutrition

A 68 year old woman comes to your office for the first time. She has a BMI of 33 kg/m2. Her nutrition focused physical exam is normal. To classify her as obese, what further information do you need? A. No further information. BMI is sufficient. B. Waist circumferance C. Additional anthropometric...

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  • August 28, 2024
  • 22
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • Clinical Nutrition
  • Clinical Nutrition

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Clinical Nutrition

A 68 year old woman comes to your office for the first time. She has a BMI of 33 kg/m2. Her nutrition
focused physical exam is normal. To classify her as obese, what further information do you need?

A. No further information. BMI is sufficient.

B. Waist circumferance

C. Additional anthropometrics

D. DEXA scan correct answersNOT C



In the setting of illness, which might be the most useful to assess baseline nutritional status?



A. Weight after fluid restriction

B. Skin evaluation for wounds

C. Serum albumin and prealbumin

D. Presence of temporal muscle wasting correct answersD. Presence of temporal muscle wasting



Clinical characteristics that the RD can obtain and document to support the diagnosis of malnutrition in
adults based on current guidelines include which of the following?



A. Weight loss, insufficient energy intake, reduced hand grip strength

B. weight loss, albumin, insufficient energy intake

C. Albumin, insufficient energy intake, reduced hand grip strength

D. Weight loss, albumin, reduced hand grip strength correct answersNOT D



A severe earthquake occurs, resulting in a building collapse that traps a person, who is uninjured, in the
building. There is adequate bottled water and large quantities of enriched white bread, but minimal
other food. After several weeks, the person is rescued and is found to have edema and muscle wasting.
The edema and muscle wasting are most likely due to:

,A. Kwashiorkor

B. Refeeding syndrome

C. Pellagra

D. Wet beriberi correct answersA. Kwashiorkor



A 25 year old woman who is an avid runner develops decreased endurance, pale skin, and fatigue, and
notices difficulty in concentration. Which of the below tests could best help identify her problem?



A. Liver function tests

B. 25-OH vitamin D concentration

C. Clotting time

D. Hematocrit correct answersD. Hematocrit



Nutrition screening differs from nutrition assessment in that:



A. Nutrition screening identifies patients who may have a nutrition diagnosis while nutrition assessment
categorizes patients with a medical diagnosis.

B. Nutrition screening classifies malnutrition while nutrition assessment determines a patient's
nutritional plan.

C. Nutrition screening identifies patient's at nutrition risk while nutrition assessment determines a
patient's nutritional problems.

D. Nutrition screening identifies patients who may benefit from nutrition assessment while nutrition
assessment classifies a medical risk as high or moderate. correct answersC. Nutrition screening identifies
patient's at nutrition risk while nutrition assessment determines a patient's nutritional problems.



There is much debate about the effect of breastfeeding on obesity in childhood. The most current
research suggests that:

A. Breastfeeding may have a protective effect on obesity through childhood

B. Breastfeeding may have a protective effect on obesity early in infancy

C. Breastfeeding may have a protective effect on obesity through adulthood

D. Breastfeeding does not protect against obesity at any age correct answersA. Breastfeeding may have a
protective effect on obesity through childhood

, Describe the different intervention approaches that could be used to manage stage 1-3 obesity. correct
answersWhile primary prevention strategies may include integrating education with supportive
environment change, obesity stages 1-3 focus primarily on behavioral changes. Each stage increases
intensity as the risk for obesity increases. Interventions may include slowing the rate of of weight gain,
stopping weight gain, or losing weight. In some cases, all that is needed is to slow the rate of weight gain
or stop weight gain since the child may grow into the weight as their height increases over time.
Restrictive diets are not recommended, rather introducing children to healthy eating and behavioral
patterns has shown better results in the future of the children's lives.



Identify three strategies to reduce binge-purge triggers in the early rehabilitation of bulimia nervosa
patients. correct answersSince restricting intake below energy needs may trigger binge eating, it is
important for the dietitian to create a meal plan that avoids long periods of fasting. This can occur if
three meals and snacks are given to the patients daily and a balance of macronutrient intake is adhered
to because this will decrease cravings and promote satiety in the patient. This is an example of one way
of reducing binge-purge triggers called menu planning. Another strategy to reduce binge-purge triggers
is self- monitoring. Hunger and satiety cues can be monitoring by the patient. This has also shown proof
in literature to reduce triggers. The last method of reducing triggers is meal and snack consistency. This
was explained above. Snacks remove the long periods of time without eating which may act as a trigger
to a patient.



Stage 4 intervention for childhood obesity can include:

A. All are correct

B. Bariatric surgery

C. Behavior Modification

D. Pharmacologic Interventions correct answersA. All are correct



The goals of dietary intervention should include which of the following?

A. Emphasis on increasing healthy foods

B. Severe caloric restriction

C. Daily weight measures

D. All options are correct correct answersA. Emphasis on increasing healthy foods



Goals of nutritional rehabilitation of a bulimia nervosa patient include:

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