RD Exam Domain #2: Review of Practice Missed Questions with 100% Correct Answers

RD Exam Domain #2: Review of Practice Missed Questions with 100% Correct Answers An alcoholic patient has a low serum albumin, low hemoglobin, high ammonia, abnormal LFT's and ascites. Why is he on a 500 mg sodium diet? - Answer- hypoalbuminemia **albumin = fluid status What should be included in the diet for celiac disease? - Answer- -use potato and rice flour -vitamin B12 and iron According to the Diabetes Exchange Lists, when substituting 2% milk for fat-free milk, how many fat exchanges must you omit? - Answer- 1 fat exchange -2% milk = 5 grams of fat -fat-free milk = 0 grams of fat **one fat exchange = 5 grams of fat What are chemically defined formulas used for? - Answer- short bowel syndrome **chemically defined = elemental -- PRE-digested formula for GI issues What is an example of a medium fat protein? - Answer- corned beef What is NOT a fiber in the diet? - Answer- amylose **is a broken down component of CHO What parameters do NHANES studies look at? - Answer- nutritional, clinical and biochemical What is recommended for a 6'2" male with a large frame who weighs 230 lbs with Type II diabetes? - Answer- lose 20 lbs slowly following a balanced diet If a patient is about to be discharged when you receive the discharge diet order, what should you do? - Answer- enroll the patient in the outpatient clinic and schedule an appointment After a cholecystectomy, what organ produces bile? - Answer- the liver What is an example of a positive nutrition care outcome? - Answer- increased intake of foods high in iron and vitamin C What is used to determine muscle mass? - Answer- triceps skinfold and arm circumference What is the MOST impaired nutrient in cystic fibrosis? - Answer- fat, NOT electrolyes What should nutrition therapy include immediately following a severe burn? - Answer- fluid and electrolyte replacement The immobilized state can lead to low levels of what? - Answer- low albumin and low calcium **albumin = fluid status; immobilized individuals need increased amounts of fluid **lack of calcium due being sedentary Which of the following is NOT a sign of marasmus? - Answer- edema