CDN Medical Nutrition Therapy 3

Question 1

A patient recovering from a stroke has dysphagia. Which texture modification is appropriate for someone who can manage soft, moist pieces but not regular foods?

Accepted Answer

IDDSI Level 5 (Minced & Moist)

Answer

IDDSI Level 5 (Minced & Moist) is designed for patients who can chew soft, moist, small pieces but cannot manage regular textures safely.

Question 2

Which lab value is the best short-term indicator of protein status and nutritional repletion in a hospitalized patient?

Accepted Answer

Prealbumin (transthyretin)

Answer

Prealbumin has a half-life of 2–3 days, making it a more sensitive short-term marker of protein status than albumin (half-life ~20 days).

Question 3

A Type 1 diabetic patient on insulin uses carbohydrate counting. One carbohydrate serving equals how many grams of carbohydrate?

Accepted Answer

15 grams

Answer

One carbohydrate serving (exchange) is standardized as 15 grams of carbohydrate in diabetes meal planning.

Question 4

In MNT for heart failure, which dietary intervention has the strongest evidence for reducing fluid retention?

Accepted Answer

Restricting sodium to 2 g/day or less

Answer

Sodium restriction (≤2 g/day) reduces fluid retention and edema by decreasing the osmotic drive for water reabsorption in heart failure.

Question 5

A patient with phenylketonuria (PKU) must restrict which amino acid?

Accepted Answer

Phenylalanine

Answer

PKU results from deficient phenylalanine hydroxylase activity, requiring strict dietary restriction of phenylalanine to prevent neurological damage.

(CDN) Certified Dietician Nutritionist Practice Test

(CDN) Certified Dietician Nutritionist Practice Test

CDN Medical Nutrition Therapy 3