CDN Medical Nutrition Therapy 4

Question 1

A bariatric patient 6 months post-Roux-en-Y gastric bypass presents with tingling in hands and feet. Which deficiency is most likely?

Accepted Answer

Thiamine (B1)

Answer

Thiamine deficiency causing peripheral neuropathy is common after gastric bypass due to reduced gastric acid and rapid transit impairing absorption.

Question 2

In MNT for HIV/AIDS, what is the primary goal of nutrition intervention?

Accepted Answer

Maintain lean body mass and prevent wasting

Answer

Preserving lean body mass is the primary nutrition goal in HIV/AIDS as wasting syndrome significantly worsens prognosis and quality of life.

Question 3

Which diet modification is the first-line MNT approach for gastroesophageal reflux disease (GERD)?

Accepted Answer

Avoid trigger foods and eat smaller, more frequent meals

Answer

Avoiding trigger foods (caffeine, alcohol, fatty foods, chocolate) and eating smaller meals reduces lower esophageal sphincter pressure and reflux symptoms.

Question 4

A patient with Type 2 diabetes has an HbA1c of 9.2%. According to MNT guidelines, what is the primary dietary focus?

Accepted Answer

Consistent carbohydrate intake and portion control to improve glycemic control

Answer

Consistent carbohydrate distribution across meals combined with portion control is the evidence-based MNT approach to reduce HbA1c in Type 2 diabetes.

Question 5

A patient on warfarin therapy should be counseled about maintaining consistent intake of which nutrient?

Accepted Answer

Vitamin K

Answer

Vitamin K directly affects warfarin's anticoagulant effect; consistent intake (not elimination) is recommended to maintain stable INR levels.

(CDN) Certified Dietician Nutritionist Practice Test

(CDN) Certified Dietician Nutritionist Practice Test

CDN Medical Nutrition Therapy 4