Clinical Nutritionist CCN Clinical Assessment and Nutritional Diagnosis

Question 1

Which anthropometric measurement is most commonly used to assess central adiposity and cardiovascular risk?

Accepted Answer

Waist circumference

Answer

Body mass index (BMI)

Answer

Skinfold thickness

Answer

Hip circumference

Question 2

Which laboratory marker is used to assess long-term glycemic control over approximately 2-3 months?

Accepted Answer

Hemoglobin A1c (HbA1c)

Answer

Fasting blood glucose

Answer

Postprandial glucose

Answer

Fructosamine

Question 3

In a nutritional assessment, what does a 24-hour dietary recall capture that a food frequency questionnaire (FFQ) does not?

Accepted Answer

Detailed quantitative intake on a specific day

Answer

Habitual long-term dietary patterns

Answer

Frequency of food group consumption over a year

Answer

Meal timing and circadian patterns

Question 4

Which visceral protein has the shortest half-life and is therefore most sensitive to acute changes in nutritional status?

Accepted Answer

Retinol-binding protein — half-life ~12 hours

Answer

Prealbumin (transthyretin) — half-life ~2 days

Answer

Albumin — half-life ~20 days

Answer

Transferrin — half-life ~8-10 days

Question 5

The Malnutrition Universal Screening Tool (MUST) incorporates which three components to assess malnutrition risk?

Accepted Answer

BMI, unintentional weight loss, and acute disease effect

Answer

Albumin level, dietary intake, and functional status

Answer

Waist circumference, appetite, and age

Answer

Handgrip strength, BMI, and laboratory markers

Question 6

Which physical examination finding in a patient with malnutrition indicates significant depletion of subcutaneous fat stores?

Accepted Answer

Hollow temples and visible ribs with loose skin

Answer

Peripheral edema

Answer

Cheilosis and glossitis

Answer

Koilonychia