Clinical Nutritionist CCN Therapeutic Nutrition and Disease Management

Question 1

Which dietary intervention is first-line therapy for managing non-alcoholic fatty liver disease (NAFLD)?

Accepted Answer

5-10% body weight reduction through caloric restriction and increased physical activity

Answer

High-protein, low-fat diet with vitamin E supplementation

Answer

Mediterranean diet with omega-3 supplementation only

Answer

Ketogenic diet with intermittent fasting

Question 2

In chronic kidney disease (CKD) stages 3-5 (non-dialysis), what is the recommended dietary protein intake?

Accepted Answer

0.6-0.8 g/kg body weight per day

Answer

1.2-1.5 g/kg body weight per day

Answer

2.0 g/kg body weight per day

Answer

0.3 g/kg body weight per day

Question 3

The DASH diet, designed to lower blood pressure, emphasizes which dietary pattern?

Accepted Answer

High fruits, vegetables, low-fat dairy, whole grains, lean protein; low sodium, saturated fat, red meat

Answer

High protein, low carbohydrate, moderate fat intake

Answer

Mediterranean-style with high olive oil and red wine

Answer

Vegetarian diet with elimination of all animal products

Question 4

Which nutritional intervention is most effective for reducing LDL cholesterol in hyperlipidemia?

Accepted Answer

Replacing saturated fats with unsaturated fats and increasing soluble fiber

Answer

Eliminating all dietary cholesterol

Answer

Increasing omega-3 fatty acid intake alone

Answer

Low-calorie diet regardless of fat type

Question 5

In type 2 diabetes management, what is the glycemic index (GI), and how is it used clinically?

Accepted Answer

A ranking of carbohydrate foods based on their effect on blood glucose compared to pure glucose (GI=100)

Answer

A measure of total carbohydrate content per serving of food

Answer

A score based on insulin response to protein and fat intake

Answer

An index measuring speed of gastric emptying

Question 6

For a patient with heart failure, which dietary restriction is critical to prevent fluid overload?

Accepted Answer

Sodium restriction to 2,000 mg/day or less

Answer

Protein restriction to 0.5 g/kg/day

Answer

Potassium restriction to 1,000 mg/day

Answer

Total fluid restriction to 500 mL/day