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

A 5-10% reduction in body weight through lifestyle modification is the most effective intervention for improving liver histology, reducing hepatic steatosis, and decreasing inflammation in NAFLD.

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

Low-protein diets (0.6-0.8 g/kg/day) are recommended for non-dialysis CKD to reduce nitrogen waste accumulation, decrease uremic toxin burden, and slow disease progression.

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

DASH (Dietary Approaches to Stop Hypertension) emphasizes potassium, magnesium, and calcium-rich foods while limiting sodium to 1,500-2,300 mg/day, reducing systolic BP by 8-14 mmHg.

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

Replacing saturated fatty acids with polyunsaturated fats and adding soluble fiber (psyllium, beta-glucan) are the two dietary changes with strongest evidence for LDL reduction.

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

GI ranks foods on a 0-100 scale based on their postprandial blood glucose response relative to glucose; choosing low-GI foods can improve glycemic control in diabetes.

Clinical Nutritionist CCN Practice Test

Clinical Nutritionist CCN Practice Test

Clinical Nutritionist CCN Therapeutic Nutrition and Disease Management