Keto Diet Assessment and Evaluation 5

Question 1

A keto dieter complains of persistent fatigue at week 6. Which assessment should be prioritized first?

Accepted Answer

Electrolyte status (sodium, potassium, magnesium) and total caloric intake

Answer

Persistent fatigue beyond week 4 on keto is most commonly caused by electrolyte deficits or inadequate caloric intake, both of which are easily corrected.

Question 2

How does the ketogenic diet typically affect the Triglyceride-to-HDL ratio, and why is this clinically significant?

Accepted Answer

It lowers the ratio, which is associated with reduced insulin resistance and cardiovascular risk

Answer

A Trig/HDL ratio below 2.0 is associated with insulin sensitivity and low cardiovascular risk; keto reliably improves this ratio.

Question 3

What is the significance of tracking ketone levels at different times of day rather than just once?

Accepted Answer

Ketones fluctuate naturally; multiple readings give a more accurate picture of metabolic state

Answer

Blood ketones vary with meals, exercise, and stress; tracking at multiple consistent time points reduces noise in self-assessment.

Question 4

A client's blood pressure drops from 145/90 to 118/76 after 8 weeks of keto. What is the most important follow-up action?

Accepted Answer

Consult their physician to review antihypertensive medications, as dosing may need adjustment

Answer

Significant blood pressure reductions can make existing antihypertensive medications cause hypotension, requiring medical review of dosages.

Question 5

Which finding on a standard metabolic panel warrants the greatest concern in a long-term keto dieter?

Accepted Answer

Persistently elevated creatinine with declining GFR

Answer

Rising creatinine and declining GFR suggest kidney stress, which requires investigation as high-protein variants of keto can increase renal load.

Keto Diet Practice Test

Keto Diet Practice Test

Keto Diet Assessment and Evaluation 5