Keto Diet Safety and Compliance 5

Question 1

Which blood test result would indicate that a keto dieter's uric acid levels are dangerously elevated?

Accepted Answer

Serum uric acid above 7 mg/dL in men or 6 mg/dL in women

Answer

Uric acid above these sex-specific thresholds raises gout risk, which keto can worsen during initial fat mobilization.

Question 2

A breastfeeding mother is considering strict keto. The main safety concern for her infant is:

Accepted Answer

Ketones transferring through breast milk may not meet the infant's carbohydrate needs

Answer

Infants require specific glucose for brain development, and altered breast milk composition on keto could inadequately support these needs.

Question 3

What is the primary purpose of a 'fat fast' in keto, and what compliance risk does it carry?

Accepted Answer

It breaks a weight loss plateau but risks nutrient deficiency if prolonged

Answer

A fat fast (80–90% fat, ~1000 kcal/day) can restart ketosis but provides almost no protein, vitamins, or minerals if done too long.

Question 4

How does the ketogenic diet affect warfarin (Coumadin) therapy, and what monitoring is required?

Accepted Answer

Dietary changes can alter INR levels, requiring more frequent blood clotting tests

Answer

Changes in vitamin K intake and metabolism on keto can shift INR significantly, requiring closer anticoagulation monitoring.

Question 5

Which long-term keto safety concern is specifically associated with oxalate-rich keto foods like nuts and spinach?

Accepted Answer

Increased risk of calcium oxalate kidney stones

Answer

High oxalate foods common in keto combined with dehydration significantly raise the risk of calcium oxalate kidney stone formation.

Keto Diet Practice Test