NTA Therapeutic Diets & Protocols 4

Question 1

A client with chronic kidney disease (CKD) is on a therapeutic renal diet. Which nutrient requires the MOST careful restriction?

Accepted Answer

Phosphorus

Answer

Damaged kidneys cannot excrete phosphorus efficiently, leading to hyperphosphatemia which accelerates bone disease and cardiovascular complications in CKD.

Question 2

The 4R protocol (Remove, Replace, Reinoculate, Repair) is a therapeutic framework primarily used to address:

Accepted Answer

Gut dysfunction and dysbiosis

Answer

The 4R protocol systematically addresses gut health by removing pathogens, replacing digestive factors, reinoculating beneficial bacteria, and repairing the intestinal lining.

Question 3

Which therapeutic diet protocol has the strongest evidence base for reducing seizure frequency in drug-resistant epilepsy?

Accepted Answer

Ketogenic diet

Answer

The classical ketogenic diet (4:1 fat-to-protein+carb ratio) has decades of clinical evidence supporting significant seizure reduction in drug-resistant pediatric and adult epilepsy.

Question 4

A client is following a therapeutic protocol for adrenal support. Which eating pattern would be MOST beneficial for blood sugar stabilization?

Accepted Answer

Eating every 2-3 hours with protein at each meal

Answer

Frequent small meals with protein every 2-3 hours maintain stable blood glucose, reducing cortisol spikes that occur when blood sugar drops in adrenal-compromised individuals.

Question 5

In a therapeutic protocol for non-alcoholic fatty liver disease (NAFLD), which dietary change is MOST critical?

Accepted Answer

Significantly reducing fructose and added sugar consumption

Answer

Excess fructose, particularly from added sugars and high-fructose corn syrup, is preferentially metabolized in the liver and converted to fat, directly driving NAFLD progression.

(NTA) Nutritional Therapy Association Certification Practice Test

(NTA) Nutritional Therapy Association Certification Practice Test

NTA Therapeutic Diets & Protocols 4