RDN Medical Nutrition Therapy 3

Question 1

A patient with heart failure is prescribed a fluid restriction of 1.5 L/day. Which food item is most important to count toward this fluid allotment?

Accepted Answer

Gelatin desserts

Answer

Foods that are liquid at room temperature, including gelatin, ice cream, and soups, must be counted in fluid restriction for heart failure patients.

Question 2

Which carbohydrate counting approach is recommended for patients with type 1 diabetes using intensive insulin therapy?

Accepted Answer

Carbohydrate-to-insulin ratio adjusted based on grams consumed

Answer

Patients on intensive insulin therapy use an individualized carbohydrate-to-insulin ratio to match insulin doses to actual carbohydrate intake, providing flexibility and better glycemic control.

Question 3

A celiac disease patient reports persistent symptoms despite following a gluten-free diet. The FIRST step in MNT assessment should be:

Accepted Answer

Conduct a thorough dietary history to identify hidden gluten sources

Answer

A detailed dietary history is essential to identify inadvertent gluten exposure from cross-contamination or hidden sources before considering other interventions.

Question 4

In HIV/AIDS patients with wasting syndrome, which combination of MNT strategies is most appropriate?

Accepted Answer

High-calorie, high-protein diet with micronutrient optimization

Answer

HIV wasting requires aggressive nutrition support with high calorie and protein intake alongside micronutrient repletion to preserve lean body mass and immune function.

Question 5

For a patient with Crohn's disease in remission, which dietary approach has the strongest evidence for maintaining remission?

Accepted Answer

Individualized diet based on food tolerance with adequate fiber

Answer

Individualized dietary approaches based on tolerance, with adequate fiber intake and avoidance of personal trigger foods, are recommended for maintaining remission in Crohn's disease.

(RDN) Registered Dietitian Nutritionist Practice Test

(RDN) Registered Dietitian Nutritionist Practice Test

RDN Medical Nutrition Therapy 3