Registered Dietitian Nutritionist Risk Assessment & Management 4

Question 1

A patient with type 1 diabetes is starting an intensive exercise program. What is the primary nutritional risk that must be managed?

Accepted Answer

Exercise-induced hypoglycemia

Answer

Exercise increases glucose uptake by muscles independent of insulin, and combined with insulin therapy in type 1 diabetes, this substantially raises the risk of hypoglycemia during and after exercise.

Question 2

When counseling a pregnant patient about listeriosis risk, which food should be specifically avoided?

Accepted Answer

Soft cheeses like brie and camembert

Answer

Soft cheeses made from unpasteurized milk harbor Listeria monocytogenes, which poses catastrophic risk in pregnancy including miscarriage, stillbirth, and neonatal meningitis.

Question 3

A patient presents with pellagra. Which nutrient deficiency is responsible for this condition?

Accepted Answer

Niacin (B3)

Answer

Pellagra is caused by severe niacin (vitamin B3) deficiency and is characterized by the 4 D's: dermatitis, diarrhea, dementia, and death if untreated.

Question 4

Which patient scenario represents the highest risk for iron-deficiency anemia requiring nutritional intervention?

Accepted Answer

A 22-year-old vegan female with heavy menstrual periods

Answer

Young vegan women with heavy menstrual blood loss face compounded iron-deficiency risk: high physiological losses, lower dietary iron intake, and reduced bioavailability of non-heme iron.

Question 5

A patient with short bowel syndrome (SBS) following massive intestinal resection is at highest risk for deficiency of which vitamin due to loss of the ileum?

Accepted Answer

Vitamin B12

Answer

Vitamin B12 absorption requires intrinsic factor binding and active transport in the terminal ileum; resection of this segment causes permanent B12 malabsorption requiring parenteral supplementation.

Registered Dietitian Nutritionist Practice Test

Registered Dietitian Nutritionist Practice Test

Registered Dietitian Nutritionist Risk Assessment & Management 4