RD 2025: JEAN INMAN DOMAIN 4
COMPREHENSIVE STUDY GUIDE 2026
FULL QUESTIONS AND SOLUTIONS
GRADED A+
◍ in community surveys, a frequent symptom of malnutrition is:.
Answer: low hemoglobinNutritional deficiencies directly affect the Hgb
count, for example, vitamin deficiency, especially deficiency of vitamins
B6, B12, and folate can result in anemiaNutritional deficiency anemia can
happen because of a lack of nutrients in the diet or because of an illness or
medical condition that make it hard to absorb nutrients which then results in
MALNUTRITION
◍ which is the least common symptom in the elderly?.
Answer: osteomalacia (softening of the bones, typically through a deficiency
of vitamin D or calcium)
◍ what is included in the study of demographics?.
Answer: age, population statistics, sex/gender
◍ athletes should receive.
Answer: water during an event to replace lost fluids
◍ how many grams of protein would you receive on a 1500 kcal diet with 20%
protein?.
Answer: 1500 x 0.2 = 300 kcals / 4 g PRO/kcal = 75 grams
◍ a patient is on a high protein, low cho diet. what advice should you offer?.
Answer: increase fluid intake
◍ an insulin-dependent diabetes living along calls you with symptoms of
nausea, vomiting, and anorexia. what do you recommend?.
, Answer: continue with insulin and drink anything he can**bowel rest and
replenish fluids
◍ which infant is at the greatest risk?.
Answer: 30lbs; hemoglobin 9 d/t low hemoglobin levels Newborn: 14 to 24
g/dL (up to 2 months old)Infant: 9.5 to 13 g/dL (2 months to 1 year)
◍ which of the infants have a normal hemoglobin level?.
Answer: 20#s/ hemoblogin 1022#s/ Hgb 10.519#s/Hgb 11
◍ an alcoholic patient has a low serum albumin, low hemoglobin, high
ammonia, abnormal liver function tests and ascites. why is he on a 500mg
sodium diet?.
Answer: hypoalbuminemia
◍ which of the following should the patient above have lunch?.
Answer: 1 oz roast beef
◍ which of the following should be included in the diet for celiac disease?.
Answer: use potato and rice four & IM vitamin B12 and iron
◍ who is most at risk for gestational diabetes.
Answer: bmi > 30; history of GDM
◍ a child is lethargic, irritable with diarrhea. the cause may be:.
Answer: lead poisoning
◍ how many calories are in 300ml of a 5% dextrose solution.
Answer: 51; 300 x 0.05 = 15 x 3.4 = 51 calories
◍ a single 19 year old female is 6 months pregnant. she has not gained any
weight and has not seen a physician. Hgb is 9, Hematocrit is 30. what is the
most important recommendation for her..
Answer: see a physician immediately
◍ a female, 5'7" tall, 115#s. Six months ago she was 130#s. What is her %
IBW?.
Answer: 85%; IBW = 100 + 7(5) = 135# ------> 115# CBW ÷ 135# IBW =
85%
,◍ a vegan is allergic to milk. which nutrients would you expect might she be
deficient in?.
Answer: vitamin b12, D
◍ a patient with Crohn's disease needs the following diet:.
Answer: low fat only with steatorrhea, vitamin C, b12high calorie, high
protein according to current bmiNutrient deficiency is a common concern
since inflammation from this condition interferes with nutrient absorption.
As a result, people with Crohn's disease need a nutrient-rich diet with
adequate calories, protein and healthy fats.
◍ which of the following diets is appropriate for reactive hypoglycemia:.
Answer: reduce intake of concentrated carbohydrates, 5-6 small
mealsDumping syndrome is the rapid emptying of undigested food into the
jejunum. Dumping may occur in patients following gastric bypass surgery
when simple sugars are consumed.Early dumping is a result of a rapid
emptying of food into the jejunum. The patient may experience vasomotor
symptoms, such as flushing and tachycardia, as well as abdominal pain and
diarrhea.Late dumping is a form of reactive hypoglycemia that typically
occurs 1 to 3 hours after a meal is consumed. This is the result of a brisk
spike of insulin in response to hyperglycemia due to the rapid absorption of
simple sugars from the proximal small intestine.Patients may also
experience dizziness, fatigue, weakness and sweating.
◍ which patient has marasmus?.
Answer: PATIENT A: Male; low triceps skinfold, 3 and low MAMC, 15
(mid-arm ms circumference)Marasmus = emaciated = ms wasting
◍ when assessing nutritional status, which would be the most beneficial?.
Answer: diet intake info, clinical data, laboratory data
◍ the first function of the public health nutritionist is:.
Answer: assess the needs of the community
◍ what nutrients most affect the renal solute load?.
Answer: protein and sodium
, ◍ the elderly need how many ml of water per KG?.
Answer: 30
◍ according to the diabetic exchange list, when substituting 2% milk for skim
milk you must omit how many fat exchanges?.
Answer: 1
◍ If a man normally consuming 2600 calories per day reduces his intake to
1500 calories per day, how much weight will he lose in one week?.
Answer: 1.0 KG or 2.2 lbs 2600 kcals - 1500 kcals = 1100 kcals x 7 days/wk
= 7700 kcals/week ÷ 3500 = 2.2 lbs ÷ 2.2 kg/lb = 1 KG
◍ For which of the following diseases is diet therapy the primary treatment?.
Answer: galactosemia
◍ which of the following best reflects protein status?.
Answer: prealbuminPrealbumin or transthyretin, has a half-life in plasma of
2 days and is therefore more sensitive to changes in protein-energy status
than albumin.
◍ following a Billroth II, statorrhea often results. what is the likely cause?.
Answer: lack of pancreatic secretion due to less duodenal hormone secretion
◍ meat cured with whey won't be tolerated by someone with.
Answer: lactose intolerance
◍ chemically defined formulas or "elemental formulas" are used for:.
Answer: short bowel syndromeElemental/chemically defined formula:
predigested protein (easier to digest), AA, glucose, sucrose, small fat,
vit/min, electrolytes. High osmolality.The formula prevents the food from
"reacting" with the gut, minimizing GI discomfort. The resulting positive
nitrogen balance and alterations in the bacterial flora of the gut are likely to
have beneficial effects in patients, helping to alleviate the symptoms of
Crohn'sSBS, or simply "short gut," is a malabsorption disorder caused by a
lack of functional small intestine. The primary symptom is diarrhea, which
can result in dehydration, malnutrition, and weight loss. Most cases are due
COMPREHENSIVE STUDY GUIDE 2026
FULL QUESTIONS AND SOLUTIONS
GRADED A+
◍ in community surveys, a frequent symptom of malnutrition is:.
Answer: low hemoglobinNutritional deficiencies directly affect the Hgb
count, for example, vitamin deficiency, especially deficiency of vitamins
B6, B12, and folate can result in anemiaNutritional deficiency anemia can
happen because of a lack of nutrients in the diet or because of an illness or
medical condition that make it hard to absorb nutrients which then results in
MALNUTRITION
◍ which is the least common symptom in the elderly?.
Answer: osteomalacia (softening of the bones, typically through a deficiency
of vitamin D or calcium)
◍ what is included in the study of demographics?.
Answer: age, population statistics, sex/gender
◍ athletes should receive.
Answer: water during an event to replace lost fluids
◍ how many grams of protein would you receive on a 1500 kcal diet with 20%
protein?.
Answer: 1500 x 0.2 = 300 kcals / 4 g PRO/kcal = 75 grams
◍ a patient is on a high protein, low cho diet. what advice should you offer?.
Answer: increase fluid intake
◍ an insulin-dependent diabetes living along calls you with symptoms of
nausea, vomiting, and anorexia. what do you recommend?.
, Answer: continue with insulin and drink anything he can**bowel rest and
replenish fluids
◍ which infant is at the greatest risk?.
Answer: 30lbs; hemoglobin 9 d/t low hemoglobin levels Newborn: 14 to 24
g/dL (up to 2 months old)Infant: 9.5 to 13 g/dL (2 months to 1 year)
◍ which of the infants have a normal hemoglobin level?.
Answer: 20#s/ hemoblogin 1022#s/ Hgb 10.519#s/Hgb 11
◍ an alcoholic patient has a low serum albumin, low hemoglobin, high
ammonia, abnormal liver function tests and ascites. why is he on a 500mg
sodium diet?.
Answer: hypoalbuminemia
◍ which of the following should the patient above have lunch?.
Answer: 1 oz roast beef
◍ which of the following should be included in the diet for celiac disease?.
Answer: use potato and rice four & IM vitamin B12 and iron
◍ who is most at risk for gestational diabetes.
Answer: bmi > 30; history of GDM
◍ a child is lethargic, irritable with diarrhea. the cause may be:.
Answer: lead poisoning
◍ how many calories are in 300ml of a 5% dextrose solution.
Answer: 51; 300 x 0.05 = 15 x 3.4 = 51 calories
◍ a single 19 year old female is 6 months pregnant. she has not gained any
weight and has not seen a physician. Hgb is 9, Hematocrit is 30. what is the
most important recommendation for her..
Answer: see a physician immediately
◍ a female, 5'7" tall, 115#s. Six months ago she was 130#s. What is her %
IBW?.
Answer: 85%; IBW = 100 + 7(5) = 135# ------> 115# CBW ÷ 135# IBW =
85%
,◍ a vegan is allergic to milk. which nutrients would you expect might she be
deficient in?.
Answer: vitamin b12, D
◍ a patient with Crohn's disease needs the following diet:.
Answer: low fat only with steatorrhea, vitamin C, b12high calorie, high
protein according to current bmiNutrient deficiency is a common concern
since inflammation from this condition interferes with nutrient absorption.
As a result, people with Crohn's disease need a nutrient-rich diet with
adequate calories, protein and healthy fats.
◍ which of the following diets is appropriate for reactive hypoglycemia:.
Answer: reduce intake of concentrated carbohydrates, 5-6 small
mealsDumping syndrome is the rapid emptying of undigested food into the
jejunum. Dumping may occur in patients following gastric bypass surgery
when simple sugars are consumed.Early dumping is a result of a rapid
emptying of food into the jejunum. The patient may experience vasomotor
symptoms, such as flushing and tachycardia, as well as abdominal pain and
diarrhea.Late dumping is a form of reactive hypoglycemia that typically
occurs 1 to 3 hours after a meal is consumed. This is the result of a brisk
spike of insulin in response to hyperglycemia due to the rapid absorption of
simple sugars from the proximal small intestine.Patients may also
experience dizziness, fatigue, weakness and sweating.
◍ which patient has marasmus?.
Answer: PATIENT A: Male; low triceps skinfold, 3 and low MAMC, 15
(mid-arm ms circumference)Marasmus = emaciated = ms wasting
◍ when assessing nutritional status, which would be the most beneficial?.
Answer: diet intake info, clinical data, laboratory data
◍ the first function of the public health nutritionist is:.
Answer: assess the needs of the community
◍ what nutrients most affect the renal solute load?.
Answer: protein and sodium
, ◍ the elderly need how many ml of water per KG?.
Answer: 30
◍ according to the diabetic exchange list, when substituting 2% milk for skim
milk you must omit how many fat exchanges?.
Answer: 1
◍ If a man normally consuming 2600 calories per day reduces his intake to
1500 calories per day, how much weight will he lose in one week?.
Answer: 1.0 KG or 2.2 lbs 2600 kcals - 1500 kcals = 1100 kcals x 7 days/wk
= 7700 kcals/week ÷ 3500 = 2.2 lbs ÷ 2.2 kg/lb = 1 KG
◍ For which of the following diseases is diet therapy the primary treatment?.
Answer: galactosemia
◍ which of the following best reflects protein status?.
Answer: prealbuminPrealbumin or transthyretin, has a half-life in plasma of
2 days and is therefore more sensitive to changes in protein-energy status
than albumin.
◍ following a Billroth II, statorrhea often results. what is the likely cause?.
Answer: lack of pancreatic secretion due to less duodenal hormone secretion
◍ meat cured with whey won't be tolerated by someone with.
Answer: lactose intolerance
◍ chemically defined formulas or "elemental formulas" are used for:.
Answer: short bowel syndromeElemental/chemically defined formula:
predigested protein (easier to digest), AA, glucose, sucrose, small fat,
vit/min, electrolytes. High osmolality.The formula prevents the food from
"reacting" with the gut, minimizing GI discomfort. The resulting positive
nitrogen balance and alterations in the bacterial flora of the gut are likely to
have beneficial effects in patients, helping to alleviate the symptoms of
Crohn'sSBS, or simply "short gut," is a malabsorption disorder caused by a
lack of functional small intestine. The primary symptom is diarrhea, which
can result in dehydration, malnutrition, and weight loss. Most cases are due
