RD EXAM PREP-MNT QUESTIONS WITH CORRECT ANSWERS |LATEST UPDATE
100% SOLVED| GRADED A+
what are the similarities and differences between hyperosmolar hyperglycemic state (HHS) and
DKA differences: don't necessarily go into DKA with HHS. similarities: treatment is exactly
the same
who is hyperosmolar hyperglycemic state (HHS) common in older individuals with t2dm
treatment for hyperosmolar hyperglycemic state (HHS) supplemental insulin, fluid (non
dextrose) + electrolyte replacement-NOTICE EXACT SAME AS FOR DKA
As RD's, do we adjust meds (especially in treating DKA)? NO-any answer that says to
change/adjust meds is wrong. pick an answer that says to take regular dose
immediate treatment for DKA, and why is it like this give insulin (regular amount/dose)
THEN give fluid and electrolytes. this order is essential since in DKA there is no insulin, so need
to provide insulin to take anything up
___ is characterized by a fruity odor on ones breath, often seen in patients in DKA acetone.
what is the key word to look for in interventions with T1 diabetics (esp for fixed dose insulin)
consistent carbohydrates
,main differences in interventions between t1 and t2 dm t1: emphasize consistent carb esp
with fixed dose insulin; t2: more concerned with portion control and types of foods
fat goal for diabetes met: (all types of fat) limit saturated fat to <7% total calories, minimize
trans fat intake, lower dietary cholesterol to <200mg/day
product of the carb content in an average serving of food and the glycemic index of the food(s)
glycemic load
incremental area under blood glucose curve after consuming 50g CHO after eating a similar
amount of a control food (I .e. usually glucose or white bread) glycemic index
t/f: glycemic index tries to use quality and quantity of the type of cho consumed true
what is considered to be hypoglycemia <70mg/dL, defined via symptoms not by level
t/f: hypoglycemia is defined by symptoms not by glucose levels true
treatment for hypoglycemia immediate treatment with cho (15-20g glucose from any kind
of carb), treat with 20-30g glucose if levels <50mg/dL, recheck glucose levels in 10-20 min and
again in 1 hour
,t/f: adding protein to treat hypoglycemia can be helpful false, not helpful
t/f: hypoglycemia without diabetes is a real condition true
etiology for hypoglycemia without diabetes not entirely understood
2 types of hypoglycemia without diabetes 1. reactive hypoglycemia (blood glucose levels fall
below normal 2-5 hours after eating) 2. fasting hypoglycemia (blood glucose levels are low
when haven't eaten for 8 hours at least)
list s/s for hypoglycemia mild: sweating, trembling, difficulty concentrating, lack of
coordination, light headedness; severe: inability to treat self due to mental confusion, lethargy,
unconsciousness
_____ is when blood glucose levels fall below normal 2-5 hours after eating reactive
hypoglycemia
t/f: vitamin/mineral supplementation is indicated in DM pts false, not indicated unless
underlying deficiencies are present,
t/f: chromium supplementation has clear benefit in DM patients false
, state the amount of CHO, PRO, FAT, AND CAL in 1 DM exchange: starch 15g cho, 0-3g
protein, 0-1g fat, 80 calories
state the amount of CHO, PRO, FAT, AND CAL in 1 DM exchange: fruit 15g cho, 0 protein, 0
fat, 60 calories
state the amount of CHO, PRO, FAT, AND CAL in 1 DM exchange: skim/1% milk 12g cho, 8g
pro, 0-3g fat, 100 calories
state the amount of CHO, PRO, FAT, AND CAL in 1 DM exchange: 2% milk 12g cho, 8g pro, 5g
fat, 120 calories
state the amount of CHO, PRO, FAT, AND CAL in 1 DM exchange: whole milk 12g cho, 8g pro,
8g fat, 160 calories
state the amount of CHO, PRO, FAT, AND CAL in 1 DM exchange: non starchy vegetables 5g
cho, 2g pro, 0 fat, 25 cal
state the amount of CHO, PRO, FAT, AND CAL in 1 DM exchange: sweets 15g cho,
protein/fat/cals vary
state the amount of CHO, PRO, FAT, AND CAL in 1 DM exchange: lean protein 0g cho, 7g pro,
0-3g fat, 45 cal
100% SOLVED| GRADED A+
what are the similarities and differences between hyperosmolar hyperglycemic state (HHS) and
DKA differences: don't necessarily go into DKA with HHS. similarities: treatment is exactly
the same
who is hyperosmolar hyperglycemic state (HHS) common in older individuals with t2dm
treatment for hyperosmolar hyperglycemic state (HHS) supplemental insulin, fluid (non
dextrose) + electrolyte replacement-NOTICE EXACT SAME AS FOR DKA
As RD's, do we adjust meds (especially in treating DKA)? NO-any answer that says to
change/adjust meds is wrong. pick an answer that says to take regular dose
immediate treatment for DKA, and why is it like this give insulin (regular amount/dose)
THEN give fluid and electrolytes. this order is essential since in DKA there is no insulin, so need
to provide insulin to take anything up
___ is characterized by a fruity odor on ones breath, often seen in patients in DKA acetone.
what is the key word to look for in interventions with T1 diabetics (esp for fixed dose insulin)
consistent carbohydrates
,main differences in interventions between t1 and t2 dm t1: emphasize consistent carb esp
with fixed dose insulin; t2: more concerned with portion control and types of foods
fat goal for diabetes met: (all types of fat) limit saturated fat to <7% total calories, minimize
trans fat intake, lower dietary cholesterol to <200mg/day
product of the carb content in an average serving of food and the glycemic index of the food(s)
glycemic load
incremental area under blood glucose curve after consuming 50g CHO after eating a similar
amount of a control food (I .e. usually glucose or white bread) glycemic index
t/f: glycemic index tries to use quality and quantity of the type of cho consumed true
what is considered to be hypoglycemia <70mg/dL, defined via symptoms not by level
t/f: hypoglycemia is defined by symptoms not by glucose levels true
treatment for hypoglycemia immediate treatment with cho (15-20g glucose from any kind
of carb), treat with 20-30g glucose if levels <50mg/dL, recheck glucose levels in 10-20 min and
again in 1 hour
,t/f: adding protein to treat hypoglycemia can be helpful false, not helpful
t/f: hypoglycemia without diabetes is a real condition true
etiology for hypoglycemia without diabetes not entirely understood
2 types of hypoglycemia without diabetes 1. reactive hypoglycemia (blood glucose levels fall
below normal 2-5 hours after eating) 2. fasting hypoglycemia (blood glucose levels are low
when haven't eaten for 8 hours at least)
list s/s for hypoglycemia mild: sweating, trembling, difficulty concentrating, lack of
coordination, light headedness; severe: inability to treat self due to mental confusion, lethargy,
unconsciousness
_____ is when blood glucose levels fall below normal 2-5 hours after eating reactive
hypoglycemia
t/f: vitamin/mineral supplementation is indicated in DM pts false, not indicated unless
underlying deficiencies are present,
t/f: chromium supplementation has clear benefit in DM patients false
, state the amount of CHO, PRO, FAT, AND CAL in 1 DM exchange: starch 15g cho, 0-3g
protein, 0-1g fat, 80 calories
state the amount of CHO, PRO, FAT, AND CAL in 1 DM exchange: fruit 15g cho, 0 protein, 0
fat, 60 calories
state the amount of CHO, PRO, FAT, AND CAL in 1 DM exchange: skim/1% milk 12g cho, 8g
pro, 0-3g fat, 100 calories
state the amount of CHO, PRO, FAT, AND CAL in 1 DM exchange: 2% milk 12g cho, 8g pro, 5g
fat, 120 calories
state the amount of CHO, PRO, FAT, AND CAL in 1 DM exchange: whole milk 12g cho, 8g pro,
8g fat, 160 calories
state the amount of CHO, PRO, FAT, AND CAL in 1 DM exchange: non starchy vegetables 5g
cho, 2g pro, 0 fat, 25 cal
state the amount of CHO, PRO, FAT, AND CAL in 1 DM exchange: sweets 15g cho,
protein/fat/cals vary
state the amount of CHO, PRO, FAT, AND CAL in 1 DM exchange: lean protein 0g cho, 7g pro,
0-3g fat, 45 cal
