RD Exam Domain 2 with 100% Correct
Solutions
In community surveys, a frequent symptom of malnutrition is:
a. survey
b. rickets
c. low serum albumin
d. low hemoglobin - ANSWER-D. low hemoglobin
Which is the least common symptom in the elderly?
a. osteomalacia
b. osteoprosis
c. obesity
d. hypertension - ANSWER-A. osteomalacia
What is included in the study of demographics?
I. age of individuals II. sex of individuals
III. population statistics IV. socioeconmic factors
a. I only
b. all of the above
c. II, III
d. I, II, III - ANSWER-D. I, II, III
Athletes should receive...
a. salt pills only during the summer months
b. extra protein
c. carbohydrate loading two weeks prior to an event
d. water during an event to replace lost fluids - ANSWER-D. water during an event to
replace lost fluids
How may grams of protein would you receive on a 1500 calorie diet which is 20%
protein?
a. 70
b. 75
c. 64
d. 300 - ANSWER-B. 75
A patient is on a high protein, low carbohydrate diet. What advice should you offer?
a. increase fluid intake
b. decrease the intake of complex carbohydrates
c. decrease fluid intake
,d. decrease the intake of saturated fats - ANSWER-A. increase fluid intake
An insulin-dependent diabetes living alone call you with symptoms of nausea, vomiting
and anorexia. What do you recommend?
a. continue with insulin and eat anything he can
b. continue with insulin and drink anything he can
c. discontinue the insulin until he feels better
d. discontinue the insulin and eat whatever he can - ANSWER-B. continue with insulin
and drink anything he can
Which infant is at the greatest risk?
a. 20 lbs. hemoglobin 10
b. 22 lbs. hemoglobin 10.5
c. 19 lbs. hemoglobin 11
d. 30 lbs. hemoglobin 9 - ANSWER-D. 30 lbs. hemoglobin 9
a. 20 lbs. hemoglobin 10
b. 22 lbs. hemoglobin 10.5
c. 19 lbs. hemoglobin 11
d. 30 lbs. hemoglobin 9
Which of the infants in the above question have a normal hemoglobin level?
a. a, b, d
b. b, d
c. c, d
d. a, b, c - ANSWER-D. a, b, c
An alcoholic patient has a low serum albumin, low hemoglobin, high ammonia,
abnormal liver function tests and ascites. Why is he on a 500 mg sodium diet?
a. secondary renal failure
b. hyoaldosteronism
c. hypalbuminemia
d. hyperammonemia - ANSWER-C. hypalbuminemia
Which of the following should the patient in the above question have for lunch?
a. 4 ounce cottage cheese
b. 1 ounce cheddar cheese
c. 1 ounce roast beef
d. 1 ounce cold cuts - ANSWER-C. 1 ounce roast beef
Which of the following should be included in the diet for celiac disease?
I. decrease intake of eggs II. use potato and rice flour
III. IM vitamin B12 and iron IV. low calorie, high fat, high protein
a. II, III
b. III, IV
c. I, II, IV
d. II, IV - ANSWER-A. II, III
,Who is most at risk for gestational diabetes?
a. BMI < 30
b. age < 25, overweight
c. BMI < 30, history of GSM
d, conception within 10 months of last pregnancy - ANSWER-C. BMI < 30, history of
GSM
A child is lethargic, irritable with diarrhea. The cause may be:
a. zinc toxicity
b. lead poisoning
c. iron overload
d. vitamin A toxicity - ANSWER-B. lead poisoning
How many calories are in 300 ml of a 5% dextrose solution?
a. 51
b. 60
c. 15
d. 200 - ANSWER-A. 51
A single 19 year old female is 6 months pregnant. She has not gained any weight and
had not seen a physician. Hemoglobin is 9. Hematocrit is 30. What is the most
important recommendation for her?
a. see a physician immediately
b. apply for WIC immediately
c. join a teenage pregnancy support group
d. begin taking iron supplements - ANSWER-A. see a physician immediately
A female, 5'7" tall, weights 115 lbs. Six months ago she weighed 130 lbs. What is her
percent of ideal body weight?
a. 85%
b. 83%
c. 81%
d. 87% - ANSWER-A. 85%
A vegan is allergic to milk. Which nutrients would you expect might be deficient in her
intake?
a. protein, calories
b. vitamin B12, D
c. vitamin C, calcium
d. vitamin A, D - ANSWER-B. vitamin B12, D
A patient with Crohn's disease needs the following diet:
I. high fat, high calorie, high protein
II. low fat only with steatorrhea, vitamin C, B12
III. High calorie, high protein according to current BMI
, IV. high residue, low fat, fa soluble vitamins
V. low calorie, low residue, fat soluble vitamins, B12
a. I
b. II, III
c. III, IV
d. V - ANSWER-B. II, III
Which of the following diets is appropriate for reactive hypoglycemia?
a. reduced intake of concentrated carbohydrates, 5 - 6 small meals
b. increased complex carbohydrate, low fat, high protein
c. decreased complex carbohydrate, low fat
d. high protein, high fat, high carbohydrate - ANSWER-A. reduced intake of
concentrated carbohydrates, 5 - 6 small meals
Which patient has marasmus?
Patient A Male:
serum albumin 3.5 transferrin 275 triceps skinfold 3
MAMC 15 TLC
Patient B Female:
serum albumin 2.6 transferrin 125 triceps skinfold 16.8
MAMC 24.1 TLC 1000
Patient C Male:
serum albumin 4.0 transferrin 450 triceps skinfold 17
MAMC 28.1 TLC 3500
a. A
b. B
c. C
d. A, B - ANSWER-A. Pt A
When assessing nutritional status, which would be the most beneficial?
a. 24 hour recall, history of weight changes
b. medical history, diet order, socioeconomic status
c. clinical observation, weight status, cultural habits
d. diet intake info, clinical data, laboratory data - ANSWER-D. diet intake info, clinical
data, laboratory data
The first function of the public health nutritionist is:
a. assess the needs of the community
b. counsel patients with special dietary needs
c. write pamphlets for educational purpose
d. expand the role of Dietitians - ANSWER-A. assess the needs of the community
What nutrients most affect the renal solute load?
a. protein and carbohydrate
b. sodium and carbohydrate
c. protein and sodium
Solutions
In community surveys, a frequent symptom of malnutrition is:
a. survey
b. rickets
c. low serum albumin
d. low hemoglobin - ANSWER-D. low hemoglobin
Which is the least common symptom in the elderly?
a. osteomalacia
b. osteoprosis
c. obesity
d. hypertension - ANSWER-A. osteomalacia
What is included in the study of demographics?
I. age of individuals II. sex of individuals
III. population statistics IV. socioeconmic factors
a. I only
b. all of the above
c. II, III
d. I, II, III - ANSWER-D. I, II, III
Athletes should receive...
a. salt pills only during the summer months
b. extra protein
c. carbohydrate loading two weeks prior to an event
d. water during an event to replace lost fluids - ANSWER-D. water during an event to
replace lost fluids
How may grams of protein would you receive on a 1500 calorie diet which is 20%
protein?
a. 70
b. 75
c. 64
d. 300 - ANSWER-B. 75
A patient is on a high protein, low carbohydrate diet. What advice should you offer?
a. increase fluid intake
b. decrease the intake of complex carbohydrates
c. decrease fluid intake
,d. decrease the intake of saturated fats - ANSWER-A. increase fluid intake
An insulin-dependent diabetes living alone call you with symptoms of nausea, vomiting
and anorexia. What do you recommend?
a. continue with insulin and eat anything he can
b. continue with insulin and drink anything he can
c. discontinue the insulin until he feels better
d. discontinue the insulin and eat whatever he can - ANSWER-B. continue with insulin
and drink anything he can
Which infant is at the greatest risk?
a. 20 lbs. hemoglobin 10
b. 22 lbs. hemoglobin 10.5
c. 19 lbs. hemoglobin 11
d. 30 lbs. hemoglobin 9 - ANSWER-D. 30 lbs. hemoglobin 9
a. 20 lbs. hemoglobin 10
b. 22 lbs. hemoglobin 10.5
c. 19 lbs. hemoglobin 11
d. 30 lbs. hemoglobin 9
Which of the infants in the above question have a normal hemoglobin level?
a. a, b, d
b. b, d
c. c, d
d. a, b, c - ANSWER-D. a, b, c
An alcoholic patient has a low serum albumin, low hemoglobin, high ammonia,
abnormal liver function tests and ascites. Why is he on a 500 mg sodium diet?
a. secondary renal failure
b. hyoaldosteronism
c. hypalbuminemia
d. hyperammonemia - ANSWER-C. hypalbuminemia
Which of the following should the patient in the above question have for lunch?
a. 4 ounce cottage cheese
b. 1 ounce cheddar cheese
c. 1 ounce roast beef
d. 1 ounce cold cuts - ANSWER-C. 1 ounce roast beef
Which of the following should be included in the diet for celiac disease?
I. decrease intake of eggs II. use potato and rice flour
III. IM vitamin B12 and iron IV. low calorie, high fat, high protein
a. II, III
b. III, IV
c. I, II, IV
d. II, IV - ANSWER-A. II, III
,Who is most at risk for gestational diabetes?
a. BMI < 30
b. age < 25, overweight
c. BMI < 30, history of GSM
d, conception within 10 months of last pregnancy - ANSWER-C. BMI < 30, history of
GSM
A child is lethargic, irritable with diarrhea. The cause may be:
a. zinc toxicity
b. lead poisoning
c. iron overload
d. vitamin A toxicity - ANSWER-B. lead poisoning
How many calories are in 300 ml of a 5% dextrose solution?
a. 51
b. 60
c. 15
d. 200 - ANSWER-A. 51
A single 19 year old female is 6 months pregnant. She has not gained any weight and
had not seen a physician. Hemoglobin is 9. Hematocrit is 30. What is the most
important recommendation for her?
a. see a physician immediately
b. apply for WIC immediately
c. join a teenage pregnancy support group
d. begin taking iron supplements - ANSWER-A. see a physician immediately
A female, 5'7" tall, weights 115 lbs. Six months ago she weighed 130 lbs. What is her
percent of ideal body weight?
a. 85%
b. 83%
c. 81%
d. 87% - ANSWER-A. 85%
A vegan is allergic to milk. Which nutrients would you expect might be deficient in her
intake?
a. protein, calories
b. vitamin B12, D
c. vitamin C, calcium
d. vitamin A, D - ANSWER-B. vitamin B12, D
A patient with Crohn's disease needs the following diet:
I. high fat, high calorie, high protein
II. low fat only with steatorrhea, vitamin C, B12
III. High calorie, high protein according to current BMI
, IV. high residue, low fat, fa soluble vitamins
V. low calorie, low residue, fat soluble vitamins, B12
a. I
b. II, III
c. III, IV
d. V - ANSWER-B. II, III
Which of the following diets is appropriate for reactive hypoglycemia?
a. reduced intake of concentrated carbohydrates, 5 - 6 small meals
b. increased complex carbohydrate, low fat, high protein
c. decreased complex carbohydrate, low fat
d. high protein, high fat, high carbohydrate - ANSWER-A. reduced intake of
concentrated carbohydrates, 5 - 6 small meals
Which patient has marasmus?
Patient A Male:
serum albumin 3.5 transferrin 275 triceps skinfold 3
MAMC 15 TLC
Patient B Female:
serum albumin 2.6 transferrin 125 triceps skinfold 16.8
MAMC 24.1 TLC 1000
Patient C Male:
serum albumin 4.0 transferrin 450 triceps skinfold 17
MAMC 28.1 TLC 3500
a. A
b. B
c. C
d. A, B - ANSWER-A. Pt A
When assessing nutritional status, which would be the most beneficial?
a. 24 hour recall, history of weight changes
b. medical history, diet order, socioeconomic status
c. clinical observation, weight status, cultural habits
d. diet intake info, clinical data, laboratory data - ANSWER-D. diet intake info, clinical
data, laboratory data
The first function of the public health nutritionist is:
a. assess the needs of the community
b. counsel patients with special dietary needs
c. write pamphlets for educational purpose
d. expand the role of Dietitians - ANSWER-A. assess the needs of the community
What nutrients most affect the renal solute load?
a. protein and carbohydrate
b. sodium and carbohydrate
c. protein and sodium
