CNS Nutrition Specialist Exam Prep - Question List

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1. Antidiuretic hormone (ADH) is released in response to:
  1. Decreased serum osmolality
  2. Increased serum osmolality
  3. Decreased urinary urea nitrogen
  4. Increased urinary urea nitrogen
2. The usual dietary treatment for cholecystitis is:
  1. Restriction of foods that stimulate pancreatic enzymes
  2. 20% fat diet with MCT supplementation
  3. 25% fat diet with fat-soluble vitamin supplementation
  4. Lowering cholesterol intake to less than 300 mg/day
3. Which of the following is not included in extracellular water (ECF)?
  1. Plasma
  2. Lymph
  3. Metabolic water
  4. Spinal fluid
4. Brown adipose tissue performs what function in the body:
  1. Protects internal organs from injury
  2. Storage site for triglycerides
  3. Is considered to be “essential fat” that supports metabolic processes
  4. Heat production and regulation of body temperature
5.
A 16-year old teenage girl with Type I diabetes seeks counseling for erratic blood glucose levels. She is on the school track team and works out in the afternoons for 1 ½ hours. Her meal plan consists of 3 meals, a pre-exercise snack of one fruit, and a bedtime snack of ½ cup cereal and 1 cup of milk. Her insulin regimen is 3 units of regular insulin before breakfast and 2 units of regular insulin before dinner, and equal amounts of NPH mid-morning and at bedtime. Lately her pre-dinner blood glucose levels have been low. What would be the most effective nutrition intervention for her?
  1. Reduce the mid-morning NPH insulin by one unit and add a protein exchange to the afternoon snack.
  2. Increase the bedtime insulin and add another bread exchange to the bedtime snack.
  3. Reduce the afternoon exercise to 45 minutes and have her carry fruit juice with her in case she feels dizzy or weak.
  4. A & B

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