Nutrition Support Clinician Exam Prep - Question List

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11. Impaired glucose tolerance is defined as:
  1. Fasting plasma glucose (FPG) > 140 mg/dl
  2. 2-hour plasma glucose between 140-199 mg/dl
  3. Casual plasma glucose of 200 mg/dl or greater
  4. An HbA1c level of 6 or greater
12. 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
13. The digestive hormone gastrin exerts all of the following effects except:
  1. Increased esophageal sphincter pressure
  2. Decreased pepsinogen production by the stomach
  3. Increased gallbladder contraction
  4. Increased HCL production by the parietal cells
14. Which of the following nutrition assessment methods is used to collect dietary information from a community?
  1. Food record
  2. 24-hour recall
  3. Food frequency questionnaire
  4. Diet history
15. Which of the following nutrients produces an RQ (Respiratory Quotient) of 1.0, as measured by indirect calorimetry?
  1. Protein
  2. Fat
  3. Carbohydrate
  4. All of the above

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