Study Manual

In the Breeding and Associates Registered Dietitian Exam Review Guide package you will find a variety of test prepreation and practice options. Below we have included some feature questions from the packet. To see the answer simply "mouse over" the area directly under the questions. Optionally you can make all answers visible by clicking here. If you would like to skip to a certain part of the page simply use the links below!

Test Questions, Multiple Choice

Food Service

What management function should require the greatest allotment of time by a production manager?

A business pays 4% of its income for rent ($1200), 70% towards labor and food costs, and $2500 towards other expenses monthly. How much profit does this business make per month?

Which oven is most efficient per cubic feet of space?

Community Nutrition

A client comes to you on a low carbohydrate diet. She reports having one serving of carbohydrate per meal, 3-5 oz of meat each meal, no milk but eats cheese, and 2 vegetables. What nutrients will she most likely be lacking?

Information on the incidence or prevalence of nutrition related health problems would be located in:

The feminization of poverty refers to:

Food Science Systems & Management

Vegetables that have thiols are considered to be the most protective against cancer. Thiols are found in:

The smoke point temperature for fats is:

Medical Nutritional Therapy

The most appropriate snack for a patient on a neutropenic diet would be:

When a patient has gastric resection they may need the following supplement:

What feeding method would you recommend for a patient who had previous good diet history who had undergone extensive bowel surgery and has an ileus and fever 8 days postoperatively?

Which of the following nutrients contributes most significantly to the osmotic load of an enteral formula?

Which of the following lipoproteins is considered most atherogenic in the absence of familial cholesterolemia?

During exercise it is important to replace water which of the following who live in a warm climate would have the greatest concern?

The patient has a severe acute pancreatitis with nausea and vomiting, and requires 2500 kcal per day. Which regime would the dietitian recommend?

Normal Nutrition

Osteocalocin, a bone specific protein, is dependent on which vitamin for synthesis:

The term that encompasses the four specific nutrient recommendations used the US and Canada is:

Since the 1940’s the development of nutrient recommendations has been led by:

To improve the absorption of calcium you should have all the following except:

A naturally occurring substance in the body that is an essential component of the mitochondrial electron transport system is:

• a. planning and organizing
• b. organizing and directing
• c. directing and controlling
• d. organizing and controlling
• Rationale:
  c. Directing or leading involves directing and channeling human effort for the accomplishment of objectives and Controlling comparing what should be done with what was done. Planning is done by upper management they set goals establish budget etc organizing develop objectives and plans to achieve them.
  Source: Spears, 2000. p. 83-90.
• a. $6000
• b. $4200
• c. $5300
• d. $7200
• Rationale:
  c. 4% = 1200 100% = ____, 100 divided by 4 = 25
  25 x 1200 = 30000 (total income) 70% of 30000 = 21000 labor and food cost, + 2500 other expenses
  Rent 1200 + food and labor 21000 + 2500 other expenses = 24700.
  Income – Expenses = Profit $5300
• a. convection
• b. rotary
• c. deck
• d. microwave
• Rationale:
  a. the convection oven cooks 1/3 to ¾ faster than the deck oven and it cooks at lower temperatures conserving energy. The microwave is for small amounts. The deck ovens stack, have separate thermostats and have 7-16” clearance. It would take several decks to replace one convection oven.
  Source: Spears, 2000. p. 426-427.
• a. vitamin c, thiamine, calcium
• b. zinc, iron, calcium
• c. folic acid, potassium, vitamin A
• d. vitamin D, vitamin C, vitamin A
• Rationale:
  c. The major food source for folic acid, potassium, and vitamin A are fruits vegetables and legumes. Which are in very limited supply on a carbohydrate restricted Diet.
• a. Healthy People 2010
• b. Nutrition Screening Imitative
• c. Nationwide Food Consumption Survey
• d. NHANES III
• Rationale:
  d. The National Health and Nutrition examination Surveys provide information on health and nutrition over time. Reports provide a health profile for the community regarding prevalence of hypertension, cholesterol levels cardiovascular risk factors, obesity, iron status, etc.
  Source: Boyle and Morris, Second Edition, p. 121.
• a. disparity in wages of males compared to females
• b. poverty rate for children under 6 who live in homes headed by single females
• c. the growing number of females that have jobs earning minimum wage
• d. the increase number of females entering the job market
• Rationale:
  b. The feminization of poverty refers to the increasing number of children under six who live in families headed by a single female. (Almost 60%) Source: Krause’s 11th Edition p. 278.
• a. prunes and other dried fruits
• b. flax seed, oats, and barley
• c. food that contain blue, blue-red and violet pigments
• d. the cabbage family
• Rationale:
  d. Thiols are found in the cabbage family and onions.
  Source: Bennion and Scheule, 11th Edition, p. 289.
• a. above 500 degrees F
• b. above 442 degrees F
• c. above 350 degrees F
• d. above 525 degrees F
• Rationale:
  b. The smoke point temperature is above 442 degrees.
  Source: Bennion and Scheule, 11th Edition, p. 396.
• a. tang and graham crackers
• b. banana and peanut butter
• c. fresh squeezed lemonade and ginger snaps
• d. carnation instant breakfast with a raw egg
• Rationale:
  a. Neutropenic diet should be low bacteria. The lowest bacteria choice is tang and graham crackers, .Foods to avoid raw fish, meats, mold containing unasturized cheeses, raw fruits and vegetables dried fruit raw or fresh roasted nuts, pastries that require refrigeration, dry/ fresh spices added after cooking, herbal supplements.
  Source: Krause, Food Nutrition and Diet Therapy, 11th Edition, p. 1016.
• a. copper
• b. zinc
• c. vitamin B6
• d. B12
• Rationale:
  d. The post gastrectomy diet needs to consider iron, folic acid and B12 because B12 can not be absorbed without the intrinsic factor, which is synthesized in the stomach..
  Source: Krause, Food Nutrition and Diet Therapy, 11 th Edition, p. 701.
• a. Full liquids
• b. half strength tube feeding
• c. peripheral IV infusion
• d. TPN
• Rationale:
  c, The guidelines of the American Society for Parenteral and Enteral Nutrition patients who are well nourished prior to surgery should begin postoperative nutrition support after 7-14 days of little or no nutrition. TPN would be contraindicated in a patient with an elevated temperature. PPN is the best choice because it avoids using the GI tract.
  Source: Krause, Food Nutrition and Diet Therapy, 11th Edition, p. 534-537.
• a. lactalbumin
• b. amino acids
• c calcium caseinate
• d. soy protein isolate
• Rationale:
  b. Solutions containing hydrolyzed nutrients are more hypermolar than intact nutrient formulas. Amino acids are the most hydrolyzed source of nitrogen. Soy protein, calcium caseinate, and lactalbumin are all whole proteins and therefore would contribute much less to the osmolality than amino acids. Source:
• a. HDL
• b chylomicrons
• c. LDL
• d. VLDL
• Rationale:
  c. VLDL is made up of Triglycerides and their role in atherogenesis is uncertain. LDL are the primary transporters of cholesterol in the blood and elevation of LDL is associated with coronary risk.
  Source: Whitney and Cataldo 4th Edition p. 883.
• a. an elderly man riding an exercise bike
• b. a man playing racquetball
• c. a woman doing water aerobics
• d. a young man running a marathon
• Rationale:
  d. Water loss depends on the intensity and duration of the exercise and on the temperature and humidity. Long strenuous exercise in a warm climate should replace water about every 15 minutes.
  Source: Krause, Food Nutrition and Diet Therapy, 11th Edition, p. 297-298.
• a. 1200 cc of 2 kcal/cc nasogastric tube feeding
• b. 1000 cc of D50 W, 1000 cc of 7% amino acids and 600 cc of 20% lipids
• c. 1000 cc of D50 W, 1000 cc of 7% amino acids and 500 cc of 10% lipids
• Rationale:
  c. Tube feeding is not feasible to the stomach due to nausea and vomiting. Feeding into the small bowel would not be recommended in a patient with severe pancreatitis. The closest to the calorie requirement is c. 2530 kcal.
  1000 x .50 = 500 g dextrose
  500 x 3.4 kcal /g = 1700 kcal
  1000 x .07 = 70g
• a. folic acid
• b. vitamin K
• c. cobalamin
• d. vitamin D
• Rationale:
  b. Synthesis of osteocalcin is dependant on an adequate supply of vitamin K.
  Source: Mahan, 11th Edition, p. 642.
• a. Dietary Reference Intake
• b. Recommended Dietary Allowances
• c. Adequate Intake
• d. Estimated Average Requirements
• Rationale:
  a. DRI is the overall term that encompasses the four specific nutrient recommendations used in the US and Canada. ( Adequate Intake, Estimated Average Requirements, Recommended Dietary Allowances, Upper Limits)
  Source: Mahan, 11th Edition, p. 363.
• a. United States Department of Agriculture
• b. Department of Health and Human Services
• c. Surgeon General
• d. The Food and Nutrition Board
• Rationale:
  d. In the US the Food and Nutrition Board of the Institute of Medicine has led the development of nutrient recommendations since the 1940’s.
  Source: Mahan, 11th Edition, p. 364.
• a. acid medium
• b. take calcium supplement with a meal
• c. include lactose
• d. include oxalic acid
• Rationale:
  d. Calcium is the best absorbed in an acid medium, with a meal, which includes lactose. Oxalic acid forms an insoluble calcium oxalate in the digestive tract. Source: Mahan, 11th Edition, p. 123-124.
• a. 7 dehydrocholesterol
• b. menaquinones
• c. carnitine
• d. coenzyme Q10
• Rationale:
  d. Coenzyme Q10 is a naturally occurring substance in the body that is an essential component of the mitochondrial electron transport system. Source: Mahan 11th Edition p. 75.