1
Q
When a patient who is diagnosed with anorexia starts to refeed, they should expect:
- Constipation
- An increased workload on the heart
- Lethargy
- Diarrhea
A
? 2. An increased workload on the heart
2
Q
Which of the following is associated with Herzberg’s theory of job satisfaction?
- Salary
- Work load
- Recognition
- Job security
A
- Recognition
3
Q
Which of the following tools would a dietitian use when analyzing trayline accuracty?
- Gantt chart
- Process-control chart
- Cause-and-effect diagram
- Break-even analysis
A
- Process-control chart
4
Q
How will you preserve the thiamin of 10lbs of pork when you roast it in an oven?
- Use the drippings after the fat has been removed
- Insert a meat thermometer and cook it medium rare
- Increase the cooking temperature to lessen cooking time
- Add a small quantity of water during cooking
A
- Insert a meat thermometer and cook it medium rare
5
Q
The cook makes roast beef for lunch. What should you do with the leftovers?
- Throw them out
- Let cool at room temperature, then refrigerate and use the next day
- Refrigerate immediately and then serve within 2 days
- Keep in the warmer until dinner time
A
- Refrigerate immediately and then serve within 2 days
6
Q
What is the appropriate feeding for a person with anorexia nervosa?
- A wide variety of foods and frequent feedings
- Liquids high in calories and proteins
- Nasogastric feedings
- Regular mealtimes, variety and moderation of intake
A
? 1. A wide variety of foods and frequent feedings
7
Q
What advice would you give the patient who had surgery for Crohn’s disease?
- Drink a lot of milk
- Eat small portions
- Eat a high protein, low fat, low residue diet with vitamin B12
- Eat a high fat, high residue with vitamin B12
A
- Eat a high protein, low fat, low residue diet with vitamin B12
8
Q
A child with AIDS needs a high calorie diet and:
- Megadose vitamins
- High protein
- Low fat
- Low residue
A
- High protein
9
Q
A healthcare foodservice department has developed several high-quality, sugar-free desserts that are identified as unique to the department. This product represents what type of branding?
- Manufacturer
- Restaurant
- Retail item
- Signature
A
- Signature
10
Q
Legislative bills that have similar intent but different wording are viewed and reconciled by:
- The Office of Management and Budget
- A joint committee of the House of Representatives and Senate
- A committee of sponsors of the bill
- A negotiating committee
A
?4. A negotiating committee
11
Q
What oven would be the most cost effective to use if you need to products 200 muffins every hour?
- Microwave
- Convection Oven
- Rotary Oven
- Conventional Oven
A
?3. Rotary Oven
12
Q
Nutrition intervention with Alzheimer’s disease should include:
- Eating with TV on provides stimulation
- Offer one food at a time, avoid distractions
- Encourage eating meals with others
- Several small meals and snacks throughout the day
A
- Offer one food at a time, avoid distractions
13
Q
Healthy People 2020 is an outgrowth of a report by:
- ADA
- The Surgeon General
- WHO
- FAO
A
- The Surgeon General
14
Q
Which of the following would NOT be included on a list of government programs that provide nutrition education?
- Child Nutrition Program
- Head Start Program
- Cooperative Extension Service
- La Leche League
A
- La Leche League
15
Q
Where should a Class B fire extinguisher be placed?
- Near the range
- Near the dishmachine
- Near the freezer
- Near the refrigerator
A
- Near the range
16
Q
A patient has memory loss, foot-drop, tender calf muscles, and an elevated level of liver enzymes, most likely indicating a deficiency of:
- Iron
- Ascorbic Acid
- Zinc
- Thiamin
A
?4. Thiamin
17
Q
The liver releases fat to the blood in the form of:
- Lipoproteins
- Chylomicrons
- Free fatty acids
- Free triglycerides
A
- Lipoproteins
18
Q
A job description that complies with the Americans with Disabilities Act must delineate:
- Reasonable accommodations
- Essential job functions
- A definition of disability
- Proposed equipment modifications
A
- Essential job functions
19
Q
A dietitian notes . increasing costs to repair a dishmachine that is 15 years old. The dietitian would request funds to replace the equipment from which of the following budgets?
- Expense
- Cash
- Revenue
- Capital
A
- Capital
20
Q
Dry heat cookery should be used for which cut of meat?
- Shoulder
- Neck
- Brisket
- Near backbone
A
- Near backbone
21
Q
Why is an affluent couple (the man with diabetes, over 64, the wife with a broken arm, under 65) not eligible for Meals on Wheels?
- She is too young
- They are affluent
- This program does not cater to special diets
- They can leave the house
A
- They can leave the house
22
Q
If a woman is hired and does not receive the same pay as a man, she can claim . support from:
- The Equal Opportunity Act
- The Fair Labor Standards Act
- The Equal Pay Act
- The Fair Wage Act
A
- The Equal Pay Act
23
Q
An appropriate measurement for iron status in a local community is:
- Serum iron
- Transferrin
- TIBC
- Hematocrit
A
- Hematocrit
24
Q
A patient with Crohn’s disease has had surgery. What part of the small intestine was removed?
- Ileum
- Jejunum
- Duodenum
- Appendix
A
- Ileum
25
Susan plans to conduct a study that involves cosmetics. She wanted to know the preference of cosmetic use among adolescents, young adult, middle adult and the late adult women. The research design of her study would be:
1. Descriptive
2. Correlational
3. Qualitative
4. Cohort
1. Descriptive
26
The symbol U on a food label indicate?
1. Treated with ultraviolet light
2. Treated with radiation
3. Vitamin retention maintained during processing
4. A kosher term meaning pareve
4. A kosher term meaning pareve
27
You discover a gross error in a diet order listed in the patient's chart. What should you do?
1. Chart the order as incorrect
2. File the order because it was issued by a physician
3. Discuss the order with the physician and offer suggestions
4. Change the order
3. Discuss the order with the physician and offer suggestions
28
The dietitian suspects that receipt of food in the department is documented inaccurately. Which of the following actions offers the best security to counteract the problem?
1. Purchasing by bid
2. Using a prime vendor
3. Implementing blind receiving
4. Conducting random checks of food cases
?4. Conducting random checks of food cases
29
Four hours after dining in a restaurant you develop nausea, vomiting, and diarrhea, but no fever. You may have contracted:
1. Staphylococcus aureas
2. Clostridium botulinum
3. Clostridium perfringrens
4. Streptococcus
3. Clostridium perfringrens
30
The personnel director has indicated to the dietitian that a new dietetics supervisor scored relatively high on the "need for achievement" section of an initial employment evaluation. The dietitian should:
1. Closely monitor the supervisor
2. Provide frequent performance feedback
3. Provide feedback during the annual performance evaluation only
4. Provide little feedback, because the supervisor is likely to do a good job
2. Provide frequent performance feedback
31
Negotiation between representatives of employees and management regarding conditions of employment is known as:
1. Mediation
2. Job evaluation
3. Check-off procedure
4. Collective bargaining
4. Collective bargaining
32
Glucocorticoids:
1. Convert glucose into fatty acids
2. Convert fatty acids into glucose
3. Convert glucose into protein
4. Convert protein into glucose
?4. Convert protein into glucose
33
Intervention by a dietitian conducting nutrition assessment is best determined by:
1. A patient's medical history
2. A patient's diagnosis
3. The case mix of the patient population
4. Results of nutrition screening
4. Results of nutrition screening
34
A dietitian must determine whether to eliminate group counseling sessions about diet and heart disease or to eliminate individual counseling for patients newly diagnosed with heart disease. After reviewing the budget, the dietitian should next . conduct a:
1. Cost-benefit analysis
2. Cost-effectiveness analysis
3. Fiscal evaluation
4. Outcome evaluation
?2. Cost-effectiveness analysis
35
Listeria monocytogenes is a foodborne disease organism found in meat and vegetables. Prevention of listeriosis outbreaks requires special care because of the organism's:
1. Insensitivity to light
2. Ability to grow at temperatures of 34 to 113 degrees F
3. Sensitivity to low temperatures
4. Ability to grow at temperatures of 140 to 160 degrees F
2. Ability to grow at temperatures of 34 to 113 degrees F
36
Which of the following social or economic trends is thought to have the most important consequences for future community nutrition practice?
1. The segment of the US population that is . growing most rapidly is children ages 12 years and younger
2. Different generations in the United States have similar values and attitudes . about health
3. The deteriorating global environmental indicators such as climate change, degradation of topsoil, and increased use of many chemical pollutants
4. The food purchasing practices and preferences in the United States that indicate a desire for an extensive variety of "value-added" pre-prepared food
?4. The food purchasing practices and preferences in the United States that indicate a desire for an extensive variety of "value-added" pre-prepared food
37
A foodservice operation uses hamburger patties at am average rate of six cases per day. It takes 3 days after an order is placed to receive the order. Management wants to keep 2 days' supply on hand. The reorder point would be how many cases?
1. 18
2. 30
3. 36
4. 4
?2. 30
38
What cooking method would best convert collagen to gelatin in a bottom round roast?
1. Grilling it to medium rare
2. Braising
3. Broiling
4. Searing
2. Braising
39
A child whose weight-for-height plots at the 80th percentile on the National Center for Health Statistics (NCHS) growth chart is said to be:
1. Obese
2. Normal
3. Overweight
4. Underweight
2. Normal
40
Which is the best source of emulsification?
1. Eggs
2. Milk
3. Salt
4. Flour
1. Eggs
41
The Joint Commission standards about nutrition care specify which of the following requirements?
1. Diagnoses that specify nutrition assessment
2. Data that should be collected for nutrition screening
3. Nutrition assessment for patients at risk for malnutrition
4. Guidelines for a dietitian's scope of practice
3. Nutrition assessment for patients at risk for malnutrition
42
A patient with chronic kidney disease on hemodialysis has the following lab test results: BUN, 50 . mg/dl; albumin, 2.8g/dl; and calcium, 8mg/dl. What recommendation should the dietitian make to improve these laboratory values?
1. Decrease fluid intake
2. Increase protein intake
3. Use a calcium supplement
4. Increase the amount of phosphate binders
2. Increase protein intake
43
A patient is screened at admission and has been referred to the dietitian. What is the primary reason for the referral?
1. Malnutrition
2. Nutrition Risk
3. Food intake
4. Weight changes
?2. Nutrition Risk
44
When a white sauce tastes starchy and grainy, the likely cause is:
1. Too much starch in the recipe
2. Improper proportions of ingredients
3. Starch was added before the fat was melted
4. Uncooked flour
4. Uncooked flour
45
China, glassware, silverware, utensils, linens, and uniforms are typical expenses detailed in which of the following budgets?
1. cash-flow
2. Capital
3. Master
4. Operating
4. Operating
46
According to the exchange lists, what is the macronutrient content (in grams) of the following meal: 1 c. cantaloupe, 1/2 c. cereal, 1 cup 1% milk, 1 tsp. margarine, 1 tsp. low sugar jelly, black . coffee, 1 slice toast. Protein, CHO, fat
1. 12, 61, 6.5
2. 12, 52, 9
3. 12, 57, 8
4. 13, 58, 10
1. 12, 61, 6.5
47
The catecholamines released during stress induce:
1. Hypertension
2. Hyperglycemia
3. Diuresis
4. Elevated BUN
?1. Hypertension
48
The appropriate diet therapy following a Billroth II is?
1. High CHO, low fat, high protein
2. High fat, high protein, high CHO
3. Decrease simple CHO, high protein, moderate . to high fat, B12
4. Low fat, low protein, high CHO
3. Decrease simple CHO, high protein, moderate . to high fat, B12
49
which ingredient should be adjusted in a recipe if a cake has a crunchy crust and compact, moist texture
1. Milk
2. Flour
3. Sugar
4. Baking powder
3. Sugar
50
Compared to a conventional oven, a convection oven should have which of the following adjustments to temperature and baking time?
1. Increase 25°F to 50°F, reduce time 10% to 15%
2. Decrease 10°F to 15°F, increase time 25% to 50%
3. Decrease 25° to 50°F, reduce time 10% to 15%
4. Increase 25° to 50°, increase time 10% to 15%
3. Decrease 25° to 50°F, reduce time 10% to 15%
51
Anascarca is extreme generalized edema and swilling of the skin and is associated with:
1. Uncontrolled Diabetes
2. Heart, liver or renal failure
3. Short bowel syndrome
4. Pancreatitis
2. Heart, liver or renal failure
52
The diet for stomatitis is:
1. Low fat, high carb, normal protein
2. Soft non-spicy
3. High protein, high carb
4. Liquids, mostly carb
2. Soft non-spicy
53
A man with anorexia and nausea has an oral intake of 500 calories per day, mostly as sweets. Why is his serum albumin 5.5 g/dl?
1. Simple carbs keep albumin levels elevated
2. He is dehydrated
3. Serum albumin falls quickly with protein deprivation
3. It is a sign of protein malnutrition
2. He is dehydrated
54
The kidneys respond to respiratory acidosis by:
1. Increasing the secretion of magnesium
2. Exchanging sodium for calcium
3. Increasing the retention of bicarbonate
4. Exchanging potassium for hydrogen
3. Increasing the retention of bicarbonate
55
What leadership style is primarily associated with quality circles?
1. Autocratic
2. Bureaucratic
3. Diplomatic
4. Participative
?4. Participative
56
Which is a good method of food handling?
1. Sanitize raw food before preparation
2. Defrost frozen food in the refrigerator
3. Refrigerate raw food at 48 degrees F
4. Thaw frozen food quickly under running hot water
2. Defrost frozen food in the refrigerator
57
What amount of protein per kilogram of body weight is the minimum recommended daily intake of protein, based on nitrogen-balance studies, for most older men and women?
1. 0.6 g
2. 1.0 g
3. 1.4g
4. 1.8g
2. 1.0 g
58
Which of the following items is appropriate for a Muslim diet?
1. Raspberry congealed fruit salad
2. Green salad with imitation bacon
3. Grilled chicken marinated in wine sauce
4. Ham sandwich with mustard
2. Green salad with imitation bacon
59
If a patient's fat intake is 75-100 grams, what does a fecal fat of 12 grams indicate?
1. Severe fat malabsorption
2. Normal fat malabsorption
3. High normal fat malabsorption
4. Nothing
???
60
For which of the following disease is diet therapy the primary treatment?
1. Peptic ulcer
2. Diabetes
3. Wilson's disease
4. Galactosemia
4. Galactosemia
61
Using the factor method, determine the selling price using the data below.
Raw food cost: $3.15; prepared food cost: $5.21; labor cost: $3.39; overhead cost: $1.12; factor: 3.37
1. $6.40
2. $7.40
3. $8.10
4. $10.58
4. $10.58
62
A patient who consumes a high-fiber diet may have an increased need for dietary:
1. Carbs
2. Calcium
3. Glutamate
4. Linoleate
???
63
A homeless patient who is deficient in all nutrients is to be discharged. Where should you refer him to?
1. WIC
2. EFNEP
3. A social worker
4. The shelter
3. A social worker
64
Which fiber is insoluble in water?
1. Pectin
2. Gums
3. Hemicellulose
4. Polysaccharides
3. Hemicellulose
65
A food service manager who supervises 35 employees has a problem with discipline and increased absenteeism. Why?
1. Decreased unity among managers
2. Excessive span of control
3. Decreased unity of control
4. Excessive unity of command
2. Excessive span of control
66
A patient with rough dry scaly skin and Bitot's spots has signs of a deficiency in:
1. Vitamin A
2. Vitamin E
3. Thiamin
4. Niacin
1. Vitamin A
67
When is the most appropriate time to introduce soft, mashed table foods to an infant?
1. 4 months of age
2. 6 months of age
3. When the infant develops a rotary chewing patterns
4. When the extrusion reflex diminishes
4. When the extrusion reflex diminishes
68
The final step in a union dispute is:
1. Arbitration
2. Mediation
3. Injunction
4. Check-off
1. Arbitration
69
After a gastrectomy, the diet order should indicate a decrease in:
1. Disaccharides
2. Fats
3. Protein
4. Calories
1. Disaccharides
70
How to solve for EP cost?
EPCost = APCost/ % yield
71
Two of the listed ingredients on a frozen food label are BHA and BHT. What is their function?
1. Flavor enhancers
2. Emulsifiers
3. To prevent enzymatic oxidation
4. To prevent lipid oxidation
4. To prevent lipid oxidation
72
Increased serum uric acid levels may lead to:
1. Galactosemia
2. Glycogen storage disease
3. Gout
4. PKU
3. Gout
73
To determine the reading level of a test:
1. Count the number of words with more than 1 syllable
2. Count the number of paragraphs
3. Count the average number of letters in the words
4. Count the number of sentences in a paragraph
?1. Count the number of words with more than 1 syllable
74
A cook who was injured in a motor vehicle accident is still not able to . perform a majority of the job duties after a period of . recuperation. To comply with the Americans with Disabilities Act, the manager should:
1. Hire another employee to assist the cook
2. Transfer the employee to another department
3. Create a new position that the employee can perform
4. Obtain written recommendations from the employee's physician
4. Obtain written recommendations from the employee's physician
75
Which piece of food service equipment is outlawed by a local law which is superceded by a state law?
1. Toaster
2. Steam-jacketed kettle
3. Convection oven
4. Garbage disposal
4. Garbage disposal
76
Which of the following is a common complication of AIDS?
1. Constipation
2. Diarrhea
3. Hypoglycemia
4. Hyperkalemia
??? Maybe diarrhea
77
The decision to deliver food to patients' rooms rather than to the cafeteria is based on:
1. The philosophy of the institution
2. The equipment in the kitchen
3. The labor available
4. Federal regulations
1. The philosophy of the institution
78
What is the breakeven point if fixed costs are $48,337.80 . and the contribution rate is 0.6?
1. $80,563
2. $29,003
3. $56,734
4. $79,990
1. $80,563
79
Nutritional therapy for hepatitis is:
1. High protein, high CHO, moderate fat, high calories
2. High protein, low CHO, low fat, moderate calories
3. Low protein, high CHO, low fat, high calories
4. Low protein, high CHO, low fat, low calories
???Maybe either of the high protein ones
80
Which is a common result of treating an AIDS patient with zidovudine?
1. Diarrhea
2. Constipation
3. Anemia
4. Hypokalemia
??? Maybe constipation
RD Exam
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