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20th June 2015, 03:37 PM
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Join Date: Apr 2013
Re: How Hard Is The Registered Dietitian Exam

Here are some tips to prepare for REGISTERED DIETITIAN EXAM:

Time management
Know exam pattern in well manner
Take good book
Join a coaching centre
Solve previous year question papers
Consult with teachers
Revise & Revise

Questions:
IDA RD Question paper
SECTION - A
Give the Correct Answer (10 x 2 = 20 marks)
1. The TRUE statement about iron in human body is that it is
a. readily excreted in urine
b. present in both ferrous and ferric state
c. transported as ceruloplasmin
d. absorbed in stomach
2. Glutathione is a
a. octapeptide b. tetrapeptide c. tripeptide d.
dipeptide
3. Starvation causes a decrease in which of the following metabolic
process?
a. Lipogenesis b. Glycogenolysis c. Lipolysis d. Glucogeneogenesis
4. Fatty acid NOT synthesized in man is
a. Oleic b. palmitic c. linoleic d. stearic
5. ALL or NONE transmission occurs in
a. Rods and cones b. axon c. pacinian corpuscle
d. merkel’s disc
6. Erythropoietic secretion is facilitated by the following factors EXCEPT
a. Alkalosis b. catecholamine c. prostaglandins d. estrogens
7. Acidity of gastric juice depends on
a. Rate of parietal cell secretion c. rate of peptic secretion
b. Post prandial alkaline tide d. mucosal bicarbonate barrier
8. During active secretion the pH of saliva is about
a. 5 b. 6 c. 7 d. 8
9. Frozen chickens are an important source of
a. Micrococcus c. salmonella
b. Lactobacillus d. pseudomonas
10. Giardia lamblia is otherwise known as
a. Lamblia intestinals c. Trichinella spiralis
b. Taenia spiralis d. Taenia nativa
Section B
1. State whether the following statements are TRUE OR FALSE
( 5 x 1 = 5 marks)
a. The hormone associated with regulation of water balance is anti
diuretic hormone
b. HMG CoA synthase is the rate limiting enzyme in the
gluconeogenesis pathway
c. VLDL carries endogenous triglycerides
d. Aspergillus nomius is NOT an aflatoxin
e. On an average, an adult secretes 2.5 litres of saliva per day
2. Fill in the blanks ( 5 x 1 = 5 marks)
a. The pH at which a molecule carries no net charge is called
_________________
b. Sensation of hunger, thirst and feeding is associated with
__________
c. The purely ketogenic amino acid is _____________
d. Two types of synapses are _________ and __________
e. The causative factor for Q fever is ______________
3. Name one organism involved in each of the following ( 5 x 1
= 5 marks)
a. Polio b. Malo-lactic fermentation
c. Acute watery diarrhea d. Emetic syndrome
e. Yersiniosis
4. Differentiate between (3 x 3 =9 marks)
a. Leukocytosis and leukemia
b. enzymes and co enzymes
c. Gram negative and gram positive bacteria
5. Match the following (6 x 1 = 6 marks)
a. Lactate dehydrogenase excessive salivation
b. inhibitor of oxidative phosphorylation Klebsiella aerogenes
c. COPD Aeromanas
d. Sialorrhoea watery diarrhea
e. Facultative anaerobe myocardial infarction
f. Traveller’s diarrhea cyanide
respiratory acidosis
metabolic acidosis
6. Explain the terms ( 5 x 2 = 10)
a. deglutition apnea b. anion gap c. bohr effect
d. histones e. Ergotism f. renal rickets
7. Complete the following reactions (10 marks)
a. Fructose 1,6 bisphosphate Phosphoenol pyruvate
b. HMG CoA Squaelene
c. Tryptophan Serotonin
Section C ( 2 x 15 = 30 marks)
Answer ANY TWO questions
1. What is uremia. Describe the reaction of urea cycle. Discuss the
interrelation of urea cycle and the citric acid cycle
2. Define food born illness. What are the possible causes of food born
illness. Explain Alimentary tract as the site of food born illness
3. Define digestion? What are peristaltic movements and their role in
human digestion? What is the special route that lipids follow during
digestion? What are chylomicrons?
IDA REGISTERED DIETITIAN EXAMINATION
October 2010
PAPER II (Nutrition, Dietetics, Food Service Management)
Time: 2 hours
Marks: 100
Answer all questions : -(10X2 = 20 marks)
a) Explain dawn phenomenon
b) Explain use of the following in the diagnosis of disease –
i) Glycosylated Heamoglobin
ii) Serum Uric Acid
iii) SGOT
iv) Alkaline Phosphatase
c) What is Steven Johnson Syndrome and its nutritional implications
d) What does an increased pre-albumin value indicate ?
e) Explain an organization chart with an example
f) Explain waterlow’s classification of weight for height and weight for
age
g) Expand – DHA, BIS, SMBG, HACCP
h) List four sites at which skin fold thickness is measured for assessment
of nutritional status.
i) Expand SOAP in terms of nutritional care
j) What are the three types of food production systems?
2. Answer all questions : (20 x 1 = 20 marks)
i) When parenteral nutrition is indicated in ICU patients, the amino
acid solution should contain –
a) 0.6 gms/Kg/day of L-glutamine
b) 0.1 gms/Kg/day of L-glutamine
c) 0.2 - 0.4 gms/Kg/day of L-glutamine
ii) When forecasting the number of meals, which of the following data
do you use most often?
a) Profit and loss statement
b) Food cost percent
c) Previous records on sales
d) Inventory on hand
iii) Peyer’s patches are commonly seen in:
a) Tuberculosis
b) Malaria
c) Typhoid
d) Polio
iv) Rothera’s test is used to check ____________ in urine:
a) Glucose
b) Ketones
c) Amino acids
d) Albumin
v) Give any two essential components of an effective communication
in nutritional counseling.
vi) Milk is deficient in ________ and _______
vii) Egg should not be over boiled
a) to increase availability of iron.
b) to prevent the greenish black ring of iron sulphide being formed
c) both of the above
d) none of the above
k) Normal serum levels of creatinine and urea in adults
viii) In the absence of indirect calorimetry, ICU patients should receive
________ Kcal/KG/day
a) 40
b) 30
c) 25
ix) List any two commonly employed methods for assessment of body
composition.
x) Additional proteins recommended for a pregnant woman as per the
latest RDA of ICMR (released in 2009)
xi) Any two commonly used foods rich in glutamine
xii) Glucose load used in OGTT
xiii) With regard to personnel management, every manager of a
business establishment must know:
1. Law
2. Food Rates
3. Formulation of Acts
4. Legal implications of hiring staff
xiv) Standardization of recipes aid in:
a) Acceptability and quality
b) Size and number of portions
c) Appearance and flavour
d) Methods of cooking
xv) The osmolality (mOsm/kg) of icecream is greater than soups/broths
- True or false
xvi) The term low fat on food label as per codex alimentarius (WHO)
guidelines means :
a. Less than 3 grams/100g (solids) , 1.5 g /100 ml (liquids)
b. Less than 3 grams of fat per serving
c. Less than 1 grams/100g (solids) , 0.5 g /100 ml (liquids
d. Less than 10 grams of fat per serving
xvii) The body absorbs the lycopene in canned, pasteurized tomato juice
and tomato products that contain oil more easily than the lycopene
found in a fresh, raw tomato – True or False
xviii) HELLP Syndrome, is a pregnancy complication with following
indications :
a. Hemolytic anemia, elevated liver enzymes, low platelet
count
b. elevated blood pressure
c. proteinuria with haemolysis
xix) A 51 yr old male diagnosed recently with diabetes, with the
following parameters - LDL 155 mg/dl, HDL - 40 mg/dl, total
cholesterol 234 mg/dl, and triglycerides 265 mg/dl. He is following
a diabetic diet plan, In addition to increasing his statin dosage,
which additional dietary change would you recommend be included
in his treatment plan in order to maximally lower his cholesterol?
a. Add a fish oil supplement
b. Restrict dietary cholesterol to <200 mg/day.
c. Restrict dietary fat to <35% of total calories.
d. Restrict dietary saturated fat to <10% of total calories.
xx) Approximately how much weight does the average newly diagnosed
patient with type 2 diabetes need to lose if he expects his blood
glucose levels to normalize completely?
a. 2.5 kg or approximately 3.5% of ideal body weight
(IBW)
b. 4.5 kg or approximately 7% of IBW
c. 10 kg or approximately 16% of IBW
d. 8.0 kg or approximately 12.5% of IBW
Answer all questions : ( 5 x 3 = 15 marks)
1. Explain MUST in brief
2. Differentiate between rheumatoid arthritis and osteoarthritis
3. Explain the phases in icteric disease (jaundice)
4. Parameters used to assess prevalence of anemia in a community
5. Briefly explain safe enteral feeding practices
Answer all questions : (3 X 5 = 15 marks)
Outline dietary guidelines for :
1. Nutritional support in patients with ESLD with or without
encephalopathy
2. Patient with multiple organ dysfunction syndrome (MODS)
3. Dietary management of ulcerative colitis
Answer any two questions: (2 x 15 = 30 marks)
1. Mr. Hari is 55 year old male with chronic renal failure who was
admitted with puffiness of face and pedal edema since 20 days.
His biochemical parameters are as follows:
a) Hb – 10.5g/dl
b) RBS – 241mg/dl
c) Na - 138mEq/l
d) K - 6.1mEq/l
e) Urea - 59 mg/dl
f) Albumin - 2.8g/dl
g) Urine analysis - Albuminuria
Plan a diet.
2. A 29 year old male with a history of an RTA and consequent
SAH, is on ventilator support. His heamoglobin is 12.6g/dl,
albumin is 3.0g/dl and his prealbumin is 15g/dl. His TLC is
21,400.
Explain with reasons for need to start enteral or parenteral
nutrition & give the feeding plan.
3. Mrs Preeti Agarwal is 46-year-old with progressive dyspnea on
exertion. She had a relatively normal childhood growth and
development. She was noted to have a murmur 26 years ago.
No therapy was sought and the patient had been well until
recently. She had a successful pregnancy and delivery in the
past without hemodynamic compromise. She has a past history
of Hypertension, Chronic back pain and hysterectomy 2 yrs
back.
•Wt: 105 kgs
•BP: 140/70 HR: 74 .
•Heart: normal S1, S2
•Hb: 13.2 mg/dl, Hct: 35%, Platelets: 268
•Na: 143, K: 4.1, Cl: 105, CO2: 26, BUN: 12, Cr: 0.73,
RBS: 106


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