continuing professional development activity for dietitians

SAJCN CPD activity No 33 - September 2005

"Nutritional management of Chronic Renal Failure patients by dietitians: the South African experience"

CPD Ref number: DT 05/3/061/12

ANSWER SHEET (Answers appear in BOLD)

1. The most important barrier to effective nutrition education identified in this study was a lack of motivation.
   1. True
   2. False
2. Adjusted oedema free body weight is recommended as the basis for dietary calculations since it allows for the lower metabolic needs of fat mass.
   1. True
   2. False
3. The beneficial effect of protein restriction in type I diabetes mellitus is independent of glycaemic control.
   1. True
   2. False
4. A recent randomised controlled trial found that the effect of protein restriction in lowering albumin excretion in type II diabetes mellitus was sustainable over a 12 month period.
   1. True
   2. False
5. The efficacy of phosphate binders is lowered when phosphorous intake exceeds 1000mg/d.
   1. True
   2. False
6. Vitamin A supplements should not be prescribed in patients with chronic renal failure as blood levels tend to be elevated.
   1. True
   2. False
7. Intradialytic continuous calf multifrequency bio impedancespectroscopy is a technique that is used to estimate adjusted oedema free body weight in haemodialysis patients.
   1. True
   2. False
8. In this study, diet history was the method that was used most frequently by dietitians to monitor dietary compliance.
   1. True
   2. False
9. Protein restriction in patients with chronic renal failure should be initiated at a GFR of <25 ml/min.
   1. True
   2. False
10. In this study an insufficient energy intake was prescribed by up to 30% of dietitians.
    1. True
    2. False
11. Hyperphosphataemia has been associated with premature death and increased cost of care.
    1. True
    2. False
12. The dose of calcium provided by phosphate binders should not exceed 500 mg/d.
    1. True
    2. False