An 82-year-old community-dwelling woman scores 9 on the MNA-SF. According to the validated cutoffs, how should the RDN interpret this score?
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Question · Easy
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Which screening tool was specifically developed and validated for use across all care settings (community, hospital, and long-term care) and uses BMI, unplanned weight loss, and acute disease effect?
Question · Medium
Chapter 1: Geriatric Nutrition Screening & Anthropometrics
1.1 Validated Geriatric Screening Tools
Study guide
An RDN screens a 78-year-old man in a primary care clinic using SARC-F. He scores 5. What does this score indicate?
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Per the EWGSOP2 algorithm, which finding is required to confirm a diagnosis of sarcopenia in an older adult?
Question · Hard
Using the GLIM criteria, malnutrition diagnosis in an older adult requires the presence of at least one phenotypic criterion AND at least one etiologic criterion. Which of the following is a GLIM phenotypic criterion?
Which anthropometric measurement is MOST appropriate when an older adult cannot stand for height measurement due to severe kyphosis?
1.2 Anthropometrics, Height Estimation & Weight History
An 80-year-old long-term-care resident has a BMI of 21 kg/m^2. According to ESPEN guidelines on nutrition in the elderly, how should this BMI be interpreted?
Which nutrition-focused physical exam (NFPE) finding is consistent with severe muscle wasting in the temporalis region?
A nursing home resident has bilateral pitting edema to the knees. How does this affect nutritional assessment using AND/ASPEN malnutrition criteria?
An RDN observes angular cheilosis, glossitis, and a smooth red tongue in an 85-year-old vegetarian. Which deficiency is MOST likely?
1.3 Sarcopenia & Functional Assessment
Which functional assessment tool measures basic activities of daily living (ADLs) such as feeding, bathing, dressing, toileting, transferring, and continence?
An older adult scores 22 on the Mini-Mental State Examination (MMSE). How should the RDN interpret this for nutrition planning?
Which of the five Fried frailty phenotype criteria is MOST directly addressed by RDN nutrition intervention?
An RDN is computing energy needs for a 75-year-old, 60 kg woman with mild physical activity. Which equation does the Academy of Nutrition and Dietetics EAL recommend as MOST accurate for non-obese adults including older adults?
1.4 Frailty Phenotypes & Functional Independence
An 88-year-old reports drinking 'two beers each evening to relax.' How should the RDN incorporate this into the diet history?
When taking a diet history from an older adult with mild dementia, which approach is MOST likely to yield accurate intake data?
An 84-year-old has documented heart failure (NYHA class III), CKD stage 3b, and type 2 diabetes. Which condition takes priority when designing protein recommendations, given EAL/ESPEN guidance for older adults?
An 86-year-old man on hemodialysis has a serum phosphorus of 6.2 mg/dL despite phosphate binders. Which dietary intervention is MOST appropriate?
Chapter 2: Clinical Assessment & Physical Examination
2.1 Nutrition-Focused Physical Exam in Older Adults
An older adult on warfarin for atrial fibrillation should receive which vitamin K education?
Long-term proton pump inhibitor (PPI) use in older adults is associated with deficiency of which nutrient(s)?
An older adult started on metformin 1,000 mg BID one year ago presents with paresthesia and macrocytic anemia. Which laboratory test is MOST important?
Which laboratory marker is MOST useful for assessing visceral protein status in an acutely ill older adult, considering the impact of inflammation?
2.2 Pressure Injury Staging & Etiology
An 80-year-old has a serum sodium of 152 mEq/L, BUN 38 mg/dL, creatinine 1.0 mg/dL, BUN/Cr ratio 38, and dark concentrated urine. Which condition is MOST likely?
Which lab finding is MOST consistent with iron deficiency anemia rather than anemia of chronic disease in an older adult?
An 81-year-old with chronic kidney disease has a 25-hydroxyvitamin D level of 18 ng/mL. According to most clinical guidelines (Endocrine Society), how is this interpreted?
An older adult experiences food insecurity. Which screening tool is most commonly used in clinical settings to identify it?
2.3 Laboratory & Diagnostic Evaluation in Geriatrics
Which federal program provides home-delivered and congregate meals specifically for adults age 60+ regardless of income?
An older adult living alone refuses meals when delivered. Which social support intervention has the BEST evidence for improving intake in community-dwelling elders?
An 89-year-old observant Muslim resident is preparing for Ramadan fasting. Which approach is MOST appropriate?
Which culturally appropriate intervention BEST honors a Latino/Hispanic older adult's food preferences during malnutrition treatment?
Chapter 3: Health History, Multimorbidity & Pharmacotherapy
3.1 Dietary Intake & Lifestyle History in Older Adults
A 78-year-old screens positive on the PHQ-9 with a score of 14. Which nutritional consequence is MOST likely?
Which assessment tool screens specifically for depression in older adults using yes/no questions and is validated for cognitively intact elders?
Which sign is MOST suggestive of elder mistreatment that an RDN may identify during a nutrition assessment?
A skilled nursing facility resident lost 5 lb (3% body weight) in 30 days. According to MDS 3.0 weight loss criteria, how is this coded?
3.2 Multimorbidity & Chronic Disease Interactions
An RDN performs handgrip strength testing on a 75-year-old woman. EWGSOP2 cutoff for low grip strength in women is:
An 82-year-old has stage 3 pressure injury on the sacrum. Per NPIAP nutrition guidelines, target protein intake is:
Which finding on a Mini Nutritional Assessment (full MNA) supports the diagnosis of malnutrition (score <17)?
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