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Exam Review

Key Facts: Examen Integrado Nutrición Exam

The Examen Integrado de Residencias is established under MSAL Resolución Ministerial N° 555/2026 and governed by the CAEI (Ministerio de Salud de la Nación).

The examination includes exactly 100 multiple-choice questions with 4 options and a single best answer (MSAL Examen Integrado — temario oficial 2026).

Candidates are allocated 3 continuous hours (180 minutes) on digital devices at supervised national testing venues (MSAL).

Undergraduate GPA must be calculated including all academic failures (promedio histórico con aplazos) according to national residency admission regulations (Resolución MSAL 555/2026).

Ley Nacional N° 27.642 establishes mandatory front-of-package black octagonal warning seals for products exceeding critical thresholds of added sugars, saturated fats, total fats, sodium, and calories based on the PAHO Nutrient Profile Model (InfoLEG).

The Guías Alimentarias para la Población Argentina (GAPA) place potable water in the center of the visual graphic, with vegetables and fruits occupying the largest food group proportion (MSAL).

The Código Alimentario Argentino (CAA) regulates all food processing, hygiene, labeling, and composition standards across the national territory (ANMAT / CAA).

Refeeding syndrome is defined by life-threatening acute intracellular shifts of phosphorus, potassium, and magnesium triggered by rapid carbohydrate reintroduction in severely malnourished patients (AANEP / ASPEN / ESPEN).

Ley Nacional N° 24.301 defines the reserved activities, professional rights, and obligations of university-graduated Dietitians and Nutritionists in Argentina (InfoLEG).

Ley N° 26.529 guarantees the patient's fundamental right to informed consent, dignity, and autonomy regarding clinical therapies, including enteral and parenteral life-sustaining support (InfoLEG).

The Argentina Examen Integrado de Residencias — Nutrición is a 100-question digital multiple-choice exam (3 hours, scored out of 100 points) administered free of charge by MSAL/CAEI under Resolución 555/2026 to award public hospital residency training positions for clinical nutritionists across Argentina.

Sample Examen Integrado Nutrición Practice Questions

Try these sample questions to review concepts for the Examen Integrado Nutrición exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1According to the Lipschitz anthropometric classification widely used in Argentine clinical practice for older adults (adultos mayores), what Body Mass Index (BMI / IMC) range defines a normal nutritional status (peso normal / eutrofia)?
A.22.0 to 27.0 kg/m²
B.18.5 to 24.9 kg/m²
C.25.0 to 29.9 kg/m²
D.20.0 to 25.0 kg/m²
Explanation: In older adults (>=60-65 years), physiological changes such as loss of height due to vertebral compression, sarcopenia, and altered fat distribution require adjusted BMI cutoffs. According to the Lipschitz criteria, a BMI <22 kg/m² indicates underweight (desnutrición/bajo peso), 22.0 to 27.0 kg/m² indicates normal weight (eutrofia), and >27.0 kg/m² indicates overweight/obesity.
2A 58-year-old patient admitted with a 3-week history of severe hyporexia, unintentional weight loss of 12% of habitual body weight, persistent diarrhea, subcutaneous fat loss over the triceps and temples, and mild ankle edema is evaluated using the Subjective Global Assessment (Valoración Global Subjetiva - VGS / SGA). What is the patient's nutritional category?
A.VGS Class A: Well nourished (Bien nutrido)
B.VGS Class C: Severely malnourished (Severamente desnutrido)
C.VGS Class B: Moderately malnourished or suspected malnutrition (Moderadamente desnutrido)
D.VGS Class D: Critical cachexia requiring immediate parenteral bypass
Explanation: The Subjective Global Assessment (VGS/SGA) stratifies patients into three categories: Class A (Well nourished), Class B (Moderately malnourished or suspected of malnutrition), and Class C (Severely malnourished). A weight loss greater than 10% in 6 months (especially >5% in recent weeks), continuous gastrointestinal symptoms, severe dietary reduction, physical signs of muscle/fat wasting, and edema categorize this patient definitively as VGS Class C.
3Why are visceral proteins such as serum albumin and prealbumin (transthyretin) considered unreliable indicators of acute nutritional status in critically ill or inflamed patients?
A.Their plasma concentrations increase dramatically during metabolic stress, leading to false-positive overestimations of nutritional reserves
B.They have an excessively long biological half-life of over 120 days, making them insensitive to short-term changes
C.They are negative acute-phase reactants whose hepatic synthesis decreases in response to systemic inflammation and proinflammatory cytokines regardless of nutrient intake
D.They are exclusively degraded by the kidneys, rendering their levels dependent only on glomerular filtration rate
Explanation: Serum albumin (half-life ~20 days) and prealbumin (half-life ~2-3 days) are negative acute-phase proteins. In the presence of inflammation, sepsis, trauma, or elevated C-reactive protein (CRP), hepatic protein synthesis shifts toward positive acute-phase reactants (CRP, ferritin, fibrinogen) while downregulating albumin and prealbumin synthesis; vascular permeability also causes transcapillary escape, making low levels markers of inflammatory severity rather than nutritional intake alone.
4In clinical anthropometric assessment, how is the Mid-Arm Muscle Circumference (Circunferencia Muscular del Brazo - CMB) calculated to assess somatic protein mass, and what variables are required?
A.CMB (cm) = Body weight (kg) - [3.1416 × Triceps skinfold (PCT, cm)]
B.CMB (cm) = Mid-arm circumference (CB, cm) + [3.1416 × Triceps skinfold (PCT, mm)]
C.CMB (cm) = [Mid-arm circumference (CB, cm) / Triceps skinfold (PCT, mm)] × 100
D.CMB (cm) = Mid-arm circumference (CB, cm) - [3.1416 × Triceps skinfold (PCT, cm)]
Explanation: Mid-Arm Muscle Circumference (CMB) estimates skeletal muscle mass (somatic protein compartment) by subtracting the subcutaneous fat layer from the total arm circumference using the formula: CMB (cm) = CB (cm) - [pi × PCT (cm)] or CMB (cm) = CB (cm) - [0.314 × PCT (mm)]. Triceps skinfold (PCT) measures adipose stores, while mid-arm circumference (CB) measures both bone, muscle, and fat.
5When applying the Nutritional Risk Screening 2002 (NRS-2002) tool to adult hospitalized patients, what total score threshold indicates that the patient is at nutritional risk and requires a formal nutritional care plan?
A.Total score ≥ 3
B.Total score ≥ 1
C.Total score ≥ 5
D.Total score ≥ 7
Explanation: The NRS-2002 evaluates both impaired nutritional status (0-3 points) and disease severity/metabolic stress (0-3 points), with an additional 1 point added for patients aged >=70 years. A total score >=3 indicates that the patient is at significant nutritional risk and warrants immediate initiation of specialized nutritional therapy.
6In Bioelectrical Impedance Analysis (BIA / Bioimpedanciometría), what does a low Phase Angle (Ángulo de Fase) reflect clinically in a hospitalized patient?
A.Severe dehydration with hypernatremia and elevated cellular resistance
B.Impaired cell membrane integrity, decreased body cell mass (masa celular corporal), and increased morbidity/mortality risk
C.Excessive skeletal muscle hypertrophy and optimal cellular hydration
D.Isolated elevation of extracellular fat without alterations in cell membrane capacitance
Explanation: The Phase Angle is derived from the arc-tangent of the ratio of Reactance (capacitance of cell membranes) to Resistance (fluid opposition to alternating current). A high phase angle indicates intact cell membranes and abundant body cell mass (BCM), whereas a low phase angle reflects cell death, disrupted membrane integrity, loss of intracellular mass, and altered hydration, correlating with higher clinical complications and mortality.
7A 26-year-old patient with Type 1 Diabetes uses carbohydrate counting (conteo de carbohidratos) with an Insulin-to-Carbohydrate Ratio (I:C / Ratio Insulina:Carbohidratos) of 1 unit of rapid-acting insulin per 15 g of carbohydrate, and an Insulin Sensitivity Factor (ISF / Factor de Corrección) of 40 mg/dL per unit with a target preprandial blood glucose of 100 mg/dL. If the patient's preprandial capillary glucose is 180 mg/dL and the planned meal contains 60 g of carbohydrates, what total prandial insulin bolus should be administered?
A.4 units
B.5 units
C.6 units
D.8 units
Explanation: The total bolus equals the food bolus plus the correction bolus. Food bolus = 60 g CHO / (15 g/unit) = 4 units. Correction bolus = (Current glucose - Target glucose) / ISF = (180 mg/dL - 100 mg/dL) / 40 mg/dL/unit = 80 / 40 = 2 units. Total bolus = 4 units + 2 units = 6 units.
8Which of the following dietary strategies is most effective for reducing postprandial glycemic excursions in patients with Type 2 Diabetes Mellitus?
A.Restricting daily water intake to less than 500 mL during main meals
B.Replacing all dietary carbohydrates with pure saturated animal fats and eliminating fiber
C.Consuming high glycemic index refined carbohydrates on an empty stomach to trigger rapid insulin spikes
D.Consuming foods rich in viscous soluble fiber (e.g., legumes, oats, psyllium) combined with low glycemic index complex carbohydrates
Explanation: Viscous soluble fibers form a gel matrix in the small intestine that delays gastric emptying and slows carbohydrate absorption, resulting in a blunted postprandial glucose spike. Choosing low glycemic index (GI) foods further improves overall glycemic control and insulin sensitivity in patients with Type 2 Diabetes.
9In line with the Guías Alimentarias para la Población Argentina (GAPA) and international consensus guidelines for arterial hypertension, what is the maximum recommended daily intake of sodium and salt (sodium chloride) for the general adult population?
A.Less than 2,000 mg of sodium per day (equivalent to less than 5 g of salt / NaCl)
B.Less than 4,000 mg of sodium per day (equivalent to 10 g of salt / NaCl)
C.Exactly 500 mg of sodium per day (equivalent to 1.25 g of salt / NaCl)
D.No restriction on sodium intake as long as potassium is supplemented
Explanation: WHO and Argentine national guidelines (MSAL / GAPA) recommend consuming less than 2,000 mg of sodium per day, which corresponds to less than 5 g of common table salt (NaCl, approximately one level teaspoon). In Argentina, the average consumption historically reached 10-12 g/day, making sodium reduction a primary public health target.
10A 52-year-old patient with primary hypercholesterolemia and an LDL-cholesterol of 175 mg/dL is prescribed medical nutrition therapy. Which dietary modification provides the most substantial reduction in plasma LDL-C levels?
A.Increasing dietary cholesterol to >600 mg/day while eliminating all polyunsaturated fatty acids
B.Limiting saturated fatty acids to <7% of total energy, eliminating industrial trans-fatty acids, and adding 2 g/day of plant phytosterols/stanols and soluble fiber
C.Replacing all dietary fats with high-fructose corn syrup and refined starches
D.Restricting dietary protein to <0.4 g/kg/day
Explanation: The cornerstone of nutritional therapy for lowering LDL-C includes restricting saturated fatty acids to <7% of daily caloric intake, eliminating trans fats, replacing them with monounsaturated (MUFA) and polyunsaturated (PUFA) fats, and incorporating 2-3 g/day of plant stanols/sterols along with 10-25 g/day of soluble fiber (which binds bile acids in the intestinal lumen).

About the Examen Integrado Nutrición Exam

The Examen Integrado de Residencias de la Salud para la disciplina de Nutrición is the official national competitive examination in Argentina used to select and rank graduates holding a Licenciatura en Nutrición for entry into post-graduate multidisciplinary hospital residency programs (Residencias del Equipo de Salud) across national hospitals, participating provincial healthcare systems, and the City of Buenos Aires (CABA). Regulated under Resolución Ministerial N° 555/2026 and coordinated by the Comité de Adhesión al Examen Integrado (CAEI) through the Dirección Nacional de Calidad y Desarrollo del Talento en Salud, the examination standardizes post-graduate recruitment through a unified, rigorous 100-question digital evaluation. The exam rigorously covers five core domains: adult clinical medical nutrition therapy and specialized artificial nutritional support (enteral, parenteral, ERAS protocols); maternal and pediatric nutrition (fetal growth curves, infant feeding, SAP growth standards, inborn errors of metabolism); public health nutrition and Argentine food policy (Guías Alimentarias para la Población Argentina - GAPA, Ley 27.642 de Etiquetado Frontal, national epidemiological surveys); hospital food service systems and bromatology (HACCP, BPM, foodborne pathogens such as STEC/SUH, Código Alimentario Argentino); and statutory healthcare legislation and professional ethics (Ley 24.301, Ley 26.529, end-of-life bioethics). This practice bank provides high-yield questions reflecting the official national examination blueprint. Language note: the Examen Integrado is set and sat entirely in Spanish, against the official MSAL temario for Nutrición. These practice questions are an English-language multiple-choice study adaptation built from that official scope — they are not an official translation, not published or endorsed by the Ministerio de Salud de la Nación, and not a simulation of the exam's Spanish-language testing environment. Official exam names, Argentine statute numbers and local clinical terms are kept in Spanish so you can match them to the real bibliography.

Exam sponsor: Ministerio de Salud de la Nación / Comité de Adhesión al Examen Integrado (CAEI). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

A 100-question single-best-answer multiple-choice examination (3 hours) evaluating Adult Clinical Nutrition & Support (30%), Maternal & Pediatric Nutrition (25%), Public Nutrition & Food Policy (20%), Food Service Management & Bromatology (15%), and Ethics & Health Legislation (10%).

Time Limit

3 hours (180 minutes)

Passing Score

Ranked by competitive merit order (orden de mérito): 1 point per correct answer out of 100, with no penalty for wrong or blank answers; the exam score is combined with the candidate's certified undergraduate grade point average. Resolución 555/2026 sets no national minimum score — each participating concurso publishes its own cut-off and vacancy list.

Exam / Certification Fees

Free ($0 ARS) under Argentine National Ministry of Health public residency regulations (Resolución Ministerial 555/2026).

Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

30%

Adult Clinical Nutrition & Nutritional Support

Nutritional assessment methods (VGS/SGA, anthropometry, biochemical markers), medical nutrition therapy for chronic non-communicable diseases (diabetes, arterial hypertension, dyslipidemia, chronic kidney disease, hepatic encephalopathy, pancreatitis, IBD), enteral nutrition access and formula selection, parenteral nutrition management, refeeding syndrome prevention, and ERAS perioperative protocols.

25%

Maternal & Pediatric Nutrition

Nutrition in pregnancy and lactation (caloric adjustments, Rosso-Mardones curves, gestational diabetes, micronutrient supplementation), breastfeeding physiology, infant formula, complementary feeding progression (purees and Baby-Led Weaning), WHO/SAP growth charts, acute and chronic pediatric malnutrition, childhood obesity, and inborn errors of metabolism (PKU, galactosemia, celiac disease).

20%

Public Nutrition & Food Policy

Guías Alimentarias para la Población Argentina (GAPA) core recommendations and visual graphic, Ley 27.642 de Promoción de la Alimentación Saludable (front-of-package black octagons, warning rectangular badges for sweeteners/caffeine, school food environment regulations), national health surveys (ENNyS 1 and 2, ENFR), food security and sovereignty concepts, and national maternal-child programs (Ley 27.611 - Plan 1000 Días, Tarjeta Alimentar).

15%

Food Service Management & Bromatology

Hospital food service administration (kitchen layout, procurement, centralized vs. decentralized tray assembly, standardized recipes, menu engineering, cost accounting), Hazard Analysis and Critical Control Points (HACCP/APPCC 7 principles), Good Manufacturing Practices (BPM/GMP), food preservation technologies, foodborne pathogens (ETAs: Salmonella, E. coli O157:H7/HUS, C. botulinum, S. aureus, Listeria), and Código Alimentario Argentino (CAA) sanitary standards.

10%

Ethics & Health Legislation

Ley 24.301 de Ejercicio Profesional de los Graduados en Nutrición, Ley 26.529 de Derechos del Paciente e Información Clínica, Ley 26.742 de Muerte Digna (patient autonomy and artificial nutrition/hydration at end-of-life), bioethics in clinical practice, and interdisciplinary nutritional support teams (Unidades de Soporte Nutricional).

Preparing for the Examen Integrado Nutrición Exam

What You Need to Know

  • Passing score: Ranked by competitive merit order (orden de mérito): 1 point per correct answer out of 100, with no penalty for wrong or blank answers; the exam score is combined with the candidate's certified undergraduate grade point average. Resolución 555/2026 sets no national minimum score — each participating concurso publishes its own cut-off and vacancy list.
  • Assessment: A 100-question single-best-answer multiple-choice examination (3 hours) evaluating Adult Clinical Nutrition & Support (30%), Maternal & Pediatric Nutrition (25%), Public Nutrition & Food Policy (20%), Food Service Management & Bromatology (15%), and Ethics & Health Legislation (10%).
  • Time limit: 3 hours (180 minutes)
  • Exam / certification fees: Free ($0 ARS) under Argentine National Ministry of Health public residency regulations (Resolución Ministerial 555/2026). Official sources

Using Our Practice Resources

  • Work through all 100 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

Examen Integrado Nutrición: Suggested Study Strategy

1Master the 10 central recommendations of the Guías Alimentarias para la Población Argentina (GAPA) and the exact visual layout and proportions of the Gráfica de la Alimentación Saludable.
2Thoroughly memorize the nutrient threshold criteria and warning label rules of Ley 27.642 (Etiquetado Frontal: black octagons for excess sugars, saturated fats, total fats, sodium, and calories; rectangular warning badges for sweeteners and caffeine in pediatric populations).
3Review the clinical algorithms for enteral formula selection (polymeric vs. oligomeric/semi-elemental vs. specialized formulas for diabetes, renal disease, and hepatic failure) and parenteral nutrition compounding and osmolarity limits (peripheral max 900 mOsm/L vs. central access).
4Understand the pathogenesis, risk factors, and biochemical prevention of Refeeding Syndrome (Síndrome de Realimentación: severe hypophosphatemia, hypokalemia, hypomagnesemia, and mandatory thiamine repletion prior to carbohydrate delivery).
5Learn the pediatric anthropometric diagnostic criteria using WHO/SAP growth charts, including z-scores for Weight-for-Age (P/E), Height-for-Age (T/E), Weight-for-Height (P/T), and BMI-for-Age (IMC/E), distinguishing acute wasting from chronic stunting.
6Review protein and mineral requirements across the spectrum of Chronic Kidney Disease (CKD: conservative non-dialytic management 0.6–0.8 g/kg/day vs. hemodialysis 1.2 g/kg/day vs. peritoneal dialysis 1.2–1.3 g/kg/day).
7Familiarize yourself with hospital food service management formulas (factor de corrección, peso neto, peso bruto, costo ración, punto de equilibrio) and the 7 principles of HACCP/APPCC.
8Review the key statutory provisions of Ley 24.301 (professional scope of practice), Ley 26.529 (patient rights, informed consent, access to medical records), and Ley 26.742 regarding patient autonomy in withdrawing or refusing artificial nutrition and hydration.

Frequently Asked Questions

What is the Examen Integrado de Residencias de la Salud — Nutrición?

It is the unified competitive examination administered annually by the Argentine Ministry of Health (MSAL) and the CAEI under Resolución Ministerial 555/2026 to select university graduate nutritionists (Licenciados en Nutrición) for entry-level specialized hospital residency posts across Argentina.

How is the final score and merit ranking calculated?

The final merit score is calculated from a weighted combination of the 100-question multiple-choice examination score (maximum 100 points) and the applicant's official undergraduate grade point average with all failing grades counted (promedio de la carrera con aplazos).

What is the format and duration of the examination?

The examination consists of 100 single-best-answer multiple-choice questions with 4 options each. Candidates have 3 hours (180 minutes) to complete the test on secure digital tablets provided at designated national test venues.

Are there negative marks or penalties for incorrect answers?

No. There is no negative marking or penalty for incorrect answers. Each correct response is awarded exactly 1 point, so candidates are strongly advised to answer all 100 questions.

What key guidelines and laws are assessed on the exam?

The exam heavily tests national health guidelines and statutory legislation, including the Guías Alimentarias para la Población Argentina (GAPA), Ley 27.642 de Etiquetado Frontal, Ley 24.301 (Ejercicio Profesional), Ley 26.529 (Derechos del Paciente), Código Alimentario Argentino (CAA), and clinical consensus from the Sociedad Argentina de Pediatría (SAP) and Asociación Argentina de Nutrición Enteral y Parenteral (AANEP).

Is this practice bank in Spanish like the real exam?

No. The Examen Integrado is administered in Spanish only. This bank is an English-language multiple-choice study adaptation derived from the official MSAL temario and bibliography, intended for candidates who prefer to revise the underlying clinical knowledge in English. It is not an official translation and does not reproduce official exam items; Argentine law numbers, programme names and clinical terminology are retained in Spanish so they map onto the real exam.