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Exam Review

Key Facts: Clinical Dietitian Exam

2 / year

Sittings (03.05.2026, 17.11.2026)

Ministry of Health — nutrition licensing page

6

Languages the Exam Is Offered In

Ministry of Health — nutrition licensing page

25%

Extra Time for Eligible Candidates

Ministry of Health — nutrition licensing page

50-59

Failing Score That May Be Appealed

Ministry of Health appeal procedure for the health professions

60 days

Registration Deadline Before the Exam

Ministry of Health — nutrition licensing page

100

Practice Questions

OpenExamPrep Practice Bank

The Israeli government licensing examination in nutrition and dietetics (תזונה - דיאטה) is a theoretical multiple-choice paper sat twice a year at Binyanei Ha'uma in Jerusalem and, from this year, taken on laptops. It can be taken in Hebrew, Arabic, Russian, Spanish, French or English, chosen on the application form. This 100-question set is independent English-language practice by OpenExamPrep across medical nutrition therapy, lifecycle nutrition, nutritional biochemistry, community nutrition and food-service safety.

Sample Clinical Dietitian Practice Questions

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

1A 62-year-old patient with type 1 diabetes is planning a lunch containing 75 grams of carbohydrates. Their preprandial blood glucose is 200 mg/dL. The patient's prescribed insulin-to-carbohydrate ratio (ICR) is 1:15 g and the insulin sensitivity factor (ISF/correction factor) is 50 mg/dL per unit, with a target blood glucose of 100 mg/dL. What is the total rapid-acting insulin bolus required for this meal?
A.7 units
B.5 units
C.9 units
D.6 units
Explanation: The carbohydrate bolus is calculated by dividing total carbs by ICR (75 g / 15 g/unit = 5 units). The correction bolus is calculated by subtracting target glucose from current glucose and dividing by ISF ((200 - 100) / 50 = 2 units). Adding the meal bolus and correction bolus yields a total required rapid-acting insulin dose of 7 units.
2According to the updated Kidney Disease: Improving Global Outcomes (KDIGO) and KDOQI clinical nutrition guidelines, what is the recommended dietary protein intake for a metabolically stable patient with non-dialysis Chronic Kidney Disease (CKD) Stage 4 without diabetes?
A.1.2 to 1.3 g/kg body weight/day
B.0.55 to 0.60 g/kg body weight/day, or 0.6 to 0.8 g/kg/day
C.0.28 to 0.40 g/kg body weight/day without amino acid analogs
D.1.0 to 1.1 g/kg body weight/day
Explanation: For metabolically stable adults with CKD Stage 3-5 who are not on dialysis, KDIGO and KDOQI guidelines recommend a dietary protein restriction of 0.55 to 0.60 g/kg/day (or 0.6 to 0.8 g/kg/day), or a very low protein diet of 0.28 to 0.43 g/kg/day supplemented with essential amino acids or keto-acid analogues. This restriction reduces uremic toxins and intraglomerular pressure, slowing CKD progression.
3A 58-year-old male weighing 70 kg has end-stage renal disease (ESRD) and receives maintenance hemodialysis (MHD) 3 times per week. What is his daily dietary protein target according to clinical nutrition standards?
A.42 g/day (0.6 g/kg/day)
B.56 g/day (0.8 g/kg/day)
C.84 g/day (1.2 g/kg/day)
D.105 g/day (1.5 g/kg/day)
Explanation: Patients on maintenance hemodialysis require 1.2 g of protein per kg of ideal or dry body weight per day (at least 50% high biological value) to counter dialytic amino acid losses (typically 10-12 g per session) and chronic inflammation. For a 70 kg individual, 70 kg * 1.2 g/kg = 84 g of protein per day.
4When assessing total daily energy intake in a patient undergoing continuous ambulatory peritoneal dialysis (CAPD), how must the dietitian account for glucose absorption from the peritoneal dialysate?
A.Assume 100% of the dialysate dextrose is absorbed at standard physiological 4.0 kcal per gram.
B.Exclude dialysate glucose from caloric calculations because peritoneal absorption is negligible and excreted unchanged in urine.
C.Add a static flat allowance of 1,000 kcal per day for all peritoneal dialysis regimens regardless of dextrose concentration.
D.Estimate that approximately 60% to 70% of the dextrose instilled in the dialysate is systemically absorbed, providing 3.4 kcal per gram of monohydrate dextrose absorbed.
Explanation: In peritoneal dialysis, approximately 60% to 70% of the instilled dextrose is absorbed across the peritoneal membrane into systemic circulation. Because commercial solutions use dextrose monohydrate, each absorbed gram yields 3.4 kcal, which contributes significantly to daily caloric intake and must be factored into glycemic and weight control plans.
5A patient with stage 5 CKD develops severe hyperkalemia (serum potassium 6.2 mEq/L). Which set of common foods in the Israeli diet should the clinical dietitian instruct the patient to strictly avoid or severely restrict?
A.White rice, pita bread, cucumber, peeled apples, and cabbage
B.Medjool dates, tahini, bananas, tomato paste, and spinach
C.Olive oil, green beans, chicken breast, cauliflower, and zucchini
D.Eggs, pasta, mayonnaise, blueberries, and iceberg lettuce
Explanation: Medjool dates (תמרים), tahini (טחינה גולמית), bananas, concentrated tomato paste (רסק עגבניות), and spinach are rich in potassium (exceeding 250-300 mg per serving). In the presence of life-threatening hyperkalemia in CKD, these high-potassium staples must be restricted in favor of low-potassium alternatives.
6A 54-year-old female with atherosclerotic cardiovascular disease and an LDL-C of 170 mg/dL is referred for medical nutrition therapy. According to cardiovascular prevention guidelines, what dietary modification has the strongest evidence for reducing circulating LDL-C?
A.Replacing all dietary carbohydrates with animal-derived saturated fats
B.Eliminating all dietary plant sterols and soluble dietary fibers
C.Restricting saturated fatty acids to <7% of total energy and replacing them with polyunsaturated and monounsaturated fatty acids
D.Restricting daily dietary cholesterol to zero while maintaining high saturated fat intake
Explanation: Replacing saturated fatty acids (SFAs) with polyunsaturated fatty acids (PUFAs) and monounsaturated fatty acids (MUFAs) while keeping SFAs below 7% of total energy intake significantly upregulates hepatic LDL receptor activity, reducing circulating LDL-C. Clinical trials show this substitution confers marked cardiovascular risk reduction compared to carbohydrate or saturated fat increases.
7A 68 kg mechanically ventilated ICU patient has an estimated energy requirement of 25 kcal/kg/day. The clinical dietitian selects a standard polymeric enteral formula providing 1.2 kcal/mL and 55 g protein/L. What is the continuous 24-hour infusion rate required to meet this caloric target?
A.45 mL/hr
B.75 mL/hr
C.85 mL/hr
D.59 mL/hr
Explanation: The patient's total daily caloric requirement is 68 kg * 25 kcal/kg = 1,700 kcal/day. With a 1.2 kcal/mL formula, the total volume required is 1,700 kcal / 1.2 kcal/mL = 1,416.7 mL/day. Dividing by 24 hours gives 1,416.7 mL / 24 hr = 59.0 mL/hr.
8A 68 kg mechanically ventilated ICU patient receives 1,417 mL/day of a standard enteral formula (1.2 kcal/mL) that is 82% free water. The patient's total daily fluid requirement is 30 mL/kg (2,040 mL/day). How much additional water must the clinical dietitian prescribe daily via tube flushes to meet the total fluid requirement?
A.878 mL/day
B.623 mL/day
C.1,162 mL/day
D.350 mL/day
Explanation: The formula provides 82% free water: 1,417 mL * 0.82 = 1,161.9 mL free water from formula. The patient's total fluid requirement is 68 kg * 30 mL/kg = 2,040 mL/day. The required additional fluid flush is 2,040 mL - 1,161.9 mL = 878.1 mL/day (approximately 220 mL water flushes every 6 hours).
9A 45-year-old patient with severe anorexia nervosa (BMI 13.5 kg/m²) is admitted to the hospital. Nutrition support is initiated. Within 48 hours, the patient exhibits confusion, respiratory distress, and cardiac arrhythmias. Which biochemical hallmark of refeeding syndrome is primarily responsible for these acute manifestations?
A.Hyperkalemia and metabolic alkalosis from sodium depletion
B.Severe hypophosphatemia, accompanied by hypokalemia and hypomagnesemia
C.Acute hyperphosphatemia and hypercalcemia
D.Acute elevation of serum BUN and creatinine without electrolyte shifts
Explanation: Refeeding syndrome is triggered when carbohydrate reintroduction stimulates insulin secretion, driving glucose, phosphate, potassium, and magnesium into cells. Severe intracellular shifting depletes serum phosphorus, impairing ATP generation and 2,3-DPG production, which manifests clinically as myocardial dysfunction, respiratory failure, muscle weakness, and cardiac arrest.
10A patient with type 1 diabetes experiences recurrent early morning fasting hyperglycemia (190-230 mg/dL). The clinical dietitian instructs the patient to check their blood glucose at 03:00 AM for three consecutive nights. The 03:00 AM readings average 55 mg/dL. What phenomenon does this represent, and what is the appropriate nutritional or insulin adjustment?
A.Dawn phenomenon; increase bedtime basal insulin dose
B.Insulin resistance; eliminate all bedtime protein and fats
C.Somogyi effect; reduce bedtime intermediate/basal insulin or add a bedtime snack containing complex carbohydrates and protein
D.Gastrointestinal autonomic neuropathy; prescribe high-glycemic bedtime beverages
Explanation: A low 03:00 AM glucose (55 mg/dL) followed by morning rebound hyperglycemia indicates the Somogyi effect, where nocturnal hypoglycemia triggers counter-regulatory hormone release (epinephrine, cortisol, glucagon, growth hormone). Management involves preventing nocturnal hypoglycemia by reducing the bedtime basal insulin or providing a bedtime snack combining complex carbohydrates with fat/protein.

About the Clinical Dietitian Exam

The Israel Clinical Dietitian Licensing Examination (בחינת רישוי ממשלתית בתזונה - דיאטה) is the statutory qualifying examination mandated under the Regulation of Health Professions Law, 5768-2008 (חוק הסדרת העיסוק במקצועות הבריאות, התשס"ח-2008) for individuals seeking legal licensure as a Registered Dietitian / Clinical Nutritionist (תזונאי-דיאטן מורשה) in the State of Israel. Administered twice a year by the Ministry of Health's Medical Professions Licensing Department, the examination assesses candidates' readiness for autonomous clinical practice across acute hospital care, ambulatory clinics (קופות חולים), long-term rehabilitation centers, and public health agencies. The examination tests complex clinical problem solving, including enteral and parenteral nutrition calculations, renal dietary regimens, glycemic control, neonatal failure to thrive, micronutrient deficiencies, and Israeli-specific public health regulations such as the Mediterranean Food Rainbow (קשת המזון הישראלית) and front-of-package red warning labels (סימון מזון מזיק). The Ministry writes the examination in Hebrew and has it translated into English, Arabic, Russian, French or Spanish, with the language chosen on the registration form; this prep bank is an independent English-language study adaptation and is neither the official item pool nor an official translation.

Exam sponsor: Ministry of Health (משרד הבריאות) — Medical Professions Licensing Department. The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

Theoretical multiple-choice ('American-style') government examination, now sat on laptops instead of printed question and answer sheets, at the International Convention Center (Binyanei Ha'uma), Jerusalem. The Ministry states the examination is held in Hebrew, Arabic, Russian, Spanish, French or English, and the language is chosen on the application form.

Time Limit

Not published by the Ministry of Health

Passing Score

60 (a failing score of 50-59 carries the right to inspect the paper on the published review day and to appeal within 10 days)

Exam / Certification Fees

Statutory examination fee set in the Ministry of Health fee schedule; it must be paid through the government payments service at least 10 days before the examination

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.

40%

Clinical Nutrition & Medical Nutrition Therapy

40 practice questions on acute and chronic kidney disease diets, carbohydrate counting in diabetes, cardiac diets, post-bariatric nutrition, oncology wasting, and step-by-step enteral/parenteral nutrition infusion calculations.

20%

Lifecycle & Pediatric Nutrition

20 practice questions on maternal nutritional status, gestational diabetes, Tipat Chalav growth charts, infant milk formula preparations, complementary feeding milestones, and geriatric sarcopenia.

15%

Nutritional Biochemistry & Metabolism

15 practice questions on intermediary metabolism, nitrogen balance equations, lipoprotein synthesis, vitamin and mineral absorption mechanisms, and basal metabolic rate equations.

15%

Community Nutrition & Public Health

15 practice questions on the Israeli Mediterranean Food Rainbow, front-of-package red warning labels (נתרן, שומן רווי, סוכר), school nutrition guidelines, and chronic disease epidemiology in Israel.

10%

Food Service Management & Food Safety

10 practice questions on HACCP critical control points, danger zone temperatures, foodborne pathogens (Listeria, Salmonella, Campylobacter), allergen cross-contamination, and institutional kitchen hygiene.

Preparing for the Clinical Dietitian Exam

What You Need to Know

  • Passing score: 60 (a failing score of 50-59 carries the right to inspect the paper on the published review day and to appeal within 10 days)
  • Assessment: Theoretical multiple-choice ('American-style') government examination, now sat on laptops instead of printed question and answer sheets, at the International Convention Center (Binyanei Ha'uma), Jerusalem. The Ministry states the examination is held in Hebrew, Arabic, Russian, Spanish, French or English, and the language is chosen on the application form.
  • Time limit: Not published by the Ministry of Health
  • Exam / certification fees: Statutory examination fee set in the Ministry of Health fee schedule; it must be paid through the government payments service at least 10 days before the examination 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

Clinical Dietitian: Suggested Study Strategy

1Master enteral feeding math: divide total volume by infusion hours to obtain mL/hr, calculate free water by multiplying total volume by the formula's water percentage (typically 70-85%), and add scheduled water flushes to reach total fluid goals.
2Know renal disease protein targets: non-dialysis CKD stage 3-5 requires 0.55-0.60 g/kg/day (or 0.6-0.8 g/kg/day without keto-analogues), whereas maintenance hemodialysis demands 1.2 g/kg/day and peritoneal dialysis requires 1.2-1.3 g/kg/day due to dialysate peritoneal protein losses.
3Memorise the binding Israeli front-of-package red label thresholds in force since January 2021: solids are labelled above 400 mg sodium, 10 g total sugars or 4 g saturated fat per 100 g; liquids above 300 mg sodium, 5 g total sugars or 3 g saturated fat per 100 mL.
4Understand diabetes carb counting: 1 standard carbohydrate exchange equals 15 grams of available carbohydrate; calculate insulin bolus by dividing grams of carbs by the patient's individual insulin-to-carbohydrate ratio (ICR).
5Familiarize yourself with the Israeli Mediterranean Food Rainbow (קשת המזון): foods are organized into color-coded concentric arches prioritizing tap water, whole grains, vegetables, fruits, extra-virgin olive oil, legumes, and unsweetened dairy/poultry/fish while minimizing ultra-processed foods.
6Learn institutional food safety guidelines: keep cold foods below 4°C, hot foods above 60°C, understand cooling limits (60°C to 21°C within 2 hours, and 21°C to 4°C within 4 hours), and identify the 14 statutory allergens requiring declaration.

Frequently Asked Questions

What is the format and passing score for the Israeli Clinical Dietitian exam?

The Ministry of Health describes the nutrition and dietetics examination as a theoretical multiple-choice ('American-style') paper, now taken on laptops, and states that it is held in Hebrew, Arabic, Russian, Spanish, French or English, with the language chosen on the application form. It does not publish the number of questions or the duration. Candidates who fail with 50-59 may inspect the paper on the review day and appeal within 10 days.

What are the eligibility requirements to take the dietitian licensing exam in Israel?

Under the Regulation of Health Professions Law, 5768-2008, candidates need a recognised B.Sc. in nutritional sciences from an accredited Israeli institution (or an approved foreign equivalent) that includes the supervised practical training of about 750 hours - roughly half a year - in hospitals, health-fund clinics and public-health services, plus the citizenship or residency, integrity and fitness conditions set by the Law. The registration request must reach the Medical Professions Licensing Division up to 60 days before the sitting.

What are the Israeli Front-of-Package Red Warning Labels (מדבקות אדומות)?

Under the Protection of Public Health (Food) Regulations (Nutritional Labelling), 5778-2017, a prepackaged food that exceeds a statutory threshold must carry the corresponding red front-of-package symbol. The binding thresholds in force since 1 January 2021 are, for solid food (per 100 g): sodium above 400 mg, total sugars above 10 g, saturated fat above 4 g; and for liquid food (per 100 mL): sodium above 300 mg, total sugars above 5 g, saturated fat above 3 g. The higher figures of the 2020 transitional phase (500 mg / 13.5 g / 5 g for solids, 400 mg / 5 g / 3 g for liquids) no longer apply.

What are the MOH guidelines for infant micronutrient supplementation in Israel?

Ministry of Health directives administered through Tipat Chalav (טיפת חלב) provide for 400 IU of vitamin D daily from birth to the age of one year, regardless of feeding method. Iron is given to every term infant from the day it turns 4 months: 7.5 mg of elemental iron a day until the end of 6 months and 15 mg a day from 6 months, by default until 18 months - supplementation may be stopped at 12 months only if the routine blood count taken from age 9 months shows no anaemia (Hb > 11 g/dL) and no iron deficiency (MCV > 74). Preterm infants follow a separate weight-based schedule.

How are clinical nutrition calculations tested on the exam?

Calculations frequently test enteral formula infusion rates (mL/hr), protein-to-nitrogen ratios (6.25 g protein = 1 g nitrogen), total caloric requirements using Mifflin-St Jeor or kcal/kg benchmarks, free water deficits, parenteral dextrose and amino acid concentrations, and insulin-to-carbohydrate ratios.

What is the retake and appeal policy for the examination?

The examination is held twice a year - the published sittings are 03.05.2026 and 17.11.2026 at Binyanei Ha'uma in Jerusalem. A candidate who fails may register and pay the statutory examination fee set by the Ministry of Health again for a later sitting; there is no published cap on attempts. Failing candidates scoring 50-59 may register for the review day, inspect the paper for one hour and submit a written appeal within 10 days, and the Ministry publishes the appeal committee's decisions after each sitting.