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Free Practice Questions for Sweden Dietitian Knowledge Test (Kunskapsprov för dietister)

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Exam Review

Key Facts: Sweden Dietitian Knowledge Test (Kunskapsprov för dietister) Exam

110 questions

Theoretical test items on the May 2025 paper, mostly single-answer multiple-choice

Umeå universitet

87 / 110

Correct answers required to pass the May 2025 theoretical test

Umeå universitet

2 days

Length of the practical test in Umeå

Umeå universitet

5 / 3

Maximum attempts: five for the theoretical test, three for the practical test

Umeå universitet

SEK 990

Socialstyrelsen application fee for review of the foreign education (step 1)

Socialstyrelsen

Kunskapsprov för dietister is run by Umeå universitet for Socialstyrelsen: a one-day theoretical test (the May 2025 paper had 110 mostly multiple-choice questions in three parts, with 87 correct needed to pass) and a two-day practical test. Candidates have up to five theoretical and three practical attempts within five years. The test is in Swedish; this 100-question bank is an English-language MCQ study adaptation — not an official translation, format simulation, or substitute for writing/speaking/performance practice.

Sample Sweden Dietitian Knowledge Test (Kunskapsprov för dietister) Practice Questions

Try these sample questions to review concepts for the Sweden Dietitian Knowledge Test (Kunskapsprov för dietister) exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1Under the Global Leadership Initiative on Malnutrition (GLIM) consensus framework endorsed in Swedish clinical guidelines for diagnosing disease-related malnutrition (undernäring), which combination of criteria is mandatory for a formal diagnosis?
A.At least one phenotypic criterion and at least one etiologic criterion
B.Two phenotypic criteria and two etiologic criteria simultaneously
C.At least one phenotypic criterion only, regardless of inflammatory or intake status
D.Serum albumin below 30 g/L combined with low body mass index
Explanation: A confirmed diagnosis of malnutrition under the GLIM framework requires at least one phenotypic criterion (non-volitional weight loss, low BMI, or reduced muscle mass) combined with at least one etiologic criterion (reduced food intake/assimilation or disease burden/inflammation). Once diagnosed, the severity is graded into moderate or severe based on phenotypic thresholds. Swedish regional healthcare guidelines have widely implemented GLIM to standardize clinical nutrition documentation.
2A clinical dietitian in a Swedish hospital conducts a nutritional assessment using Subjective Global Assessment (SGA) for a patient admitted for elective major gastrointestinal surgery. The patient exhibits 8% unintentional weight loss over 3 months, persistent hyporexia, mild temporal muscle wasting, and ankle edema. Which SGA rating is most accurate?
A.SGA-A (well nourished)
B.SGA-B (moderately malnourished)
C.SGA-C (severely malnourished)
D.SGA-D (terminal cachexia)
Explanation: SGA-B corresponds to moderate malnutrition or suspected malnutrition, characterized by moderate weight loss (5–10%), definite reduction in dietary intake, and mild subcutaneous fat or muscle wasting. SGA-C is reserved for severe progressive wasting (>10% weight loss with severe functional impairment and loss of muscle/fat reserves). SGA-A indicates normal nutritional status, and there is no category D in the validated SGA scale.
3A 58-year-old patient with severe alcohol use disorder and negligible oral intake over the preceding two weeks is admitted to the medical ward. The dietitian recognizes high risk for refeeding syndrome (refeedingsyndrom). Which biochemical hallmark is the most critical and defining early electrolyte shift of this condition?
A.Marked hypercalcemia due to osteoclastic resorption
B.Hypophosphataemia as phosphate moves into cells with insulin
C.Isolated hypernatremia caused by extracellular fluid volume contraction
D.Hypermagnesemia resulting from accelerated renal magnesium reabsorption
Explanation: When carbohydrate intake is reintroduced after prolonged fasting, insulin secretion surges, stimulating cellular uptake of glucose, phosphate, potassium, and magnesium. Intracellular phosphorylation of glucose to glucose-6-phosphate consumes inorganic phosphate rapidly, precipitating acute hypophosphatemia. Severe hypophosphatemia impairs adenosine triphosphate (ATP) production and 2,3-diphosphoglycerate synthesis, potentially triggering respiratory failure, cardiac arrhythmias, and neuromuscular collapse.
4According to Swedish and ESPEN guidelines for managing patients at extremely high risk of refeeding syndrome, what is the recommended initial energy delivery target on days 1–2 of refeeding?
A.Full predicted resting energy expenditure plus a 30% hypermetabolic stress factor
B.25 to 30 kcal per kg body weight per day immediately to prevent continued catabolism
C.10 to 15 kcal per kg body weight per day, with gradual advancement over 4 to 7 days
D.5 kcal per kg body weight per week, maintaining hypocaloric feeding for one month
Explanation: Current guidance (NICE, ESPEN and Swedish regional programmes) recommends starting nutrition at about 10–15 kcal/kg/day in high-risk patients, and as low as 5–10 kcal/kg/day in extreme cases, with gradual increase over 4–7 days. Thiamine (for example 200–300 mg/day) is started before feeding begins, and phosphate, potassium and magnesium are monitored daily and replaced as needed.
5A 64-year-old stroke patient with severe dysphagia is unable to meet nutritional requirements orally. The gastrointestinal tract is fully functional. Which fundamental principle of clinical nutrition dictates the primary mode of nutritional support in this patient?
A.Oral fluid thickeners alone should be provided without any tube feeding regardless of intake volume
B.Total parenteral nutrition must be initiated immediately to prevent aspiration pneumonia
C.Peripheral parenteral nutrition is preferred because it avoids tube-related nasal trauma
D.Enteral tube feeding is preferred to parenteral nutrition when the gut works
Explanation: A core principle of clinical nutrition (ESPEN and Swedish practice) is to use the gut if it works. Enteral nutrition maintains gut mucosal integrity and gut-associated immune function, causes fewer infectious complications and costs much less than parenteral nutrition. In a patient with dysphagia and a functioning gastrointestinal tract, tube feeding (nasogastric or gastrostomy) is the first-line choice when oral intake is insufficient.
6A patient with amyotrophic lateral sclerosis (ALS) experiences progressive bulbar palsy resulting in severe swallowing impairment. The interdisciplinary team anticipates that enteral tube feeding will be required for at least six months. Which enteral access route is indicated?
A.Percutaneous endoscopic gastrostomy (PEG)
B.Nasogastric tube (ventrikelsond)
C.Nasojejunal tube
D.Needle catheter jejunostomy
Explanation: Percutaneous endoscopic gastrostomy (PEG) or radiologically inserted gastrostomy (RIG) is the gold standard enteral access route when nutritional support is expected to last longer than 4 to 6 weeks. Nasogastric tubes are indicated for short-term access (<4–6 weeks) because prolonged nasal placement causes sinusitis, nasopharyngeal ulceration, esophageal strictures, and frequent tube dislodgement.
7A patient who underwent a pancreaticoduodenectomy (Whipple procedure) has severe delayed gastric emptying and requires post-pyloric enteral nutrition via a nasojejunal tube. Which feeding administration method must be chosen?
A.Large-volume intermittent bolus feeding of 400 mL four times daily using a syringe
B.Continuous infusion using an enteral nutrition pump
C.Gravity bolus infusion over 10 minutes every two hours
D.Rapid bolus feeding immediately before bedtime
Explanation: Jejunal feeding must always be administered continuously via an infusion pump. The jejunum lacks the gastric reservoir function and normal receptive relaxation of the stomach; delivering bolus volumes into the small intestine causes rapid osmotic fluid shifts, cramping, abdominal distension, severe diarrhea, and dumping-like symptoms.
8A 72-year-old hospitalized patient with stable chronic obstructive pulmonary disease (COPD) has normal gastrointestinal function and requires enteral nutrition via PEG. Which enteral formula category is the most appropriate first-line choice?
A.Extensively hydrolyzed whey peptide formula supplemented with glutamine
B.Free amino acid elemental formula with minimal fat
C.Standard polymeric formula (about 1.0–1.2 kcal/mL)
D.Hypertonic concentrated electrolyte-free formula
Explanation: Standard polymeric formulas containing intact proteins (usually casein or whey), balanced carbohydrates, and lipids are the evidence-based first-line choice for patients with normal digestive and absorptive capacities. Peptide-based or elemental (free amino acid) formulas are specialized and significantly more expensive, indicated only for patients with severe malabsorption, short bowel syndrome, or refractory pancreatic insufficiency.
9An intensive care patient receiving continuous gastric enteral nutrition is found to have a gastric residual volume (GRV) of 280 mL during a routine check. The patient has a soft abdomen, normal bowel sounds, and no vomiting. According to modern Swedish and ESPEN intensive care clinical nutrition guidelines, what is the correct action?
A.Stop feeding and start a prokinetic, resuming only when GRV is below 100 mL
B.Immediately stop enteral nutrition for 48 hours and switch to total parenteral nutrition
C.Continue feeding and reassess; do not stop because of this GRV alone
D.Double the infusion rate immediately to force gastric emptying
Explanation: ESPEN intensive care guidance recommends delaying enteral nutrition only when gastric residual volume exceeds about 500 mL per 6 hours, or when there are clinical signs of intolerance such as vomiting, distension or abdominal pain. Stopping feeds for moderate residual volumes causes avoidable energy and protein deficits; a prokinetic can be considered when residual volumes are high.
10When formulating a parenteral nutrition (PN) regimen for an adult patient without central venous access, what is the maximum recommended osmolarity of an infusion administered via a peripheral vein?
A.No limit exists as long as the infusion runs over 24 hours
B.1,800 to 2,000 mOsm/L
C.300 mOsm/L only (strictly isotonic)
D.Approximately 800 to 900 mOsm/L
Explanation: Peripheral parenteral nutrition (PPN) is constrained by venous endothelial tolerance; infusions exceeding 800–900 mOsm/L cause rapid endothelial damage, chemical thrombophlebitis, and line failure. When hypertonic nutritional solutions (e.g., concentrated dextrose and amino acids exceeding 900 mOsm/L) are required to meet high caloric-protein targets in restricted fluid volumes, central venous catheterization (e.g., CVK or PICC line) is mandatory.

About the Sweden Dietitian Knowledge Test (Kunskapsprov för dietister) Exam

Kunskapsprov för dietister is Socialstyrelsen's knowledge test for dietitians educated abroad who want a Swedish licence. Umeå universitet runs a one-day theoretical test with mainly multiple-choice questions, followed by a two-day practical test, based on the national degree outcomes for the Swedish dietitian degree. This page offers independent English-language practice for the knowledge areas the test covers.

Exam sponsor: Umeå universitet on behalf of Socialstyrelsen (National Board of Health and Welfare). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

Theoretical test (one day): Part 1 medical terminology and gastrointestinal physiology; Part 2 dietetics with disease, diet and public health, and nutrition science; Part 3 questions on a scientific article. Practical test (two days, Umeå): situations from professional dietetic practice.

Time Limit

Theoretical test: one day (6 hours on the May 2025 paper); practical test: two days

Passing Score

May 2025 theoretical test: 87 of 110 correct; practical test assessed separately

Exam / Certification Fees

No examination fee published (SEK 990 Socialstyrelsen application fee for the earlier education review)

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.

36 practice questions

Clinical nutrition and medical terminology

Malnutrition, refeeding, enteral and parenteral nutrition, gastrointestinal, liver, pancreatic and kidney disease, and terminology.

22 practice questions

Metabolic, cardiovascular and bariatric nutrition

Diabetes, lipids, hypertension, obesity treatment and bariatric surgery.

22 practice questions

Nutrition science, physiology and calculations

NNR 2023, digestion and absorption, micronutrients and energy, protein and feeding calculations.

10 practice questions

Children, older adults and eating disorders

Infant feeding, allergy, growth, sarcopenia, dysphagia and eating disorders.

10 practice questions

Professional practice, ethics and law

Nutrition Care Process, Swedish health care law, patient records, speciallivsmedel and ethics.

Preparing for the Sweden Dietitian Knowledge Test (Kunskapsprov för dietister) Exam

What You Need to Know

  • Passing score: May 2025 theoretical test: 87 of 110 correct; practical test assessed separately
  • Assessment: Theoretical test (one day): Part 1 medical terminology and gastrointestinal physiology; Part 2 dietetics with disease, diet and public health, and nutrition science; Part 3 questions on a scientific article. Practical test (two days, Umeå): situations from professional dietetic practice.
  • Time limit: Theoretical test: one day (6 hours on the May 2025 paper); practical test: two days
  • Exam / certification fees: No examination fee published (SEK 990 Socialstyrelsen application fee for the earlier education review) 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

Sweden Dietitian Knowledge Test (Kunskapsprov för dietister): Suggested Study Strategy

1Work through the previous theoretical test that Umeå universitet publishes; note the high pass mark (87 of 110 in May 2025).
2Do not neglect Part 1: medical terminology and gastrointestinal physiology make up about a third of the paper.
3Know NNR 2023 reference values and Socialstyrelsen's knowledge support on diet in diabetes (2023).
4Practise energy, protein, fluid and tube-feeding calculations with a calculator.
5Practise reading a scientific article in English and answering questions on its method and results, as in Part 3.

Frequently Asked Questions

How is the theoretical test structured?

It is a one-day written test with mainly multiple-choice questions. The previous test that Umeå universitet publishes (22 May 2025) ran from 08.00 to 14.00, had 110 questions in three parts — medical terminology and gastrointestinal physiology; dietetics with disease, diet and public health, and nutrition science; and questions on a scientific article — and required 87 correct answers to pass. A calculator was allowed.

What is the practical test?

After passing the theoretical test, you apply to take the practical test, which runs over two days at Institutionen för kost- och måltidsvetenskap in Umeå and covers different situations from professional dietetic practice.

How do I register?

After Socialstyrelsen has reviewed your education and decided that you may take the test, you apply for an account on the test's course website and then register for a sitting there. You are offered a test within four months of registering.

How many attempts do I get?

Five attempts at the theoretical test and three at the practical test, and the whole test must be passed within five years of your first sitting.

Is the test available in English?

No. The tests are in Swedish, although some literature may be in English. This bank is an English-language multiple-choice study adaptation: it helps you review the knowledge areas but is not an official translation, and it cannot simulate the practical test.