Canadian Dietitian Registration Practice Exam

Canadian Dietitian Registration Practice Exam Questions & Answers

Preparing for the Canadian Dietitian Registration Exam (CDRE) can feel overwhelming. Even if you’ve completed your education and clinical placements, many candidates find the real exam far more demanding than expected — not because the content is unfamiliar, but because the way questions are written requires deeper understanding, critical thinking, and confident decision-making under time pressure.

This is where the Canadian Dietitian Registration Exam Practice Answers resource makes the difference.

Designed specifically for dietitians preparing to write the Canadian registration exam, this practice test goes beyond simple flashcards or surface-level questions. It offers authentic, exam-style practice answers that mirror the level and structure of the real CDRE. Each question in this package challenges you to apply key nutrition, clinical, community, and professional practice concepts the way the exam expects — helping you bridge the gap between knowledge and performance.

Built for the Candidates Who Want to Pass the CDRE on the First Attempt

Success on the Canadian Dietetic Registration Exam requires much more than memorizing nutrition terminology or reviewing textbook notes. Candidates are expected to think critically, interpret patient scenarios, prioritize safe nutrition interventions, communicate professionally, and apply evidence-based dietetic knowledge in realistic clinical situations. Many future dietitians realize during their preparation that the biggest challenge is not recalling facts — it is learning how to make the best clinical decision under exam pressure.

This practice resource was created for candidates who want realistic preparation that reflects the actual style of competency-based dietetic testing in Canada. The collection includes 1000+ carefully developed questions with detailed explanations designed to strengthen clinical reasoning, professional judgment, and patient-centered thinking. Each question mirrors the type of practical scenarios dietitians encounter in hospitals, long-term care settings, outpatient clinics, community health programs, and interdisciplinary healthcare environments.

Rather than using repetitive or overly simplified review material, this study guide focuses on the areas most important for exam success, including renal nutrition, diabetes education, gastrointestinal disorders, enteral nutrition, oncology nutrition, geriatrics, dysphagia, critical care, motivational interviewing, refeeding syndrome, electrolyte management, ethical care, and counseling strategies. The explanations are written to help candidates understand not only the correct answer, but also the reasoning process behind safe and effective nutrition care.

Many students searching for dependable CDRE Test Prep resources struggle to find practice material that truly captures the structure and complexity of the real examination. This study guide was designed to provide a more practical and clinically focused learning experience while helping candidates build confidence, improve decision-making skills, and prepare more effectively for the Canadian Dietetic Registration Exam.

Who Is This CDRE Practice Test For?

This practice resource is ideal for:

• Dietetic interns preparing for registration
• Internationally educated dietitians completing Canadian competency requirements
• Nutrition graduates reviewing for licensing success
• Candidates retaking the exam after previous unsuccessful attempts
• Students seeking realistic scenario-based practice questions
• Future dietitians wanting stronger clinical reasoning skills
• Learners who prefer applied case-based learning over memorization

The questions are especially useful for candidates who want to understand why an answer is correct rather than simply memorizing isolated facts. Each explanation expands on nutrition concepts, patient safety considerations, and clinical reasoning strategies commonly expected in Canadian dietetic practice.

What is Canadian Dietetic Registration Exam?

The Canadian Dietetic Registration Exam is the national competency examination used to assess whether candidates are prepared to practice safely and effectively as entry-level dietitians in Canada. The exam evaluates far more than academic nutrition knowledge. Candidates must demonstrate the ability to apply evidence-based nutrition care, communicate professionally, prioritize patient safety, and make ethical clinical decisions across diverse healthcare environments.

The exam commonly includes case-based scenarios involving:

• Clinical nutrition assessment
• Nutrition care planning
• Diabetes education
• Renal nutrition management
• Enteral and parenteral nutrition
• Gastrointestinal disorders
• Oncology nutrition
• Geriatric nutrition care
• Community and public health nutrition
• Ethics and professional practice
• Nutrition counseling techniques
• Interdisciplinary collaboration
• Critical thinking under clinical pressure

Success requires strong analytical thinking, not simple memorization. Candidates must interpret symptoms, recognize nutrition-related complications, prioritize interventions, and choose the most appropriate patient-centered response in realistic situations.

Cover Topics in this CDRE Prep

This comprehensive question bank covers a wide range of high-yield exam topics frequently associated with real dietetic practice and competency-based testing. The material was carefully developed to reflect the complexity and depth expected from future Canadian dietitians.

Clinical Nutrition Assessment

Many questions focus on nutrition-focused physical assessment, sarcopenia, malnutrition identification, edema interpretation, muscle wasting recognition, and interpreting patient symptoms in complex clinical situations. Candidates learn how to assess nutritional risk beyond body weight alone.

Diabetes Management

The practice set includes extensive diabetes scenarios involving:

• Hypoglycemia management
• Insulin and exercise adjustments
• Sick-day management
• Blood glucose interpretation
• Motivational interviewing
• Patient education
• Carbohydrate management
• Stress and glucose regulation

These questions help candidates strengthen real-world counseling and clinical decision-making skills.

Renal Nutrition

Renal nutrition remains one of the most important areas tested on the exam. Questions cover:

• Potassium management
• Phosphorus restrictions
• Protein-energy wasting
• Fluid balance
• Dialysis considerations
• Uremia symptoms
• Nutrition counseling challenges
• Patient adherence barriers

Gastrointestinal Disorders

The question bank includes detailed case scenarios related to:

• Crohn disease
• Ulcerative colitis
• Chronic diarrhea
• Malabsorption
• Pancreatitis
• Pancreatic enzyme insufficiency
• Steatorrhea
• Micronutrient deficiencies
• Ileal resections

Candidates are challenged to connect symptoms, nutrition risks, and appropriate interventions.

Enteral Nutrition and Critical Care

Nutrition support questions emphasize patient safety and interdisciplinary care. Topics include:

• Aspiration risk
• Refeeding syndrome
• Feeding intolerance
• Electrolyte abnormalities
• Critical illness metabolism
• Enteral feeding complications
• Respiratory concerns
• Protein requirements in acute illness

These scenarios reflect the type of higher-level clinical reasoning commonly seen on competency exams.

Oncology and Palliative Nutrition

Candidates also review practical symptom-management strategies for:

• Taste changes
• Nausea
• Dry mouth
• Fatigue
• Appetite loss
• Advanced illness care
• Comfort-focused nutrition goals
• Ethical communication with families

These questions are especially valuable for strengthening compassionate counseling skills.

Geriatrics and Dementia Care

The practice questions explore realistic long-term care situations involving:

• Dysphagia
• Aspiration risk
• Environmental meal barriers
• Dementia feeding challenges
• Texture modifications
• Weight loss
• Mealtime assistance
• Patient dignity and autonomy

Counseling and Communication Skills

Many candidates underestimate the importance of communication-based questions. This practice guide includes realistic counseling situations focused on:

• Motivational interviewing
• Emotional eating
• All-or-nothing thinking
• Patient readiness for change
• Cultural sensitivity
• Family dynamics
• Quality-of-life discussions
• Nonjudgmental counseling techniques

These are critical competencies for success on the exam and in professional practice.

How to Study for the CDRE Using this Practice Questions?

The most effective way to prepare for the exam is to move beyond memorization and train yourself to think clinically. This question bank is designed to support that process.

Start with Timed Practice Sessions

Complete small sets of questions under timed conditions to improve focus, pacing, and decision-making. The actual exam requires careful reading and prioritization under pressure.

Read Every Explanation Carefully

The explanations are intentionally detailed because learning happens through understanding the reasoning process. Even when you answer correctly, reviewing the rationale strengthens long-term retention and clinical judgment.

Focus on Weak Areas

Track recurring mistakes and identify patterns. If renal nutrition, diabetes counseling, or nutrition support questions consistently challenge you, spend additional time reviewing those domains.

Practice Clinical Reasoning

Avoid simply memorizing correct answers. Instead, ask yourself:

• Why is this the safest intervention?
• What symptom is the biggest red flag?
• Which response is most patient-centered?
• What complication is the highest priority?

This type of thinking closely reflects real exam expectations.

Simulate Real Exam Conditions

As your confidence improves, complete larger blocks of questions without interruptions. This builds endurance and reduces test anxiety.

Why Students Choose This CDRE Practice Questions for Study Guide?

Many students preparing for the exam become frustrated with overly simplified review material that fails to reflect the complexity of real competency-based testing. This study guide stands out because it focuses on realistic patient scenarios, professional judgment, and clinical application rather than surface-level memorization.

Students choose this resource because it provides:

• Realistic exam-style questions
• Detailed answer explanations
• Strong clinical reasoning focus
• Patient-centered nutrition scenarios
• Practical counseling situations
• High-yield disease management topics
• Coverage of nutrition support and patient safety
• Modern evidence-based dietetic concepts
• Ethical and communication-based scenarios
• Diverse healthcare settings and populations

Every question was developed with the goal of helping future dietitians think more confidently, recognize important clinical priorities, and apply nutrition knowledge effectively in practice.

For candidates serious about passing the exam on the first attempt, consistent practice with high-quality scenario-based questions can make a major difference. This resource helps transform passive studying into active clinical thinking — the exact skill set needed for success on exam day and beyond.

Sample Questions and Answers for CDRE Test

A clinical dietitian is counseling a patient with newly diagnosed celiac disease who continues to experience bloating and diarrhea despite following a gluten-free diet for 3 months. Which action is the most appropriate next step?

A. Recommend eliminating all dairy products permanently
B. Review hidden gluten sources and cross-contamination risks
C. Start a low-FODMAP diet immediately
D. Advise fasting for 24 hours once weekly

Correct Answer: B. Review hidden gluten sources and cross-contamination risks

Explanation:
Persistent gastrointestinal symptoms after beginning a gluten-free diet are commonly related to accidental gluten exposure rather than immediate treatment failure. Many patients unknowingly consume gluten through sauces, seasonings, shared kitchen equipment, restaurant meals, or contaminated oats. A dietitian should first conduct a thorough dietary review before recommending additional restrictive diets. Eliminating dairy may be helpful only if temporary lactose intolerance is suspected, but it should not be the first assumption. A low-FODMAP diet can reduce symptoms in select cases, yet unnecessary restrictions may increase nutritional risk and reduce dietary quality. Careful assessment and education about food labels, preparation practices, and cross-contact remain essential parts of evidence-based celiac disease management.

During enteral nutrition support in an ICU patient, which finding most strongly suggests refeeding syndrome?

A. Elevated serum sodium
B. Increased urine output
C. Rapid decline in serum phosphate
D. Mild hyperglycemia after feeding initiation

Correct Answer: C. Rapid decline in serum phosphate

Explanation:
Refeeding syndrome is a potentially life-threatening metabolic complication that occurs when nutrition is reintroduced after prolonged malnutrition or starvation. The hallmark feature is hypophosphatemia caused by intracellular shifts of phosphate during carbohydrate metabolism and insulin release. Patients may also experience low magnesium and potassium levels, fluid retention, cardiac arrhythmias, respiratory failure, and neurological complications. Mild hyperglycemia is relatively common during enteral feeding and does not specifically indicate refeeding syndrome. Dietitians working in acute care settings must identify high-risk patients, including those with severe weight loss, alcoholism, eating disorders, or prolonged inadequate intake. Gradual feeding advancement, electrolyte monitoring, and thiamine supplementation are critical preventive measures when initiating nutritional support.

A community dietitian is planning a nutrition program for older adults living independently. Which intervention is most likely to improve long-term food security?

A. Providing one-time grocery vouchers only
B. Recommending expensive protein supplements
C. Connecting participants with community meal and transportation services
D. Encouraging online grocery delivery for all participants

Correct Answer: C. Connecting participants with community meal and transportation services

Explanation:
Food security among older adults is influenced by income, mobility, transportation access, social isolation, and physical limitations. Sustainable interventions focus on improving access to reliable nutrition support rather than offering temporary solutions alone. Community meal programs, transportation assistance, senior food networks, and local support services can significantly improve dietary intake and independence over time. Grocery vouchers may provide short-term relief but do not address ongoing barriers. Recommending costly supplements may worsen financial strain. Online grocery delivery may benefit some individuals but is not universally accessible because of technology barriers, internet access, or delivery costs. Dietitians in community health practice must evaluate social determinants of health and advocate for practical, culturally appropriate, and sustainable nutrition support systems.

A patient with chronic kidney disease stage 4 asks why phosphorus restriction is necessary. Which explanation is most accurate?

A. High phosphorus intake directly causes kidney stones in all patients
B. Excess phosphorus can contribute to bone and cardiovascular complications
C. Phosphorus restriction prevents all future dialysis needs
D. Phosphorus has no essential function in the body

Correct Answer: B. Excess phosphorus can contribute to bone and cardiovascular complications

Explanation:
In advanced chronic kidney disease, the kidneys lose the ability to effectively excrete phosphorus, leading to elevated serum phosphorus levels. Hyperphosphatemia contributes to mineral and bone disorders, vascular calcification, and increased cardiovascular risk. Patients may also experience secondary hyperparathyroidism and weakened bone integrity over time. Education should focus on helping patients understand the physiological reason behind dietary modifications rather than using fear-based counseling. Phosphorus remains an essential nutrient involved in bone structure, cellular function, and energy metabolism. Restriction may help manage complications but cannot guarantee avoidance of dialysis. Dietitians should also teach patients about hidden phosphorus additives in processed foods, which are highly absorbable and can significantly increase phosphorus intake.

Which meal choice is most appropriate for a patient following a moderate potassium restriction?

A. Baked potato with tomato sauce and orange juice
B. Peanut butter sandwich with banana smoothie
C. Grilled chicken, white rice, green beans, and apple slices
D. Lentil soup with avocado and dried fruit

Correct Answer: C. Grilled chicken, white rice, green beans, and apple slices

Explanation:
Patients requiring potassium restriction often need guidance selecting lower-potassium fruits, vegetables, and beverages while maintaining balanced nutrition. White rice, green beans, apples, and lean chicken are generally lower in potassium compared with foods like potatoes, tomatoes, bananas, lentils, avocados, and orange juice. The correct meal provides adequate protein and energy while minimizing excessive potassium intake. Dietitians should individualize potassium recommendations according to laboratory values, medications, and stage of kidney disease. Completely avoiding fruits and vegetables is usually unnecessary and may reduce dietary quality. Patient education should emphasize portion sizes, food preparation methods, label reading, and maintaining variety within prescribed restrictions to support adherence and overall nutritional status.

A public health dietitian is evaluating a school nutrition initiative. Which outcome best measures program effectiveness?

A. Number of posters displayed in cafeterias
B. Total budget spent on educational materials
C. Improvement in students’ fruit and vegetable intake patterns
D. Number of meetings held with administrators

Correct Answer: C. Improvement in students’ fruit and vegetable intake patterns

Explanation:
Program evaluation should focus on measurable outcomes directly related to intended health objectives. In a school nutrition initiative, changes in dietary behavior provide more meaningful evidence of effectiveness than administrative activities or resource use alone. Increased fruit and vegetable consumption demonstrates that students are applying nutrition knowledge and potentially improving overall diet quality. While budgets, meetings, and educational materials are important process indicators, they do not confirm behavior change or health impact. Dietitians involved in public health programming should use evidence-based evaluation methods, including surveys, plate waste studies, or dietary recalls when appropriate. Outcome-focused assessment supports accountability, continuous improvement, and justification for future program funding and policy development.

A hospitalized patient with severe pancreatitis is unable to tolerate oral intake. What is the preferred nutrition support approach when the gastrointestinal tract remains functional?

A. Total parenteral nutrition immediately
B. Peripheral intravenous dextrose only
C. Enteral feeding through a feeding tube
D. Prolonged fasting until pain fully resolves

Correct Answer: C. Enteral feeding through a feeding tube

Explanation:
Current evidence supports enteral nutrition as the preferred feeding method in severe pancreatitis when the gastrointestinal tract remains functional. Enteral feeding helps maintain gut integrity, reduces infection risk, and is associated with improved clinical outcomes compared with routine parenteral nutrition. Total parenteral nutrition is reserved for situations where enteral feeding is not feasible or tolerated. Prolonged fasting can worsen malnutrition, muscle loss, and immune dysfunction. Peripheral intravenous dextrose alone does not provide adequate nutritional support. Dietitians play a critical role in determining appropriate feeding routes, monitoring tolerance, and adjusting nutrient delivery according to metabolic demands. Early nutrition intervention is especially important in critically ill patients to reduce complications and support recovery.

A dietitian working in diabetes education notices a patient repeatedly skips meals to avoid high blood glucose readings. What is the best response?

A. Encourage the patient to continue avoiding meals
B. Explain that meal skipping may worsen glucose control and increase hypoglycemia risk
C. Recommend consuming only fruit during the day
D. Suggest stopping diabetes medication temporarily

Correct Answer: B. Explain that meal skipping may worsen glucose control and increase hypoglycemia risk

Explanation:
Skipping meals is not an appropriate long-term strategy for diabetes management and may lead to unstable blood glucose patterns, increased hunger, overeating later in the day, or hypoglycemia in patients using insulin or certain medications. Effective diabetes nutrition therapy focuses on balanced meals, consistent carbohydrate intake, and individualized planning. Dietitians should explore the patient’s concerns about blood glucose readings and provide supportive education rather than judgment. Recommending fruit-only intake would create nutritional imbalance, while stopping medication without medical supervision

A patient with chronic obstructive pulmonary disease (COPD) becomes short of breath during meals. Which nutrition intervention is most appropriate?

A. Encourage very large meals twice daily
B. Recommend small, frequent nutrient-dense meals
C. Eliminate all carbohydrates completely
D. Restrict protein intake to reduce breathing effort

Correct Answer: B. Recommend small, frequent nutrient-dense meals

Explanation:
Patients with COPD often experience fatigue and shortness of breath while eating, which can reduce overall food intake and increase malnutrition risk. Small, frequent meals are usually easier to tolerate and may help patients meet energy and protein needs without excessive breathing discomfort. Nutrient-dense foods are important because many patients expend additional energy simply breathing. Completely eliminating carbohydrates is unnecessary and may reduce dietary quality, while protein restriction can worsen muscle loss and respiratory weakness. Dietitians should also assess meal timing, oxygen use during meals, hydration, and barriers affecting appetite or food preparation to support nutritional status and quality of life.

A pregnant patient asks about folic acid supplementation. Why is adequate folate intake important during early pregnancy?

A. It prevents all food allergies in infants
B. It supports neural tube development in the fetus
C. It eliminates the need for prenatal care
D. It prevents gestational diabetes entirely

Correct Answer: B. It supports neural tube development in the fetus

Explanation:
Adequate folate intake before conception and during early pregnancy helps reduce the risk of neural tube defects such as spina bifida. Neural tube development occurs very early in pregnancy, often before a person realizes they are pregnant, which is why folic acid supplementation is widely recommended for individuals capable of becoming pregnant. Folate also supports DNA synthesis and cell growth. Dietitians should educate patients about food sources including leafy greens, legumes, and fortified grains while reinforcing the importance of prenatal supplements when appropriate. Folic acid does not replace prenatal care or fully prevent pregnancy complications.

Which nutrition concern is most common in patients following a long-term clear liquid diet?

A. Excessive protein intake
B. Nutrient inadequacy and muscle loss
C. High dietary fiber intake
D. Excess vitamin K intake

Correct Answer: B. Nutrient inadequacy and muscle loss

Explanation:
Clear liquid diets are typically intended for short-term medical use because they provide limited protein, energy, fiber, vitamins, and minerals. Prolonged use can contribute to inadequate nutrient intake, muscle wasting, fatigue, and delayed recovery. These diets are sometimes prescribed before procedures or during acute gastrointestinal illness but should be advanced when medically appropriate. Dietitians should monitor nutritional status closely and recommend progression to more nutritionally complete options whenever possible. Individualized nutrition support may be necessary if oral intake remains inadequate for an extended period.

A patient with gout asks which dietary habit may help reduce flare frequency. Which recommendation is most appropriate?

A. Increase intake of sugar-sweetened beverages
B. Maintain hydration and limit high-purine foods when appropriate
C. Consume organ meats daily
D. Follow a zero-carbohydrate diet

Correct Answer: B. Maintain hydration and limit high-purine foods when appropriate

Explanation:
Gout is associated with elevated uric acid levels and inflammatory joint pain. Dietary management may include limiting high-purine foods such as organ meats and certain seafood while encouraging adequate hydration to support uric acid excretion. Sugar-sweetened beverages, especially those high in fructose, may increase gout risk and flare frequency. Extreme carbohydrate restriction is not routinely recommended and may not address the underlying issue. Dietitians should emphasize balanced eating patterns, weight management when appropriate, alcohol moderation, and individualized counseling based on the patient’s medical history and medication use.

A dietitian in a long-term care facility notices that a resident with dementia has eaten less than 25% of meals for 5 consecutive days. What is the most appropriate first action?

A. Wait another week to see if intake improves naturally
B. Initiate a comprehensive nutrition assessment and collaborate with the healthcare team
C. Immediately place the resident on parenteral nutrition
D. Remove snacks between meals permanently

Correct Answer: B. Initiate a comprehensive nutrition assessment and collaborate with the healthcare team

Explanation:
Persistent poor intake in older adults with dementia significantly increases the risk of dehydration, malnutrition, muscle loss, pressure injuries, infection, and hospitalization. The dietitian should conduct a detailed nutrition assessment that includes weight trends, swallowing ability, appetite changes, medication effects, mood, gastrointestinal symptoms, cognitive status, and environmental barriers to eating. Collaboration with nurses, physicians, speech-language pathologists, caregivers, and foodservice staff is essential to identify reversible causes and improve intake safely. Interventions may include texture modifications, favorite foods, social mealtime support, oral nutrition supplements, adaptive feeding equipment, or meal environment changes. Early intervention is critical because prolonged inadequate intake can rapidly worsen frailty and functional decline in long-term care residents.

A patient receiving long-term parenteral nutrition develops elevated liver enzymes. Which complication should the dietitian suspect?

A. Parenteral nutrition–associated liver dysfunction
B. Acute lactose intolerance
C. Excess dietary fiber intake
D. Hyperthyroidism caused by amino acids

Correct Answer: A. Parenteral nutrition–associated liver dysfunction

Explanation:
Long-term parenteral nutrition (PN) may contribute to liver complications including cholestasis, steatosis, and liver dysfunction, especially when patients receive excessive calories, prolonged continuous infusions, or inadequate enteral stimulation. Monitoring liver enzymes, triglycerides, glucose control, and nutrient composition is essential during PN therapy. Dietitians should collaborate with physicians and pharmacists to optimize nutrient delivery, prevent overfeeding, and transition to enteral or oral feeding whenever possible because using the gastrointestinal tract generally improves outcomes.

A patient with type 1 diabetes plans to run a marathon and asks why carbohydrate intake recommendations differ on training days. Which explanation is most accurate?

A. Exercise intensity and duration significantly affect glucose utilization and insulin needs
B. Physical activity has no effect on carbohydrate requirements
C. Marathon training eliminates the need for insulin
D. Carbohydrates should always remain identical regardless of activity level

Correct Answer: A. Exercise intensity and duration significantly affect glucose utilization and insulin needs

Explanation:
Endurance exercise greatly increases glucose use by skeletal muscles and may raise the risk of hypoglycemia during and after activity. Patients with type 1 diabetes often require individualized adjustments to carbohydrate intake, insulin dosing, hydration, and glucose monitoring depending on exercise type, duration, and intensity. Dietitians should help patients understand patterns and develop flexible fueling strategies to support athletic performance while maintaining glucose safety. Exercise nutrition and diabetes management are high-yield CDRE topics because they combine physiology, counseling, and practical patient education.

A patient with chronic kidney disease asks why dietitians monitor unintentional weight loss even when BMI remains high. Which explanation is most accurate?

A. Significant muscle loss and malnutrition can occur at any body size
B. Higher BMI always guarantees adequate nutrition
C. Malnutrition only occurs in underweight patients
D. Muscle mass has no effect on health outcomes

Correct Answer: A. Significant muscle loss and malnutrition can occur at any body size

Explanation:
Patients with obesity or higher BMI may still experience severe muscle wasting and protein-energy malnutrition, especially during chronic illness. Body weight alone does not accurately reflect nutritional status. Dietitians should assess weight history, intake patterns, physical signs of muscle loss, functional decline, and inflammation when evaluating nutrition risk. Understanding sarcopenic obesity and hidden malnutrition is increasingly important in modern clinical nutrition practice and exam preparation.

A patient with type 1 diabetes plans to run a half marathon and asks how exercise may affect glucose levels. Which response is most appropriate?

A. Exercise has minimal impact on blood glucose in type 1 diabetes
B. Longer exercise duration may increase risk of delayed hypoglycemia
C. Carbohydrates should be completely avoided before exercise
D. Insulin doses should always remain unchanged during training

Correct Answer: B. Longer exercise duration may increase risk of delayed hypoglycemia

Explanation:
This is highly representative of real CDRE diabetes questions, which often focus on application rather than memorization. Extended exercise increases muscle glucose uptake and insulin sensitivity, which may continue for hours after activity. Patients with type 1 diabetes are therefore at risk for delayed hypoglycemia, especially overnight after prolonged exercise. Dietitians should educate patients about individualized carbohydrate intake, glucose monitoring, and medication adjustment strategies while promoting safe physical activity participation.