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Medical CDM : Certified Dietary Manager Exam

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Exam Number : CDM
Exam Name : Certified Dietary Manager
Vendor Name : Medical
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CDM test Format | CDM Course Contents | CDM Course Outline | CDM test Syllabus | CDM test Objectives


- Management of Foodservice
- Sanitation & Food Safety
- Nutrition & Medical Nutrition Therapy
- Human Resource Management
- Career Skills

- Utilize the systems approach to procure, produce, and serve food to all customers.
- Provide a safe and sanitary environment for employees.
- Utilize appropriate supervisory management techniques.
- Provide appropriate quality nutritional care for the client.
- Meet all licensing and regulatory agency standards.
- Utilize business, marketing, and public relation skills to Strengthen foodservice and nutrition to peers, patients, and community.
- Constantly strive for improved performance as a Dietary Manager.
- Participate in the professional activities of the Association of Nutrition & Foodservice Professionals.

Critical Thinking Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
=> Access data, references, patient education materials, consumer and other information from credible sources.
=> Perform nutrition screening and identify clients or patients to be referred to a registered dietitian nutritionist.
=> Evaluate information to determine if it is consistent with accepted scientific evidence. Problem Solving Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
=> Participate in quality improvement and customer satisfaction activities to Strengthen delivery of nutrition services.
=> Modify recipes and menus for acceptability and affordability that accommodate the cultural diversity and health status of various populations, groups and individuals.
Interpersonal Behavioral and Social Skills
The ability to show cultural competence in interactions with clients, colleagues and staff.
=> Demonstrate an understanding of cultural competence/sensitivity.
=> Show cultural competence in interactions with clients, colleagues and staff.
=> Implement interventions to effect change and enhance wellness in diverse individuals and groups.
Oral and Written Communication 1. The ability to listen to and understand information and ideas presented through spoken words and sentences.
2. The ability to communicate information and ideas in
=> Prepare and deliver sound food and nutrition presentations to a target audience.
=> Provide nutrition and lifestyle education to well populations.
=> Promote health improvement, food safety, wellness and disease speaking so others will understand.
3. The ability to read and understand information and ideas presented in writing.
4. The ability to communicate information and ideas in writing so others will understand. prevention for the general population.
=> Develop nutrition education materials for disease prevention and health improvement that are culturally and age appropriate and designed for the educational level of the audience.
Active Listening Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
Physical activities Performing physical activities that require considerable use of your arms and legs and moving your whole body, such as climbing, lifting, balancing, walking, stooping, and handling of materials.
=> Demonstrate sufficient upperbody strength and manual dexterity to operate and clean household and institutional equipment required for food preparation and food.
=> Travel to clinical sites and have mobility within and around the sites.
Activities may involve standing, sitting, stooping and be in hot and cold facilities.
=> Demonstrate the ability to exert maximum muscle force to lift, push, pull, or carry objects such as food supplies, small equipment and delivery of meals.
=> Sensing
=> Visual
=> Hearing
=> Taste
=> Smell
1. The ability to see details at close range (within a few feet of the observer).
2. The ability to taste and smell to determine acceptability of foods and supplements.
3. The ability to hear spoken words.
=> Demonstrate sufficient vision, smell and taste to evaluate the appearance, aroma, and flavor of food.
=> Demonstrate sufficient vision to observe compliance with food sanitation and safety codes.
Professional Attributes Practicing professional skills required in entry-level positions.
=> Attend scheduled classes, labs and supervised practices and be present for examination and testing. Be prepared for class.
=> Maintain professional demeanor in class and during supervised practice.
=> Maintain personal hygiene and dress code policies.



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Medical Dietary test Questions

herbal Weight-Loss complement Tied to severe Liver damage | CDM Study Guide and Practice Test

Dietary supplements containing Garcinia cambogia extract (G. cambogia) led to liver injuries that were clinically indistinguishable from green tea accidents, an analysis of the Drug-prompted Liver damage community published.

among over 1,400 instances of documented drug-brought about liver injury from 2004 to 2018, there have been 22 circumstances regarding G. cambogia supplements with or devoid of green tea; of those, 91% required hospitalization for hepatocellular liver harm with jaundice, one patient mandatory a transplant, and two died, pronounced Victor Navarro, MD, of the Einstein Healthcare network in Philadelphia, and colleagues in medical Gastroenterology and Hepatology.

The immune-mediated allele HLA-B*35:01 changed into more often detected among sufferers with liver accidents from supplements containing G. cambogia by myself (60%), as compared to control businesses of those with accidents from other kinds of dietary supplements (19%; OR 5.1, 95% CI 1.7-15.6, P=0.0018) or commonplace medication (12%; OR 8.eight, 95% CI 3.4-23.2, P<0.0001).

"although the allele frequency was reduce than what was reported currently with eco-friendly tea-linked liver harm (seventy two-ninety% depending on causality rating), the hepatocellular trial of enzyme elevations and reasonable to a extreme course with jaundice raises the probability that G. cambogia liver harm is immune-mediated [and] happening in predisposed individuals," Navarro and coauthors wrote. "however, this affiliation must be demonstrated."

imply time to peak complete bilirubin stages didn't differ amongst organizations, but the median time for total bilirubin improvement became shorter amongst patients with G. cambogia-linked accidents (P=0.03):

  • G. cambogia supplements: 10 days
  • green tea dietary supplements: 17 days
  • other supplements: 13 days
  • Aminotransferase peak values (2001 ± 1386 U/L) were additionally superior in the G. cambogia community versus controls (P<0.018).

    compared to liver injuries sustained from eco-friendly tea-infused dietary supplements, those attributable to G. cambogia on my own didn't differ in scientific or histological facets, or biochemical testing, the authors mentioned, nor had been there ameliorations in affected person demographics. Navarro's group cited that G. cambogia is regularly marketed with eco-friendly tea, and that possibly the two "are additive or synergistic of their hostile effects in genetically susceptible people."

    "before starting any complement, I inspire my sufferers to talk about the product with me which will focus on the defense and probably agree with alternative concepts," spoke of Michelle T. lengthy, MD, of Boston scientific center, who changed into not concerned during this analyze.

    "Some individuals experienced liver damage twelve months after taking the Garcinia cambogia or HCA [hydroxycitric acid]-containing supplement, which highlights the want for sufferers to retain careful track of any products they use, even over a long timeframe," she advised MedPage nowadays.

    "G. cambogia become used essentially through young girls, in the main white and Hispanic, who had been overweight however not obese," the authors mentioned. "except the clinician actively pursues questions throughout scientific historical past taking, G. cambogia because the implicated agent for liver harm could be without difficulty neglected. This situation emphasizes the want for clinicians to inquire about [herbal and dietary supplements] use in all circumstances of acute hepatitis."

    long added that clinicians should still ask patients about dietary supplements they aren't any longer taking as neatly if there is suspicion for drug-brought on liver damage.

    Garcinia cambogia, or Malabar tamarind, is a fruit it is native to ingredients of India and Southeast Asia. The rind incorporates HCA, which has been marketed as a natural weight-loss product, amongst different beneficial claims. Use of the extract in dietary dietary supplements has been linked with liver harm.

    for his or her study, the researchers evaluated 1,418 members from the Drug-caused Liver damage community, an NIH consortium look at of clinical centers, who have been enrolled from 2004 to 2018 and had "probably, highly likely, or definite drug-triggered liver injury." sufferers had been included if their liver damage was sustained inside 6 months of enrollment and Verified by way of blood assessments.

    among the many 22 circumstances of liver injury as a result of G. cambogia, the product changed into consumed alone in 5 cases, and become mixed with green tea in 16 situations and with an additional herbal complement, Ashwagandha, in one case. handle groups concerned sufferers with liver harm from eco-friendly tea supplements (n=57; except for G. cambogia), from different non-anabolic steroid dietary supplements (n=103; apart from G. cambogia and green tea), or from generic medicine (n=1,143).

    Median age within the G. cambogia community was 35 (latitude 17-fifty four), over half were female, most have been overweight, sixty four% recognized as white, and forty one% identified as Hispanic. comply with-up occurred at 6 months. Median onset from taking G. cambogia to liver injury changed into 51 days.

    Rash or fever also occurred amongst three of the G. cambogia patients. Seven patients had extreme liver damage, 13 had reasonable damage, and two cases have been deadly. Two of the 19 surviving patients sustained continual drug-caused liver damage.

    look at obstacles included the lack of ability to chemically verify all supplements, the authors mentioned. They additionally cited that G. cambogia has a protracted latency period, up to a yr, which "might falsely reassure patients and the clinicians treating these patients about G. cambogia as an implicated agent."

    Disclosures

    Funding become offered by using an NIH cooperative agreement with the countrywide Institute of Diabetes and Digestive and Kidney illnesses, the countrywide cancer Institute, and a number of universities to the Drug-caused Liver injury network. Navarro disclosed prior funding from the Albert Einstein scientific center and the patient centered outcomes analysis Institute. different coauthors disclosed affiliations with numerous entities, together with however not confined to: Gilead Sciences, Mitsubishi-Tanabe, Alnylam Pharma, UpToDate, Abbvie, Ironwood prescribed drugs, second Genome, amongst others.




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