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22 Cards in this Set

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A cardiac patient is taking Quinidine. Labs reveal total cholesterol 197 mg/dl, HDL-C 55 mg/dl, LDL-C 137 mg/dl, TG 207 mg/dl and fasting blood sugar 137 mg/dl. Based on this information, you are concerned with:


a. elevated LDL-C, TG, and possible diabetes


b. low HDL-C, elevated TG and possible diabetes


c. medication, elevated total cholesterol and TG


d. possible diabetes, elevated HDL-C and medication


a.


LDL-cholesterol - optimal level <100 mg/dl, Triglycerides - desirable level <150 mg/dl, diabetes indicated by 126 mg/dl or greater - diabetes should be confirmed by testing again on a different day.

A patient has an albumin of 6.0 g/dl, a sodium of 155 mEq/L and a hemoglobin of 19 g/dl. You suspect:


a. fluid overload


b. trauma


c. protein deficiency


d. dehydration


d. dehydration


Serum albumin - elevated in dehydration, normal level = 3.5-5 g/dl. Hemoglobin (HB) - elevated levels indicate dehydration, normal levels = 14-17 g/dl (males) 12-15 g/dl (women). Sodium - normal levels 135-145 mEq/L; increased with dehydration, renal disease.

Which of the following is an indicator of short term protein stores?


a. transferrin


b. thyroxine-binding prealbumin


c. albumin


d. none of these


Thyroxine-binding prealbumin is an indicator of short term protein stores; 1/2 life of 2 days.

woman has a mean corpuscular volume (MCV) of 107. What might this indicate? Correct


a. Iron deficiency


b. Malabsorption


c. Normal levels


d. B12 deficiency


d.


Elevated levels of MCV may indicate folate or B12 deficiency.


A woman is taking the antineoplastic medication Flurouracil. All of the following are side effects she may experience except:


a. decreased appetite


b. stimulated appetite


c. altered taste sensitivity


d. diarrhea




b.


Antineoplastic medication side effects may include decreased appetite, nausea/vomiting, altered taste sensitivity and diarrhea.



Which of the following body fat testing methods tends to be the most accurate?


a. skinfold testing


b. bioelectric impedance analysis


c. hydrostatic weighing


d. waist to hip ratio





Hydrostatic weighing is the gold standard for body fat testing, involves measurement of displaced water.

A patient's labs reveal: serum calcium 11.2 mg/dl, sodium 140 mg/dl, albumin 4.1 g/dl, and phosphorous 2.0 mg/dl. Which disorder best describes these labs?


a. hyperparathyroidism


b. hypothyroidism


c. overhydration


d. renal disease


a.


Calcium - normal levels 8.8-10 mg/dl; increased with hyperparathyroidism, hyperthyroidism, cancer; Phosphorous - normal levels 2.7-4.5 mg/dl; decreased with hyperparathyroidism, hemodialysis, alcoholism. Albumin and sodium levels are within normal ranges.

Which of the following is the most accurate method for estimating energy needs?


a. indirect calorimetry


b. Harris Benedict


c. EER


d. Mifflin-St. Jeor


Indirect calorimetry is the gold standard for energy estimation.


A patient has been diagnosed with hypochromic anemia. Which of the following nutrients may help with this disorder?


a. Cobalamin


b. Folate


c. Pyridoxine


d. Thiamin




Pyridoxine (B6) deficiency includes hypochromic, microcytic anemia.


A patient complains of nausea and muscle tremors, which mineral do you suspect is deficient?


a. magnesium


b. copper


c. potassium


d. sodium


Deficiencies for magnesium include nausea, muscle tremors, and confusion.

y


ou are giving a talk on nutrition and oral health to a group of dietetic professionals. Which of the following is included as the role of dietetics professionals in the area of fluoride and oral health?


a. advise children have their first dental appointment no later than two years of age


b. advocate and monitor the suitable use of systemic and topical fluorides


c. promote use of systemic and topical fluorides for children of all ages


d. advise consumption of household water sources derived from community water, well water, and bottled water to ensure adequate fluoride consumption


b.


The Position Paper on The Impact of Fluoride on Health says dietetic professionals should advocate and monitor the suitable use of systemic and topical fluorides.

What vitamin deficiency is associated with hemorrhage?


a. vitamin C, vitamin E


b. vitamin K, vitamin C


c. vitamin A, vitamin K


d. vitamin E, vitamin A


A deficiency of vitamin C or K is associated with hemorrhage.

Which of the following nutrients may affect the body neurologically in toxic amounts?


a. vitamin B6


b. vitamin B12


c. calcium


d. zinc


Toxicities of Vitamin B6 include depression, fatigue, neurological disorders.

A male reports working on an assembly line standing continuously. Which activity level is most appropriate?


a. 1.2


b. 1.8-1.9


c. 1.6-1.7


d. 2.0-2.4


Activity level for standing work = 1.8-1.9

When estimating total energy requirements, a patient reports their employment to be mostly seated and their lifestyle to have little or no strenuous leisure activity. What activity factor would you use?


a. 1.2


b. 2.0-2.4


c. 1.7-1.9


d. 1.4-1.5


Activity factor for seated work lacking movement and little or no strenuous leisure activity = 1.4-1.5

The mini-mental state examination includes assessment of all of the following except:


a. language


b. attention


c. writing


d. memory


c.


The mini-mental state examination assesses attention, memory, and language.

W


hich of the following nutrition status indicators uses data from those with chronic disease to predict future risk?


a. nutrition risk factors


b. age, gender, ethnic, and cultural groups


c. specific needs


d. none of these


.

a.


Nutrition risk factors use data from those with chronic disease to predict future risk

Population concentration/density and death rates would be included in which of the following?


a. nutrition risk factors


b. demographics


c. specific needs


d. age, gender, ethnic, and cultural groups


Demographics include population concentration and death rates.

Measurement and description of nutrition status concerning a population is known as:


a. nutrition monitoring


b. nutrition surveillance


c. demographics


d. nutrition assessment


Measurement and description of nutrition status concerning a population is nutrition assessment.

Which of the following nutrition status indicators involves increased nutrient and medical needs?


a. age, gender, ethnic, and cultural groups


b. specific needs


c. nutrition risk factors


d. none of these


Specific needs population involves increased nutrient and medical needs due to a certain disease, etc.

You are providing a class on diabetes and a participant is looking for additional online resources. You suggest:


a. AoA website


b. FDA website


c. NIDDK website


d. ASC website


National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) provides information for consumers on diabetes including the National Diabetes Information Clearinghouse (NDIC).


A benefit of offering a day clinic is:


a. limits no-shows


b. offers flexibility


c. all of these


d. cost-effective coverage through several specialists




Offering a day clinic involves several specialists caring for the patient in one time period.