Rd Exam

Front 1

What is the formula for adjusting serum calcium when serum albumin is decreased?

Back 1

4 - serum albumin x 0.8 + total calcium

Front 2

When reviewing the serum calcium level, what other lab value must be evaluated in light of a depleted serum calcium?

Back 2

Serum albumin since serum calcium is protein-bound

Front 3

Identify the more accurate calcium lab to monitor serum calcium status in patients with hypoalbuminemia?

Back 3

Ionized calcium

Front 4

Which hematological indices can be used to evaluate iron and protein deficiencies?

Back 4

Hemoglobin

Front 5

Name the transport protein

Back 5

Transferrin

Front 6

What is the half-life of transferrin?

Back 6

8 - 10.5 days

Front 7

Who should receive nutrition assessment first: a teen boy with elective surgery or an individual with stage 3 htn?

Back 7

HTN patient

Front 8

An elderly pt presents with serum albumin of 2.5, calcium of 11.5, and wt change of 50.5 to 53.5 kg by day 3; what could be the cause of this present condition?

Back 8

Fluid retention

Front 9

A patient is admitted with a serum albumin of 3.7; following surgery, his albumin drops to 3.1. What could be the cause?

Back 9

This is normal. Albumin is a negative acute phase respondent.

Front 10

The labs T3 and T4 are used to measure the function of which endocrine gland?

Back 10

Thyroid. T4 is the active form of thyroid hormone

Front 11

A pt presents with an elevated ALT and AST. What do these labs indicate?

Back 11

Liver damage or hepatocellular disease

Front 12

What is the best test for determining iron status?

Back 12

Evaluation of ferritin levels.

Front 13

A pt has anemia, low RBC count, and kidney disease; what hormone is involved in this disease condition?

Back 13

Erythropoeitin

Front 14

A pt has a rare urea disease; what will the labs show?

Back 14

An elevated ammonia level

Front 15

Urea excretion is related to the intake of which macronutrient?

Back 15

Protein

Front 16

Creatinine excretion is an indicator of what aspect of a patient's nutritional status?

Back 16

Muscle mass/somatic protein status

Front 17

A1C reflects serum glucose levels for which time span?

Back 17

3-4 months; 3-4 weeks; 8-10 weeks

Front 18

A glycosylated Hgb of 15% indicates what level of diabetes control?

Back 18

Poor control. Normal is 4 - 6%.

Front 19

Identify 2 physical and or biochemical manifestations of kwashiorkor.

Back 19

Edema, fatty liver, 3rd spacing, and severely depleted serum protein and serum albumin

Front 20

Identify 2 physical and or biochemical manifestations of marasmus.

Back 20

muscle and fat wasting, wizened skin, stunted growth, and TSF lass than 11%

Front 21

Long term care pt has a MAC decreased from the 50th to the 25th percentile; a diet hx indicates she is consuming adequate protein. What nutrient is needed?

Back 21

The pt needs more calories.

Front 22

A male pt admits to the ER with oliguria, -5% UBW, light-headedness, and poor skin turgor. What is a probably dx?

Back 22

Dehydration

Front 23

A pt is taking the TB drug Isoniazid (INH) would require which vitamin supplement?

Back 23

Vitamin B6

Front 24

Why are diuretics, such as lasix and HCTZ, detrimental to a patient with hypokalemia?

Back 24

They are loop diuretics, which are potassium depleting.

Front 25

Iron preparations should be taken before, during, or after meals?

Back 25

With meals

Front 26

Which medication has it's range established baed on sodium so as that you must have sodium in a consistent amount?

Back 26

Lithium

Front 27

Drug-nutrient interaction for Levodopa?

Back 27

B6

Front 28

What is the initial medical condition dx most often in aids pts?

Back 28

Anemia

Front 29

Major nutritionally impacted side effect of AIDS?

Back 29

diarrhea, statthorea fat malabsorption

Front 30

Common metabolic side effect of Pentamidine used in AIDS treatment?

Back 30

Hypoglycemia

Front 31

What is the most important hematological lab to monitor in an AIDS patient undergoing AZT treatment?

Back 31

Hematocrit

Front 32

What is the most accurate food assessment of a cancer patient who has undergone chemotherapy?

Back 32

A calorie count

Front 33

A patient presents with a depleted serum albumin and protein malnutrition; identify one lab parameter that could be measured to evaluate the patient?

Back 33

Creatinine height index

Front 34

What is the 1st rxn of a pt with severe trauma?

Back 34

A hypometabolic state

Front 35

Creatinine excretion is an indicator of what aspect of a patient's nutritional status?

Back 35

Muscle and somatic protein

Front 36

What determines the osmolality of an enteral feeding formula?

Back 36

amino acids

Front 37

Prolonged starvation/anorexia nervosa will bring about_________through ketone production.

Back 37

metabolic acidosis

Front 38

AN ILEOSTOMY PT ON EN IS NOT ABSORBING FAT. What will need to be added to the feeding?

Back 38

MCT oil

Front 39

Cystic fibrosis pts need which nutrients in greater amounts?

Back 39

Fat-soluble vitamins

Front 40

What is recommended for a child with diarrhea?

Back 40

Electrolytes and CHO

Front 41

Being on TPN for more than 1 week may increase risk for_______-

Back 41

bacterial translocation

Front 42

What is the best way to assess the caloric needs of a six year old with cerebal palsy?

Back 42

assess the child's height.

Front 43

An infant on whole milk has excessive frothy diarrhea and foul stools. What are the medical nutrition therapy recommendations for formula?

Back 43

Casein hydrosylate formula with MCT oil.

Front 44

What is the best test to determine iron status?

Back 44

Ferritin

Front 45

What is the possible consequence of ethanol abuse resulting from increased venous pressure to the portal system

Back 45

esophageal varices

Front 46

State the normal cholesterol levels. Total cholesterol, Triglycerides, HDL, LDL

Back 46

Total: below 200

Triglycerides: below 150

HDL: above 40

LDL: below 100