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100 Cards in this Set
- Front
- Back
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. In community surveys, a frequent symptom of malnutrition is:
a. scurvy b. rickets c. low serum albumin d. low hemoglobin |
d. low hemoglobin
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. Which is the least common symptom in the elderly?
a. osteomalacia b. osteoporosis c. obesity d. hypertension |
a. osteomalacia
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What is included in the study of demographics?
I. age of individuals II. Population statistics III. sex of individuals IV. Socioeconomic factors a. I only b. All of the above c. II, III d. I, II, III |
d. I, II, III
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. Athletes should receive…
a. salt pills only during the summer months b. extra protein c. carbohydrate loading two weeks prior to an event d. water during an event to replace lost fluids |
d. water during an event to replace lost fluids
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. How many grams of protein would you receive on a 1500 calorie diet which is 20% protein?
a. 70 b. 75 c. 64 d. 300 |
b. 75
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A patient is on a high protein, low carbohydrate diet. What advice should you offer?
a. increase fluid intake b. decrease the intake of complex carbohydrates c. decrease fluid intake d. decrease the intake of saturated fats |
a. increase fluid intake
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. An insulin-dependent diabetes living alone calls you with symptoms of nausea, vomiting and anorexia. What do you recommend?
a. continue with insulin and eat anything he can b. continue with insulin and drink anything he can c. discontinue the insulin until he feels better d. discontinue the insulin and eat whatever he can |
b. continue with insulin and drink anything he can
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Which infant is at the greatest risk?
a. 20 lbs. hemoglobin 10 b. 22 lbs. hemoglobin 10.5 c. 19 lbs. hemoglobin 11 d. 30 lbs. hemoglobin 9 |
d. 30 lbs. hemoglobin 9
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An alcoholic patient has a low serum albumin, low hemoglobin, high ammonia, abnormal liver function tests and ascites. Why is he on a 500mg sodium diet?
a. secondary renal failure b. hypoaldosteronism c. hypoalbuminemia d. hyperammonemia |
c. hypoalbuminemia
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An alcoholic patient has a low serum albumin, low hemoglobin, high ammonia, abnormal liver function tests and ascites. He is on a 500 mg sodium diet. . Which of the following should the patient have for lunch?
a. 4 ounces cottage cheese b. 1 ounce cheddar cheese c. 1 ounce roast beef d. 1 ounce cold cuts |
c. 1 ounce roast beef
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Which of the following should be included in the diet for celiac disease?
I. Decrease intake of eggs II. Use potato and rice flour III. IM vitamin B12 and iron IV. Low calorie, high fat, high protein a. II, III b. III, IV c. I, II, IV d. II, IV |
a. II, III
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. A 75 year old female weighs 100 lbs, 5’2” tall, lives alone, has a poor appetite. Serum albumin is 1.8; BUN is 35. She is depressed, eats one meal a day, has kwashiorkor and needs a high calorie, high protein diet. Using the SOAP format, what information should be listed under “S”?
a. needs a high calorie, high protein diet b. has kwashiorkor c. poor appetite, lives alone, depressed d. 5’2” tall, 100 lbs., BUN 35 |
c. poor appetite, lives alone, depressed
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A 75 year old female weighs 100 lbs, 5’2” tall, lives alone, has a poor appetite. Serum albumin is 1.8; BUN is 35. She is depressed, eats one meal a day, has kwashiorkor and needs a high calorie, high protein diet. Using the SOAP format, what should be listed under “A”?
a. needs high calorie, high protein diet b. has protein malnutrition c. poor appetite, lives alone, depressed d. 5’2”, 100 lbs., BUN 35 |
b. has protein malnutrition
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. How many calories are in 300 ml of a 5% dextrose solution?
a. 51 b. 60 c. 15 d. 200 |
a. 51
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. A single 19 year old female is 6 months pregnant. She has not gained any weight and has not seen a physician. Hemoglobin is 9. Hematocrit is 30. What is the most important recommendation for her?
a. see a physician immediately b. apply for WIC immediately c. join a teenage pregnancy support group d. begin taking iron supplements |
a. see a physician immediately
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A female, 5’7” tall, weighs 115 lbs. Six months ago she weighed 130 lbs. What is her percent of ideal body weight?
a. 85% b. 83% c. 81% d. 87% |
a. 85%
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A vegan is allergic to milk. Which nutrients would you expect might be deficient in her intake?
a. protein, calories b. vitamin B12, D c. vitamin C, calcium d. vitamin A, D |
b. vitamin B12, D
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. A patient with Chron’s disease needs the following diet:
I. high fat, high calorie, high protein II. low fat with fat soluble vitamins, vitamin C, B12 III. high calorie, high protein IV. high residue, low fat, fat soluble vitamins V. low calorie, low residue, fat soluble vitamins, B12 a. I b. II, III c. III, IV d. V |
a. I
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20. Which of the following diets is appropriate for reactive hypoglycemia?
a. decrease fat, spread CHO throughout day, 5-6 small meals b. increased complex carbohydrate, low fat, high protein c. decreased complex carbohydrate, low fat d. high protein , high fat, high carbohydrate |
a. decrease fat, spread CHO throughout day, 5-6 small meals
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Which patient has marasmus?
Patient A Patient B Patient C Male Female Male Serum albumin 3.5 2.6 4.0 Transferrin 275 125 450 Triceps skinfold 3 16.8 17 MAMC 15 24.1 28.1 TLC 1000 3500 a. A b. B c. C d. A, B |
a. A
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When assessing nutritional status, which would be the most beneficial?
a. 24 hour recall, history of weight changes b. medical history, diet order, socioeconomic status c. clinical observation, weight status, clinical habits d. diet intake info, clinical data, laboratory data |
d. diet intake info, clinical data, laboratory data
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What nutrients most affect the renal solute load?
a. protein and carbohydrate b. sodium and carbohydrate c. protein and sodium d. sodium and fat |
c. protein and sodium
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The elderly need how many ml of water per kg?
a. 35 b. 45 c. 30 d. 25 |
c. 30
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. According to the Diabetic Exchange Lists, when substituting 2% milk for skim milk, you must omit how many fat exchanges?
a. ½ b. 1 c. 1 ½ d. 2 |
b. 1
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If a man normally consuming 2600 calories per day reduces his intake to 1500 calories per day, how much weight will he lose in one week?
a. 0.5 kg b. 1.0 kg c. 1.5 kg d. 2.0 kg |
b. 1.0 kg
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. For which of the following diseases is diet therapy the primary treatment?
a. peptic ulcer b. diabetes c. Wilson’s disease d. galactosemia |
d. galactosemia
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Which of the following best reflects protein status?
a. serum albumin b. serum transferrin c. retinol-binding protein d. prealbumin |
d. prealbumin
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Following a Billroth II, steatorrhea often results. What is the likely cause?
a. bacterial overgrowth in the remaining loop b. lack of pancreatic secretion due to less duodenal hormone secretion c. a diet restricting simple carbohydrates d. rapid absorption of simple carbohydrates |
b. lack of pancreatic secretion due to less duodenal hormone secretion
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Meats curd with whey won’t be tolerated by someone with:
I. Lactose intolerance II. Diabetes III. post-gastrectomy of 3 months IV. Duodenectomy a. I, II, III b. II, III, IV c. I d. I, III, IV |
c. I
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. Chemically defined formulas are used for:
a. short bowl syndrome b. post chemotherapy treatment c. hypermetabolism d. galactosemia |
a. short bowl syndrome
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. A PEG feeding would be useful in a patient with:
a. head or neck cancer, who will not be able to eat normally for weeks b. short bowel syndrome c. duodenal ulcers d. pancreatitis |
a. head or neck cancer, who will not be able to eat normally for weeks
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A patient with hepatitis needs a high protein intake. Besides helping the liver to regenerate, what other purpose is served?
a. it helps increase iron absorption b. it restores glycogen reserves c. it helps prevent a fatty liver d. it helps prevent necrosis of the liver |
c. it helps prevent a fatty liver
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Which foods are most likely to cause an allergic reaction?
a. shellfish, peanuts, wheat b. wheat, chocolate, rice c. citrus fruits, milk, corn d. chocolate, milk, corn |
a. shellfish, peanuts, wheat
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Which set of conditions is most commonly seen in American children?
a. obesity, dental caries, anemia b. hypertension, dental caries, rickets c. hyperkinesis, anemia, dental caries d. diabetes, obesity, anemia |
a. obesity, dental caries, anemia
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A 1500 calorie diabetic diet with 45% of the calories from carbohydrate is prescribed. One third of the carbohydrate grams is met with ½ cup orange juice, 1 cup milk, and;
a. 1 slice toast b. 2 slices of toast c. 2 slices toast and ½ cup oatmeal d. ½ slice toast |
b. 2 slices of toast
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Which of the following is a medium fat meat?
a. peanut butter b. tunafish packed in water c. pork chop d. chicken without skin |
c. pork chop
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Which government agency would you contact regarding food distribution?
a. USDA b. FDA c. HHS d. Food Stamps |
a. USDA
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Which has the greatest effect on the renal solute load?
a. potassium b. sodium c. glucose d. protein |
d. protein
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Which is not a fiber in the diet?
a. cellulose b. hemicellulose c. amylose d. pectin |
c. amylose
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What is the diet for hyptertension?
I. low sodium II. high potassium III. high calcium a. I b. I, II c. I, III d. I, II, III |
a. I
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The NHANES study looks at which parameters?
I. dietary II. clinical III. biochemical a. I b. I, II c. I, III d. I, II, III |
d. I, II, III
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What is a major reason for constipation in the elderly?
a. a diet low in high residue foods b. a diet high in low residue foods c. decreased gastric motility d. lack of physical exercise |
c. decreased gastric motility
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11 month old infant is at the 95th percentile weight for age and has been for the past 9 months. What should you do?
a. recommend increasing food intake by 25% b. recommend decreasing food intake by 50% c. watch the child’s growth for the next 6 months d. nothing, he’s fine |
d. nothing, he’s fine
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. A 6’s male, large frame, 230 lbs, with Type II diabetes should:
a. gain 5 lbs, to be at a desirable body weight b. lose 20 lbs, slowly following a balanced diet c. lose 20 lbs, in 4 weeks on an 800 calorie diet d. lose 10 lbs, slowly by following a balanced diet |
b. lose 20 lbs, slowly following a balanced diet
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A patient with chronic pancreatitis should consume oral pancreatic enzymes:
a. with large meals and fatty foods b. only if steatorrhea increases c. with all meals and snacks d. only if consuming a high fat, low protein diet |
c. with all meals and snacks
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If a patient is about to be discharged when you receive the discharge diet order, you should…
a. Give him something to take home. b. There is not enough time so forget it. c. Enroll him in the outpatient clinic and schedule an appointment. d. Teach him what you can in the time you have now. |
c. Enroll him in the outpatient clinic and schedule an appointment.
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Following a cholecystectomy, bile is produced by the:
a. pancreas b. liver c. spleen d. portal vein |
b. liver
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. How many calories are in 1.5 liters of a 25% dextrose solution?
a. 850 b. 1275 c. 1000 d. 1500 |
a. 850
b. 1275 c. 1000 d. 1500 |
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Research suggests that in order to guard against cancer you shout ingest:
a. carotene and vitamin C b. vitamins C and B12 c. protein and vitamin C d. vitamins E and K |
a. carotene and vitamin C
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. Which of the following may be the cause of loose stools in the tube fed patient?
I. feeding was administered at a too rapid a rate II. the osmolality of the feeding was too low III. the patient is constipated IV. an inadequate amount of intestinal surface area a. I b. I, II c. II, III d. I, IV |
d. I, IV
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An elevated T4 indicates:
a. galactosemia b. hypothyroidism c. hyperthyroidism d. ketonuria |
c. hyperthyroidism
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Before discontinuing a parenteral feeding, provide enteral support to prevent:
a. development of a fatty liver b. ketoacidosis c. hypoglycemia d. hepatic encephalopathy |
c. hypoglycemia
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Which of the following weight gains puts pregnant women at risk?
a. less than 4 lbs/month in the last half of pregnancy b. less than 5 lbs/month in the last half of pregnancy c. less than 6 lbs/month in the last half of pregnancy d. more than 2 lbs/month in the last half of pregnancy |
a. less than 4 lbs/month in the last half of pregnancy
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Iron deficiency anemia has the following characteristics:
I. large cells laden with hemoglobin II. small, pale cells III. hypochromic, microcytic IV. macrocytic or megaloblastic a. I, II b. II, III c. I, IV d. II, IV |
b. II, III
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Which hormone moves milk through the mammary ducts?
a. prolactin b. progesterone c. estrogen d. oxytocin |
d. oxytocin
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Which anthropomentic measurements are useful in assessing adults?
a. triceps skinfold, head circumference, arm muscle circumference b. head circumference, arm muscle circumference, height, weight c. serum albumin, triceps skinfold d. triceps, skinfold, arm muscle circumference, height, weight |
d. triceps, skinfold, arm muscle circumference, height, weight
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Which is a measure of somatic protein?
a. serum albumin b. serum transferring c. mid-arm muscle circumference d. triceps skinfold |
c. mid-arm muscle circumference
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. Muscle mass is determined using the:
a. triceps skinfold and arm circumference b. skinfold caliper c. BEE d. urinary creatinine measurement |
a. triceps skinfold and arm circumference
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Gastric irritants include:
a. black pepper, chili powder, caffeine, alcohol, cocoa b. seeds, nuts, chili powder, black pepper, alcohol c. caffeine, black pepper, nuts, alcohol d. orange juice, black pepper, chili powder, alcohol |
a. black pepper, chili powder, caffeine, alcohol, cocoa
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Good advice for a patient with a hiatal hernia is to:
a. increase intake of complex carbohydrates b. lower the fat content of the diet c. don’t eat before bed d. avoid coffee |
c. don’t eat before bed
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The dumping syndrome:
I. follows a gastrectomy II. is secondary to carbohydrate overload III. draws fluid into the intestine IV. needs a high carbohydrate diet a. I, III, IV b. II, III, IV c. I d. I, II, III |
d. I, II, III
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Nutritional therapy for hepatitis includes:
a. high protein, high carbohydrate, moderate fat, high calories b. high protein, low carbohydrate, low fat, moderate calories c. low protein, high carbohydrate, low fat, high calories d. low protein, high carbohydrate, low fat, low calories |
a. high protein, high carbohydrate, moderate fat, high calories
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. Esophageal varices may be caused by:
a. portal hypotension b. portal hypertension c. a high fiber diet d. a high fiber, high residue diet |
b. portal hypertension
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. The diet for hepatic coma is low in protein due to:
a. low ammonia levels b. high cholesterol levels c. high ammonia levels d. high LDL |
c. high ammonia levels
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. In cystic fibrosis, the most impaired nutrient is:
a. protein b. disaccharides c. electrolytes d. fat |
d. fat
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. Hormones that control blood pressure and blood components are produced in:
a. the heart b. the liver c. the kidneys d. the lungs |
c. the kidneys
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An acid ash would be created by ingesting:
a. corn, cranberries b. milk c. vegetables d. fruit |
a. corn, cranberries
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Symptoms of nephrosis include:
a. dehydration, hypocholesterolemia b. albuminuria, hypercholesterolemia c. edema, hypocholesterolemia d. hypotension, hyperalbuminemia |
b. albuminuria, hypercholesterolemia
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. The catecholamines released during stress cause:
a. hyptertension b. hyperglycemia c. diruesis d. elevated BUN |
b. hyperglycemia
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Which is a part of the nutritional therapy for IDDM in a lean person?
a. time meals b. decrease caloric intake c. it is not crucial to maintain consistency of calories if average intake is low d. decrease the frequency of feedings |
a. time meals
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Increased serum uric acid levels may lead to:
a. galactosemia b. glycogen storage disease c. gout d. PKU |
c. gout
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. The diet for galactosemia should exclude:
a. high fat foods b. high cholesterol foods c. organ meats, MSG d. simple carbohydrates |
c. organ meats, MSG
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. The ketogenic diet is used to help treat:
a. cystic fibrosis b. seizures c. chronic renal failure d. hyptension |
b. seizures
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. Immediately following a severe burn, nutritional therapy should include:
a. high calories b. high protein c. high calories, vitamins, minerals, d. fluid and electrolyte replacement |
d. fluid and electrolyte replacement
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. The theory of obesity that refers to receptors in the hypothalamus is the:
a. lipostatic theory b. set point theory c. glucostatic theory d. glucose-obese theory |
c. glucostatic theory
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The VMA test diet measures:
a. fat malabsorption b. total catecholamines c. protein malabsorption d. vitamin, mineral absorption |
b. total catecholamines
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A fecal excretion of ___ grams of fat/24 hours is considered fat malabsorption.
a. less than 1 b. more than 7 c. 3-5 d. 2-4 |
b. more than 7
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Iatrogenic malnutrition is:
a. vitamin and mineral malabsorption b. protein malabsorption c. protein, calorie malnutrition d. kwashiorkor |
c. protein, calorie malnutrition
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What are the similarities between WIC and Food Stamps?
I. regulated by USDA II. have at risk criteria III. have income criteria IV. a health exam is required a. I, II, III, IV b. I, II, III c. II, III, IV d. I, III |
d. I, III
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. A 60 kg female receives 2700 calories on PN. The calorie to nitrogen ratio is 150:1. How many grams of nitrogen is she getting?
a. 14 b. 16 c. 18 d. 20 |
c. 18
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. What type of food would you feed to a patient who has the athetoid form of cerebral palsy?
a. milk-based products b. finger foods like a hot dog in a roll c. milk-free products d. galactose-free foods |
b. finger foods like a hot dog in a roll
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. Osteoporosis is most likely to occur in:
a. the physically active adult b. a non-smoker c. a Black female d. a White female |
d. a White female
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Which is a quick diet assessment tool for a large group?
a. food frequency lists b. diet history forms c. weighing food samples and recording intake d. food records |
a. food frequency lists
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Compared to human milk, commercially prepared infant formula is:
a. similar in nutrient content b. equivalent to human milk in nutrient content and antibodies c. higher in protein and iron but lacks antibodies d. lower in protein and iron and lacks antibodies |
c. higher in protein and iron but lacks antibodies
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Which of the following is not associated with anorexia nervosa?
a. food aversions b. distorted body image c. schizophrenia d. constant concern about weight status |
c. schizophrenia
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. What is the appropriate advice for a person with anorexia nervosa?
a. offer a wide variety of foods and frequent feedings b. offer liquids high in calories and protein c. offer nasogastric feedings d. regular mealtimes, and a varied moderate intake |
d. regular mealtimes, and a varied moderate intake
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. A female who eats a wide variety of foods and takes supplemental iron and birth control pills may be:
a. marginally deficient in folic acid b. low in calcium c. low in vitamin A d. low in zinc |
a. marginally deficient in folic acid
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. The immobilized state can lead to low levels of:
a. albumin and calcium b. albumin and sodium c. calcium and potassium d. potassium and zinc |
a. albumin and calcium
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A man with a peptic ulcer should consume:
a. milk every two hours b. a bland diet c. a balanced diet he can tolerate d. a low roughage diet |
c. a balanced diet he can tolerate
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A cholesterol level of 240mgs needs treatment first with:
a. diet b. diet and drugs c. drugs d. exercise, diet and drugs |
a. diet
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An infant formula for lactose intolerance might include:
I. whey, coconut oil II. casein hydrolysate, corn oil, glucose III. soy protein, corn syrup solids IV. sodium caseinate, hydrolyzed cornstarch a. I, II, III b. II, III c. II d. I, III |
b. II, III
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A patient with nephrosis, will likely exibit:
a. hypercholesterolemia, albuminemia, edema b. hypertension, hypcholesterolemia c. hypotension, azotemia d. malnutrition, hyperalbuminemia |
a. hypercholesterolemia, albuminemia, edema
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A patient with nephrosis should receive how many grams of protein per kg?
a. .5-.6 b. .6-.8 c. .8-1.0 d. 1.0-1.4 |
c. .8-1.0
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Fiber, like that found in oats, beans and bran cereals, results in:
a. increased water absorption from the intestine b. binding of bile acids c. decreased sodium excretion in the stool d. small, compact stools |
a. increased water absorption from the intestine
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A patient suffering from bulimia may have all of the following symptoms except:
a. a sore throat b. dental problems c. extreme weight loss d. rectal bleeding |
c. extreme weight loss
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The efficacy of a low sugar, low artificial flavor diet on hyperkinesis is:
a. it works in two out of three patients b. it has not been scientifically proven effective c. it has never been tested d. it has been proven effective |
b. it has not been scientifically proven effective
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. Which of the following is not a sign of marasmus?
a. severe protein and calorie wasting b. weight loss c. edema d. low anthropometric measurements |
c. edema
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Urea excretion is related to ____, while creatinine excretion is related to ____.
a. muscle mass, protein intake b. protein intake, muscle mass c. protein intake, adipose reserves d. protein intake, calcium intake |
b. protein intake, muscle mass
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. A patient has a rare urea disease where the body is unable to synthesize urea. What might be the result?
a. elevated ammonia levels b. elevated BUN c. elevated glucagons levels d. compromised visceral protein levels |
a. elevated ammonia levels
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103. Which statement applies to nutritional screening?
a. Only a physician makes the referral b. Only a dietitian makes the referral c. It is exclusively done by Nursing d. All health team members can participate according to policy |
d. All health team members can participate according to policy
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