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431 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 kcal diet which is 20 percent protein?
a. 70 b. 75 c. 64 d. 300 |
1500 x .20=300kcal/4=75 grams
b. 75 |
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A patient is on a high protein, low CHO 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 diabetic 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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WHich of the infants in the above question have a normal hemoglobin level?
a. a, b, d b. b, d c. c,d d. a, b, c |
d. a, b, c
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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 500 mg sodium diet?
a. secondary renal failure b. hypoaldosteronism c. hypoalbuminemia d. hyperammonemia |
c. hypoalbuminemia
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Which of the following should the patient in the above question have for lunch?
a. 4 ounces of 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 and high protein a. II, III b. III, IV c. I, II, IV d. II, IV |
a. II, III
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Who is most at risk for gestational diabetes?
a. BMI <30 b. age <25, overweight c. BMI>30, history of GSM d. conception within 10 months of last pregnancy |
c. BMI>30, history of GSM
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A child is lethargic and irritable with diarrhea. The cause may be:
a. zinc toxicity b. lead poisoning c. iron overload d. vitamin A toxicity |
b. lead poisoning
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How many calories are in 300ml of a 5% dextrose solution?
a. 51 b. 60 c. 15 d. 200 |
300 x .05 x3.4 = 51
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 pounds. Six months ago she weighed 130 pounds. What is her percent ideal body weight?
a. 85% b. 83% c. 81% d. 87% |
100 + 7 in (5) = 135
115/135 x 100= 85% 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 Chrohns disease needs the following diet:
I. high fat, high calorie, high protein II. low fat only with steatorrhea, vitamin C, B12 III. high calorie, high protein according to current BMI 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 |
b. II, III
II. low fat only with steatorrhea, vitamin C, B12 III. high calorie, high protein according to current BMI |
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Which of the following diets is appropriate for reactive hypoglycemia?
a. reduce intake of concentrated carbohydrates, 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. reduce intake of concentrated carbohydrates, 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 tranferrin 275 125 450 triceps skin fold 3 16.8 17 MAMC 15 24.1 28.1 TLC 1000 3500 a. A b. B c. C d. A, B |
a. A
Marrasmus is a form of malnutrition characterized by PEM |
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When assessing nutritional status, which would be the most beneficial information you need?
a. 24 hour recall, history of weight changes b. medical history, diet order, socioevonomic status c. clinical observation, weight status, cultural habits d. diet intake info, clinical data, laboratory data |
d. diet intake info, clinical data, laboratory data
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The first function of the public health nutritionist is:
a. assess the needs of the community b. counsel patients with special dietary needs c. clinical observation, weight status, cultural habits d. diet intake info, clinical data, laboratory data |
a. assess the needs of the community
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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 list, when substituting 2% milk for skim milk, you must omit how many fat exchanges?
a. 1/2 b. 1 c. 1 1/2 d. 2 |
b. 1
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If a man normally consuming 2600 kcal per day reduces his intake to 1500 kcal a day, how much weight will he lose in a week?
a. 0.5 kg b. 1.0 kg c. 1.5 kg d. 2.0 kg |
1100 x 7=7700/3500=2.2 lb or 1 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. transferrin c. retinol-binding protein d. prealbumin |
d. prealbumin
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Following a Biliroth 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 and curds 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 bowel syndrome b. post chemotherapy treatment c. hypermetabolism d. galactosemia |
a. short bowel 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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the additive influence of foods and constituents which when eaten have a beneficial effect on health refers to
a. nutraceuticals b. food synergy c. positive corollaries d. medical food |
b. food synergy
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Which foods are most likely cause an allergic reaction?
a. shellfish, peanuts, wheat b. food synergy c. positive corollaries d. medical foods |
a. shellfish, peanuts, wheat
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Which set of health conditions is most commonly seen in American children?
a. obesity, dental caries, anemia b. hypertension, dental caries, rickets c. hyperkinesis, anemia, dental caries d. diabetese, obesity, anemia |
d. diabetese, obesity, anemia
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A 1500 kcal diabetic diet with 45% of the calories from CHO is prescribed. 1/3 of the CHO grams is met with 1/2 cup orange juice, 1 cup milk and:
a. 1 slice of toast b. 2 slices toast c. 2 slices toast and 1/2 cup oatmeal d. 1/2 slice toast |
b. 2 slices toast
2 slices of toast, because on a 1500 kcal diet, need 160 g CHO and 1/3 is 56 grams, so orange juice is 15, milk is 12, 2 slices toast is 30 |
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What is a medium fat meat?
a. peanut butter b. tunafish packed in water c. corned beef d. chicken without skin |
c. corned beef
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Which government agency would you contact regarding food distribution?
a. USDA b. FDA c. HHS d. Foods 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 hypertension?
a. low sodium b. low sodium, high potassium c. low sodium, high calcium d. low sodium, high potassium, high calcium |
a. low sodium
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The NHANES study looks at which parameters?
a. nutritional b. nutritional, clinical c. nutritional, biochemical d. nutritional, clinical, biochemical |
d. nutritional, clinical, biochemical
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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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An 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. nothing he is fine d. watch his growth over the next six months |
d. watch his growth over the next six months
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A 6'2 male, large frame, 230 lbs with type 2 diabetes should:
a. gain 5 lbs. to be at 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 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 cholycystectomy, 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 |
1500 x.25 x 3.4=1275
b. 1275 |
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Research suggests that in order to guard against cancer you should ingest:
a. carotene and vitamin C b. vitamins C and B12 c. protein and vitamin A 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 a tube fed patient?
I. feeding was administered at too rapid 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
I. feeding was administered at too rapid rate IV. an inadequate amount of intestinal surface area |
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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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What weight gain puts pregnant women at risk?
a. less than 4lbs/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 4lbs/month in the last half of pregnancy
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Iron deficiency anemia has the following characteristics:
a. large cells laden with hemoglobin, hypochromic, microcytic b. small, pale cells, hypochromic, microcytic c. large cells laden with hemoglobin, macrocytic, megaloblastic d. small, pale cells, macrocytic, megaloblastic |
b. small, pale cells, hypochromic, microcytic
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Which hormone moves milk thru the mammary ducts?
a. prolactin b. progesterone c. estrogen d. oxytocin |
d. oxytocin
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Which anthropometric 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 transferrin 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 cretinine 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 patients 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
follows a gastrectomy is secondary to CHO overload draws fluid into the intestine |
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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 diet, 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, hyperalbuminimemia |
b. albuminuria, hypercholesterolemia
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The catecholemines released during stress cause
a. hypertension b. hyperglycemia c. diuresis d. elevated BUN |
b. hyperglycemia
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Which is 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 feeding |
a. time meals
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Increased serum uric acid may lead to:
a. galactoseia 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. 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. hypotension |
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
where the hypothalamus can adapt the absorption of nutrients |
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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 malabsortpion c. protein, calorie malnutition d. kwashiorkor |
c. protein, calorie malnutition
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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
They are both regulated by the USDA and they both have income criteria |
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A 60 kg female receives 2700 kcal 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
2700/150=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 |
a. offer a wide variety of foods and frequent feedings
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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 sodiu 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 240 mgs 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. casien 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
I casein hydrolysate, corn oil and glucose II soy protein and corn syrup solids |
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A patient with nephrosis will likely exhibit:
a. hypercholesterolemia. albumininemia, edema b. hypertension, hypocholesterolemia c. hypotenstion, azotemia d. malnutrition, hyperabluminemia |
a. hypercholesterolemia. albumininemia, edema
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The above patient 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 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 glucagon levels d. compromised visceral protein levels |
a. elevated ammonia levels
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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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A sandwich with two pieces of white bread and two ounces of turkey provides how many calories?
a. 250 b. 145 c. 198 d. 290 |
a. 250
45+45 is 90, the turkey 80+80 is 160, the bread 90+160 is 250, the answer |
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Current research on the relationship between cancer and diet includes all the following except...
a. cancer is associated with the intake of vitamin A b. it is related to demographic factors c. it is related to epidemiologic data d. it is associated with ascorbic acid |
b. it is related to demographic factors
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Two liters of a 5% dextrose solution provide how many calories?
a. 170 b. 340 c. 212 d. 195 |
b. 340
2000ml x .05 x 3.4=340 kcal |
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When instructing a patient on diet therapy needed during an intake of a monoamine oxidase inhibitor, which would not be included?
a. milk, cottage cheese, yogurt b. yogurt, ricotta cheese c. swiss cheese, yogurt d. cheddar cheese, swiss cheese |
d. cheddar cheese, swiss cheese
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Catecholamines have what physiological effect?
a. induce diuresis b. cause hypoglucemia c. cause sodium retention d. cause potassium retention |
c. cause sodium retention
Fight or flight hormones, cause sodium retention |
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A patient with dehydration exhibits symptoms of:
a. high blood presure, dizziness b. sunken eyes, decreased renal function, increased tachycardia c. decreased BUN, decreased serum creatinine d. low blood pressure, low serum sodium |
b. sunken eyes, decreased renal function, increased tachycardia
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Why would a man who eats very little protein have an albumin of 5.5 g/dl?
a. carbohydrate keeps albumin levels elevated b. he is dehydrated c. Serum albumin falls quickly with protein deprivation d. It is a sign of protein malnutrition |
b. he is dehydrated
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The diet for stomatitis is:
a. low fat, high carbohydrate, normal protein b. avoid spices, very hot, ery cold, sour, tart foods c. high protein, high carbohydrate d. liquids, mostly carbohydrates |
b. avoid spices, very hot, ery cold, sour, tart foods
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The BMI for a woman who is 5'7 and weighs 148 pounds indicates
a.underweight b. normal weight c. overweight d. obese |
b. normal weight
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Which of the following is not a guideline for Medicaid?
I low income II over the age of 60 only III nutritional need a. I b. II, III c. II d. III |
b. II, III
over the age of 60 only and nutritional need |
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Which survey is repeated every few years?
a. NHANES b. WHO c. Ten State d. FAO |
a. NHANES
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The year 2010 Healthy People. Goals are an outgrowth of a report by:
a. ADA b. the Surgeon General, under HHS c. WHO d. FAO |
b. the Surgeon General, under HHS
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An example of a "Healthy People" goal is:
a. a decrease in saturated fat consumption b. an increase in iron intake c. a decrease in infant mortality d. an increase in the intake of complex carbohydrates |
c. a decrease in infant mortality
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When a starved patient begins to eat, they might expect:
a. constipation b. an increased workload on the heart c. lethargy d. diarrhea |
b. an increased workload on the heart
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What would be classified as NB (Nutrition Behavioral) in the NCP?
a. hypermetabolism b. inadequate enteral intake c. impaired ability to prepare foods d. excessive protein intake |
c. impaired ability to prepare foods
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The immediate post stress release of glucagon:
a. increases glucose uptake into cells b. increases glucose release into the bloodstream c. increases insulin release d. increases fluid and sodium excretion |
b. increases glucose release into the bloodstream
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Which of the following is the appropriate diet for peritoneal dialysis?
a. .8grams protein, 35 kcals/Kg b. 2.0 grams protein, 30 kcals/Kg c. 1.5 grams protein, 30 kcals/Kg d. 1.0 grams protein, 35 kcals/Kg |
c. 1.5 grams protein, 30 kcals/Kg
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What is an example of a program that provides food to the needy?
a. the Food Bank b. the Food Stamp Program c. the Child Care Program d. WIC |
a. the Food Bank
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Which formula is high in calories and low in protein?
a. AminAid b. Osmolite c. Sustacal d. Jevity |
a. AminAid
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What is the goal of the Dietary Guidelines?
a. prevention of chronic disease b. provide standards for Food Stamp allocation c. provide standards for WIC d. provide standards for EFNEP |
a. prevention of chronic disease
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If an IDDM (insulin dependent) tells you she eats meals on an irregular schedule, you should:
a. obtain more information about her usual eating habits b. explain that insulin therapy is related to intake c. do nothing if blood sugar levels are okay d. ask her to complete a detailed food record |
b. explain that insulin therapy is related to intake
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The allowance for food stamps is based on:
a. the average cost of food used by a family of the same size b. the USDA Thrity Food Program c. data from the Congregate Meal Program d. the cost of the Basic Four |
b. the USDA Thrity Food Program
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A single man with two daughters, ages 10 and 11, is looking for aid. What program might provide assistance?
a. WIC b. Food Stamps c. Child Care Food Program d. Headstart |
b. Food Stamps
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Why is an affluent couple (man with diabetes, age 67 and wife with broken arm , age 50, not eligible for Meals on Wheels?
a. she is too young b. they are affluent c. this program does not cater to special diets d. they can leave the house |
d. they can leave the house
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Which is permitted on a diet which excludes gluten?
a. rye b. corn c. barley d. wheat bread |
b. corn
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Which nutrients are involved in energy metabolism?
a. pyridoxine and cyanocobalamin b. copper and zinc c. pantothenic acid and biotin d. folic acid and iron |
c. pantothenic acid and biotin
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Where can a pregnant teen learn to cook?
a. EFNEP b. Child Nutrition Services c. UNICEF d. WIC |
a. EFNEP
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In metabolic acidosis, which of the following is involved?
a. excretion of potassium b. excess calcium retention c. excretion of sodium bicarbonate d. excess calcium loss |
c. excretion of sodium bicarbonate
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How can you enhance usage of commodity foods from a food donation program?
a. teach food donation staff how to use the items b. make a poster on usage c. give each participant recipes using the food items d. calculate the amounts of nutrient provided in the donated foods |
c. give each participant recipes using the food items
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A poor, healthy 19 year old mother is unsure how to feed her 4 year old child. Which program may offer her the most help?
a. EFNEP b. WIC c. HHS d. CACFP |
a. EFNEP
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An athlete weighs more than the average person of his height. What should you do first?
a. put him on a slow weight reduction diet b. examine other anthropometric measurements c. have him increase his exercise d. suggest he drink more water |
b. examine other anthropometric measurements
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The most effective nutrition assessment method for large groups is the:
a. food diary b. 24 hour recall c. food frequency list d. diet history |
c. food frequency list
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Which is the most appropriate bedtime snack for a diabetic on NPH insulin?
a. apple juice and crackers b. graham crackers and diet soda c. fresh fruit and crackers d. cheese and crackers |
d. cheese and crackers
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What can be done to lower the respiratory quotient of a tube fed pulmonary patient?
a. add MCT oil to decrease energy required for growth b. change the type of fat to improve oxygen exchange c. add carbohydrate to decrease the respiratory quotient d. add a fat emulsion to replace some of the carbohydrate |
d. add a fat emulsion to replace some of the carbohydrate
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Which correlates best with energy intake?
a. lean body mass b. triceps skinfold c. body mass index d. body weight |
d. body weight
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Which of the following most affects osmolarity?
a. protein b. sugar c. electrolytes d. fat |
c. electrolytes
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Which fiber is insoluble in water?
a. pectin b. gums c. hemicellulose d. polysaccharides |
c. hemicellulose
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An infant wants a bottle at bedtime. You should counsel the parents to:
a. give the bottle only at bedtime b. give the bottle only if the baby insists c. only give milk in the bottle d. only give water in the bottle |
d. only give water in the bottle
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A diabetic wants to exchange his bedtime snack of 8 ounces whole milk. What do you suggest?
a. 1 oz. cheese and 1/2 cup orange juice b. 2 graham crackers and 1/2 cup orange juice c. 1 ounce cheese d. 2 ounces chess |
a. 1 oz. cheese and 1/2 cup orange juice
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Which of the following might result in hypoalbuminemia?
a. amino acid suplementaion prior to surgery b. a high protein diet with inadequate water c. providing only a 5% dextrose in water solution after stress d. giving a trauma patient enteral feeding only |
c. providing only a 5% dextrose in water solution after stress
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A mother with 2 daughters, ages 8 and 11, doesn't earn enough money to feed her family. What program would you suggest?
a. WIC b. Food Stamps c. Child Care Food Program d. Medicaid |
b. Food Stamps
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Which drink would a Mormon choose?
a. cola b. 7-up c. tea d. coffee |
b. 7-up
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What section of the intestine is most likely to be involved in Crohns disease?
a. ileum b. jejunum c. duodenum d. appendix |
a. ileum
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What would be classified as NC (Nutrition Clinical) in the NCP?
a. inadequate vitamin intake b. limited access to food c. swallowing difficulty d. inappropriate intake of food fats |
c. swallowing difficulty
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An infants failure to thrive can be seen in:
a. their behavior b. comparison with growth charts c. weight for height charts d. height for age |
comparison with their growth charts
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Which of the following has the fewest calories?
a. plain hamburger on a bun c. chef's salad with dressing c. green salad with Thousand Island dressing, and shredded cheese d. fried fish sandwich |
a. plain hamburger on a bun
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Which of the following indicates protein calorie malnutrition?
a. a creatinine height index of 93% b. height for weight ratio of 89% c. triceps skinfold and arm muscle circumference of 79% d. d. serum albumin of 4.5; transferrin of 410 |
c. triceps skinfold and arm muscle circumference of 79%
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A child with AIDS needs a high calorie and ___ intake.
a. megadose vitamins b. high protein c. low fat d. low residue |
b. high protein
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An appropriate measurement for iron status in a local community is:
a. serum iron b. transferrin c. TIBC d. hematocrit |
d. hematocrit
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Which of the following may help decrease cavities?
a. raising b. carrots c. cheese d. yogurt |
c. cheese
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Which test helps you determine if a diabetic has been following his diet?
a. blood glucose b. urine ketones c. glycosylated hemoglobin d. urine sugar |
c. glycosylated hemoglobin
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You discover an incorrect diet order in a patients chart...
a. chart the order as incorrect. b. File the order because it was written by a physician. c. Discuss the order with the physician and make suggestions d. change the order in the chart |
c. Discuss the order with the physician and make suggestions
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What is the best therapy for weight loss?
a. reducing 500 calories per day, and exercise b. support groups, exercise, diet control c. exercise, diet, behavior modification d. exercise and diet control |
c. exercise, diet, behavior modification
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Which is most associated with the incidence of Type2 diabetes?
a. sugar intake b. protein intake c. overweight d. salt intake |
c. overweight
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According to the ADA exchange lists, what is the nutrient content of the following...1 cup cantelope, 1/2 cup cereal, 1 cup 1% milk, 1 tsp margarine, 1 tsp low sugar jelly, black coffee, 1 slice toast...
calories, protein, CHO, fat a. 397, 12, 61, 6.5 b. 346, 12, 52, 9 c. 365, 12, 57, 7 d. 327, 13, 58, 10 |
c. 365, 12, 57, 7
365 kcal, 12 g PRO, 57 g CHO, 7 g FAT...this is easiest to figure out by looking at the CHO first! |
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Iron status is monitored by:
a. dietary and clinical methods b. dietary and lab studies c. dietary studies d. anthropometric studies |
b. dietary and lab studies
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Which bacteria may cause gastric ulcers?
a. Salmonella b. Streptococcus aureus c. Helicobacter pylori d. Clostridium perfringens |
c. Helicobacter pylori
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The appropriate diet therapy following a Biliroth II is:
a. high carbohydrate, low fat, high protein b. high fat, high protein, high carbohydrate c. decrease simple carbohydrates, high protein, moderate fat, B12 supplements d. low fat, low protein, high carbohydrate |
c. decrease simple carbohydrates, high protein, moderate fat, B12 supplements
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Which of the following diseases may lead to anemia?
a. myocardial infarction b. galactosemia c. renal failure d. diabetes |
c. renal failure
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To learn about prenatal problems in the community, go to:
a. Center for Disease Control b. WIC c. NHANES d. FDA |
b. WIC
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Which best applies to nutritional screening?
a. JCAHO standards must be followed b. should include nutritional parameters c. done after nutritional problems are identified d. only done on at risk patients |
b. should include nutritional parameters
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When using anthropometric measurements, the most important factor is:
a. competence of the practitioner and calibration b. number of participants done at one sitting c. that the patient be sitting d. that they be done early in the morning |
a. competence of the practitioner and calibration
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A pork chop is which type of meat exchange?
a. high fat b. medium fat c. medium fat plus one fat exchange d. lean |
d. lean
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What should most be encouraged in a Headstart program?
a. nutrition activities related to food b. participation for at least one year c. class instructions d. healthy snacks |
a. nutrition activities related to food
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Medicaid benefits apply to:
a. healthy adults c. a 60 year old female c. those at nutritional risk d. low income individuals |
d. low income individuals
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The symbol U on a food label indicates:
a. it is treated with ultraviolet light b. it is treated with radiation c. vitamin retention has been retained during processing d. it is a Kosher designation |
d. it is a Kosher designation
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Congregate meals and home delivered meals fall under:
a. WIC b. EFNEP c. Older Americans Act, Title III d. Medicare |
c. Older Americans Act, Title III
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Which is most characteristic of marasmus?
a. serum albumin of 2.5g/dl b. edema c. severe fat and muscle wasting d. decreased lymphocytes |
c. severe fat and muscle wasting
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The stasis of pancreatic juice and bile could result in:
I autodigestion II fat malabsorption III obstructive jaundice a. I and II b. I and III c. II and III d. I, II, and III |
autodigestion, fat malabsorption and obstructive jaundice
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A side effect of antidepressants is:
a. chronic diarrhea b. muscle wasting c. excess weight gain d. nausea and vomiting |
c. excess weight gain
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Which would you recommend to a Mexican American on a low fat diet?
a. low fat cottage cheese b. skim milk c. beans and rice d. low fat yogurt |
c. beans and rice
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Hypertension will decrease with a decrease in:
a. fiber b. alcohol c. potassium d. calcium |
b. alcohol
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What medication is affected by serum sodium levels?
a. Lithium b. Mellaril c. Valproate d. Tetracycline |
a. Lithium
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A child has been measured several times before the age of two years. Results of the measurements were not accurate because the child was measured:
a. first thing in the morning b. standing up c. after breakfast d. with light clothing |
b. standing up
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Which of the following is not a governmental agency?
a. Health and Human Services b. Food and Drug Administration c. Food and Nutrition Board d. American Heart Association |
d. American Heart Association
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Low levels of folate, pyridoxine and cyanocobalamin are associated with
a. glycogen storage disease b. homocystinurias c. phenylketonuria d. glactosemia |
b. homocystinurias
cannot process certain protein blocks |
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A patient with low hemoglobin and low MCV might have
a. microcytic anemia b. macrocytic anemia c. megaloblastic anemia d. galactosemia |
a. microcytic anemia
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According to the Diabetic exchanges, 2 T peanut butter is:
a. 2 high fat meats b. 1 high fat meat c. 2 fats d. 1 high fat meat plus 2 fats |
a. 2 high fat meats
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After a gastrectomy, the diet order should indicate a decrease in:
a. disaccharides b. fats c. protein d. calories |
a. disaccharides
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Children and adolescents need what level of physical activity?
a. 60 minutes every day b. 30 minutes every day c. 60 minutes at least three days each week d. 1 four oz. Bagel with 2 T lite cream cheese and 1 T jelly |
a. 60 minutes every day
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Which meal provides 60 grams CHO?
a. 1 English muffin, 1 c. skim milk, 1/2 c apple juice b. 1 fat-free granola bar, 1/2 c. raisins, 1 c fruited yogurt with aspartame c. 2 small waffles with 2T lite cream cheese and 1 T jelly d. 1 four oz Bagel with 2 T lite cream cheese and 1 T jelly |
a. 1 English muffin, 1 c. skim milk, 1/2 c apple juice
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The Prader Willi syndrome is associated with....
a. hyperactivity b. deficiency of glucose-6-phosphatase c. macrocytic anemia d. obesity |
d. obesity
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Which of the following is permitted on a diet restricting tyramine?
a. hard cheese like cheddar or swiss b. uncured cheese like cottage, ricotta c. pickled or smoked foods d. tofu |
b. uncured cheese like cottage, ricotta
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What does a fecal fat of 12 grams indicate?
a. severe fat malabsorption b. normal fat absorption c. high normal fat absorption d. nothing |
a. severe fat malabsorption
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If a patient has a biochemical block in the formation of urea, what will accumulate in his blood?
a. uric acid b. ammonia c. protein d. glucose |
b. ammonia
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The main goal for a type 2 obese diabetic with persistent hyperglycemia is:
a. weight loss b. control of serum glucose levels c. consumption of a low fat diet d. consumption of a low protein diet |
b. control of serum glucose levels
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Who is the most appropriate candidate for parenteral nutrition?
a. a 12 year old girl coming in for an appendectomy b. a middle aged woman who will begin chemotherapy c. an elderly lady with emphysema d. a young man going for gallbladder surgery |
b. a middle aged woman who will begin chemotherapy
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When counseling an anorexic, the best advice is to:
a. be real strict in their food choices b. be flexible and help them choose reasonable goals c. provide a large variety of menu items d. give them free rein with their intake |
b. be flexible and help them choose reasonable goals
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WIC encourages women with babies to:
a. formula feed b. breast feed c. feed solid foods early d. feed a mixture of formula and solid foods early |
b. breast feed
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In reviewing the patients medical record, you note a hemoglobin of 10g/dL and an MCV of 110 cu mm. You should document:
a. anemia due to intrinsic factor b. anemia without nutritional implications c. anemia with larger than normal erythrocytes d. that the iron content of the diet should be increased |
c. anemia with larger than normal erythrocytes
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For which disease would a low sodium diet be recommended?
a. ascites b. esophageal varices c. pancreatitis d. appendicitis |
a. ascites
Ascites, because blood cannot leave the liver |
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Patient needs a 2000 kcal, 2 g Na feeding. What is the best formula?
calories/cc g Na/liter a. 1, 2 b. 1.5, 2 c. 2, 1 d. 1, 1 |
d. 1, 1
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A 75 year old female with adequate income would benefit from:
a. Food Stamps b. Congregate Meals c. EFNEP d. WIC |
b. Congregate Meals
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Which can be included in a meal for gluten induced enteropathy?
a. spaghetti and tomato sauce b. cheese and crackers c. potatoes with butter d. oatmeal with sugar |
c. potatoes with butter
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Phytochemicals, which may influence the development of tumors, are found in:
a. fruits, vegetables, grains b. lean pultry and fish c. low fat dairy products d. polyunsaturated fats |
a. fruits, vegetables, grains
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Which diet is restricted in CHO?
a. reactive hypoglycemia b. diabetes c. PKU d. galactosemia |
a. reactive hypoglycemia
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Compared to whole milk, breast milk is:
a. lower in protein, higher in carbohydrate and fat b. higher in protein and fat, lower in carbohydrate c. lower in protein carbohydrate and fat d. has the same nutrient composition |
a. lower in protein, higher in carbohydrate and fat
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A person with dumping syndrome cannot handle:
a. complex carbohydrates b. polysaccharides c. disaccharides d. amino acids |
c. disaccharides
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What is the appropriate diet for heart failure?
a. low potassium b. low calcium c. low sodium d. low fat |
c. low sodium
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How many kcal's are provided in 1.5 liters of D25W?
a. 1275 b. 2275 c. 1500 d. 2000 |
a. 1275
150 x .25 x 3.4= 1275 |
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A homeless patient who is deficient in all nutrients is to be discharged, what organization may help?
a. WIC b. EFNEP c. the social workers group d. the shelter |
c. the social workers group
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Why might a child with PKU have an increased incidence of dental caries?
a. phenylalanine is not converted to tyrosine b. the diet is high in carbohydrates, low in protein c. pyruvate is not converted to alanine d. the diet is devoid of protein |
b. the diet is high in carbohydrates, low in protein
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Trauma can place the patient in:
a. an anabolic state b. a hypermetabolic state c. a hypothermic state d. a hypometabolic state |
b. a hypermetabolic state
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A patient who had an ileal resection is placed on a tube feeding and begins to have diarrhea. This may be due to:
a. use of a hypertonic formula b. use of an isotonic formula c. blockage of the GI tract d. lactose intolerance |
a. use of a hypertonic formula
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Which is restricted in a diet for hepatic encephalopathy?
a. protein, sodium, fluid b. protein, fluid, calories c. calories, protein, fat d. sodium, fat, calories |
a. protein, sodium, fluid
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How many non protein calories are provided by 2 liters of a 7% Aminosyn solution and 1 liter of 10% dextrose in water?
a. 340 b. 390 c. 170 d. 255 |
a. 340
1000 x .10 x 3.4=340 NON PROTEIN |
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When should you provide nutrition counseling to an AIDS patient?
a. when nausea and vomiting become problems b. immediately upon diagnosis c. when diarrhea occurs d. no counseling is needed |
b. immediately upon diagnosis
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Medicare is for:
a. the elderly b. the financially needy c. those at nutritional risk d. whose with medical needs |
a. the elderly
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What best measures excess calorie reserves?
a. weight b. creatinine c. triceps skinfold d. arm circumference |
c. triceps skinfold
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Why may a patient with ascites be dehydrated?
a. fluid has moved to interstitial spaces b. fluid has moved to intravascular spaces c. fluid has moved to vascular spaces d. fluid has moved to the lungs |
a. fluid has moved to interstitial spaces
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Which of the following is equivalent to a very lean meat exchange?
a. 1/4 cup low fat cottage cheese b. 2 T. frated parmesan cheese c. 1 ounce mozzarella cheese d. 1 ounce swiss cheese |
a. 1/4 cup low fat cottage cheese
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What is a common complication of AIDS?
a. constipation b. diarrhea c. hypoglycemia d. hyperkalemia |
b. diarrhea
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A post-surgical patient with prolonged ileum should be treated with:
a. a high fiber diet b. enteral nutrition with added fiber c. enteral nutition parenteral nutrition d. parenteral nutrition |
parenteral nutrition
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A common result of treating an AIDS patient with zidovudine is?
a. diarrhea b. constipation c. macrocytic anemia d. hypokalemia |
c. macrocytic anemia
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A 140 pound female on dialysis should have how many grams of protein?
a. 38 - 55 b. 58 - 63 c. 70 - 89 d. 30 -38 |
c. 70 - 89
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An obese person with type 2 diabetes should:
a. time meals b. decrease the frequency of feedings c. achieve DBW d. increase the frequency of feedings |
c. achieve DBW
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A tube fed patient receiving bolus feedings develops a distended abdomen. What should you recommend?
a. change the tube feeding to isotonic, lactose-free b. decrease the osmolality of the feeding c. decrease the amount of water flush d. decrease the rate |
d. decrease the rate
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Which food is highest in fiber?
a. cooked dried beans b. tomato c. wheat bread d. lettuce |
a. cooked dried beans
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Which of the following is lowest in fat?
a. hamburger b. salami c. goat cheese d. canadian bacon |
d. canadian bacon
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Which is true with osteoporosis?
a. it is more common in men than in women b. it is treated with 500 mg calcium per day c. it is common in those 65 years of age and older d. weight bearing exercise exacerbates the problem |
c. it is common in those 65 years of age and older
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Open tube feedings should be disposed of after:
a. 48 hours b. 24 hours c. 6 hours d. 3 hours |
b. 24 hours
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What is a guide for calculating water needs with tube feedings?
a. 1 cc water / 0.5 calories b. 1 cc water/ 1.0 calories c. 1 cc water/ 2.0 calories d. 1 cc water/ 3.0 calories |
b. 1 cc water/ 1.0 calories
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Following a colectomy, the absorption of which of the following would be of the most concern?
a. vitamins D and E b. water and sodium c. B vitamins d. vitamin C |
b. water and sodium
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According to diabetic exchange lists, which of the following is equivalent to one medium fat meat?
a. 4 ounces tofu b. 2 ounces pork c. 2 eggs d. 2 T. peanut butter |
a. 4 ounces tofu
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A long term care patient has normal intestinal function but cannot eat. What tube feeding should you provide?
a. high protein, high calorie formula b. isotonic lactose-free formula c. elemental formula d. low fiber, low fat formula |
b. isotonic lactose-free formula
isotonic, lactose free formula (similar osmolality to human body fluid) |
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Which food should someone on an MAOI not eat?
a. cottage cheese b. herbal tea c. pepperoni d. butter |
c. pepperoni
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If you have lactose intolerance, which food could you most likely tolerate?
a. whole milk b. skim milk c. ice cream d. yogurt |
d. yogurt
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The normal range for hemoglobin A1C is:
a. 1 - 2% b. 4 - 6% c. 10 12% d. 35 - 40% |
b. 4 - 6%
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If a diabetic person reduces his caloric intake from 2300 to 1800 calories a day, how much will be lost in a month?
a. 4 ponds b. 6 pounds c. 2 pounds d. 8 pounds |
a. 4 ponds
500 kcal a day=1 lb a week |
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A spastic quadripalegic requires:
a. lower energy intake b. fewer calories, increased fluid and fiber c. increased fluid and fiber, acid ash diet d. lower energy intake, acid ash diet |
b. fewer calories, increased fluid and fiber
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An athlete complains of weakness, rapid weight gain and muscle spasms, what may be the cause?
a. lack of adequate rest b. too much eercise c. carbohydrate loading d. not enough iron |
c. carbohydrate loading
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Who is most at risk from protein calorie malnutrition?
a. a cancer patient on chemotherapy b. a patient with gastric ulcers c. a patient with Crohn's disease d. a patient with megaloblastic |
a. a cancer patient on chemotherapy
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Patients with decubitus ulcers will likely demonstrate low:
a. serum sodium b. serum albumin c. serum potassium d. serum glucose |
b. serum albumin
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NHANES III increased the number of participants in which age group?
a. infants and children b. the elderly c. adolescents d. pregnant women and infants |
b. the elderly
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What type of anemia is likely to be seen in a patient with arthritis?
a. microcytic, hypochromic b. anemia secondary to chronic disease c. macrocytic d. magaloblastic |
b. anemia secondary to chronic disease
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A TPN solution is to be delivered at 50 mL per hour at 3/4 strength, what is the appropriate order?
a. 900 ml formula, 300 ml water b. 600 ml formula, 600 ml water c. 800 ml formula, 400 ml water d. 300 ml formula 900 ml water |
a. 900mL formula, 300 mL water
50x 24=1200 mL/day 1200 x .75(3/4)=900mL formula, so 300 left for water |
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Determine the caloric contribution of CHO from the following parenteral formula. The amounts stated are given per liter. 300 mL 60% dextrose, 500 mL 10% amino acids, 200 mL 20% lipid, total nutrient mixture administered at 65 ml/hr for 24 hours
a. 393 calories per day b. 1550 calories per day c. 955 calories per day d. 1572 calories per day |
c. 955
65 x 24 = 1560 X .3 (30% total solution) =468 x .6 (60% dextrose solution) = 280.8 x 3.4 (kcal/g dextrose)=954.72 |
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Using the above formula, determine the calories coming from lipids per day.
a. 519 b. 561 c. 577 d. 624 |
d. 624
65 x 24 = 1560 x .2 (20% total solution) x 2 (20% lipid solution @ 2 kcal per cc) = 624 |
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Using the above formula, determine the calories coming from protein per day.
a. 78 b. 80 c. 84 d. 86 |
a. 78
65 x 24 = 1560 x .5 (50% total solution) x .1 (10% amino acid solution) = 78 |
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How much free water is in 1.5 liters of an enteral feeding that has 1.5 kcal per cc?
a. 1155 cc b. 1057 cc c. 926 cc d. 901 cc |
a. 1155 cc
1.5 x .77= 1.155 x 1000=1155cc |
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A patient receives 4 ounces of whole milk and 6 graham crackers as a snack. Which of the following substitutes will lower the glycemic index?
a. skim milk in place of whole milk b. fruit juice in place of whole milk c. 12 saltines in place of 6 graham crackers d. 1 T peanut butter in place of 3 graham crackers |
d. 1 T peanut butter in place of 3 graham crackers
1 T peanut butter in place of 3 graham crackers...more satisfying fat and pro to slow insulin rush |
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Which will cause the most delay in gastric emptying?
a. lean baked meat b. broiled cod c. shrimp d. corned beef |
d. corned beef
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If a patients GFR is less than 50 mL/minute, what should their protein intake be? (in g/kg)
a. 1 b. .8 c. .55 -.6 d. .2 - .4 |
b. .8
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A 2 year old child with iron deficiency anemia has anorexia, vomiting, wt loss and restlessness, look for
a. excessive milk and fruit juice intake b. excessive vitamin C and D intake c. asthma and respiratory distress d. pica and lead poisoning |
d. pica and lead poisoning
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Mr Jones has heart failure but no CAD or increased CHD risk. His nutritional prescription should be
a. 2 gram sodium b. 2 gram sodium low potassium c. low cholesterol, low sodium d. low cholesterol, low saturated fat, low sodium |
a. 2 gram sodium
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Creatine supplements may be beneficial for the:
a. body builder b. marathon runner c. soccer player d. hockey player |
a. body builder
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Acidic chyme in the duodenum is neutralized by pancreatic:
a. lipase b. bicarbonate c. amylase d. protease |
b. bicarbonate
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Milk is packaged in opaque containers to avoid UV destruction of:
a. thiamin b. riboflavin c. niacin d. ascorbic acid |
b. riboflavin
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Which program teaches good nutrition practices and provides foods with certain nutrients?
a. EFNEP b. NET c. WIC d. MCP |
c. WIC
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A PN patient is receiving 45 calories/kg. What may be the result?
a. hypocalcemia b. hyperkalemia c. hypokalemia d. hyperphosphatemia |
c. hypokalemia
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A tube fed patient develops diarrhea. What is most likely cause?
a. medications b. the osmolality is too low c. the strength is too weak d. it is being given at an improper rate |
a. medications
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You are assessing a 4'11 female patient who weighs 160 lbs. She has HTN, high cholesterol and diabetes. What do you recommend?
a. low sodium b. low carbohydrate c. low calories d. low fat |
c. low calories
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A pt with liver disease needs adjustments in the intake of:
a. protein, fat and sodium b. protein, fluids, sodium c. protein calories, sodium d. fluids, calories, fat |
b. protein, fluids, sodium
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The data that is the most useful in evaluating children is:
a. sex and age b. iron and vitamin intake c. energy intake and health history d. height and weight |
c. energy intake and health history
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Which survey is conducted every 10 years?
a. the USDA Food Consumption Survey b. HANES c. Ten State Nutrition Survey d. Preschool Children Study |
a. the USDA Food Consumption Survey
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Goals for a community nutrition program should be based on:
a. the Dietary Guidelines for Americans b. the Nutrition Screening Initiative c. the Healthy People report d. the NHANES III report |
a. the Dietary guidelines for Americans
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The essential amino acid tryptophan is most closely related to:
folic acid b. riboflavin c. niacin d. pantothenic acid |
c. niacin
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Memory loss may be associated with a deficiency of:
a. riboflavin b. thiamin c. protein d. electrolytes |
b. thiamin
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Which of the following would lower serum cholesterol levels?
a. dried beans b. green beans c. yellow beans d. summer squash |
a. dried beans
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In a TPN mixture, what volume of the amino acid solutions listed would come close to providing 185 kcal's?
a. 1000 ml of 8.5% amino acids b. 850 ml of 5.5% amino acids c. 500 ml 7.0% amino acids d. 500 ml of 10% amino acids |
b. 850 ml of 5.5% amino acids
850 x .055 x 4=187 |
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Enteral feeding products that contain protein in the form of small peptides and amino acids are recommended for patients who have:
a. short-bowel syndrome b. undergone gastrectomy c. undergone colectomy d. undergone jejunostomy |
a. short-bowel syndrome
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A nutritional care plan for overweight children should include:
a. restrict intake to maintain current weight b. maintain body weifht c. reduce weight with caloric reductions of 500 per day d. reduce rate of body weight gain while allowing growth |
d. reduce rate of body weight gain while allowing growth
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Renal patient has come for dialysis on Monday morning with serum sodium of 130 mEq/L, BUN of 100 mg/dl, creatinine of 8.0 and a 4 kg weight gain since his last dialysis on Friday morning. Lab indicators were in acceptable ranges on Friday afternoon...what would you expect happened over the weekend?
a. consumed too little sodium, too much water, too little protein b. consumed too little sodium, not enough water, too much protein c. consumed too much sodium, too much water and too much protein d. increased bicarbonate, increased potassium, increased phosphorus |
c. consumed too much sodium, too much water and too much protein
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Looking at the above question, what else would you expect to see?
a. increased bicarbonate, increased potassium, decreased phosphorus b. decreased bicarbonate, increased potassium, increased phosphorus c. decreased bicarbonate, decreased potassium, increased phosphorus d. increased bicarbonate, increased potassium, increased phosphorus |
b. decreased bicarbonate, increased potassium, increased phosphorus
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What would the lab values above have likely reflected if the patient had been nauseated and had averaged only 400 calories from primarily starchy foods over the weekend?
a. little or no rise in potassium, BUN/creatinine ratio <10 b. increased phosphorus, BUN/creatinine ratio > 15 c. typical rise in potassium, BUN/creatinine ratio >15 d. metabolic alkalosis, BUN/creatinine ratio < 10 |
a. little or no rise in potassium, BUN/creatinine ratio <10
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A nutrition surveillance program is designed primarily to:
a verify data from other surveys b. identify the nutritional needs of the population c. indicate the number of people at increased risk for medical conditions d. indicate the causes underlying the nutrition problems identified |
b. identify the nutritional needs of the population
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A standing height should first be obtained when an infant is how many months old?
a. 18 b. 20 c. 22 d. 24 |
d. 24
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When given as the sole source of energy, isocaloric amounts of which energy substrate would most effectively reduce starvation ketosis?
a. corn oil b. MCT oil c. glucose d. essential amino acids |
c. glucose
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For the past two months, a man who is 6 feet tall has been nauseated and anorexic and has consumed less than 500 kcal's a day, mostly from sweet foods. His albumin level of 5.0 most likely reflects:
a. adjustment to the new energy intake b. an increase in albumin due to dehydration c. increased production of albumin by the liver due to the catabolic state d. retention of albumin due to the high-carbohydrate, low-calorie diet. |
b. an increase in albumin due to dehydration
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A dietary deficiency of which of the following causes a macrocytic anemia resembling pernicious anemia?
a. folacin b. pyridoxine c. vitamin B6 d. vitamin C |
a. folacin
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A PN regimen that contains 1 L of D50W and 1 L of Aminosyn provides how many non protein calories?
a. 300 b. 1400 c. 1700 d. 2000 |
c. 1700
1000 x .5 x 3.4=1700 |
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Who has the greatest water, protein and kcal needs per unit of body wt?
a. a 6 month old infant b. a 50 year old female c a 16 year old male d. a 25 year old male |
a. a 6 month old infant
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What is the best approach for controlling obesity in an otherwise healthy 10 year old girl?
a. reduction of caloric intake to allow weight loss of 1 - 2 lbs weekly b. reduction of energy intake to no less than 1000 cal/day c. avoidance of simple sugars and sugar-containing products d. maintenance of weight during continued growth |
d. maintenance of weight during continued growth
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A woman who is 5'5 tall and weighs 190 lb pre pregnancy and gains 30 lbs in the beginning of her second trimester, advise her to:
a. maintain her current weight b. begin a weight reuction c. gain weight at a decreased rate d. continue to gain weight at the same rate |
c. gain weight at a decreased rate
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The effectiveness of a group education program for decreasing the number of anemic pregnant women enrolled in a community nutrition program is best indicated by:
a. improved scores on a nutrition knowledge postest b. improved scores on a Likert-type attitudinal scale c. an increase in hematocrit or hemoglobin levels d. an increase in the intake of dietary iron |
c. an increase in hematocrit or hemoglobin levels
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What would a vegan not eat?
a. coleslaw made with oil and vinegar b. congealed fruit salad c. salad with togu dressing d. peanut butter |
b. congealed fruit salad
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Which contains the more total dietary fiber?
a. 1/2 cup raw spinach b. 1 oz raisin bran cereal c. 1 slice whole wheat breatd d. 2 T peanut butter |
b. 1 oz raisin bran cereal
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What change should be made in the following menu if it is to be served to Seventh Day adventists? Tomato juice, cottage cheese, fruit plate, or egg salad sandwich, milk, coffee, tea
a. offer fortified sou milk b. offer decaffeinated beverages c. offer tofu as an alternative to cottage cheese d. offer a meat analog as an alternative to egg salad |
b. offer decaffeinated beverages
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The best way to counsel a patient with anorexia nervosa is to:
a. recommend that the patient increase food intake and attend weekly counseling sessions b. emphasize the health benefits associated with weight gain and increased calorie intake c. maintain a no-nonsense attitude to discourage inappropriate behavior d. remain flexible to help the patient set realistic goals |
b. emphasize the health benefits associated with weight gain and increased calorie intake
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Which is the primary fuel used by resting muscle and at low intensity exercise?
a. glucose b. fatty acids c. branch chain amino acids d. keto-acids |
b. fatty acids
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In which of the following would you likely see very low albumin if it is drawn a few days after admission to an acute care facility?
a. anorexia nervosa b. 30% full thickness burn c. patient with COPD |
b. 30% full thickness burn
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When measuring a childs somatic protein mass, in addition to the BMI, use:
a. upper arm muscle area b. triceps skinfold c. mid-arm muscel circumference d. knee to height ratio |
a. upper arm muscle area
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An AIDS patient should select the following fruit:
a. grapes, orange b. orange, banana, pineapple c. apple, grapes, peach d. grapes, pear |
b. orange, banana, pineapple
Orange, pineapple or banana (skins all on!) |
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Asian, Hispanic and Native Americans have the following in common:
a. they consume few green vegetables b. they consume significant amounts of dairy products c. they consume little milk d. they consume few root vegetables |
c. they consume little milk
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Your patient is on Coumadin. Which foods would you make sure you consistently include in their diet?
a. oranges, peaches b. seet potatoes c. beef, lamb d. spinach, collard greens |
d. spinach and collard greens
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If a child is at 95th percentile for wt and after one month drops to 10th percentile, what does it likely signify?
a. poor nutrtion b. lack of adequate caloric consumption c. error in measurement d. clinical disorder indicating malabsorption |
c. error in measurement
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A child presents at 65th percent height for age what does this signify?
a. overwieght b. normal c. underweight d. small for age |
b. normal
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In acute hepatitis, you would likely see:
a. decreases in SGOT, increase in SGPT b. increase in both SGOT and SGPT c. decrease in both SGOT and SGPT d. increase in SGOT and decrease in SGPT |
b. increase in both SGOT and SGPT
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In severe cirrhosis with ascites, diet therapy should be:
a. restrict sodium b. restric CHO and fat c. restrict protein and sodium d. restrict fat |
a. restrict sodium
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An AIDS patient's temperature has risen to 102 degrees, his BMR has increased:
a. 24% b. 36% c. 12% d. 5% |
a. 24%
24%, 7% for each degree increase |
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A patient on a clear liquid diet should not be served:
a. stawberry flavored gelatin b. vegetable stock c. apple juice d. fruit flavored popsicle |
b. vegetable stock
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An athlete needs 4000 kcal. The cornflakes nutrient label says that one serving provides 25% of the RDA for CHO. How many servings of cornflakes does he need to get his 25%
a. one b. two c. three d. four |
b. two
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A middle income female needs support for breast feeding, what group will help?
a. Milk Bank b. Pritikin Program c. LaLeche d. Feingold Program |
c. LaLeche
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What elements of the diet vary the most in hepatic disease?
a. fat, carbohydrate, potassium b. sodium, fluid, protein c. sodium, potassium, protein d. fat, sodium, potassium |
b. sodium, fluid, protein
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What is the most effective tool for providing nutrition education to the community?
a. the RDI's b. the report Healthy People c. My Pyramid d. The Healthy Eating Index |
My Pyramid
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What should a Jewish patient include in his diet to increase the intake of zinc?
a. fresh green vegetables b. pork c. turkey d. wheat bread |
c. turkey
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A 7 year old on a ketogenic diet requires 1500 kcal's. What is the appropriate diet order?
a. 145 g fat, 25 g protein, 25 g carbohydrate b. 95 g fat, 40 g protein, 25 g carbohydrate c. 102 g fat, 56 g protein, 12 g carbohydrate d. 75 g fat, 32 g protein, 43 g carbohydrate |
a. 145 g fat, 25 g pro, 25 g cho
145 x 9 + 25 x 4 +25 x 4 =1505 |
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A new patient with a BMI of 32 and hypertension comes to you for counseling. What is your first recommendation?
a. achieve DBW b. maintain weight and exercise c. reduce sodium intake d. reduce sodium, reduce fluid, reduce caloric intake |
c. reduce sodium intake
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A female has a 36 inch waist and a 40" hip. She is at risk for?
a. nothing b. cancer c. heart disease d. malnutrition |
c. heart disease
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A vegan with macrocytic anemia needs which of the following?
a. iron-rich foods b. fortified soy milk c. eggs, wheat bread d. meat, green vegetables |
fortified soy milk
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A patient with a GFR of 20mL/min should receive how many grams of protein/kg?
a. 1.1 b. 0.8 c. 0.6 d. 0.2 |
c. 0.6
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A patient is recovering from an ileocecal resection, where 100 cm was removed. What are your recommendations?
a. oral vitamin B12 increase fluids b. parenteral vitamin B12 increase fluid, increase protein c. decrease fluids, increase protein, parenteral B12 d. decrease protein, decrease fluids, oral B12 |
b. parenteral vitamin B12 increase fluid, increase protein
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A patient on Lithium decreases his sodium intake to 2 grams a day, the effect will be:
a. decreased activity of the drug b. enhanced activity of the drug c. no change in drug activity d. reduced response to the drug |
b. enhanced activity of the drug
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In the dietary guidelines, what represents the fat included?
a. 20-35% calories, < 10% saturated b. 30% calories, < 6% saturated c. 35% calories, < 15% saturated fat d. 35% calories, <10% saturated fat |
a. 20-35% calories, < 10% saturated
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Which of the following would likely be a cause of marasmus?
a. leaving a patient for two weeks on D5W b. chemotherapy c. following a 20 gram protein diet for two months d. antibiotic therapy |
b. chemotherapy
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A patient with short bowel syndrome will likely receive as initial nutrition therapy:
a. parenteral nutrition b. elemental formula throughan entral feeding c. predigested nutritents through a gastrostomy tube d. lactose-free, low osmolar, jejunal feeding |
a. parenteral nutrition
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A tube feeding ran from 7p till 6a, providing 1800 kcal, at 1.6 cal/cc, how many cc/hour were given?
a. 100 b. 125 c. 210 d. 65 |
a. 100
100x 1.6 x 11=1760 |
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A patient on parenteral support develops sepsis. What is the likely cause?
a. lack of immune-enhancing nutritents b. poor care of the entry site c. related to the condition that created the need for parenteral support d. bacterial translocation |
d. bacterial translocation
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How long should a new mother breast feed?
a. at least 6 months b. at least 12 months c. related to the condition that created the need for parenteral support d. bacterial translocation |
b. at least 12 months
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The most important prenatal supplement is?
a. calcium b. vitamin D c. iron d. folic acid |
d. folic acid
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A patient has been hospitalized for 17 days with multiple injuries following an accident. When should the discharge plan begin?
a. as soon as it is known when the patient will be dishcarged b. once the patient is stable c. on the first day of admission d. at least two days prior to discharge |
c. on the first day of admission
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What is not a likely cause of failure to thrive in a child?
a. a vegetarian diet b. chronic illness c. parental food restrictions due to them being overly concerned with obesity d. lack of fiber |
a. a vegetarian diet
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A child with PKU can eat:
a. spaghetti with tomato sauce b. vanilla ice cream c. carrots and celery sticks d. aspartame-sweetened gelatin |
c. carrots and celery sticks
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A child has been identified as being at high risk for food allergies. What should be witheld for the first few years?
a. peanut butter and milk b. eggs and strawberries c. oats and fish d. citrus fruits and chocolate |
a. peanut butter and milk
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Which of the following would be classified as NI in the NCP?
a. not ready for diet change b. altered GI function c. involuntary weight loss d. increased energy expenditure |
d. increased energy expenditure
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Which of the following would be appropriate for a hemodialysis patient on a 60 gram protein diet, with 75% from HBV protein?
a. 1 egg, 2 ounces chicken, 3 ounces beef, 1/2 cup milk b. 1 egg, 2 ounces chicken, 3 slices bread, 3 ounces beef c. 2 eggs, 3 ounces chicken, 3 ounces beef, 1 cup milk d. 1 egg, 3 ounces chicken, 2 cups milk, 5 slices bread |
need 45 grams
d. 1 egg, 3 ounces chicken, 2 cups milk, 5 slices bread |
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Who resolves differences in bills of the house and the senate?
a. House committee b. Senate commitee c. Committee on resolutions d. Joint conference committee of the house and Senate |
d. Joint conference committee of the house and Senate
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Which bill requests govt funding?
a. budget bill b. markup bill c. appropriations bill d. spending grant bill |
c. appropriations bill
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Infuse a peripheral solution at a maximum rate of how many mOsm/L?
a. 300 b. 800 c. 1400 d. 2000 |
b. 800
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A father needs help in feeding his children, ages 6 and 8. Which are the best options?
a. WIC and TANF b. Head Start and Food Stamps c. Food Stamps and School Lunch d. Commodity Foods and WIC |
c. Food Stamps and School Lunch
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What would be an expected outcome of WIC?
a. fewer women breast feed b. fewer babies, better birth control c. better educated low income women concerning nutrition d. less anemia, increased HG and HT levels |
d. less anemia, increased HG and HT levels
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Food staff from a Commodity Distribution program are not allowed to bring foods to a Jewish facility. What is the main reason for this?
a. because meat be served with dairy products at the same meal b. kosher foods are not allowed to be mixed with non-kosher foods c. Jewish dietary practices are lacto-ovo-vegetarian d. Jewish dietary practices are lactovegetarian |
b. kosher foods are not allowed to be mixed with non-kosher foods
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A teenager was brought to the hospital with CVA and dysphagia. The Dietitian should immediately:
a. order a nasogastric feeding b. request a swallow test c. order a dysphagia diet d. order a CVA diet and disregard the dysphagia |
b. request a swallow test
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The immune system reacts to foods that are normally harmless. This is:
a. food intoxication b. an inflammatory response c. an immunoglubulin E (IgE) mediated reaction d. food intolerance |
c. an immunoglubulin E (IgE) mediated reaction
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Which level of HbA1c suggests good compliance with dietary recommendations in a diabetic after 3 months of counseling?
a. 6.5 mg/dl b. 4.0 mg/dl c. 8.2 mg/dl 10.3 |
a.6.5 mg/dl
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A hospitalized patient who had not eaten well for two weeks had a 2.3 serum phosphorus level and a 1.3 serum magnesium level. He has....
a. hypophosphatemia b. hyperphosphatemia, hypomagnesemia c. hyperphosphatemia hyponatremia d. hyperkalemia, hypermagnesemia |
b. hypophosphatemia, hypomagnesemia
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Which of the following self assessment tools would be given to clients prior to screening at a congregate meal site?
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DETERMINE checklist
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A concern with parenteral feeding is:
a. hypokalemia b. hypercalcemia c. hyponatremia d. hypernatremia |
a. hypokalemia
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Which of the following self-assessment tools would be given to clients prior to screening at a congregate meal site?
a. PEACH survey b. DETERMINE checklist c. NSI Level I screen d. NSI Level II screen |
b. DETERMINE checklist
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A Crohns patient who was previously well nourished has a fever and ileum 7 days PO. Which feeding method should you recommend?
a. central venous hyperalimentation b. full liquids c. peripheral IV infusion d. half-strength tube feeding |
c. peripheral IV infusion
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A clinical Dietitian has successfully met an indicator for 6 months. The next step should be to:
a. establish a new indicator b. report the successful completion of the intervention c. evaluate the need to continue monitoring the indicator d. evaluate the need to revise the standard of care |
c. evaluate the need to continue monitoring the indicator
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A nephrotic syndrome patient with edema has a serum albumin level that continues to fall. Recognize that:
a. liver dysfunction is causing decreased albumin synthesis b. volume overload has diluted the albumin c. the patitnet is getting sicker and eating less d. protein is being lost in the urine |
d. protein is being lost in the urine
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Intervention by a dietitian conducting nutrition assessment is best determined by:
a. a patients's medical history b. a patient's diagnosis c. the case mix of the patient population d. results of nutrition screening |
d. results of nutrition screening
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The best way to justify continuation of WIC would be to show improvement in:
a. the number of participants enrolled b. the infant morbidity rate c. maternal weight gains during pregnancy d. infant head circumference |
b. the infant morbidity rate
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A patient with severe acute pancreatitis experiences nausea and vomiting and requires 2500 kcal/day. Which of the following would you recommend?
a. 3000cc of a 1 cal/cc tube feeding through the jejunum b. 1500cc of a 2cal/cc nasogastric tube feeding c. 1000 cc of D50W, 1000cc of 7% amino acis, 650 cc of 20% lipids d. 1000 of D50W, 1000cc of 7% amino acids, 500cc of 10% lipids |
d. 1000 of D50W, 1000cc of 7% amino acids, 500cc of 10% lipids
1000 x .5 = 500 x 3.4 = 1700 1000 x .07= 70 x 4 = 280 500 x 1.1 = 550 2530 kcal |
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Roman Catholic dietary laws state that fish is:
a. to be served every Friday all year b. to be served on Ash Wednesday and Good Friday c. to be served on Ash Wednesday and Fridays during Lent d. no longer required on Fridays |
c. to be served on Ash Wednesday and Fridays during Lent
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A normal pregnancy requires supplementation of:
a. iron b. vitamin C, calcium, iron c. iron and folic acid d. calcium and zinc |
c. iron and folic acid
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Which condition benefits from the use of indirect calorimetry
a. post-gastrectomy b. patient receiving chemotherapy c. patient with third degree burns d. post-surgical patient |
c. patient with third degree burns
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A Rabbi is admitted to the hospital. What question will he ask the dietitian?
a. What time are melas served? b. Who cooks the food? c. What is the mixture of foods in combination dishes d. Where will he eat? |
c. What is the mixture of foods in combination dishes
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What statements about cows milk are true?
I It is high in protein. II It creates a high solute load II It is low in iron and vitamin C a. I only b. I, III c. II, III d. all of the above |
d. all of the above
It is high in protein, it creates a high solute load and it is low in iron and vitamin C. |
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A patient on parenteral nutrition is to be transitioned to enteral feeding. He should receive:
a. half-strength enteral feeding initially b. half-strenght, then 3/4 strength enteral feeding c. half-strength enteral feeding with a low osmolality d. full strength enteral feeding at a low rate |
d. full strength enteral feeding at a low rate
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What is the best practical way to measure energy balance?
a. evaluate weight gain and weight loss b. utilize food intake records c. use activity factors d. calculate the number of calories consumed |
a. evaluate weight gain and weight loss
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Infants should be given solid foods at:
a. 1-3 months b. 3-4 months c. 5-8 months d. 10-12 months |
c. 5-8 months
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Iron preparations should be taken:
a. before meals b. on an empty stomach c. with meals d. before bedtime |
c. with meals
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An appropriate menu for a Kosher meal is:
a. macaroni and cheese, green beans b. roast beef, potato, vegetable, cream soup |
macaroni and cheese, green beans
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An appropriate menu for a Kosher meal is:
a. macaroni and cheese, green beans b. roast beef, potato, vegetable, cream soup c. veal parmesan, noodles, green beans d. crabmeat salad, lettuce, milk |
a. macaroni and cheese, green beans
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A hispanic woman needs more calcium in her diet, what do you recommend?
a. milk b. plantains c. avocados d. pinto beans |
d. pinto beans
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Which of the following would a lacto ovo vegetarian not eat?
a. eggs b. halibut c. cheese d. beans |
halibut
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What provides the most vitamin A for a Mexican?
a. tortillas and refried beans b. cantaloupe and squash c. cheese d. tortillas and milk |
cantelope and squash
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What snack would you not give to an infant?
a. yogurt b. cheese sticks c. graham crackers d. grapes |
grapes
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Which hormone is involved in developing the placenta?
a. progesterone b. estrogen c. lactogen d. testosterone |
progesterone
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Which supplements should you give to a breast fed baby?
a. vitamin D and fluoride b. fluoride c. vitamin D d. vitamins A and C |
Vitamin D and fluoride
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Which is the most useful for evaluating under or over nutrition?
a. height for age b. weight for height c. weight for age d. length for weight |
Weight for age
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Which is the least useful evaluation tool in a community assessment program?
a. height for age b. weight for height c. weight for age d. length for weight |
c. weight for age
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A child is below the 5th percentile weight for height, what can be said about the child?
a. the child is tall for their age b. the child has a disease that inhibits growth c. it is an indication of long term uner-nutrition d. it is an indicationof recent under-nutrition |
d. it is an indicationof recent under-nutrition
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What would you first advise a constipated patient to do?
a. take a mild laxative b. eat less fat c. increase fluids and fiber intake d. eat more protein |
Increase fluids and fiber intake
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A patient with dysphagia waiting for a swallow test may receive:
a. thick liquids b. thin liquids c. peripheral parenteral nutrition d. parenteral nutrition |
thick liquids
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At what age should children be measured standing up?
a. 6 months b. 12 months c. 18 months d. 24 months |
d. 24 months
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What is normal weight gain during the first trimester
a. 1-2lbs b. 2 - 5 lbs c. 5-8 lbs d. 8 - 10 lbs |
2-5 lbs
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The breast fed infant is drinking primarily colostrum for
a. the first 24 hours b. the first few days c 1-2 weeks d. 3 months |
the first few days
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Which of the following items is appropriate for a Muslim diet?
a. sweet and sour portk b salad with bacos c. pork-fried rice d. chicken in wine sauce |
Salad with Bacos
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What would a vegan not eat?
a. coleslaw made with oil and water b. congealed fruit salad c. salad with tofu dressing d. peanut butter |
congealed fruit salad
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What is lacking in the traditional diet for Asians living in America?
a. iron b. calcium c. folic acid d. thiamin |
Calcium
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Which of the following indicates stunted growth?
a. weight for height b. height for age c. weight for age d. weight for length |
Height for age
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A patient comes to you with a diet that you know is not good to follow. What should you do?
a. tell him it not good b. explain why it is not good c. tell him to only follow what you have provided d. let him do as he wishes |
Explain why it is not good
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Which hormone regulates breast milk production?
a. prolactin b. progesterone c. estrogen d. oxytocin |
Prolactin
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How many grams does a low birth weight infant weigh?
a. less than 2500 b. between 500 and 1500 c. between 3000 and 4000 d. between 100 and 500 |
less than 2500 grams or 5.5 pounds
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An 18 month old child should receive ___ milk
a. whole milk b. 2% milk c. 1% milk d. skim milk |
whole
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Which of the following is true about SGOT?
a. it is increased with hepatitis and diabetes b. it is increased with hepatitis, decreased with diabetese c. it is decreased in both hepatitis and diabetese d. it is decreased with hepatits and increased with diabese |
increased with hepatitis, decreased with diabetes
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What is the best way to increase attendance at a nutrition seminar for dentists?
a. hold it in a location convenient to large numbers of dentists b. have it held in a medical facility c. hold it on weekends when their offices are likely closed d. have it sponsored by a dental organization |
Have it sponsored by a dental organization
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As a public health nutritionist, you notice an increase in the percentage of obese hispanic females in the community. What is the best way to educate them?
a. have a cooking class that they can participate in the cooking and then eat the food they prepare b hold classes that teach low fat cooking c. develop posters with low fat cooking tips d. develop low fat recipes and instructional materials that they can follow at home |
have a cooking class that they can participate in the cooking and eat the food they prepare
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A 5 month old baby has changed from the 65th to the 95th percentile weight for height. The dietitian should first
a. suggest the mother introduce more solid foods b. change the feeding formula c. check to see if weights have been plotted properly d. increase the amount of formula given |
check to see if wts have been plotted properly.
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What would you do to decrease fat intake for a Hispanic?
a. change form whole milk to 2% milk b. change beans from refried to boiled c. change to low fat yogurt d. serve low fat cheese |
change beans from refried to boiled
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When is breastfeeding contraindicted?
a. whenthe mother is underweight b. when the mother has AIDS c. when the mother has a breast infection d. when the mother has hyperlipidemia |
when the mother has AIDS
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Which test measures somatic protein
a. prealbumin, albumin b. creatinine clearance, serum creatinine c. serum transferrin d. prealbumin, albumin, transferrin |
creatinine clearance, serum creatinine
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Expected creatinine clearance is estimated from the clients
a. weight b. TSF, AMC c. height d. waist circumference |
height
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How much water does an athlete need if they have lost 2 pounds during a marathon?
a. 8 ounces b. 16 ounces c. 24 ounces d. 32 ounces |
32 ounces
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High doses of which vitamin will interfere with Levodopa?
a. pyridoxine b. cyanocobalamin c. thiamin d. riboflavin |
pyridoxine
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Levodopa is used in the treatment of:
a. rheymatoid arthritis b. Parkinson's disease c. diabetic ketoacidosis d. nephrotic syndrome |
Parkinsons disease
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Quickly stopping a 25% dextrose solution leads to:
a. hyperglycemia b. hypoglycemia c. hypophosphatemia d. hyperkalemia |
hypoglycemia
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Infants born to mothers with diabetes may be:
a. larger than normal, and be hypoglycemia shortly after birth b. smaller than normal and be hyperglycemic shortly after birth c. larger than normal and be hyperglycemic shortly after birth d. smaller than normal and be hypoglycemic shortly after birth |
larger than normal and have hypoglycemia shortly after birth
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The mother of an infant who weighed 4.5 kg at birth and was hypoglycemic, may:
a. have gained excessive amounts of weight during pregnancy b. not have gained enough weight during pregnancy c. have had gestational diabetese d. have reactive hypoglycemia |
gestational diabetes
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What is the most impt advice to give a patient with a peptic ulcer?
a. drink milk every 1-2 hours b.consume small portions c. eat everything in balance d. abstain from spicy food |
abstain from spicy food
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A tube fed patient develops diarrhea. What needs to be done first?
a. review their nutritional needs b. increase the rate of the feeding c. review the osmolality of the feeding d. discontinue the feeding until the diarrhea stops |
Review the osmolality of the feeding
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A patient admitted to the ICU is diagnosed with HIV and progressive infection. Which nutrients would be helpful?
a. phosphorus and zinc b. sodium and potassium c. sodium and chromium d. potassium and magnesium |
Phosphorus and zinc
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A young girl who is HIV positive with Karposis sarcoma tells you she would like to take Vitamin C supplements. What should you tell her?
a. ignore her request and talk about incroporating better balanced foods into her diet b. ignore her request and advise her to drink more juices c. explain the dangers of taking too much vitamin C d. as her to keep a food diary to see where she is lacking |
Ask her to keep a food diary to see where she is lacking
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Why would you add bicarbonate to a solution for a person with hyperkalemia?
a. it forces magnesium out of the cell to attract potassium b. if forces chloride out of the cell to attract potassium c. it exchanges phosphorus for potassium d. it exchanges hydrogen for potassium |
It exchanges hydrogen for potassium
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A patient with Parkinsons disease on Levodopa should:
a. increase protein intake at breakfast b. consume no more than 40 grams protein per day c. evenly divide protein intake throughout the day d. minimize protein at breakfast and lunch and add it to the evening meal |
minimize protein at breakfast and lunch and add it to the evening meal
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Which would you recommend for a patient with mild dysphagia?
a. honey b. apple juice c. nectar d. pudding |
Pudding
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Four patients are admitted to your service. Who would you address first?
a. patient who had a recent MI b. patient with gastric distress c. patient with cancer d. patient admitted for an appendectomy |
Patient with gastric distress
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Lactic acid is a result of:
a. anaerobic glycolysis b. aerobic glycolysis c. TCA cycle d. Cori cycle |
anaerobic glycolysis
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When counseling a diabetic with limited education, which would be the most appropriate question to ask in assessing her comprehension level?
a. do you enjoy candy and sweets b. name a food that is a fat c. do you have difficulty swallowing or chewing d. how many melas and snacks do you consume each day |
Name a food that is a fat
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Based on DRGs, Medicare reimbursement depends on
I length of patient stay II age of patient III primary diagnosis |
age of patient and primary diagnosis
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A patient is diagnosed with iatrogenic malnutrition. Nutritional therapy should be
a. high calorie b. high protein c. high calorie, high protein d. low calorie, high protein |
high calorie, high protein
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Within 2-3 hours of continuous exercise at 60-80% maximum:
a. muscle glycogen is depleted b. muscle glygoen is the main energy source c. amino acids begin to contribute a source of energy d. fatty acids are the favored substrates |
muscle glycogen is depleted
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To maintain hydration during continuous endurance physical activity of 4 hours, consume
a. fluids b. fluids and sodium c. fluids, sodium, carbohydrates d. non-CHO electrolyte solutions |
fluid, CHO and sodium
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To restore hydration after continuous endurance activity of 2 hours, consume:
a. fluid, carbohydrate, sodium b. non-CHO electrolyte soluitons c. fluids d. fluids and sodium |
a. fluid, carbohydrate, sodium
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The test that measures toxic levels of lead on heme synthesis is the
a. prothrombin test b. free erythrocyte protopohyrin test c. hemoglobing value test d. MCV |
free erythrocyte protopophyrin test
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Nutrition intervention with Alzheimers disease should include:
a. eating with TV on Provides stimulation b. offer one food at a time, avoid distractions c. c encourage eating meals with others d. several small meals and snacks throughout the day |
b. offer one food at a time, avoid distractions
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Anasarca is extreme generalized edema and swelling of the skin associated with:
a. uncontrolled diabetese b. heart, liver or renal failure c. short bowel syndrome d. pancreatitis |
heart, liver or renal failure
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Glucophage (metformin) functions by:
a. stimulates insulin secretion b. inhibits digestive enzyme action c. decreases peripheral resistance d. enhances insulin action |
enhances insulin action
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An 11 month old is constipated. The most likely nutrition diagnosis would be
a. GI distress b. lack of fruits c. inadequate fluid intake d. imbalainced intake |
inadequate fluid intake
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A client who primarily consumes frozen dinners and breakfast cereal due to limited access to transportation most likely would have a nutrition diagnosis of:
a. not ready for diet change b. inability to manage self care c. impaired ability to prepare meals d. poor nutrition quality of foods |
impaired ability to prepare meals
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A patient complains of abdominal distention, mouth lesions and a 10% wt loss over the past 6 months. The nutrition diagnosis would be
a. impaired nutrient utilization b. inadequate vitmain intake c. involuntary weight loss d. d. altered GI function |
impaired nutrient utilization
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A cancer patient receiving radiation therapy to the head and neck presents with weight loss. The nutrition diagnosis would be
a. swallowing difficulty b. involuntary weight loss c. impaired nutrient utilization d. hypermetabolism |
swallowing difficulty
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When working with patients who have food allergies in a pediatric GI clinic, which of the following outcomes should be measured?
a. frequency of patient compliance with instructions b. reduction of food-related reactions among patients c. level of knowledge about causes of food allergies d. patient satisfaction with Dietitian's interactions |
reduction of food related reactions among patients
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Which of the following is an achievable outcome for a weight loss program?
a. promote desirable body weight among young adults b. INcrease by 25% the number of physiscains who refer patient for weight-management counseling c. Screen and refer tfor treatment within two years those whose body weight is 10% above desirable d. Reduce by 10% the number of obese adults, ages 25-49 within two years of starting the program |
reduce by 10% the number of obese adults, ages 25-49, within 2 years of starting the program
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A child with cystic fibrosis has had a recent weight loss and several large foul smelling stools each day for the past 2 months. To evaluate the situation, the first step should be to assess her
a. calorie intake b. total fat intake c. compliance with PERT d. 24 hour fecal fat |
compliance with PERT
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A patient with diabetes has not eaten for more than 3 days. You should
a. liberalize the diet b. provide multivitamin/mineral supplementation c. provide increased fluids d. stay with her plan and enourage small frequent feedings |
liberalize the diet
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Which of the following about nutrition screening is true in a hospital?
a. provides direction for patient care b. cost-effective for all patients c. it has universal criteria for all age groups d. it should be performed only when ordered |
provides direction for patient care
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A child has chronic non specific diarrhea without malabsorption. An increased intake of what may be the cause?
a.sorbitol b. fat c. protein d. fruit |
Sorbitol
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A strict Muslim would NOT consume:
a. fruited gelatin, shrimp, ham b. dairy products c. non-carbonated beverages d. eggs, cheese |
fruited gelatin, shrimp or ham
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With a CHO to insulin ratio of 16:1, how much insulin is needed with this meal? 1 and 1/3 c spaghetti, 1 c spaghetti sauce, 1 c green beans, 1 slice bread, 1 tsp butter, 1/2 c ice cream
a. 4 units b. 5 units c. 6 units d. 8 units |
10-15 =1 unit, so 8 units
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A newly diagnosed diabetic needs 2200 calories, 50% from CHO. How many CHO choices can he have at each meal if he has 3 snacks with 2 CHO choices each?
a. 3 b. 4 c. 2 d. 1 |
4
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Which of the following outcomes would best indicate parental support of a child's weight loss effort in a program for obese pre-teen children?
a. Eliminate sweets b. discuss weight loss indicators c. decide to defer action until after puberty d. enroll child in physical activity programs |
Enroll child in physical activity programs
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A 9 month old infant being fed iron fortified, milk based formula is obese. You should recommend
a. limiting the formula feeding to 16 ounces b. changing the formula to 2% milk c. changing the formula to whole milk d. monitoring wight and intake |
monitoring weight and intake
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A patient on warfarin should avoid:
a. black cohosh b. thiamin supplements c. simple carbohydrates d. B vitamin supplements |
black cohosh, its a blood thinner
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The best way for you to follow up on a patients application of diet instruction provided is to
a. give pre and psot tests on recommendations b. evaluate his food diary for one week c. ask him how he is doing with the new plan d. use body language to determine his interest in following the plan |
b. evaluate his food diary for one week
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A family receiving food stamps often runs out of food by the middle of the month. Obtain an emergency food voucher for them and refer them to
a. congregate meal site b. a social services agency c. WIC d. EFNEP |
EFNEP
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A 35 year old female with type one diabetes received nutrition counseling and started NPH therapy one month ago. Today her fasting blood glucose level is 290 mg/dl and cholesterol level is 185 mg/dl. She eats one meal per day. Which do you need to address first?
a. instruction about the relationship of diet to blood glucose level b. instruction about maintaining current body weight c. advice to include various food groups d. advice about controlling cholesterol levels |
Instruction about the relationship of diet to blood glucose level
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Which of the following would provide the most useful data when conducting nutrition screening on preschool children at a health fair?
a. triceps skinfold thickness b. weight for age c. weight for stature d. stature for age |
weight for stature
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Which of the following nutrition diagnoses is most likely to be associated with cyclosporine therapy?
a. hyperphosphatemia b. hyperlipidemia c. hypoglycemia d. hypokalemia |
hyperlipidemia
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An infant with milk hypersensitivity could safely consume:
a. sou milk fortified with calcium b. goat's milk fortified with folic acid c. modular formula with crytalline amino acid d. a casein hydrolysate formula |
a casein hydrolysate formula
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Which of the following is included in a subjective global assessment?
a. standard weight for height b. mid-arm muscle circumference c. prealbumin d. dietary intake |
Dietary intake
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Southeast Asian populations would likely consume the following foods:
a. rice, vegetables and small amounts of meat b. fruits, cheese, and small amounts of rice and meat c. large amounts of rice and milk, and small amounts of meat and fruit d. large amounts of meat and milk, small amounts of fruits and vegetables |
rice, veggies and small amounts of meat
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An elderly obese patient has been diagnosed with Type 2 diabetes. Which of the following is an appropriate nutrition diagnosis?
a. elevated serum triglycerides b. high HDL cholesterol c. low blood pressure d. low serum insulin |
a. elevated serum triglycerides
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An indication for use of a protein hydrolysate infant formula is:
a. prematurity b. constipation c. phenylketonuria d. protein hypersensitivity |
d. protein hypersensitivity
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An appropriate source of folate for a female from Central America is:
a. corn b. broccoli c. black beans d. raisins |
c. black beans
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