Biochemistry

Question 1

Ideal Body Weight Calculation

Answer 1

Males: 106 lbs. for first 5ft. and 6 lbs. for every additional inch

Females: 100 lbs. for first 5ft. and 5 lbs. for every additional inch

Question 2

Factors used in calculating BMR

Answer 2

(SHAW)

Sex

Height

Age

Weight

Question 3

What can an NG Suction Tube lead to?

Answer 3

Hypochloremic

Hypokalemic

Metabolic Acidosis

Question 4

Fluid Replacement Calculation

Answer 4

4-2-1 Rule

4 cc/kg/hr for first 10 kg

2 cc/kg/hr for second 10 kg

1 cc/kg/hr for each kg thereafter

(60 cc/hr for 1st 20 kg)

Question 5

GOOD Fats

Answer 5

Monounsaturated Fats

Omega-3- Fatty Acids

Question 6

Bad Fats

Answer 6

Polyunsaturated Fats

Saturated Fats

Question 7

Dietary Recommendations for Metabolic Syndrom

Answer 7

• Do NOT Drink Calories
• Avoid High Fructose Corn Syrup
• Avoid White Foods

Question 8

What are the two type of anorexia nervosa?

Answer 8

1. Restricting Type
2. Binge Eating/Purgin Type

Question 9

Anorexia Nervosa Diagnostic Criteria

Answer 9

1. Inability to maintain normal weight for height (BMI below 17.5)
2. Intense fear of gaining weight or becoming fat (Even though underweight)
3. Disturbance of Body Image
4. (Females) Absence of 3 Consecutive Menstrual Cycles w/ No Other Cause

Question 10

Types of Bulimia Nervosa

Answer 10

1. Purging
2. Non-Purging

Question 11

Bulimia Nervosa

Answer 11

Recurrent episodes of binge eating, on average, twice a week for 3 months

Sense of lack of control of eating during an episode

Question 12

Treatment of Eating Disorders

Answer 12

1. Stabalize (Electrolytes)
2. Evaluate risk of suicide
3. Focus on cognitive-behavioral therapy in addition to nutritional therapy (including family if possible)
4. Guard against refeeding syndrome

Question 13

How to avoid refeeding syndrome?

Answer 13

1. Closely Monitor Patient
2. Correct Electrolyte Balance
3. Strict Fluid Balance
4. Start at 50-75% of calorie needs
5. Increase by 10% every day
6. Monitor Daily Weight Gain (Fluid Retention)

Question 14

Iron deficiency can lead to what?

Answer 14

Issues with behavior, attention spand, and learning ability

Question 15

For a patient to have a true food allergy what must occur?

Answer 15

Immunologic Response

Question 16

Iron needs of boys in a growth spurt?

Answer 16

Additional 2.9 mg/day above RDA

Question 17

Iron needs of girls in a growth spurt?

Answer 17

Additional 1.1 mg/day above RDA

Question 18

What impact might a vegan diet have on nutritional status and development of a child?

Answer 18

Deficiencies of:

• Protein
• Vitamin D
• Vitamin B12
• Iron
• Calcium

Strict Vegan diet can significantally slow growth transitions from breast milk to solid foods