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Clinical Nutrition Exam 1 > Clinical Nutrition Intro & Nutritional Counseling > Flashcards

Clinical Nutrition Intro & Nutritional Counseling Flashcards

(69 cards)

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1
Q

What are some factors that may affect nutritional status?

A
  • Food/Nutrition History
  • Anthropometric measurements
  • Biochemical data
  • Physical Exam
  • Functional Assessment
  • Estimated energy/protein needs
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2
Q

What are the four components of the patient care process?

A
  1. Assessment
  2. Diagnosis
  3. Intervention
  4. Monitoring
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3
Q

What are the parts of motivational interviewing?

Following, directing or guiding?

A

Guiding via:

  1. Ask
  2. Listen
  3. Informing
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4
Q

How many recommendations are your patients going to comply with?

A

Make one change at a time.

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5
Q

What are examples of subjective data used in nutritional analysis?

A
  • Food/Nutrient intake
  • Medication and supplement intake
  • Knowledge/belief/attitude
  • Behavior
  • Factors affecting access to food
  • Physical Activity
  • Nutrition-related patient-centered measures
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6
Q

What are examples of objective data used in nutritional analysis?

A
  • Medical Records
  • Histories
  • Anthropometric measurements
  • Results from tests and procedures
  • Biochemical Data
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7
Q

What anthropometric measures are usually conducted? What is the best indicator of health?

A
  1. ) Height
  2. ) Weight
  3. ) Waist Circumference ***best indicator
  4. ) Percent weight change
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8
Q

BMI <16

A

Severe thinness

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9
Q

BMI 16-16.9

A

Moderate thinness

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10
Q

BMI 17-18.49

A

Mild thinness

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11
Q

BMI 18.5-24.9

A

Normal

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12
Q

BMI > or equal to 25

A

Overweight

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13
Q

BMI 25-29.9

A

Preobese

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14
Q

BMI 30-34.9

A

Obese Class I

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15
Q

BMI 35-39.9

A

Obese Class II

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16
Q

BMI 40+

A

Obese Class III

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17
Q

What is the cutoff for healthy male WC?

A

Less than or equal to 40 inches

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18
Q

What is the cutoff for healthy female WC?

A

Less than or equal to 35 inches

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19
Q

What is the cutoff for healthy male waist to hip ratio (WHR)?

A

Less than or equal to 0.95

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20
Q

What is the cutoff for healthy female waist to hip ratio (WHR)?

A

Less than or equal to 0.80

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21
Q

What is the cutoff for healthy waist to height ratio for males and females?

A

Less than 0.50

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22
Q

How do you calculate percent weight change?

A

[(Usual Body weight - present weight)/ usual body weight] *100 = Percent weight change

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23
Q

Acanthosis nigricans

A

Obesity, metabolic syndrome, T2D

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24
Q

Ecchymosis (bleeding under the skin)

A

Vitamin K or C deficiency

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25
Petechiae and purpura
Vitamin K or C deficiency
26
Dermatitis
Marasmus, niacin (B3), riboflavin (B2), zinc, biotin, or essential fatty acid deficiency
27
Follicular hyperkeratosis
Vitamin A or C deficiency
28
Pigmentation changes
Niacin (B3) or copper deficiency, marasmus
29
Pressure Ulcers/ delayed wound healing
Protein, vitamin C, zinc deficiency
30
Psoriasis, eczema
Zinc deficiency
31
Scrotal Dermatitis
Riboflavin (B2) deficiency
32
Pallor
Iron, folate, B12, or copper deficiency
33
Thickening and dryness of the skin
Linoleic acid deficiency (n-6)
34
Depigmentation of hair
Copper deficiency
35
Easily pluckable hair
Protein or copper deficiency
36
Thinning or dull hair
Protein, zinc, biotin, or n-6 deficiency
37
Kolionychia (Nail spooning)
Iron deficiency
38
Dull, lusterless, transverse lines on nails
Protein deficiency
39
Pale, mottled nails
Vitamin A or C deficiency
40
Bruising, bleeding nails
Protein-energy deficiency
41
Splinter hemorrhages - nails
Vitamin C deficiency
42
Facial parasthesias (tingling)
Calcium deficiency
43
Moon Face (children)
Kwashiokor (protein deficiency)
44
Night blindness, xerosis, Bitot's spots, keratomalacia
Vitamin A deficiency
45
Photophobia, blurring, conjunctivitis, corneal vascularization
Riboflavin (B2) deficiency
46
Pale conjunctiva
Iron, folate or B12 deficiency
47
Angular palpebritis
Riboflavin (B2), or niacin (B3) deficiency
48
Corneal arcus (ring), xanthelasma
Hyperlipidemia
49
Chelosis, angular stomatitis (tongue)
Riboflavin (B2), niacin (B3), or Biotin (B6) deficiency
50
Taste Atrophy
Zinc deficiency
51
Magenta tongue
Riboflavin (B2) deficiency
52
Glossitis, atrophic filiform papillae
Niacin (B3), Riboflavin (B2), Folate, iron, or B12 deficiency
53
Dental Carries
Fluoride or Vitamin C deficiency, excess sugar
54
Mottling of teeth
Fluoride toxicity
55
Spongy, bleeding or receding gums
Vitamin C deficiency
56
Enlarged Thyroid
Iodine deficiency
57
Enlarged parotids
Protein deficiency or bulimia
58
Rickets, osteomalacia
Vitamin D and Calcium deficiency
59
Swollen, painful joints
Vitamin C deficiency
60
Thigh and calf pain
Thiamin (B1) deficiency
61
Muscle Wasting and weakness
Protein-energy, vitamin D or magnesium deficiency
62
Psychomotor changes, confusion
Protein deficiency
63
Weakness, confusion, depressed reflexes, paresthesias, sensory loss, calf tenderness
Thiamin (B1), Vitamin E, B6 or B12 deficiency
64
Dementia
Niacin (B3) or B12 deficiency
65
Tetany
Vitamin D, calcium or magnesium deficiency
66
What is a measurement of a nutrient or its metabolite in blood, urine or body tissue?
Static Biochemical Assessment (Static Assay)
67
What is a measurement of a process requiring specific nutrients?
Functional Biochemical Assessment (Functional Assay)
68
Are we able to measure the status of all micronutrients in vivo?
No, There is not a single test or group of tests that are sufficient for monitoring nutritional status.
69
What is an inappropriate method for measuring nutritonal status?
Applied Kinesiology - no more useful than random guessing

Clinical Nutrition Exam 1 (6 decks)

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