Miscellaneous

Question 1

What nutrients are malabsorbed in cystic fibrosis?

Answer 1

fat, fat soluble vitamins, essential FA, protein

Question 2

What blood glucose is considered cystic fibrosis related diabetes?

Answer 2

> 126 mg/dL requires additional testing

Question 3

Definition of metabolic syndrome

Answer 3

abdominal obesity, HTN, hyperlipidemia, glucose intolerance

Question 4

most common food hypersensitivities

Answer 4

milk, eggs, wheat, peanut, soy

Question 5

Types of food hypersensitivity reactions

Answer 5

IgE, non-IgE, cutaneous IgE, cutaneous non IgE, respiratory IgE

Question 6

Symptoms of IgE reaction in food hypersensitivity

Answer 6

itching, throat tightness, nausea, vomiting, diarrhea

Question 7

Symptoms of non-IgE reaction in food hypersensitivity

Answer 7

diarrhea, vomiting, celiac disease, bloody BM

Question 8

Symptoms of cutaneous IgE reaction in food hypersensitivity

Answer 8

hives or flushing

Question 9

Symptoms of cutaneous non-Ige reaction in food hypersensitivty

Answer 9

contact hypersensitivity, contact irritation, chronic dermatitis

Question 10

Symptoms of respiratory IgE reaction in food hypersensitivity

Answer 10

rhinoconjunctivitis, laryngeal edema

Question 11

What indicates a positive prick skin test in allergy testing?

Answer 11

welt >3 mm

Question 12

What is RAST?

Answer 12

Radioallergosorbent test- in vitro assay that checks for serum specific IgE antibodies

Question 13

How long is the limit for strict elimination diets?

Answer 13

6 weeks

Question 14

Definition of constipation

Answer 14

<3 BM per week

Question 15

Treatment for constipation

Answer 15

> 1 yr: 0.5 g/kg inc in fiber
<1 yr: barley cereal or prune/pear juice at 2 mL/kg/d

Question 16

Definition of glycemic load

Answer 16

glycemic index X g CHO present

Question 17

Definition of glycemic index

Answer 17

ranking system of how quickly a certain CHO raises glucose level

Question 18

4 types of insulin

Answer 18

Rapid, short, intermediate, long

Question 19

Characteristics of rapid insulin

Answer 19

15 min, peak at 30-90 min, duration 3-5 hrs

Question 20

Characteristics of short acting insulin

Answer 20

30-60 min, peak 2-4 hrs, duration 5-8 hrs

Question 21

Characteristics of intermediate acting insulin

Answer 21

1-3 hrs, peak 8 hrs, duration 12-16 hrs

Question 22

Characteristics of long acting insulin

Answer 22

1-2 hrs, duration 24 hrs, no peak

Question 23

Definition of hyperlipidemia

Answer 23

Total cholesterol >200
LDL >110

Question 24

Examples of gluten free starches

Answer 24

arrowroot, potato, legume, rice, soy, cornmeal, cornstarch, tapioca

Question 25

When is central access indicated?

Answer 25

When TPN >2 weeks

Question 26

When is PPN considered?

Answer 26

When TPN <2 weeks

Question 27

Limitations of PPN

Answer 27

<900 mOsm/L, 12.5% dextrose

Question 28

What is a PICC?

Answer 28

peripherally inserted central catheter can be used for up to 1 month

Question 29

What is D-Xylose used for?

Answer 29

checks malabsorption by giving D-xylose and checking for presence in blood

Question 30

What is qualitative fecal fat used for?

Answer 30

Monitors for fat malabsorption, pancreatic insufficiency and celiac disease

Question 31

What is qualitative fecal fat test?

Answer 31

2 day collection of stool using a 100 g fat test

Question 32

What is a barium swallow study?

Answer 32

Visualizes upper GI and small bowel, looks for hiatal hernia, varices and dysmotility

Question 33

What is an EDG?

Answer 33

tube threaded through esophagus to duodenum taking biopsies

Question 34

What is an upper GI?

Answer 34

Barium study that visualizes upper GI tract through small bowel looking for inflammation and lesions

Question 35

What is a barium enema?

Answer 35

Visualizes lower GI including colon/rectum, looking for polyps, colitis, UC, obstruction

Question 36

What does serum bilirubin test for?

Answer 36

blood test that measures the excretory function of the liver and can help diagnose hepatitis and cholestasis

Question 37

What does blood ammonia level test for?

Answer 37

measures how well the liver is able to break down protein for excretion

Question 38

What is prothrombin time tested for?

Answer 38

measures synthetic function of the liver, dependent on vitamin K and other clotting factors

Question 39

What is the behaviorist learning therory?

Answer 39

learning is modification of behavior based on conditioning

Question 40

What is the cognitive learning theory?

Answer 40

learning is motivated by the need for certain knowledge and not through a change in behavior

Question 41

What is the social cognitive learning theory?

Answer 41

An individual will be more likely to modify his/her behavior if they have a role model

Question 42

What is an EAR?

Answer 42

meets requirements of 50% of designated group

Question 43

What is RDA?

Answer 43

meets requirements of 98% of designated group

Question 44

What is AI?

Answer 44

average intake of designated group

Question 45

What is UI?

Answer 45

maximum intake not likely to pose health risk

Question 46

What is considered a large residual?

Answer 46

1/2 bolus volume or >2 hrs of continuous feed

Question 47

What are short term outcomes?

Answer 47

directly related to the process

Question 48

What are long term outcomes?

Answer 48

related to general quality of care and patient satisfaction

Question 49

What are 3 types of outcome measures?

Answer 49

clinical, customer functioning, customer satisfaction

Question 50

What is a clinical outcome measure?

Answer 50

positive results from intervention

Question 51

What is a customer functioning outcome measure?

Answer 51

ability to perform