Nutrition Assessment

Question 1

Which nutrients have been shown to reduce plasma homocysteine concentrations?

Answer 1

folic acid, B6, and B12

Question 2

Where is fat predominately absorbed?

Answer 2

duodenum and proximal jejunum

Question 3

What are symptoms of SIAD?

Answer 3

increased sodium and osmolality in urine

Question 4

Intervention for SIAD

Answer 4

Restrict fluid, increase sodium
If these interventions are ineffective, pharmacotherapy with loop diuretics and/or vasopressin-2 receptor agonists may be used.

Question 5

symptoms of riboflavin deficiency

Answer 5

cheilosis, hyperemia and edema of pharyngeal and oral mucosa, angular stomatitis, and glossitis (magenta tongue)

Question 6

Where is iron primarily absorbed?

Answer 6

deodenum and jejunum, in the ferrous state

Question 7

Copper and iron deficiency result in what kind of anemia?

Answer 7

microcytic hypochromic

Question 8

B12 and folate deficiency resfult in which kind of anemia?

Answer 8

macrocytic

Question 9

Symptoms of copper deficiency

Answer 9

Microcytic, hypochromic anemia
sensory ataxia
lower extremity spasticity
paresthesia in extremities leukopenia
neutropenia
hypercholesterolemia increased erythrocyte turnover
decreased ceruloplasmin abnormal EKG patterns myeloneuropathy

Question 10

Calcification occurs when the product of serum calcium and phosphorus exceeds

Answer 10

55 mg2/dL2

Question 11

What does the SGA use to evaluate the nutritional status of pts?

Answer 11

weight history, dietary intake, gastrointestinal symptoms, functional status, metabolic demand, fat depletion, muscle wasting, and nutrition related edema

Question 12

Which medication inhibits Vit A?

Answer 12

Corticosteroids

Question 13

A zinc deficiency could precipitate a secondary deficiency of which nutrient?

Answer 13

Vit A

Question 14

RQ .71

Answer 14

lipid oxidation

Question 15

RQ .82

Answer 15

protein oxidation

Question 16

RQ .85

Answer 16

mixed substrate oxidation

Question 17

RQ 1

Answer 17

carbohydrate oxidation

Question 18

scaly dermatitis, alopecia, thrombocytopenia, anemia and impaired wound healing

Answer 18

EFAD

Question 19

EFAD usually results after

Answer 19

4 weeks of PN, although signs of deficiency can be seen as early as 10-20 days in adults and deficiency can occur more rapidly in infants and children

Question 20

EFAD diagnosis

Answer 20

triene:tetraene ratio greater than 0.2

Question 21

pallor, fatigue, and microcytic anemia

Answer 21

iron deficienc

Question 22

which predictive equation has demonstrated the greatest accuracy in estimating actual resting metabolic rate in healthy obese and nonobese adults?

Answer 22

Mifflin-St. Jeor

Question 23

The NRS-2002 includes

Answer 23

unintentional weight loss, BMI, disease severity, impaired general condition and age > 70

Question 24

The NRS-2002 includes

Answer 24

unintentional weight loss, BMI, disease severity, impaired general condition and age > 70

Question 25

The NUTRIC score includes

Answer 25

APACHE II score, SOFA (with or without IL-6), number of comorbidities and days from hospital to ICU admission

Question 26

PKU is caused by a deficiency of___, making ___ essential

Answer 26

the hepatic enzyme phenylalanine hydroxylase (PAH), tyrosine