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Flashcards in Nutrition care part 1 Deck (68)
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1

In community surveys, a frequent symptom of malnutrition is:
a. scurvy
b. rickets
c. low serum albumin
d. low hemoglobin

d. low hemoglobin

2

Which is the least common symptom in the elderly?
a. osteomalacia
b. osteoporosis
c. obesity
d. hypertenstion

a. osteomalacia

3

What is included in the study of demographics?

age and sex of individuals, population statistics

4

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

5

How many grams of protein would you receive on a 1500 calorie diet which is 20% protein?
a. 70
b. 75
c. 64
d. 300

b. 75

6

A patient is on a high protein, low carbohydrate diet. What advice should you offer?
a. increase fluid intake
b. decrease the intake of complex carbs
d. decrease fluid intake
d. decrease the intake of saturated fats

a. increase fluid intake

7

Nutritional prescription for a patient with cardiac cachexia includes:
a. < 1 liter fluid, low sodium
b. low sodium, low saturated fat, low cholesterol, high-calorie
c. restricted calorie, .8 g protein/kg, fluid restriction
d. normal protein, follow DASH diet

b. low sodium, low saturated fat, low cholesterol, high-calorie

8

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

9

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. hypoaldosteronsim
c. hypoalbuminemia
d. hyperammonemia

c. hypoalbuminemia

10

Which of the following should a patient with hypoalbuminemia, low hemoglobin, high ammonia, abnormal liver function tests and ascites have for lunch?
a. 4 oz cottage cheese
b. 1 ounce cheddar cheese
c. 1 ounce roast beef
d. 1 ounce cold cuts

c. 1 ounce roast beef

11

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, high protein
a. II, III
b. III, IV
c. I, II, IV
d. II, IV

a. II, III

12

Who is most at risk for gestational diabetes?
a. BMI < 30
b. age <25, overweight
c. BMI > 30, history of GDM
d. conception within 10 months of last pregnancy

c. BMI > 30, history of GDM

13

A child is lethargic, irritable with diarrhea. The cause may be:
a. zinc toxicity
b. lead poisoning
c. iron overload
d. vitamin A toxicity

b. lead poisoning

14

How many calories are in 300 ml of a 5% dextrose soultion?
a. 51
b. 60
c. 15
d. 200

a. 51

15

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 physcian immediately
b. apply for WIC immediately
c. join a teenage pregnancy support group
d. begin taking iron supplements

a. see a physcian immediately

16

A female, 5'7'' tall, weighs 115 lbs. Six months agon she weighted 130 lbs. What is her percent of ideal body weight?
a. 85%
b. 83%
c. 81%
d. 87%

a. 85%

17

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

18

A patient with Crohns disease needs the followig diet:
I. high fat, high calorie, high protein
II. low fat only with steatorrhea, vitamin C, B12
III. calories according to current BMI, high protein
IV. low calorie, low residue, fat soluble vitamins, B12
a. I
b. II, III
c. III, IV
d. V

b. II, III

19

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

20

Which patient has marasumus?
Patient A (male)
serum albumin 3.5, transferrin 275, tricepts skinfold 3, MAMC 15
Patient B (female)
serum albumin 2.6, transferrin 125, triceps skinfold 16.8, MAMC 24.1, TLC 1000
Patient C (male)
serum albumin 4.0, transferrin, 450, tricepts skinfold 17, MAMC 28.1, TLC 3500
a. Patient A
b. Patient B
c. Patient C
d. Patient A, B

a. Patient A

21

When assessing nutritional status, which would be the most beneficial?
a. 24 hour recall, history of weight changes
b. medical history, diet order, socioeconomic status
c. clinical observation, weight status, cultural habits
d. diet intake info, clinical data, laboratory data

d. diet intake info, clinical data, laboratory data

22

The first function of the public health nutrtionist is:
a. assess the needs of the community
b. counsel patients with special dietary needs
c. write pamphlets for educational purposes
d. expand the role of Dietitians

a. assess the needs of the community

23

What nutrients most affect the renal solute load?
a. protein and carbohydrates
b. sodium and carbohydrates
c. protein and sodium
d. sodium and fat

c. protein and sodium

24

The elderly need how many ml of water per KG?
a. 35-40
b. 45
c. 25-30
d. 25

c. 25-30

25

According to the Diabetic Exchange Lists, when substituting 2% milf for fat-free milk, you must omit how many fat exchanges?
a. 1/2
b. 1
c. 1- 1/2
d. 2

b. 1

26

If a man normally consuming 2600 calories per day reduces his intake to 1500 calories per day, how much weight will he lose in one week?
a. 0.5 kg
b. 1.0 kg
c. 1.5 kg
d. 2.0 kg

b. 1.0 kg

NOTE: it says KG! convert lbs to KG by dividing by 2.2
3500 cal= 1 pound

2600-1500=1,100 cal x 7 days=7,700 cal/3500 cal= 2.2 lbs
2.2/2.2= 1 kg

27

For which of the following diseases is diet therapy the primary treatment?
a. peptic ulcer
b. diabetes
c. Wilsons disease
d. galactosemia

d. galactosemia

28

Which of the following best reflects protein status?
a. serum albumin
b. serum transferrin
c. retinol-binding protein
d. prealbumin

d. prealbumin

serum albumin- 3.5-5.0
hypoalbuminemia associated with edema, surgery. levels above normal likely due to dehydrateion. NOT reflect current protein intake

serum transferrin->= 200 mg/dl
rises with iron deficiency

retinol-binding protein- 3-6 mg/dl
circulateds with prealbumin, shortest 1/2 life (12 hrs). binds and transports retinol

29

Following a Billroth II, steatorrhea often results. What is the likely cause?
a. bacterial overgrowth in the remaining loop
b. lack of pancreatic secretion due to less duodental hormone secretion
c. a diet retricting simple carbohydrates
d. rapid absorption of simple carbohydrates

b. lack of pancreatic secretion due to less duodental hormone secretion

30

Chemically defined formulas are used for:
a. short bowel syndrome
b. post chemotherapy treatment
c. hypermetabolism
d. galactosemia

a. short bowel syndrome