Nutrition DSA

Question 1

What are the three components of total energy expenditure?

Answer 1

basal energery expenditure

thermal effect of feeding

activity energy expenditure

Question 2

What is the difference in calorie need b/t sedentary hospitalized pt and acutely ill pt to maintain wt?

Answer 2

sedentary - 30-35kcal/kg

ill - 35-40kcal/kg

Question 3

What waist circumference qualifies as obese?

Answer 3

>40” in men

>35” in women

Question 4

What is the acronym “DETERMINE” used for and what does it stand for?

Answer 4

older adult assessment of nutritional status

Disease

Eating poorly

Tooth loss/mouth pain

Economic hardship

Reduced social contact

Multiple medications

Involuntary weight loss

Need for assistance with self care

Elderly years (>80a)

Question 5

What nutrients are affected by tetracyclines?

Answer 5

Ca, Mg, Iron, Vit B12

Question 6

What nutrients does neomycin affect? kanamycin?

Answer 6

both affect fat soluble vitamins, B12

Question 7

What medications can affect folate?

Answer 7

sulfasalazine

phenobarbital, phenytoin

methotrexate

Question 8

What nutrients can anticonvulsants affect?

Answer 8

Ca, vit D, folate, Niacin

(phenobarbital, phenytoin)

Question 9

What nutrients can hypolipidemics affect?

Answer 9

fat and fat soluble vitamins

(cholestryramine, colestipol)

Question 10

What nutrients can mineral oil affect?

Answer 10

water, electrolytes, fat, fat solube vit

Question 11

What nutrients can Isoniazid affect? Warfarin?

Answer 11

a. B6, B3
b. Vit K

Question 12

What nutrients can diuretics affect?

Answer 12

K, Mg, Ca, Zn

(thiazides, furosemide)

Question 13

What nutrients can lithium affect? amiodarone?

Answer 13

iodine

Question 14

What qualifies as significant unintentional weight loss?

Answer 14

5% loss in 6 mo or 10% in a year

%wt change = [(usual wt - current wt)/usual wt] x 100

Question 15

Rapid weight gain is more likely related to ____1____. Weight loss is more likely related to ____2____.

Answer 15

1. Fluid retention
2. Tissue loss

Question 16

Answer 16

Question 17

What can the following labs tell you is deficient?

a. CBC
b. TSH
c. Total protein, albumin

Answer 17

a. iron, b12, folate
b. iodine
c. protein calorie malnutrition

Question 18

What are the four Hs of scruvy?

Answer 18

hemorrhagic signs

hyperkeratosis of the hair follicles

hypochondriasis

hematologic abnormalities

Question 19

What are the three Ds of pellegra?

Answer 19

dermatitis

dementia

diarrhea

Question 20

Vitamin A def sign

Answer 20

follicular hyperkeratosis

night blindness

xerosis, keratomalacia, bitot spots

Question 21

Proteind def signs

Answer 21

dry and scaly, cellophane appearance

interossesous muscle atrophy

poor hand grip/strength

poor leg strength

parotid enlargment

Question 22

Calorie def sign

Answer 22

interossesous muscle atrophy

poor hand grip/strength

poor leg strength

Question 23

Vit d def

Answer 23

interossesous muscle atrophy

poor hand grip/strength

poor leg strength

Question 24

Zinc def signs

Answer 24

flaking dermatitis

Question 25

Niacin def signs

Answer 25

pigmentation changes angular stomatitis cheilosis glossitis

Question 26

Riboflavin def sings

Answer 26

angular stomatitis cheilosis glossitis bleeding gums

Question 27

Pyridoxine def signs

Answer 27

angular stomatitis cheilosis

Question 28

Vit C def signs

Answer 28

petechiae purpura bleeding gums **corkscrew hairs**

Question 29

Vit k def signs

Answer 29

purpura

Question 30

Iron def signs

Answer 30

conjunctiva pallor pallor **spooning** (of nails)

Question 31

Vit b12 def signs

Answer 31

conjunctiva pallor pallor glossitis

Question 32

Folate def signs

Answer 32

conjunctiva pallor pallor glossitis

Question 33

What def can cause tetany?

Answer 33

Ca, Mg

Question 34

What def causes a goiter?

Answer 34

iodine