Practice Questions Flashcards

(33 cards)

1
Q

Long-term use of lithium, a treatment for bipolar disorder, can lead to which of the following?

Hypercalcemia
Hypomagnesemia
Hyperkalemia
Hypoalbuminemia

A

Hypercalcemia

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2
Q

Which of the following is a potent immune modulator known to suppress the development of autoimmune diseases?

Vit C
Vit A
Zn
Vit D

A

Vit D; know the prevent devlopment and deficiencies linked to various AI diseases like Hashi’s

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3
Q

Smokers are most at risk for which of the following nutrient deficiencies?

Vit E
Folate
Thiamin
Vit C

A

Vit C - require an additional 35 mg/day to counteract the accelerated depletion of the body’s ascorbic acid pool caused by smoking, ensuring sufficient levels repair ox damage

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4
Q

In which condition might turmeric supp be contraindicated?

MS
Fatty liver
T2DM
Cholelithiasis

A

Cholelithiasis (gallstones) - turmeric may stimulate gallbladder contractions and increase bile flow so may worsen this condition

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5
Q

Which of the following is not a characteristic of foodbourne viruses?

They can be destroyed by normal cooking temps
They are carried by humans & animals
They are highly contagious
They do not grow in food

A

They can be destroyed by normal cooking temps - hep A and norovirus are examples; they require a living host to grow but do not grow in food but can be transferred through food

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6
Q

What is Addisons Disease? Wilsons?

A

Addisons - adrenals don’t produce enough cortisol and aldosterone

WIlsons - body can’t properly process copper, leading to its build up in organs like liver, brain, eyes

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7
Q

Which of the following compounds, acting as co-substrates, accepts protons and electrons in the TCA cycle?

NADH and FADH2
NAD2 and FAD+
pyruvate and coenzyme A
NAD+ and FAD

A

NAD+ and FAD; once electrons and protons are accepted NADH and FADH2 are formed

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8
Q

When cooking fish, the minimum internal temp should reach how many degrees F?

160
145
155
150

A

145

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9
Q

What is the recommended protein intake for individuals with COPD?

0.8-1.1 g/kg
2-2.5 g/kg
1.2-1.5 g/kg
1.5-2 g/kg

A

1.2-1.5 g/kg

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10
Q

Biocytin consistents of biotin bound to the amino acid ___

lysine
leucine
glycine
alanine

A

lysine

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11
Q

What condition is characterized by the presence of gastrin-producing tumor, which can lead to vit b12 def?

pernicious anemia
zollinger-ellison syndrome
marfarn syndrome
atrophic gastritis

A

zollinger-ellison syndrome

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12
Q

Which of the following conditions is likely to result in increased urinary losses of vit D binding protein?

liver disease
renal disorders
dyslipidemia
gout

A

renal disorders

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13
Q

what prevents the backflow of chyme from the duodenum into the stomach? what controls the passage of chyme (partially digested food) from the SI into the large intestine?

A

pyloric sphincter

ileocecal sphincter

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14
Q

Which of the following is NOT one of the three P’s associated with diabetes?

polydipsia
polyuria
polymyositis
polyphagia

A

Polymyositis

polydipsia (excessive thirst), polyuria (excessive urination), polyphagia (excessive hunger)

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15
Q

Why might a celiac disease client on a GF diet still require some form of supplementation?

Most specialty GF products are not fortified w/iron, folate, and other B vitamins

GF diets increase calorie intake, thus requiring additonal supplementation

GF products are usually replaced w/junk food

the body’s ability to absorb nutrients becomes permanently impaired after a celiac disease dx

A

Most specialty GF products are not fortified w/iron, folate, and other B vitamins

the intestinal mucosa does start to heal following a GF diet and absorption usually improves

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16
Q

Polysaccharides contain how many saccharides? How about oligosaccharides?

A

more than 10

3-10

17
Q

All of the following are benefits of breastfeeding for an infant except? decreased risk of…

T2DM
All are benefits
celiac
leukemia

A

all are benefits

18
Q

What is the recommended protein intake for individuals with CKD stages 1-4? What about if someones one dialysis?

0.8-1 g/kg
0.6-0.8 g/kg
0.4-0.6 g/kg
1-1.2 g/kg

A

0.6-0.8 g/kg

stages 1-4 is about .75 g/kg, stage 5 is 0.6 g/kg; protein restriction can minimize the sx of uremic toxicity by reducing the production of nitrogenous wastes in the blood; early protein restriction in the course of CKD may slow progression and delay need for dialysis

for dialysis ~1.2 g/kg

19
Q

At what stage is fluid restricted in CKD?

A

when on dialysis

20
Q

What vitamin deficiencies are associated with cheilosis

21
Q

GI conditions that arise in those w/anorexia nervosa include all the following except?

increased gastric emptying
decreased small bowel motility
lactose intolerance
constipation

A

Increased gastric emptying

22
Q

Which of the following is not a major interaction with Metformin?

grapefruit
siberian cocklebur
all of these are major interactions
activated charcoal

A

grapefruit, known to interact w/many drugs, but metformin is not one of them

activated char reduces systemic exposure to many drugs so may potentially reduce absorption and/or half life

siberian cocklebur has been associated w/severe hypoglycemia in humans

23
Q

What does a relative risk greater than 1 indicate?

  1. the event is more likely to occur in the exposed group compared to the non-exposed group
  2. the likelihood of the event occurring is the same in both the exposed and non-exposed group
  3. the event is not influenced by the exposure status of individuals
  4. the event is less likely to occur in the exposed group compared to the non-exposed group
A

the event is more likely to occur in the exposed group compared to the non-exposed group?

24
Q

Which of the following inherited disorders can impair the conversion of pantothenic acid to coenzyme A?

pantothenate kinase-associated neurodegeneration
maple syrup urine disease
sickle cell anemia
hartnup disease

A

pantothenate kinase-associated neurodegeneration

25
What is the recommended daily protein intake post-bariatric surgery? 0.6-0.8 g/kg 1.1-1.5 g/kg 0.8-1.0 g/kg protein should be avoided post bariatric surgery for a month
1.1-1.5 g/kg - protein deficiency is common
26
which of the following statements about lignin is false? 1. It primarily resides in the bran layer of cereals and in the stems of various fruits/veg 2. not generally fermented by colonic bacteria 3. is water soluble 4. wheat bran is a particularly rich source
is water soluble lignin (dietary and functional fiber) - support within plan cell walls, water INSOLUBLE, and generally not fermented by colonic bacteria foods rich in lignin = whole grains like wheat bran, rye, and broccoli, root veg like carrots, flax, and fruits containing edible seeds like berries
27
What types of foods should be limited or avoided to manage dumping snydrome? foods high in protein fiber-rich foods high in fat simple sugar foods
simple sugar foods dumping syndrome - conditon where food moves too quickly from stomach into small intestine causing diarrhea, vomit, nausea. usually caused by stomach surgery but can also occur with GI disorders, diabetes, or certain meds
28
During the synthsis of catecholemines, which vitamin plays a role in reducing oxidized mineral cofactors? vit C selenium vit A vit E
Vit C
29
Which nutrient def is considered a global nutritional def? vit D calcium zinc pantothenic acid
vit D
30
Anticonvulsant treatment has been associated with lower ___ levels in those w/epilepsy biotin niacin riboflavin thiamin
biotin
31
What form of niacin in large doses lowers blood lipids? nicotinic acid nicotinamide
nicotinic acid
32
How do higher serum Mg concentrations affect PTH secretion? 1. higher serum Mg concentrations have no effect on PTH secretion 2. higher serum Mg concentrations suppress PTH 3. higher serum Mg concentrations increase PTH secretion 4. PTH only plays a role in calcium homeostasis
higher serum Mg concentrations suppress PTH
33
Vitamin B6 def can lead to which type of anemia? microcytic macrocytic thalassemia pernicious anemia
microcytic