SIMPLIFIED MNT

Question 1

Which food could someone with gluten sensitivity not eat?

Answer 1

Gravy

Question 2

RQ mixed diet =

Answer 2

0.85

Question 3

Cancer has invaded into deeper tissues in the breast or spread to other organs in the body and no longer confined to ducts (IDC)/lobules (ILC) where it began

Answer 3

Invasive (Infiltrating) Carcinoma:

Question 4

Genisten – the most prevalent isoflavin in SOY

Avoid Phytoestrogen (like lignans)

Answer 4

Foods to avoid by women w/ ER+ breast cancer

Question 5

Recommendations for Primary Hyperoxaluria, Calcium Oxalate, and Uric Acid Kidney Stones

Answer 5

Kidney Stones (Nephrolithiasis)
High fluid intake @ 2000-3000 mL/day

Question 6

Different antacids and acids suppressing meds in GERD: which are PPIs and H2 blockers

Answer 6

Antacids
Mylanta, Maalox, Tums, or Rolaids etc
Gaviscon –> foams and ↓ acid reflux into esophagus

Question 7

Diseases associated w/ being a cause of Anemia of Chronic Disease

Answer 7

Lupus

Question 8

Folate (B9) anemia: lab test and abnormalities in complete blood count

Answer 8

>100 mg FIGLU excretion

Question 9

Cobalamin (B12) anemia: lab test and abnormalities in complete blood count

Answer 9

• High Methamalonic Acid (MMA) > 3.5 mg*

* Schilling Test (B12 absorption) – deficient if less urine excretion*

Question 10

Side effects of Cyclosporine

Answer 10

Cyclosporine

Hypomagnesmia, hyperkalemia, hyperlipidemia, increase BG, and; hyperuricemia

Question 11

Pt. has Radiation Enteritis, and Ulcerative Colitis (UC): what kind of diarrhea would they have

Answer 11

This leads to exudative diarrhea - Inflammation of gut, excretion of blood, mucus, plasma proteins, and electrolytes

Question 12

Which antacid is most likely to cause diarrhea

Answer 12

Milk of Magnesia

Question 13

INH (Isoniazid) supplemenet

Answer 13

200-400 mg/day of niacin – with pellagra

Avoid Swiss/Cheshire cheese, tuna, skipjack, sardinella – histamine and tyramine containing foods

Question 14

MAOI’s Nardil supplement

Answer 14

Avoid consumption of high tyramine foods

Question 15

DASH diet: what it’s high and low in

Answer 15

2-3 servings/day of low fat dairy products - on the test it says 5 servings/day so it won’t be the answer

Question 16

MCT oil: how it’s absorbed and possible side effects

Answer 16

Absorbed in the bloodstream and provides quick energy for body and not as likely to be stores as fat

Acts as a CHO not FAT and goes to liver to be used as an immediate energy source

Question 17

Neutopenic diet: what it is and identify foods that wouldn’t be allowed

Answer 17

NO CHEESE! – Cottage cheese was an example on the test

Question 18

What happens if a person has 4 alcohol drinks a day: what would go up in their blood?

Answer 18

• Alcohol tends to increase plasma HDL, decreasing CVD risk*
• Alcohol increases levels of clot dissolving enzyme*
• Inhibits FA oxidation in liver  TG accumulation (fatty liver) and increased production of VLDL*

Question 19

Peripheral Vascular Disease : S and S

Answer 19

Signs and Symptoms:

Intermittent claudication

Question 20

graft or tissue from someone other than pt. who is non-identical (matching sibling)

Answer 20

Allogeneic

Question 21

Gives pt. menu: calculate how many cc of fluid

Answer 21

1 cup = 8 oz = 240 mL = 240 cc

1 fl. ounce = about 30 mL

Question 22

Omega 3 PUFA

Answer 22

EPA, DHA

Question 23

Omega 6 PUFA

Answer 23

safflower,

evening primrose seed oil

Question 24

Omega 9 MUFA

Answer 24

olive, canola, peanut

Question 25

Saturated FA

Answer 25

palm

Question 26

Lab value high in Hepatitis

Answer 26

AST, ALT, --- Jaundice

Question 27

VMA test: what is it

Answer 27

Test Diet for Phenocytomachroma

Question 28

Groups are at high risk for different anemias

Answer 28

Ex. Young female with heavy periods – iron deficiency (microcytic anemia)

Question 29

Nutrients that may be helpful to lower elevated homocysteine

Answer 29

Supplements of B6 (pyridoxine), B12 (cobalamin), and folate (B9)

Question 30

What is Benecol? --- Stanol Ester

Answer 30

Stanol ester--> blocks cholesterol absorption

Question 31

What is CLA? – Conjugate Linoleic Acid

Answer 31

Antioxidant → anticancer, anti-diabetic, anti-atherosclerotic Promotes muscle development, decrease fat deposition May lower plasma TC, TG, and improve utilization of FA by heart Found in beef, lamb, turkey, and dairy fats

Question 32

Penicillamine

Answer 32

Need 5-50 mg/day B6 supp.

Question 33

Which fatty acids are susceptible to oxidation?

Answer 33

Double bonds (PUFA are more likely to go rancid)

Question 34

What is a supplement to increase HDL?

Answer 34

niacin

Question 35

Patient with CKD, serum Na is low. Salt restriction?

Answer 35

NO. Fluid restriction 1000mL + urine output

Question 36

What supplement should a patient take with pencillamine?

Answer 36

Vitamin B6

Question 37

What don't you use if there is a lot of phosphorous in a patient's blood?

Answer 37

Calcium