Ch. 30 Liver Gallblader Pancrease

Question 1

What physical manifestation may be present to the most common nutritional deficiency in your alcoholic patient?

A.) pallor
B.) dermatitis herpetiformis
C.) tender calf muscles
D.) elevated liver enzymes

Answer 1

Tender calf muscles

Question 2

Fat restriction is not necessary w/ gallbladder removal b/c the patient can still make bile.
True or False

Answer 2

False

Question 3

Pancreatic enzyme replacement therapy is necessary in patients w/ chronic pancreatitis?

True or False

Answer 3

True

Question 4

Which supplements are NOT recommended in patients w/ history of kidney stones?

A.) Vit B12
B.) Vit D
C.) Vit C
D.) Thiamin

Answer 4

Vit C

Question 5

What nutritional deficiencies are associated w/ alcoholics?

Answer 5

Thiamin, B6, niacin, Vit C, ADEK

Question 6

What nutritional interventions are recommended for alcoholics?

Answer 6

Multivitamin w/out Fe

Vit ADEK

Question 7

What quantity of fat is recommended daily in chronic vs acute cholecystokinin?

Answer 7

Acute = 30-45 g/day

Chronic = 25-30% energy

Question 8

What is the correct nutritional intervention for gallstones?

Answer 8

Low fat diet (< 30 % Cal)
Increase fiber
Lose wt and exercise

Question 9

What nutritional strategies are recommended in acute pancreatitis?

Answer 9

Increase protein/starches
Low fat diet
Increase energy intake

Question 10

What nutritional strategies are recommended in chronic pancreatitis patients?

Answer 10

Same as acut + PERT, B12, ADEK

Question 11

What dietary recommendations are recommended for kidney stones?

Answer 11

Limit oxalate
Limit Ca and Na
Decrease protein
Vit C = < 500 mg/day