Clinical Nutrition Flashcards

1
Q

What are the water soluble vitamins?

A
B vitamins (Thiamine, Riboflavin, Niacin, Pantothenic Acid, Biotin, Folate, Cobalamin)
Vitamin C
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2
Q

What are the fat soluble vitamins?

A

Vitamins A, D, E, K,

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3
Q

Vitamin C is required to produce ____.

A

collagen

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4
Q

What role do vitamins play in increase energy levels?

A

Vitamins don’t directly increase energy levels but may have an impact on energy by enhancing metabolism of fats/proteins/carbs.

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5
Q

What two common medications deplete Riboflavin?

A

antibiotics, birth control

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6
Q

There are two types of people you should be suspect of a biotin deficiency, who are they?

A

Alcoholics and those with inflammatory bowel disorders.

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7
Q

What is megaloblastic anemia?

A

Anemia characterized by enlargement of red blood cells. This occurs when DNA synthesis is impaired, which allows continued growth of cells without division.

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8
Q

B12 is obtained from what food sources?

A

Animal products

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9
Q

Almost every American is deficient in _________.

A

B12

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10
Q

What glands contain more vitamin C than any other organ?

A

adrenals

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11
Q

Describe the difference between primary and secondary deficiency.

A

Primary deficiency is caused by a lack of the nutrient in the diet. Secondary deficiency is caused by increased depletion or decreased absorption due to an organic cause (disease), lifestyle factor (alcoholism, smoking) or medication.

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12
Q

If a client came to you that drinks regularly, is currently taking Lasix and complaining of eye twitching what vitamin deficiency would you suspect?

A

Thiamine

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13
Q

When would you consider supplementing with pantothenic acid?

A

In people suffering from chronic stress, adrenal fatigue, chronic fatigue, acne, arthritis, Parkinson’s, or peripheral polyneuropathy. Pantothenic acid may also be beneficial for athletes.

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14
Q

Describe the importance of B12 in neurologic function.

A

Because B12 plays a role in DNA synthesis, it is essential for the formation of all cells within the body, including myelin sheaths around nerve cells and the production of neurotransmitters.

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15
Q

What are the 4D’s and what vitamin deficiency is it associated with?

A

Niacin deficiency:

Diarrhea
Dermatitis
Dementia
Death

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16
Q

What are the symptoms of a pyridoxine deficiency?

A
sebborheic dermatitis
glossitis
angular chelitis
conjunctivitis
rashes in body folds
intense drowsiness
confusion
neuropathy
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17
Q

What vitamin deficiency is associated with these symptoms?

sebborheic dermatitis, glossitis, angular chelitis, conjunctivitis, rashes in body folds, intense, drowsiness, confusion, neuropathy

A

Pyridoxine (B6)

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18
Q

What are three good food sources of Thiamine?

A
  • pork
  • acorn squash
  • watermelon
  • fresh orange juice
  • cooked green peas
  • beans
  • corn
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19
Q

What are three good food sources of Riboflavin?

A
  • beef liver
    • oysters
    • yogurt
    • raw mushrooms
    • spinach
    • milk
    • boiled eggs
    • steak
    • feta cheese
    • ham
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20
Q

What are three good food sources of Niacin?

A
  • tuna
  • roasted chicken
  • peanuts
  • salmon
  • turkey
  • ground beef
  • raw mushrooms
  • lean steak
  • beef liver
  • cod
  • potato
  • halibut
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21
Q

What are three good food sources of Pantothenic Acid?

A
  • sunflower seeds
  • beef liver
  • raw mushroom
  • plain yogurt
  • acorn squash
  • peanuts
  • milk
  • chicken breast
  • broccoli
  • baked potato
  • legumes
  • eggs
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22
Q

What are three good food sources of Biotin?

A
  • peanuts
  • almonds
  • sweet potato
  • eggs
  • onions
  • oats
  • tomatoes
  • carrots
  • walnuts
  • salmon
23
Q

What are three good food sources of Folate?

A
  • asparagus
  • cooked spinach
  • cooked lentils
  • black-eyed peas
  • romaine lettuce
  • turnips
  • broccoli
  • sunflower seeds
  • fresh orange juice
  • beets
  • kidney beans
  • beef liver
24
Q

What are three good food sources of Cobalamin?

A
  • beef liver
  • clams
  • oysters
  • salmon
  • pot roast
  • yogurt
  • shrimp
  • milk
  • boiled eggs
  • ham
25
Q

What are three good food sources of Vitamin C?

A
  • red bell pepper
  • orange
  • kiwi
  • broccoli
  • brussel sprouts
  • strawberries
  • tomato juice
  • watermelon
  • potato
  • carrots
26
Q

What are three good food sources of Pyridoxine?

A
  • salmon
  • potato
  • banana
  • avocado
  • chicken breast
  • acorn squash
  • beef liver
  • turkey
  • steak
  • ham
  • watermelon
  • sunflower seeds
  • spinach
27
Q

What vitamin deficiency begins with symptoms of loss of appetite, stomach discomfort, and irritability, and progresses to include muscle cramps, pins and needles, and confusion?

A

Thiamine

28
Q

dry beriberi affects the ___ system

A

nervous

29
Q

wet beriberi affects the ___ system

A

cardiovascular

30
Q

beriberi is a condition resulting from ___ deficiency

A

thiamine

31
Q

Fatigue, weight loss, intestinal pain, nerve damage, sleep disturbance, involuntary eye movements, memory loss are all symptoms of what condition/vitamin deficiency?

A

dry beriberi, thiamine

32
Q

shortness of breath, coughing at night, peripheral edema, increased heart rate are symptoms of what condition/vitamin deficiency?

A

wet beriberi, thiamine

33
Q

Always supplement for ___ in individuals with congestive heart failure, Alzheimer’s, MS, and kidney disease.

A

Thiamine

34
Q

Your client eats a standard American diet and complains of a poor memory. What vitamin should you consider supplementing?

A

Thiamine

35
Q

Cracked lips, glossitis, and angular cheilitis are all symptoms of what vitamin deficiency?

A

Riboflavin

36
Q

What vitamin is helpful in migraine prevention? What dose should be used for this purpose?

A

Riboflavin, 300-400mg daily

37
Q

Elevated homocysteine levels can be an indication of what vitamin deficiencies?

A

Riboflavin, Pyridoxine

38
Q

Dermatitis in a necklace pattern around the neck can indicate what vitamin deficiency?

A

Niacin

39
Q

Diarrhea, decreased cold tolerance, dermatitis, irritability, poor concentration, anxiety, fatigue can all be indications of what vitamin deficiency?

A

Niacin

40
Q

Large doses of ___ can be preventative in early stages of schizophrenia, but do not cure the condition in existing cases.

A

Niacin

41
Q

___ is used in more than 200 enzymatic reactions in the body.

A

Niacin

42
Q

___ is used as a prescription drug for lowering colesterol

A

Niacin

43
Q

What are the most common risk factors for a niacin deficiency?

A

Poverty, alcoholism.

44
Q

A deficiency in ___ does not occur by itself, only with other B vitamins.

A

B5, pantothenic acid

45
Q

___ is used in the production of serotonin, antibodies, and histamine.

A

pyridoxine

46
Q

The elderly, alcoholics, and those with type 1 diabetes are more at risk for what vitamin deficiency?

A

pyridoxine

47
Q

What is the best form of supplemental pyridoxine?

A

P5P

48
Q

What B vitamin is synthesized in the gut?

A

biotin/B7

49
Q

Lethargy, depression, hallucinations, and muscle pain are all symptoms of what vitamin deficiency?

A

biotin

50
Q

Painful tingling in extremities, weakness, fatigue, irritability, GI problems, decreased appetite and weight loss are all symptoms of what condition?

A

megaloblastic anemia

51
Q

Megaloblastic anemia is caused by what vitamin deficiency?

A

Folate

52
Q

What vitamin deficiency is associated with neural tube defects and miscarriages?

A

Folate

53
Q

Pregnant women need more of this vitamin.

A

Folate

54
Q

Birth control medication increases depletion of what vitamins?

A

folate, cobalamin