Domain 2 Flashcards
The Prader Willi syndrome is associated with…
Obesity
Which of the following is permitted on a diet restrciting tyramine?
a. hard cheeses (swiss/cheddar)
b. uncured cheeses (cottage, ricotta)
c. pickled or smoked foods
d. tofu
uncured cheese like cottage, rigotta
If a pt has a biochemical block in the formation of urea, what will accumulate in his blood?
a. uric acid
b. ammonia
c. protein
d. glucose
ammonia
In reviewing the patient’s medical record, you note a hemoglobin of 10g/dl and an MCV of 110 cu mm. You shoul document:
anemia with larger than normal erythrocytes (macrocytic)
- MCV= avg cell size
- > 95 HIGH (norm-85-90)
A 75 year old female with adequate income would benefit from:
a. food stamps
b. congregate meals
c. EFNEP
d. WIC
Congregate meals
- ENP- Elderly Nutrition Program (DHHS)
- > 60 years- ambulatory; transportation essential for rural elderly
Which can be included in a meal for gluten-induced enteropathy?
a. spaghetti and tomato sauce
b. cheese and crackers
c. potatoes with butter
d. oatmeal with sugar
potatoes with butter (no gluten)
Compared to whole milk, breast milk is:
lower in protein, higher in carbohydrate and fat
A homeless pt who is deficient in all nutrients is to be discharged. What organization may help?
a. WIC
b. EFNEP
c. the social workers group
d. the shelter
the social workers group
A pt who had an ileal resection is placed on a tube feeding and begins to have diarrhea. This may be due to:
a. use of hypertonic formula
b. use of an isotonic formula
c. blockage of the gi tract
d. lactose intolerane
a. use of a hypertonic formula
What 3 nutrients are restricted in a diet for hepatic encephalopathy?
protein, sodium, fluid
Medicare is for…
the elderly
Which best measures calorie reserves?
a. weight
b. creatinine
c. triceps skinfold
d. arm circumference
c. triceps skinfold
Why may a patient ascites by dehydrated?
fluid has mover to the INTERSTITIAL spaces
What is a common complication of AIDS?
diarrhea
A common result of treating an aids pt with zidovudine is?
macrocytic anemia
A 140lb femal on dialysis should have how many grams of protein?
70-89 (1.1-1.4g/kg)
dialysis pt can have liberal protein
Which of the following is equivalent to one medium fat meat?
a. 4oz tofu
b. 2 oz pork
c. 2 eggs
d. 2 T peanut butter
4 oz tofu
Which food should someone on an MAOI not eat?
a. cottage cheese
b. herbal tea
c. pepperoni
d. butter
c. pepperoni
*foods high in tyramine
(softer cheese allowed, harder cheese not)
*MAOI (monoamine oxidase inhibitor- treats depression)
NHANES III increased the number of participants in which age group?
the elderly
Which type of anemia is likely to be seen in a pt with arthritis?
anemia 2/2 chronic disease
If a pt’s GFR is <50ml/min, what should their protein intake be (g/kg)?
a. 1
b. .8
c. .55-.6
d. .2-.4
b .8
Mr. Jones has heart failure but no CAD or increased CHD risk. His nutritional prescription should be:
a. 2g Na
b. 2g NA
c. low chol, low na
d. low chol, low sat fat, low na
2g Na
Which program teaches good nutrition practices and provides foods with certain nutrients?
WIC, EFNEP, NET, MCP?
WIC
A PN pt is receiving 45 kcal/kg. What may be the result?
a. hypcalcemia
b. hyperkalemia
c. hypokalemia
d. hyperphosphatemia
hypokalemia
A pt with liver disease needs adjustments in the intake of:
pro, fluid, Na
The data that is most useful in evaluating children is: sex and age iron and vit intake energy intake and health history height and weight
energy intake and health history
The essential aa tryptophan is most closely related to:
niacin
Memory loss may be associated with a deficiency of:
thiamine
A renal pt has come for dialysis on monday morning with a serum sodium of 130 mEq/L, BUN 100 mg/dl, creatinine 8.0 and a 4kg weight gain since his last dialysis on fri morning. His labs were good on friday. What happend over the weekend?
He consumed too much sodium, too much water, to much protein
What else would you expect to see with the previous dialysis pt?
dec. bicarb, inc K, inc Phos
What would the lab values above have likely reflected if the pthad been mauseated and had avg intake of only 400kcal from starchy foods?
little or no rise in K, BUN/creatinine ratio <10
A nutrition surveillance program is designed primarily to..
identify nutritional needs of the population
A deficiency that causes macrocytic anemia which resembles pernicious anemia:
folacin
When measuring a child's somatic mass, in addition to the BMI, use: upper arm muscle area triceps skinfold mid-arm circumference knee to height ratio
upper arm muscle circumfirence
A patient on a clear liquid diet should not be served: strawberry flavored jello veg stock apple juice fruit flavored popsicle
vegetable stock
A middle income female needs support fo BF. Which group can help?
La:eche
A pt with a GFR of 20ml/min should recieve how many grams pro/kg?
0.6g/kg
A pt on PN develops sepsis. Likely cause is-
bacterial translocation
What is not a likely cause of FTT?
vegetarian diet
Who resolves differences in bills from the House and the Senate
Joint conference committe of the House and Senate
Which bill request goverenment funding?
a. budget bill
b. markup bill
c. appropriations bill
d. spending grant bill
appropriations bill
Infuse a peripheral solution at a max rate of how many mOsm/L?
800
Food staff from Commodity Distribution program ar enot allowed to bring foods to a jewish facility. What is the main reason for this?
koshe foods cannot be served with non-kosher foods
Which self-assessment tool would be given to clients prior to screening at a congregate meal site?
DETERMINE checklist (used to assess nutritonal risk)
A nephrotic syndrome pt with edema has a serum albumin level that continues to fall. Recognize that…
protein is being lost in urine
Which of the following statements about cow’s milk are true?
high in pro
creates high solute load
low in iron and vit c
1 & 3
A hispanic woman needs more calcium in her diet. What do you recommend? milk plantains avocados pinto beans
pinto beans
Which hormone is involed in developing the placenta?
progesterone
Which is appropriate for muslim diet? sweet and sour pork salad with Bacos pork-fried rice chicken in wine sauce
salad with bacos
What is true about SGOT?
it is increased with hepatitis, decreased with dm
Which test measures somatic protein?
creatinine clearance, serum creatinine
Expected creatinine clearance is expected from the client's: wt tsf, amc height waist circumference
height
High doses of what vit will interfere with Levodopa? pyridoxine cyanocobalamin thiamin riboflavin
pyridoxine
Levodopa is used in the treatment of:
Parkinson’s disease
Infants born to mothers with diabetes may be:
larger than normal, and be hypoglycemia shortly after birth
A pt admitted to ICU is dx with HIV and progressive infection. Which nutrients would be helpful?
phosphorus and zinc
Why would youadd bicarb to a solution for a person with hyperkalemia?
it exchanges hydrogen for potassium
A pt with Parkinson’s disease on Levodopa should:
minimize pro at breakfast and lunch and add it to the evening meal
Lactic acis is a result of: anaerobic glycolysis aerobic glycolysis TCA cycle Cori cycle
anaerobic glycolysis
The test that measures toxic levels of lead on heme synthesis is the:
free erythrocyte protopophyrin test
Glucophage (metformin) functions by:
enhancing insulin action
A pt on warfarin should avoid:
black cohash (herb)
A family receiving food stamps often runs out of food by the middle of the month. Obtain an emergency food voucher for them and refer them to –
EFNEP
Which of the following diagnosis is most likely to be associated with cyclosporine therapy?
hyperlipidemia
