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Tricky RD Questions > Domain 2 > Flashcards

Domain 2 Flashcards

1
Q

The Prader Willi syndrome is associated with…

A

Obesity

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2
Q

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

A

uncured cheese like cottage, rigotta

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3
Q

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

A

ammonia

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4
Q

In reviewing the patient’s medical record, you note a hemoglobin of 10g/dl and an MCV of 110 cu mm. You shoul document:

A

anemia with larger than normal erythrocytes (macrocytic)

  • MCV= avg cell size
  • > 95 HIGH (norm-85-90)
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5
Q

A 75 year old female with adequate income would benefit from:

a. food stamps
b. congregate meals
c. EFNEP
d. WIC

A

Congregate meals

  • ENP- Elderly Nutrition Program (DHHS)
  • > 60 years- ambulatory; transportation essential for rural elderly
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6
Q

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

A

potatoes with butter (no gluten)

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7
Q

Compared to whole milk, breast milk is:

A

lower in protein, higher in carbohydrate and fat

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8
Q

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

A

the social workers group

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9
Q

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

a. use of a hypertonic formula

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10
Q

What 3 nutrients are restricted in a diet for hepatic encephalopathy?

A

protein, sodium, fluid

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11
Q

Medicare is for…

A

the elderly

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12
Q

Which best measures calorie reserves?

a. weight
b. creatinine
c. triceps skinfold
d. arm circumference

A

c. triceps skinfold

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13
Q

Why may a patient ascites by dehydrated?

A

fluid has mover to the INTERSTITIAL spaces

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14
Q

What is a common complication of AIDS?

A

diarrhea

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15
Q

A common result of treating an aids pt with zidovudine is?

A

macrocytic anemia

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16
Q

A 140lb femal on dialysis should have how many grams of protein?

A

70-89 (1.1-1.4g/kg)

dialysis pt can have liberal protein

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17
Q

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

A

4 oz tofu

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18
Q

Which food should someone on an MAOI not eat?

a. cottage cheese
b. herbal tea
c. pepperoni
d. butter

A

c. pepperoni
*foods high in tyramine
(softer cheese allowed, harder cheese not)
*MAOI (monoamine oxidase inhibitor- treats depression)

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19
Q

NHANES III increased the number of participants in which age group?

A

the elderly

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20
Q

Which type of anemia is likely to be seen in a pt with arthritis?

A

anemia 2/2 chronic disease

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21
Q

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

A

b .8

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22
Q

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

A

2g Na

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23
Q

Which program teaches good nutrition practices and provides foods with certain nutrients?
WIC, EFNEP, NET, MCP?

A

WIC

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24
Q

A PN pt is receiving 45 kcal/kg. What may be the result?

a. hypcalcemia
b. hyperkalemia
c. hypokalemia
d. hyperphosphatemia

A

hypokalemia

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25
Q

A pt with liver disease needs adjustments in the intake of:

A

pro, fluid, Na

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26
Q 
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
A

energy intake and health history

27
Q

The essential aa tryptophan is most closely related to:

A

niacin

28
Q

Memory loss may be associated with a deficiency of:

A

thiamine

29
Q

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?

A

He consumed too much sodium, too much water, to much protein

30
Q

What else would you expect to see with the previous dialysis pt?

A

dec. bicarb, inc K, inc Phos

31
Q

What would the lab values above have likely reflected if the pthad been mauseated and had avg intake of only 400kcal from starchy foods?

A

little or no rise in K, BUN/creatinine ratio <10

32
Q

A nutrition surveillance program is designed primarily to..

A

identify nutritional needs of the population

33
Q

A deficiency that causes macrocytic anemia which resembles pernicious anemia:

A

folacin

34
Q 
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
A

upper arm muscle circumfirence

35
Q 
A patient on a clear liquid diet should not be served:
strawberry flavored jello
veg stock
apple juice
fruit flavored popsicle
A

vegetable stock

36
Q

A middle income female needs support fo BF. Which group can help?

A

La:eche

37
Q

A pt with a GFR of 20ml/min should recieve how many grams pro/kg?

A

0.6g/kg

38
Q

A pt on PN develops sepsis. Likely cause is-

A

bacterial translocation

39
Q

What is not a likely cause of FTT?

A

vegetarian diet

40
Q

Who resolves differences in bills from the House and the Senate

A

Joint conference committe of the House and Senate

41
Q

Which bill request goverenment funding?

a. budget bill
b. markup bill
c. appropriations bill
d. spending grant bill

A

appropriations bill

42
Q

Infuse a peripheral solution at a max rate of how many mOsm/L?

A

800

43
Q

Food staff from Commodity Distribution program ar enot allowed to bring foods to a jewish facility. What is the main reason for this?

A

koshe foods cannot be served with non-kosher foods

44
Q

Which self-assessment tool would be given to clients prior to screening at a congregate meal site?

A

DETERMINE checklist (used to assess nutritonal risk)

45
Q

A nephrotic syndrome pt with edema has a serum albumin level that continues to fall. Recognize that…

A

protein is being lost in urine

46
Q

Which of the following statements about cow’s milk are true?
high in pro
creates high solute load
low in iron and vit c

A

1 & 3

47
Q 
A hispanic woman needs more calcium in her diet. What do you recommend?
milk
plantains
avocados 
pinto beans
A

pinto beans

48
Q

Which hormone is involed in developing the placenta?

A

progesterone

49
Q 
Which is appropriate for muslim diet?
sweet and sour pork
salad with Bacos
pork-fried rice
chicken in wine sauce
A

salad with bacos

50
Q

What is true about SGOT?

A

it is increased with hepatitis, decreased with dm

51
Q

Which test measures somatic protein?

A

creatinine clearance, serum creatinine

52
Q 
Expected creatinine clearance is expected from the client's: 
wt
tsf, amc
height
waist circumference
A

height

53
Q 
High doses of what vit will interfere with Levodopa?
pyridoxine
cyanocobalamin
thiamin 
riboflavin
A

pyridoxine

54
Q

Levodopa is used in the treatment of:

A

Parkinson’s disease

55
Q

Infants born to mothers with diabetes may be:

A

larger than normal, and be hypoglycemia shortly after birth

56
Q

A pt admitted to ICU is dx with HIV and progressive infection. Which nutrients would be helpful?

A

phosphorus and zinc

57
Q

Why would youadd bicarb to a solution for a person with hyperkalemia?

A

it exchanges hydrogen for potassium

58
Q

A pt with Parkinson’s disease on Levodopa should:

A

minimize pro at breakfast and lunch and add it to the evening meal

59
Q 
Lactic acis is a result of: 
anaerobic glycolysis
aerobic glycolysis 
TCA cycle 
Cori cycle
A

anaerobic glycolysis

60
Q

The test that measures toxic levels of lead on heme synthesis is the:

A

free erythrocyte protopophyrin test

61
Q

Glucophage (metformin) functions by:

A

enhancing insulin action

62
Q

A pt on warfarin should avoid:

A

black cohash (herb)

63
Q

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 –

A

EFNEP

64
Q

Which of the following diagnosis is most likely to be associated with cyclosporine therapy?

A

hyperlipidemia

Tricky RD Questions (1 decks)

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