Final exam - Exam 1

Question 1

Define medical nutrition therapy

Answer 1

evidence based treatment applied to the nutrition care process

Question 2

In reference to standards of practice, when is a dietitian considered proficient?

Answer 2

they have 3 or more years experience beyond entry level

Question 3

What are the 4 guiding principles of the Code of Ethics for the Academy of Nutrition and Dietetics?

Answer 3

1. competence
2. integrity
3. beneficence
4. justice

Question 4

What is the term for a set of billable codes used to indicate a medical diagnosis?

Answer 4

ICD-10 code

Question 5

Which of the following is covered under CMS medicare reimbursement for MNT provided by RD’s?

Answer 5

Diabetes

Question 6

T/F research has proven that withholding food during end-of-life care does not cause patients to suffer.

Answer 6

True

Question 7

What should a patient taking MAOI avoid?

Answer 7

Dietary tyramine

Question 8

Why do some medications have a warning to avoid grapefruit consumption?
Name two of these medications.

Answer 8

grapefruit inhibits chytochrome p450 and makes medication reach toxic levels in the body

• statins
• ambian

Question 9

What nutrient should patients taking Coumadin (warfarin) consume?

Answer 9

consistant amounts of vitamin K

Question 10

What labs should be monitored when a patient is taking lasix?

Answer 10

Potassium

Question 11

Name two negative and two positive acute phase proteins

Answer 11

Negative: albumin, pre-albumin
Positive: CRP, ferritin

Question 12

Which of the following is not found in a basic metabolic panel (BMP)?
- BUN
- glucose
- total protein
- calcium

Answer 12

total protein

Question 13

Patients taking long term corticosteroids should supplement which micronutrients?

Answer 13

Calcium and Vitamin D

Question 14

What are the 6 clinical categories of Malnutrition, and how many have to be present to support a diagnosis of malnutrition?

Answer 14

1. insufficient energy intake
2. weight loss
3. subcutaneous fat loss
4. muscle loss
5. edema
6. functional status

2 must be present for diagnosis

Question 15

What are the best clinical indicators of a patients hydration status?

Answer 15

1. capillary refill
2. respiratory rate
3. skin turgor

Question 16

T/F people with a higher education level are more likely to use complementary and alternative medicine

Answer 16

true

Question 17

T/F taking a multivitamin is associated with reduced risk for chronic diseases

Answer 17

false

Question 18

What supplements should be avoided prior to surgery?

Answer 18

garlic, ginko, ginseng

Question 19

which form of functional and integrative medicine has been proven to aid in decreasing axiety, depression, and CVD risk factors?

Answer 19

Yoga

Question 20

T/F reiki has a vas amount of evidence-based research to support its efficacy

Answer 20

False

Question 21

What is the golden rule of nutrition?

Answer 21

If the gut works, use it!

Question 22

What are five benefits to using Enteral Nutrition (vs parenteral nutrition)

Answer 22

1. lower length of stay
2. maintains gut integrity
3. lower risk of malnutrition
4. cost saving
5. less infections
6. better recovery

Question 23

For a stable patient needing short term (less than 3 weeks) of EN, what is the best option for Enteral Nutrition?

Answer 23

NG tube