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Clinical Nutrition Exam II > GI Disorders > Flashcards

GI Disorders Flashcards

1
Q

Avoiding large, high fat meals, smoking, alcohol, caffeine, carbonation, acidic, spicy foods, eating 2-3 hours before lying down, elevate the head 6-8 inches while sleeping are all recommendations for what condition

A

GERD

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2
Q

What do you need to evaluate in atrophic gastritis

A

need for B12, Fe, Ca

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3
Q

Natural eradication of H.pylori can be accomplished with what

A

Green tea, broccoli, black currant oil, kimchi, probiotics (lactobacillus and bifidobacterium)

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4
Q

Peptic Ulcers should avoid

A

Alcohol, spicy and triggers, limiting coffee and caffeine

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5
Q

Rome III Criteria for Constipation Dx must include 2 or more of what for at least 3 months

A 
Straining during 25% of defecations
Lumpy or hard stools 25%
Sensation of incomplete evacuations 25%
Sense obstruction 25%
Manual maneuvers to facilitate 25%
< 3 defecations/week
Loose rare w/o laxative
Cant dx IBS
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6
Q 
Pancreatic insufficiency
Gastric acid hypersecretion
Impaired bile production or secretion
Bacterial overgrowth
Enzymatic deficiency
Celiac disease
Crohn's disease
Allergies can all be possible causes of what
A

Malabsorptive Diarrhea

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7
Q

Keys things to remember when recovering from diarrhea

A

Replenish fluids (electrolytes), Limit lactose, sugar alcohols, fructose and sucrose, Modest intake of soluble fiber. Try probiotics

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8
Q

Pale, greasy, smelly stool, diarrhea w/o distention or gas are S/S of what

A

Fat malabsorption, 72 hour fecal fat test

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9
Q

Edema and m. atrophy are possible S/S of what

A

Protein malabsorption, Fecal nitrogen, serum albumin

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10
Q

Watery diarrhea, flatus, abdominal distention are possible S/S of what

A

Carb malabsorption, Hydrogen breath test

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11
Q

Tachycardia, dry mouth are possible S/S of what

A

Fluid, electrolyte malabsorption, Serum electrolyte panel, creatinine, urea nitrogen

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12
Q

Watery diarrhea is a S/S of what

A

Bile salt malabsorption, Serum 7α-hydroxy-4-cholesten-3-one

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13
Q

S/S: Macrocytic anemia, glossitis

A

Folic acid malabsorption

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14
Q

S/S: Macrocytic anemia, glossitis, fatigue, nerve issue

A

B12 malabsorption

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15
Q

S/S: Cheilosis, angular stomatitis, glossitis, dermatitis, ataxia, sensory dysfunction

A

B-complex malabsorption

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16
Q

S/S: Night blindness, follicular hyperkeratosis

A

Vit A malabsorption

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17
Q

S/S: Muscle cramps, bone pain

A

Vit D malabsorption

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18
Q

S/S: Decreased deep tendon reflexes

A

Vit E malabsorption

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19
Q

S/S: Easy bruising, hemorrhage

A

Vit K malabsorption

20
Q

S/S: Microcytic anemia, fatigue, koilonychia

A

Iron malabsorption

21
Q

S/S: Taste atrophy, dermatitis, hair loss

A

Zinc malabsorption

22
Q

S/S: Tetany

A

Magnesium malabsorption

23
Q

S/S: M. pain

A

Selenium malabsorption

24
Q

S/S: Weakness

A

Copper malabsorption

25
Q

S/S: Paresthesia, tetany, cone pain, Trousseau sign

A

Calcium malabsorption

26
Q

What do Celiac, Crohn’s, MS, IBS, and SIBO patients all potentially have in common

A

Leaky gut is found in these patients

27
Q

What is the MC test for Leaky gut

A

Lactulose-mannitol test. Collect urine samples for 6hr after consumption

28
Q

What are the nutritional symptoms of Celiac disease

A

Anemia, Inc. Fx risk, Clotting issues, Delayed growth, Lactas deficiency

29
Q

What are the possible extraintestinal symptoms of Celiac disease

A

Malaise, Arthritis, Dermatits herpetiformis, Infertility, Hepatitis, Ataxia, Pyschiatric syndromes

30
Q

What are the possible associated disorders with Celiac disease

A

Autoimmune cluster: T1DM, thyroiditis, hepatits, GI malignancy, IgA deficiency

31
Q

What is involved in Celiac disease

A

Immune system. Body attacks itself

32
Q

No immune response, possibly due to IBS, and Dx via and elimination diet describes what

A

Gluten sensitivity or intolerance

33
Q

What is the Nutritional Therapy for Celiac Disase

A

Gluten free for life avoiding wheat, rye, barley, malt. up to 50g of oats/day

34
Q

Patients who do not respond to a gluten free diet, and present with a severe malabsorptive diarrhea and weight loss may be suffering from

A

Refractory Celiac Disease

35
Q

Gluten free diets may be low in what

A

Fe, fiber, folate, niacin, riboflavin

36
Q

What may gluten free diets be high in

A

Saturated fat, starch, and sucrose

37
Q

What are the 2 intestinal brush border enzyme deficiency conditions

A

Lactose intolerance, Fructose malabsoprtion

38
Q

What are the 2 types of IBD

A

Crohn’s and UC

39
Q

Which IBD has a more “spotty” distribution

A

Crohn’s

40
Q

Which IBD is mostly in the 2nd half of the LI

A

Ulcerative colitis (UC)

41
Q

IBD inc. protein requirement to what

A

1.3-1.5 g/kg/d

42
Q

What supplements may be necessary with IBD

A

Folate, B6, B12, Fe, Zn, Mg

43
Q

If diarrhea is present with IBD what should be inc.

A

Zn, Se, K (fatty malabsorption MCTs)

44
Q

What should be supplemented if steroids are given with IBD

A

Vit. D and Ca

45
Q

IBS Rome III criteria

A

Recurrent abdominal pain 3 days/month for 3 months: Improve with defecation
Onset associated with a change in frequency/appearance of stool

46
Q

What are the MC etiologies of Diverticular disease

A

Obesity, low fiber diet, Vit. D insufficiency, sedentary lifestyle, NSAID

Clinical Nutrition Exam II (2 decks)

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