Hank questions Flashcards
When reviewing a patient’s medical records, where would information regarding the patient’s use of vitamins, minerals, or dietary supplements be found in the chart?
a. Past medical history
b. Family history
c. Social history
d. Review of systems
a. Past medical history
Body mass index (BMI) may not accurately reflect body fat in who of the following individuals?
a. Underweight individual
b. Normal weight individual
c. Overweight individuals
d. Obese individuals
a. Underweight individual
Why should waist circumference (WC) be measured only in patients with a BMI measurement less than 35 kg/m?
a. MW measurement is not accurate in obese patients
b. Because it confers little additional information about risk
c. WC cutoff threshold do not apply in obese patients
d. Tape measures are difficult to find at that length
b. Because it confers little additional information about risk
Which of the following tissues are more sensitive to vitamin and mineral deficiencies and likely to appear abnormal on physical examination?
a. Skin
b. Nails
c. Mouth
d. All of the above
d. All of the above
When interpreting serum albumin in hospitalized patients, levels may decrease irrespective of nutritional status in which if the following conditions?
a. Dehydration
b. Liver disease
c. Diabetes
d. Stroke
b. Liver disease
The energy and protein requirements of hospitalized and critically ill patients should be calculated separately. Which of the following value ranges in recommended to calculate the protein needs of post-surgical patients who are not highly catabolic?
a. 0.6-1.0 grams/kg per day
b. 1.0-1.4 grams/kg per day
c. 1.5-2.0 grams/kg per day
d. 2.0-2.5 grams/kg per day
c. 1.5-2.0 grams/kg per day
Diagnosis of underweight patients includes assessment of the patient’s BMI. Which of the following BMI values would indicate a risk of undernutrition in a patient who is consistently underweight?
a. <18.5 kg/m
b. <19.5 kg/m
c. <20.5 kg/m
d. <21.5 kg/m
a. <18.5 kg/m
The healthcare costs associated with obesity in the United States have skyrocketed due to the increase prevalence of obesity. Economists estimate that medicals expenses and loss of productivity will cost US businesses approximately how much money on an annual basis in 2009?
a. $100 Million/year
b. $500 Million/year
c. $20 billion/year
d. $45 billion/year
d. $45 billion/year
According to the CDC, more than 30percent of US adults are obese. Which of the following age groups had the highest prevalence of obesity campers to other age groups in 2006, even after controlling for gender, race, and ethnicity?
a. 20-29 years
b. 30-39 years
c. 40-59 years
d. 60-79 years
c. 40-59 years
MG is a 55-year-old woman who has been overweight most of her adult life. She comes to her internist for her annual physical examination and laboratory data reveal the following results:
Blood pressure: 133/86 mm Hg HDL-C: 60 mg/dL WC: 36" Triglycerides: 230 mg/dL Triglycerides: 230 mg/dL Glucose: 98 mg/dL
Her doctor suspects she has metabolic syndrome. How many of the metabolic syndrome criteria does she meet based in these results?
a. 1
b. 2
c. 3
d. 4
c. 3
FL is a 48-year-old obese man who questions his doctor about the side effects and benefits of bariatric surgery. Which of the following procedures has been shown to have the least amount of postoperative side effects?
a. Gastric banding
b. Gastric bypass
c. Roux-en-Y procedure
d. Whipples procedure
a. Gastric banding
Side effects associated with Roux-en-Y bariatric surgery frequently include the GI tract. Which of the following GI side effects occurs in approximately 70 percent of patients following this type of procedure?
a. inflammatory bowel disease
b. Irritable bowel syndrome
c. Dumping syndrome
d. Lactose intolerance
c. Dumping syndrome
JT is a 39-year-old female who recently underwent gastric bypass surgery. She presents to her primary care physician 6 months postoperatively complain of headaches, fatigue, and being cold all the time. Which of the following deficiencies is most likely associated with these symptoms in patients who have undergone gastric bypass surgery?
a. Vitamin C
b. Riboflavin
c. Zinc
d. Iron
d. Iron
PC is a 26-year-old male who attended a worksite wellness program at his place of employment. He is motivated to lose weight and attempts to follow a strict diet. After on month he has lost 20 pounds but is diagnosed with kidney stones which have been extremely painful. Blood and urine tests reveal uricosuria and hyperuricemia. Which of the following diet programs was PC most likely adhering to?
a. Low-fat, high-fiber
b. Low-carbohydrate, high protein
c. Low-sodium, low-protein
d. Juice detox
b. Low-carbohydrate, high protein
