Jeopardy Flashcards

1
Q

Your neighbor swears by a high protein diet for weight loss, but wants your professional opinion. Which accurately describes weight loss diets?

A. High glycemic index diets are most effective long term
B. The most effective diet is the one an individual sticks with
C. All weight loss diets result in uncomfortable hunger
D. High protein diets irreversibly damage the kidneys

A

B. The most effective diet is the one an individual sticks with

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2
Q

Two friends who are mildly overweight start a weight loss plan consisting of moderate dietary restriction and moderate daily exercise. One loses 20 pounds, while the other loses only 5 pounds. Which would be the best next step for the person struggling to lose weight?

A. Self-monitoring of dietary intake
B. Evaluation for gastric banding surgery
C. Decrease exercise to three days/week
D. Eat more to stimulate the metabolism

A

A. Self-monitoring of dietary intake

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3
Q

Nutrition impact symptoms may lead to decreased food intake due to which symptom?

Excessive saliva
Delayed satiety
Salt cravings
Altered taste

A

Altered taste

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4
Q

Underweight or malnourished patients with cancer may experience all of the following EXCEPT:

  • Decreased treatment tolerance
  • Decreased treatment breaks
  • Delayed wound healing
  • Increased complications
A

Decreased treatment breaks

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5
Q

In patients who undergo gastric bypass surgery for obesity, which of the following mechanisms is MOST UNLIKELY to contribute to weight loss?

  • Restriction of intake
  • Malabsorption of food
  • Decrease in circulating leptin after surgery
  • Decrease in circulating ghrelin after surgery
A
  • Decrease in circulating leptin after surgery
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6
Q

Which of the following lipoproteins normally returns most of the cholesterol to the liver for disposal via reverse transport?

Chylomicrons
VLDL
LDL
HDL

A

HDL

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7
Q

Which of the following is LEAST likely to be a complication of type 2 diabetes?

  • Nephropathy
  • Cardiovascular disease
  • Ketoacidosis
  • Retinopathy
A
  • Ketoacidosis
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8
Q

Dan is a 35 year old man with hypercholesterolemia. He requests information about vitamins that can help reduce his cholesterol. Which of the following vitamins are used to treat hypercholesterolemia when used in pharmacological doses?

  • Vitamin C
  • Folate
  • Vitamin B6
  • Niacin
A
  • Niacin
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9
Q

All of the following lifestyle behaviors may lead to a DECREASED risk of Type 2 Diabetes EXCEPT?

  • Increased physical activity
  • Increased magnesium intake
  • Light to moderate alcohol consumption
  • Increased tea intake
A
  • Increased tea intake
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10
Q

Which of the following is TRUE about fatty fish, omega-3 fatty acids, and CVD risk?

  • It is recommended to consume at least 2 servings of fatty fish each week regardless of history of cardiac events.
  • It is recommended that those with existing CVD avoid fatty fish due to increased mercury content.
  • It is recommended to consume fish oil supplements to ensure sufficient EPA and DHA is consumed.
  • It is recommended that individuals with angina consume fish oil supplements instead of eating fish to reduce cardiac mortality
A
  • It is recommended to consume at least 2 servings of fatty fish each week regardless of history of cardiac events.
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11
Q

Which of the following is a goal of nutrition intervention in chronic kidney disease ?

  • Increase renal dysfunction
  • Assist in the control of uremic symptoms
  • Minimize nutritional adequacy
  • Decrease lean body mass
A
  • Assist in the control of uremic symptoms
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12
Q

Non alcoholic fatty liver disease (NAFLD):

  • Is the result of excessive alcohol intake
  • Is caused by an abnormal accumulation of fat in the hepatocytes
  • Effects a small minority of obese patients
  • Does not improve with weight loss
A
  • Is caused by an abnormal accumulation of fat in the hepatocytes
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13
Q

Which of the following would you suggest for a patient trying to manage hyperphosphatemia in CKD?

  • Replace Sprite with Coca-Cola
  • Choose whole wheat bread instead of white
  • Opt for coconut milk instead of cow’s milk
  • Take 2 Tums with each meal
A
  • Take 2 Tums with each meal
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14
Q

Which of the following interventions would be LEAST appropriate to address during a nutrition assessment with an obese patient who has CKD stage 4 and fluid retention, hyperphosphatemia, and hyperkalemia?

  • Weight loss strategies
  • Reducing added sodium in the diet
  • When and how to take phosphate binders
  • Identifying high potassium foods in the diet
A
  • Weight loss strategies
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15
Q

Which of the following statements is TRUE about patients with end stage liver disease?

  • The decrease in REE that occurs with fasting is usually normal
  • Regular fasting helps preserve muscle and fat loss
  • There is an increased risk of hypoglycemia during fasting
  • End stage liver disease rarely affects nutrient intake
A
  • There is an increased risk of hypoglycemia during fasting
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16
Q

What type of enteral tube enters the body at the nose and terminates in the stomach?

  • Nasogastric
  • Nasojenjunal
  • Percutaneous endoscopic gastrostromy
  • Percutaneous endoscopic jejnunostomy
A
  • Nasogastric
17
Q

After assessment of a patient has determined that oral intake is inadequate, what is the next determination to be made?

  • Is the GI tract functional?
  • What type of tube should be placed?
  • What type of formula should be used?
  • What amount and composition of PN are appropriate?
A
  • Is the GI tract functional?
18
Q

Nutrition support cannot replete lean body mass:

  • In starvation related malnutrition
  • In critically ill patients with metabolic stress
  • In chronic disease related malnutrition
  • After cancer surgery
A
  • In critically ill patients with metabolic stress
19
Q

Which best describes the mechanism(s) by which gastric banding surgery facilitates weight loss?

  • Reduces reward value of food
  • Physically restricts food intake
  • Enhances ghrelin secretion
  • Combines restriction and malabsorption
A
  • Physically restricts food intake
20
Q

What are the major challenges to an accurate nutrition assessment in a patient with liver disease?

  • The diverse types of liver disease
  • The uniform malnutrition seen in patients with liver disease
  • Weight is often misleading in nutrition assessment for patients for liver disease
  • Patient noncompliance is widespread
A
  • Weight is often misleading in nutrition assessment for patients for liver disease
21
Q

In parenteral nutrition solutions, protein is supplied mostly as:

Complete proteins
Crystalline amino acids
Oligopeptides
Dipeptides

A

Crystalline amino acids

22
Q

Intake of which of the following nutrients is generally NOT decreased in the nutrition therapy of patients with CKD?

Sodium
Phosphorus
Calcium
Potassium

A

Calcium

23
Q

Which of the following is recommended in the medical nutrition therapy for a patient undergoing surgical treatment of esophageal tumors?

  • Placement of a feeding tube at the time of surgery
  • Oral liquid diet with supplements
  • Regular diet with multivitamin supplementation
  • Parenteral nutrition
A
  • Placement of a feeding tube at the time of surgery
24
Q

Who were the first patients to receive parenteral nutrition?

A

Beagles