Life Cycle

Question 1

What daily dose of fish oil is recommended for your male infertility patient?

Answer 1

1-2 grams

Question 2

Which dietary component has be shown to improve the DNA fragmentation index in male infertility patients?

Answer 2

Plants

Question 3

You have a 27 year old pregnant female patient who is 5’5” and with a pre-pregnancy weight of 142 pounds. She is in her 30th week of pregnancy and reports she is lightly active. How much energy should she be consuming?

Answer 3

1,950 Cal/d to start and additional 450 calories in 3rd term for pregnancy

1950 + 450 = 2400

Question 4

You have a 27 year old pregnant female patients who is 5’5” and with a pre-pregnancy weight of 142 pounds and current weight of 175 pounds. She is in her 30th week of pregnancy and reports she is lightly active. What is the minimum amount of protein she should be consuming? (1 kg = 2.2 pounds)

Answer 4

142 pounds / 2.2kg/lb= 64.5 kg x 0.8 g/kg = 51.6 g + 25g = 76 g/d

Question 5

What is the most common nutrition deficiency during pregnancy?

Answer 5

Iron

Question 6

Which fat-soluble vitamin is NOT important for bone synthesis?

A.) Vitamin D
B.) Vitamin C
C.) Vitamin K
D.) Vitamin E

Answer 6

Vitamin E

Question 7

Which micronutrients is the fetus most likely to steal from the mother in utero?

Answer 7

Omega-3’s and Calcium

Question 8

Your patient discloses she has had difficulty losing weight in the past and has recently became pregnant. She is concerned about gaining too much weight during the pregnancy. What intervention has been shown to have the most impact on minimizing excessive weight during pregnancy?

A.) Exercise recommendations
B.) Nothing, innate will take care of it
C.) Dietary advice alone
D.) Both diet and exercise recommendations

Answer 8

Dietary advice alone

Question 9

The evidence is clear that caffeine consumption during pregnancy increases the risk of pre-term delivery. True or False?

Answer 9

False

Question 10

Which supplement may help your constipated pregnant patient of nocturnal leg cramps?

Answer 10

Magnesium citrate

Question 11

Which food or beverage is NOT recommended for your pregnant patient w/ nausea and vomiting?

Answer 11

Skim milk

Question 12

How long does folate take to normalize in the blood following infant delivery?

A.) 2 weeks
B.) > 6 months
C.) 2 days
D.) 3 months

Answer 12

> 6 months

Question 13

When does the prevalence of postpartum depression peak post delivery?

Answer 13

12 weeks

Question 14

A patient presents and reports feeling ‘down’ several weeks post infant delivery. You remember that omega-3’s might be beneficial for treatment of postpartum depression. Which omega-3 has been shown to have the most impact on postpartum depression?

Answer 14

Eicosapentaenoic acid

Question 15

The 2 Item Patient Health Questionnaire has a sensitivity of 96% for diagnosis of postpartum depression. This means that only 4% of women were misdiagnosed as having postpartum depression. True or False?

Answer 15

False

Question 16

Your pregnant patient discloses that she does not eat any nuts or seeds. Which vitamin should we be most concerned about?

Answer 16

Vitamin E

Question 17

Which food should be limited in a female trying to conceive?

A.) Caffeinated soda
B.) High fat dairy
C.) Fish
D.) Plants

Answer 17

Caffeinated soda

Question 18

A female patient is trying to conceive. What is the minimum amount of protein should she consume daily? Current weight is 157 lb. (1 kg = 2.2 lb)

Answer 18

157 pounds / 2.2kg/lb= 71.3 x 1.1 g/kg = 78.5 g/day

Question 19

You have a 27 year old pregnant female patients who is 5’5” and with a pre-pregnancy weight of 123 pounds and current weight of 155 pounds. She is in her 38th week of pregnancy and reports she is lightly active. What is the minimum amount of protein she should be consuming? (1 kg = 2.2 pounds)

Answer 19

155 pounds / 2.2kg/lb= 71.3 x 1.1 g/kg = 77.5 g/day

Question 20

Which dietary intervention is LEAST likely to lead to an increase in epigastric programming of chronic disease?

A.) Zinc deficiency
B.) Low protein intake
C.) High sugar diet
D.) Consumption of green tea

Answer 20

Consumption of green tea

Question 21

Which in utero environment is associated w/ epigenetic programming of disease?

A.) gestational diabetes
B.) pregnancy depression
C.) smoking during pregnancy
D.) all of the above

Answer 21

All of the above

Question 22

Your 2 week old patient is exclusively breastfed and her mother does not report any history of anemia. According to clinical practice guidelines, she should be given iron supplements starting at ____ months at a daily dose of ___ mg/kg assuming she was born full-term.

Answer 22

Starting at 4 months w/ a daily dose of 1 mg/kg

Question 23

Your 2 week old patient who was born 7 weeks premature, is exclusively breastfed and her mother does not report any history of anemia. According to clinical practice guidelines, she should be given iron supplements starting at ____ months at a daily dose of ___ mg/kg assuming she was born full-term.

Answer 23

Starting at 1 month at a daily dose of 2 mg/kg

Question 24

What is the minimum interval between introduction of new foods in an infant?

A.) 10 days
B.) 4 hours
C.) 4 days
D.) 2 days

Answer 24

4 days

Question 25

At what time frame should cow’s milk be introduced into an infants’ diet?

A.) 4-6 months
B.) 6-8 months
C.) 8-10 months
D.) > 12 months

Answer 25

> 12 months

Question 26

When should solid foods be ideally introduced into an infants diet?

Answer 26

6 months

Question 27

A 5 month old presents to your office w/ reported vomiting and diarrhea w/in hours of consuming her cow’s milk-based formula. You suspect she has a cow’s milk allergy. What do you recommend she consume in place of her current formula?

A.) Goat milk
B.) Hydrolyzed cow’s milk formula
C.) Almond milk
D.) Soy formula

Answer 27

Hydrolyzed cow’s milk formula

Question 28

Breastfeeding increases the risk of developing celiacs disease. True or False?

Answer 28

False

Question 29

Your female patient had a baby 5 weeks ago and reports that she is exclusively breastfeeding. What is your patient’s daily carb requirement?

Answer 29

210 g

Question 30

Milk produced 10 days postpartum is known as _____ and contains less _____ than the milk previously secreted.

Answer 30

Transition milk; Protein

Question 31

Which kind of breastmilk is secreted w/in the first 5 minutes of lactation and contains a high concentration of lactose?

Answer 31

Foremilk

Question 32

A female patient continues to breastfeed her 8 month old infant. How much extra energy does she require daily due to lactation?

Answer 32

400

Question 33

Which child has the highest protein requirements per pound of body weight?

A.) 2 month old
B.) 2 year old
C.) 14 month old
D.) 8 month old

Answer 33

2 month old

Question 34

Most maternal antibodies are transmitted via _____.

A.) the birth canal
B.) colostrum
C.) transition milk
D.) the placenta

Answer 34

The placenta

Question 35

Which is the most common nutritional deficiency in children?

Answer 35

Iron

Question 36

Infants should be introduced water by 6 months due to an increase in fluid requirements at that age.

Answer 36

True

Question 37

Late introduction of allergic foods is worse than early introduction for development of food allergies. True or False?

Answer 37

True

Question 38

Following a special allergen-free diet during pregnancy may impact an infants’ likelihood of developing allergies. True or False?

Answer 38

False

Question 39

You suspect that your 8 year old patient has an egg allergy based on his clinical history. What is the slgE concentration he needs to have on lab values in order for you to say you are 95% sure he has an egg allergy?

Answer 39

7 U/L

Question 40

A patient is following the elimination diet you recommended, but after 6 1/2 weeks of removing dairy from his diet he is still having gastrointestinal symptoms. Should he continue?

Answer 40

No, if issues aren’t resolved after 6 weeks discontinue treatments

Question 41

You suspect that your 8 year old patient has a fish allergy based on his clinical history. What is the slgE concentration he needs to have on his lab values in order for you to say you are 95% sure he has a fish allergy?

Answer 41

20 U/L

Question 42

Which food allergy is most likely to persist into adulthood?

A.) milk
B.) egg
C.) wheat
D.) fish

Answer 42

Fish

Question 43

Your 5 year old patient was recently diagnosed w/ a shellfish allergy. What mineral do we need to keep an eye on?

Answer 43

Zinc

Question 44

What is the most common cause of a toddler developing iron deficiency anemia?

A.) Inadequate folate consumption
B.) Inadequate vitamin D intake
C.) Excessive cow’s milk consumption
D.) Excessive steak consumption

Answer 44

Excessive cow’s milk consumption

Question 45

Young kids often go through periods of liking followed by disliking foods known as ______.

Answer 45

Jags

Question 46

What is the daily fiber requirement for your 3 year old patient w/ constipation?

Answer 46

19 g

Question 47

Eliminating artificial ingredients has been shown to improve ADHD symptoms in ALL patients. True or False?

Answer 47

False

Question 48

What is the most common food allergy in children?

Answer 48

Milk

Question 49

An 18 month old presents to your office w/ reported vomiting and diarrhea w/in hours of cow’s milk consumption. You suspect she has a cow’s milk allergy. What do you recommend she consume in place of cow’s milk?

A.) Almond milk
B.) Water
C.) Goat milk
D.) Soy milk

Answer 49

Almond milk

Question 50

Elevated serum IgG levels to corn can be used to diagnose a food allergy to corn. True or False?

Answer 50

False, IgE is used to diagnose food allergies

Question 51

Who is least likely to reach their daily requirement of iron?

A.) 17 year old male
B.) 12 year old male
C.) 9 year old female
D.) 16 year old female

Answer 51

16 year old female

Question 52

What is the daily fiber requirement of an 11 year old male?

A.) 16 g
B.) 31 g
C.) 38 g
D.) 26 g

Answer 52

31 g

Question 53

Your newest patient is a 13 year old female. Which micronutrient are you LEAST concerned about?

A.) Vitamin C
B.) Iron
C.) Vitamin D
D.) Calcium

Answer 53

Vitamin C

Question 54

Rates of bone loss decrease after a women goes through menopause. True or False?

Answer 54

False

Question 55

Which may help decrease the sensation of hot flashes during menopause?

A.) weight loss
B.) all of the above
C.) plant-based diet
D.) exercise

Answer 55

All of the above

Question 56

Your 86 year old male patient presents with impaired taste. Which micronutrient imbalance do you suspect?

A.) Vitamin B12 deficiency
B.) Zinc deficiency
C.) Iron toxicity
D.) Vitamin A toxicity

Answer 56

Zinc deficiency

Question 57

Your 92 year old female patient is recovering from a recent hip surgery (surgery 6 weeks ago). She recently developed a bedsore. How much protein should she be eating daily if her current weight is 145 pounds? (1 kg = 2.2 pounds)

Answer 57

145 pounds / 2.2 kg/lb = 65.9 x 1.25 = 82.4 grams

Question 58

Your 72 year old patient’s blood pressure is slightly elevated during their most recent physical. You remember from nutrition that __________ is a micronutrient that may help decrease blood pressure and is found in high quantities in ___________.

Answer 58

• -Potassium

- -Sweet Potatoes

Question 59

Your 79 year old female patient mentions she has been feeling ‘down’ lately. Which mineral deficiency has been associated w/ depression in older patients?

A.) Vitamin D
B.) Zinc
C.) Omega-3s
D.) Manganese

Answer 59

Zinc

Question 60

Your 85 year old male patient is recovering from a recent hip surgery (surgery 6 weeks ago). He recently developed a pressure ulcer. How much protein should he be eating daily if his current weight is 172 pounds? (1 kg = 2.2 pounds)

Answer 60

172 lb / 2.2 kg/lb = 78.2 kg x 1.25 g/kg = 97.7 g