Life Cycle Flashcards
What daily dose of fish oil is recommended for your male infertility patient?
1-2 grams
Which dietary component has be shown to improve the DNA fragmentation index in male infertility patients?
Plants
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?
1,950 Cal/d to start and additional 450 calories in 3rd term for pregnancy
1950 + 450 = 2400
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)
142 pounds / 2.2kg/lb= 64.5 kg x 0.8 g/kg = 51.6 g + 25g = 76 g/d
What is the most common nutrition deficiency during pregnancy?
Iron
Which fat-soluble vitamin is NOT important for bone synthesis?
A.) Vitamin D
B.) Vitamin C
C.) Vitamin K
D.) Vitamin E
Vitamin E
Which micronutrients is the fetus most likely to steal from the mother in utero?
Omega-3’s and Calcium
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
Dietary advice alone
The evidence is clear that caffeine consumption during pregnancy increases the risk of pre-term delivery. True or False?
False
Which supplement may help your constipated pregnant patient of nocturnal leg cramps?
Magnesium citrate
Which food or beverage is NOT recommended for your pregnant patient w/ nausea and vomiting?
Skim milk
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
> 6 months
When does the prevalence of postpartum depression peak post delivery?
12 weeks
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?
Eicosapentaenoic acid
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?
False
Your pregnant patient discloses that she does not eat any nuts or seeds. Which vitamin should we be most concerned about?
Vitamin E
Which food should be limited in a female trying to conceive?
A.) Caffeinated soda
B.) High fat dairy
C.) Fish
D.) Plants
Caffeinated soda
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)
157 pounds / 2.2kg/lb= 71.3 x 1.1 g/kg = 78.5 g/day
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)
155 pounds / 2.2kg/lb= 71.3 x 1.1 g/kg = 77.5 g/day
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
Consumption of green tea
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
All of the above
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.
Starting at 4 months w/ a daily dose of 1 mg/kg
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.
Starting at 1 month at a daily dose of 2 mg/kg
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
4 days
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
> 12 months
When should solid foods be ideally introduced into an infants diet?
6 months
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
Hydrolyzed cow’s milk formula
Breastfeeding increases the risk of developing celiacs disease. True or False?
False
Your female patient had a baby 5 weeks ago and reports that she is exclusively breastfeeding. What is your patient’s daily carb requirement?
210 g
Milk produced 10 days postpartum is known as _____ and contains less _____ than the milk previously secreted.
Transition milk; Protein
Which kind of breastmilk is secreted w/in the first 5 minutes of lactation and contains a high concentration of lactose?
Foremilk
A female patient continues to breastfeed her 8 month old infant. How much extra energy does she require daily due to lactation?
400
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
2 month old
Most maternal antibodies are transmitted via _____.
A.) the birth canal
B.) colostrum
C.) transition milk
D.) the placenta
The placenta
Which is the most common nutritional deficiency in children?
Iron
Infants should be introduced water by 6 months due to an increase in fluid requirements at that age.
True
Late introduction of allergic foods is worse than early introduction for development of food allergies. True or False?
True
Following a special allergen-free diet during pregnancy may impact an infants’ likelihood of developing allergies. True or False?
False
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?
7 U/L
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?
No, if issues aren’t resolved after 6 weeks discontinue treatments
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?
20 U/L
Which food allergy is most likely to persist into adulthood?
A.) milk
B.) egg
C.) wheat
D.) fish
Fish
Your 5 year old patient was recently diagnosed w/ a shellfish allergy. What mineral do we need to keep an eye on?
Zinc
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
Excessive cow’s milk consumption
Young kids often go through periods of liking followed by disliking foods known as ______.
Jags
What is the daily fiber requirement for your 3 year old patient w/ constipation?
19 g
Eliminating artificial ingredients has been shown to improve ADHD symptoms in ALL patients. True or False?
False
What is the most common food allergy in children?
Milk
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
Almond milk
Elevated serum IgG levels to corn can be used to diagnose a food allergy to corn. True or False?
False, IgE is used to diagnose food allergies
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
16 year old female
What is the daily fiber requirement of an 11 year old male?
A.) 16 g
B.) 31 g
C.) 38 g
D.) 26 g
31 g
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
Vitamin C
Rates of bone loss decrease after a women goes through menopause. True or False?
False
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
All of the above
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
Zinc deficiency
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)
145 pounds / 2.2 kg/lb = 65.9 x 1.25 = 82.4 grams
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 ___________.
- -Potassium
- -Sweet Potatoes
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
Zinc
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)
172 lb / 2.2 kg/lb = 78.2 kg x 1.25 g/kg = 97.7 g
