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Nutrition > Module 8 - Lower GI Disorders > Flashcards

Module 8 - Lower GI Disorders Flashcards

1
Q

Which of the following are included in medical nutrition therapy for constipation? Select ALL that apply.

[mark all correct answers]
a.
prunes.

b.	 plenty of fluids.

c.	 a low-fiber diet.

d.	 regular physical activity
A

prunes.

plenty of fluids.

regular physical activity

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2
Q

Consequences of severe diarrhea include:

a.	 weight gain.

b.	 hemorrhoids.

c.	 dehydration.

d.	 all of the above
A

dehydration.

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3
Q

Nutritional consequences of fat malabsorption include which of the following?

a.	 weight gain and malnutrition

b.	 loss of essential amino acids

c.	 increased risk of bone loss

d.	 decreased risk of oxalate stone formation
A

c.
increased risk of bone loss

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4
Q

What is steatorrhea?

a.	 Uncontrollable diarrhea that persists more than a few hours

b.	 Unabsorbed fat in stools caused by fat malabsorption

c.	 Hard stools caused by constipation

d.	 Abdominal pain caused by dietary oxalates
A

Unabsorbed fat in stools caused by fat malabsorption

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5
Q

MCT oil is commonly used in malabsorption syndromes because

a.	 it is high in essential fatty acids.

b.	 the absorption occurs in the large intestine.

c.	 it does not require bile for absorption.

d.	 it can be delivered parenterally.
A

it does not require bile for absorption.

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6
Q

Which is the best dessert for a client on a fat-restricted diet?

a.	 sherbet

b.	 ice cream

c.	 shortbread cookies

d.	 cherry pie
A

sherbet

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7
Q

What are the two leading risk factors for chronic pancreatitis?

a.	 heavy alcohol consumption and smoking

b.	 obesity and inactivity

c.	 high fat and high sodium intakes

d.	 family history and cardiovascular disease
A

heavy alcohol consumption and smoking

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8
Q

What is a primary function of the pancreas?

a.	 absorption of vitamins and minerals

b.	 detoxification of harmful substances

c.	 control blood pressure and fluid balance

d.	 production of digestive enzymes and glucose regulating hormones
A

production of digestive enzymes and glucose regulating hormones

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9
Q

Which of the following is recommended as treatment for chronic pancreatitis?

a.	 Enzyme replacement therapy

b.	 High fat diet

c.	 Sodium restriction

d.	 Alcohol in moderation
A

Enzyme replacement therapy

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10
Q

Besides pain, what is a distinct symptom of pancreatitis?

a.	 yellowing of the skin

b.	 oily or clay colored stools

c.	 unexplained weight gain over time

d.	 constipation and gas
A

oily or clay colored stools

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11
Q

What should the diet order be for someone with a severe case of acute pancreatitis?

a.	 Mechanical soft diet

b.	 Full liquid diet

c.	 Tube feeding

d.	 NPO
A

NPO

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12
Q

What is the primary characteristic of cystic fibrosis?

a.	 destruction of intestinal cells

b.	 thick mucus secretions in the exocrine ducts

c.	 impaired metabolism leading to weight disorders

d.	 excessive insulin production leading to blood sugar disorders
A

thick mucus secretions in the exocrine ducts

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13
Q

Which of the following are potential complications of cystic fibrosis?

[mark all correct answers]
a.
Malabsorption

b.	 Poor growth during childhood

c.	 Lack of appetite

d.	 Lung disease

e.	 Pancreatitis

f.	 Inability to produce stool

g.	 Salt losses in sweat

h.	 Inability to secrete digestive enzymes

i.	 Scarring of the liver

j.	 Heart disease
A

Malabsorption

Poor growth during childhood

Lung disease

Pancreatitis

Salt losses in sweat

Inability to secrete digestive

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14
Q

Due to its most common symptoms, what is celiac disease often misdiagnosed as?

a.	 pancreatitis

b.	 kidney failure

c.	 ulcerative colitis

d.	 irritable bowel syndrome
A

irritable bowel syndrome

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15
Q

What is an appropriate food for a client with celiac disease?

a.	 a peanut butter and jelly sandwich on wheat bread.

b.	 oatmeal cookies.

c.	 applesauce with cinnamon.

d.	 cheese and rye crackers
A

applesauce with cinnamon

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16
Q

Gluten is found in which of the following foods? Select all that apply

[mark all correct answers]
a.
Wheat

b.	 Fruits

c.	 Barley

d.	 Rye

e.	 Dairy

f.	 Genetically modified corn
A

wheat

barley

rye

17
Q

What is the main characteristic of celiac disease?

a.	 damage to the lining of the small intestines

b.	 lesions that form in the large intestines

c.	 inflammation of internal organs

d.	 bacterial buildup in the bloodstream
A

damage to the lining of the small intestines

18
Q

What is the primary treatment for celiac disease?

a.	 fat-free diet

b.	 gluten-free diet

c.	 supplementation with digestive enzymes

d.	 vitamin and mineral supplement
A

b.
gluten-free diet

19
Q

A person with Crohn’s disease who has severe malabsorption should:

a.	 Take dietary supplements

b.	 Increase sodium intake

c.	 Decrease fluid intake

d.	 Decrease calorie intake
A

Take dietary supplements

20
Q

What complication is likely with severe IBD?

a.	 lack of sperm production and infertility

b.	 liver disease

c.	 malabsorption and weight loss

d.	 kidney failure
A

c.
malabsorption and weight loss

21
Q

What is a primary characteristic of inflammatory bowel disease?

a.	 slow and abnormal digestion

b.	 inflammation in the lining of the intestines

c.	 lack of digestive enzyme production

d.	 sacs on the lining of the intestines that build up with bacteria
A

inflammation in the lining of the intestines

22
Q

A low-residue diet is one that is very low in:

a.	 Protein

b.	 Fiber

c.	 Fluids

d.	 Vitamins
A

fiber

23
Q

A person with severe ulcerative colitis should restrict:

a.	 Fluids

b.	 Fiber

c.	 Sodium

d.	 Calories
A

fiber

24
Q

What is a common symptom of IBD?

a.	 blood and mucus in stools

b.	 high blood pressure

c.	 rapid heartrate

d.	 chronic constipation with gas
A

blood and mucus in stools

25
Q

What is the key to preventing the devastating consequences of short bowel syndrome?

a.	 surgery to make the intestines longer

b.	 abundance consumption of fluids

c.	 supplementation with digestive enzymes

d.	 bowel adaptation
A

bowel adaptation

26
Q

What are the primary characteristics of Irritable Bowel Syndrome?

a.	 blood in the stools

b.	 abdominal pain with diarrhea or constipation, or a combination of both

c.	 severe pain with defecation

d.	 malnutrition and unexplained weight loss
A

abdominal pain with diarrhea or constipation, or a combination of both

27
Q

How does Irritable Bowel syndrome differ from Inflammatory Bowel Disease?

a.	 IBS does not cause structural damage to the intestines, but IBD does

b.	 IBS usually causes more severe symptoms than IBD

c.	 IBS can be easily cured, whereas there is no cure for IBD

d.	 IBS is life-threatening without treatment, whereas IBD is not life-threatening
A

IBS does not cause structural damage to the intestines, but IBD does

28
Q

When is a low FODMAP diet appropriate to use?

a.	 After surgery to treat IBD

b.	 When a person has severe IBS

c.	 When the intestines are removed due to damage from Crohn's disease

d.	 When a person has symptoms of fat malabsorption
A

When a person has severe IBS

29
Q

What tends to aggravate symptoms of Irritable Bowel Syndrome?

a.	 consumption of genetically altered foods

b.	 dehydration

c.	 psychological stress

d.	 intense exercise
A

psychological stress

30
Q

What is the primary characteristic of diverticulosis?

a.	 presence of small, bulging pouches in the digestive track

b.	 inflammation and infection in the intestines

c.	 severe malabsorption that leads to malnutrition

d.	 severe constipation that causes intestinal obstruction
A

presence of small, bulging pouches in the digestive track

31
Q

A person with severe diverticulitis may need:

a.	 Fat restriction

b.	 IV fluids

c.	 Supplementation with MCT oil

d.	 Tube feeding
A

IV fluids

32
Q

What is the primary treatment for diverticulosis ?

a.	 low carbohydrate, high protein diet

b.	 tube feeding

c.	 avoidance of high intensity exercise

d.	 prevention of constipation
A

prevention of constipation

33
Q

Which of the following foods would help meet the goals for diverticulosis to prevent complications?

a.	 pasta made with refined flour

b.	 wheat bran

c.	 peanuts

d.	 low-fat milk
A

wheat bran

34
Q

What is a common concern from people with ostomies?

a.	 nausea

b.	 reflux

c.	 odor

d.	 excessive thirst
A

odor

35
Q

What is a prevalent complication of an ostomy?

a.	 dehydration

b.	 constipation

c.	 iron deficiency

d.	 reflux disease
A

dehydration

36
Q

Patients who have had their colon removed will experience diarrhea, resulting in:

a.	 minimal nutrient losses.

b.	 protein malabsorption.

c.	 fluid and electrolyte losses.

d.	 calcium and iron malabsorption
A

fluid and electrolyte losses.

37
Q

Which of the following foods is most likely to be an allergen?

a.	 Strawberries

b.	 Bananas

c.	 Soy

d.	 Chicken
A

soy

38
Q

What is the difference between allergies and intolerances?

a.	 Allergies can be more serious and lead to anaphylaxis

b.	 People outgrow intolerances; they do not outgrow allergies

c.	 Intolerances involve an immune reaction whereas allergies do not

d.	 Intolerances occur later in life; allergies occur when young
A

Allergies can be more serious and lead to anaphylaxis

39
Q
A

Nutrition (21 decks)

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