Module 8 - Lower GI Disorders Flashcards
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
prunes.
plenty of fluids.
regular physical activity
Consequences of severe diarrhea include:
a. weight gain. b. hemorrhoids. c. dehydration. d. all of the above
dehydration.
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
c.
increased risk of bone loss
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
Unabsorbed fat in stools caused by fat malabsorption
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.
it does not require bile for absorption.
Which is the best dessert for a client on a fat-restricted diet?
a. sherbet b. ice cream c. shortbread cookies d. cherry pie
sherbet
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
heavy alcohol consumption and smoking
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
production of digestive enzymes and glucose regulating hormones
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
Enzyme replacement therapy
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
oily or clay colored stools
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
NPO
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
thick mucus secretions in the exocrine ducts
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
Malabsorption
Poor growth during childhood
Lung disease
Pancreatitis
Salt losses in sweat
Inability to secrete digestive
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
irritable bowel syndrome
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
applesauce with cinnamon
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
wheat
barley
rye
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
damage to the lining of the small intestines
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
b.
gluten-free diet
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
Take dietary supplements
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
c.
malabsorption and weight loss
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
inflammation in the lining of the intestines
A low-residue diet is one that is very low in:
a. Protein b. Fiber c. Fluids d. Vitamins
fiber
A person with severe ulcerative colitis should restrict:
a. Fluids b. Fiber c. Sodium d. Calories
fiber
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
blood and mucus in stools
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
bowel adaptation
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
abdominal pain with diarrhea or constipation, or a combination of both
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
IBS does not cause structural damage to the intestines, but IBD does
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
When a person has severe IBS
What tends to aggravate symptoms of Irritable Bowel Syndrome?
a. consumption of genetically altered foods b. dehydration c. psychological stress d. intense exercise
psychological stress
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
presence of small, bulging pouches in the digestive track
A person with severe diverticulitis may need:
a. Fat restriction b. IV fluids c. Supplementation with MCT oil d. Tube feeding
IV fluids
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
prevention of constipation
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
wheat bran
What is a common concern from people with ostomies?
a. nausea b. reflux c. odor d. excessive thirst
odor
What is a prevalent complication of an ostomy?
a. dehydration b. constipation c. iron deficiency d. reflux disease
dehydration
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
fluid and electrolyte losses.
Which of the following foods is most likely to be an allergen?
a. Strawberries b. Bananas c. Soy d. Chicken
soy
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
Allergies can be more serious and lead to anaphylaxis
