Nutrition Disorders

Question 1

vit A deficiency

manifestation

Answer 1

night blindness

Question 2

vit C deficiency

manifestations

Answer 2

bleeding gums

Question 3

vit D deficiency

manifestations

Answer 3

• rib deformity
• bowed legs
• bone + joint repair

Question 4

vit B deficiency

manifestations

Answer 4

• decr deep tendon reflex

- dermatitis

Question 5

protein deficiency

manifestations

Answer 5

edema

Question 6

carb deficiency

manifestations

Answer 6

• emaciation
• decr energy
• retarded growth + dvlpt

Question 7

iron deficiency

manifestations

Answer 7

• lethargy
• slowed growth + dvlpt
• progression
• pallor

Question 8

Celiac Disease

Answer 8

chronic malabsorption syndrome

Question 9

Celiac Disease

manifestations

Answer 9

greasy, foul smell, frothy, excessive stools
-classic signs: 
>>chronic diarrhea
>>growth impartmt
>>ab distention

Question 10

Celiac Disease has malabsorption of…

Answer 10

• protein
• carb
• Fe
• folate
• vit ADEK
• vit B12

Question 11

celiac disease appears when gluten is introduced…

Answer 11

6-24 MO

Question 12

Celiac Disease

diagnosis

Answer 12

• measure fecal fat content

- improvement w removal of gluten

Question 13

Celiac Disease

treatment

Answer 13

total exclusion of gluten

Question 14

Anorexia Nervosa

etiology

Answer 14

3% of adolescents

• 3x more in women
• white, mid to upper mid class
• controlling, perfectionist parents

Question 15

Anorexia Nervosa is often preceded by..

Answer 15

significant life stress or change

Question 16

Anorexia Nervosa

symptoms

Answer 16

• extreme wt loss
• compulsive exercise
• distort body image
• fear of becoming fat
• depression
• feel isolation
• suicidal ideation
• OCD
• anxiety
• hx of abuse

Question 17

Anorexia Nervosa

physical signs

Answer 17

• cold intolerance
• irregular menses
• fluid + electrolyte imbalance
• bradycardia
• hypothalamic suppression (gynecologic function)

Question 18

Anorexia Nervosa

diagnosis

Answer 18

DSM-V criteria:
>intense fear of wt gain
>bodyimage disturbance
>restricting/binging type
>restrictn of intake

Question 19

goal wt gain for Anorexia Nervosa

Answer 19

hospitalized: 2-3lb/wk
outpatient: 0.5-1lb/wk

Question 20

Bulimia Nervosa

Answer 20

binge eating followed by purging

Question 21

purging may be induced by…

Answer 21

• self induced vomiting
• laxatives
• diuretics

Question 22

Bulimia Nervosa

manifestations

Answer 22

• erosion of tooth enamel

- vomiting induced calluses on back of hand

Question 23

Bulimia Nervosa

etiology

Answer 23

mid to late adolescence

1% of popltn, 3x more in women

Question 24

purging is often ____ at the time, but immediately followed by ______

Answer 24

pleasurable;

guilt, shame, anger, + fear

Question 25

Bulimia Nervosa

therapy

Answer 25

food diary

cognitive behavior therapy

Question 26

2 types Food Reactions

Answer 26

Foor intolerance

Food allergy

Question 27

Food Intolerance

Answer 27

>Not IgE mediated
>indigestion
>flatulence
>sweating
>rhinitis

Question 28

Food allergy

Answer 28

> IgE mediated
rapid onset
swellingof lips, mouth, uvula
anaphylaxis

Question 29

Enteral Therapy

indications

Answer 29

• weak throat + mouth
• neoplasm
• immune dysfunction
• acute states of recovery

Question 30

types of enteral therapy routes

Answer 30

• nasogastric tube
• gastric tube
• jejunal tube

Question 31

Total Parenteral Nutrition

Answer 31

IntraVenous nutritional support

Question 32

Total Parenteral Nutrition requires…

Answer 32

central venous catheter

Question 33

Total Parenteral Nutrition

indications

Answer 33

• congenital malformation of GI tract
• brain injury
• severe burns
• bone marrow transplant
• sepsis