Paper Practice Exam Material Flashcards
Best measurements to assess growth?
Recumbent length and weight
Height and weight
Height and BMI
Height and head circumference
Height and weight
Which does not occur during pregnancy?
GERD becomes more common
GI motility increases
Appetite increases
Thirst increases
GI motility DOES NOT increase
Pregnant women need a minimum of how many grams of CHOs daily?
150
175
200
225
175
How many grams per day of protein for women?
46
51
60
71
46
How many g/kg/day of protein for women above 19 who are not pregnant?
- 9
- 8
- 85
- 0
0.8
How many grams of protein per day for pregnant women?
46
51
60
71
71
Protein requirement for adolescents (g/kg/day)?
- 8
- 85
- 9
- 95
0.95
Adolescent RDA of Calcium?
1000 mg/d
1200
1300
1500
1300mg/d
Elderly need which RDA of Calcium?
1000 mg/d
1200
1400
1500
1200 mg/d
Angiotensin II …
Prevents the adrenals from releasing aldosterone
Prevents the lungs from producing rennin
Stimulates the adrenals to release more aldosterone
Stimulates the lungs to produce rennin
Stimulates the adrenals to produce more aldosterone
End product of beta-oxidation in the mitochondria (fatty acid oxidation) is
Triacylglcyerol
Pyruvate
acetyl-CoA
glycerol
acetyl-CoA
A glycemic index at or below which level is considered “low glycemic”?
75
65
60
55
55
Where is glucagon synthesized?
Large Intestine
Pancreas
Liver
Spleen
Pancreas (Alpha cells)
How many kcal/gram is alcohol?
5
7
9
11
7
Which refers to adding certain vitamins/minerals to specific foods like grains to replace those lost during processing?
Fortification
Enrichment
Enhancement
Supplementation
Enrichement
Which refers to adding vitamin/minerals not lost during processing?
Fortification
Enrichment
Enhancement
Supplementation
Fortification
Which beriberi do these sx belong to: muscle wasting, leg cramps, tenderness, decreased sensation in fingers/toes?
Dry
Wet
Cerebral
Infantile
Dry
Which beriberi do these associate with: cardiomegaly, tachycardia, right side heart failure, edema?
Dry
Wet
Cerebral
Acute
Wet
Which beriberi occurs in infants and has sx of anorexia, vomiting, lactic acidosis?
Dry
Wet
Acute
Acute
Which B vitamin assists in redox reactions and in reactions that protect biological membranes from oxidative damage?
Thiamin
Riboflavin
Niacin
Pantothenic acid
Riboflavin
________ is a deficiency characterized by cheilosis, stomatitis, glossitis, muscle weakness, and confusion.
Beriberi
Pellagra
Ariboflavanosis
Pernicious anemia
Ariboflavanosis (B2 deficiency)
A deficiency of which vitamin can cause “burning feet syndrome”?
Thiamin
Riboflavin
Niacin
Pantothenic acid
Pantothenic acid
Best options for B6 sources?
Chickpeas, fish, and chicken
Broccoli, egga, canola oil
Cheese, pineapple, pasta
Apples, wheat bread, yogurt
Chickpeas, fish, chicken
Normal rec for women of folate is _______mcg/day. Pregnancy rec is _______mcg/day.
200 … 400
400 … 600
600 … 800
400 … 1000
400 … 600mcg/day
In the enterocytes, retinal is
Esterified
Reduced to retinol
Transported into portal blood
made into beta-carotene
Esterified
How do anticoagulant drugs inhibit vitamin K activity?
Stimulate osteocalcin synthesis
Interfere with micelle formation so Vit K not absorbed
Prevents calcium from interacting with Gla residues
Inhibits formation of active form of Vit K
Inhibits formation of Active form of Vit K
Which tissues do PTH and Vit D act on to increase calcium resorption?
Bone
Kidney
Small intestine
Liver
Kidney
Maximum sodium intake for general population?
1500 mg/day
2300
3300
4400
2300 mg/day
What percentage of energy consumption should health adults aim for with lipids?
5-20%
20-35%
35-50%
50-60%
20-35%
Difference between glycemic index and glycemic load accounts for the
Timing of carb consumption
Amt of carbs in the serving
Body weight of person eating it
type of carb consumed
amount of carbs in the serving
White spots on the nails can be a sign of which deficiency?
Vit C
Mg
Zn
B6
Zinc
C-reactive protein
Is produced by kidneys
Is in common blood tests
Monitors metabolic stress
All of the above
monitors metabolic stress
A current weight (of usual body weight) of 86% is considered to be
Healthy
Mild malnutrition
Moderate malnutrition
Severe malnutrition
Mild malnutrition
Which is not a visceral blood marker?
Prealbumin
Glucose
Transferrin
Albumin
Glucose
Which is better predictor of cardiovascular death?
Total cholesterol
LDL to HDL ratio
total cholesterol to LDL ratio
total cholesterol to HDL ratio
total cholesterol to HDL ratio
Serum albumin tests
Are an early indicator of protein malnutrition
Measure parietal protein status
Are a more sensitive indicator than serum transferrin
None of these.
None of these
Low serum albumin concentrations among the elderly suggest a lower set point for albumin synthesis with aging; dietary protein usually is ineffective in increasing serum albumin concentrations in these individuals.
However, available data suggest that a serum albumin concentration <3.5 g/dL is indicative of malnutrition in an elderly individual.
Serum albumin concentration is reflective of body protein reserves; concentrations below 5.5 g/dL usually are suggestive of protein malnutrition, gastrointestinal inflammation, digestive incapacity, edema in extremities, severe acute liver disease, congestive heart failure, eclampsia of pregnancy, or extravascular protein loss due to renal dysfunction. Serum albumin concentrations less than 3.5 g/dL often accompany dehydration or hypothyroidism.
Hemoglobin is an important test that can determine all of these EXCEPT:
Anemia
Protein status
Trace mineral status
All of the above
All of the above
Nutrition diagnosis stands for
Plan, evaluate, signs and symptoms
problem, etiology, signs and symptoms
plan, related to, etiology, and signs
problem, evaluate, signs and symptoms
prolem, etiology, signs and symptoms
Cystic fibrosis patients have significant respiratory difficulties and digestive complications due to a genetic defect that results in the inability to pump which ions across the cell membrane?
Sodium
Potassium
Phosphate
Chloride
Chloride
Leucine antagonizes which nutrient?
B1
B2
B3
B6
B6 (excess leucine can impair the conversion of tryptophan to nicotinic acid)
Which phase of detoxification does the CYP450 enzyme system belong to?
Phase 1
Phase 2
Phase 1
Which organism is anaerobic and induces nausea, vomiting, abdominal pain, diarrhea approx 8-18 hours after ingestion?
Clostridium botulinum
Clostridium perfringens
Bacillus cerus
Staphylococcus aureus
Clostridium perfringes
Which is not a potentially modifiable risk factor for osteoporosis?
Anorexia nervosa
Chronically low intake of calcium and vit D
Excessive EtOH consumption
Chronically low intake of vitamins C and B6
Chronically low intake of Vitamins C and B6
End products of bacterial fermentation of malabsorbed CHOS are:
CO2, hydrogen, and pyruvate
Lactic acid, AKG, and CO2
Lactic acid, hydrogen and CH4
SCFAs, hydrogen and CO2
SCFAs, Hydrogen, and CO2
Which percentage of people over 50 are estimated to have osteoporosis?
25
35
45
55
55%
Based on USDA, less than which percent of kcal should be from saturated fat?
20
35
10
15
10
Which has been shown to relieve sx of PMS and menopause?
Aloe vera
EPO
Motherwort
Red Clover
EPO
Most common cause of CKD:
Glomerulonephritis
Diabetic neuropathy
HTN
Kidney stones
Diabetic neuropathy
Which microorganism is likely responsible for acute gastroenteritis 4-6 hours after eating custard pie?
Campylobacter jejuni
Listeria monocytogenes
Staphylococcus aureus
Vibrio parahaemolyticus
S. aureus
Staphylococcus aureus is a Gram-positive, round-shaped bacterium that is a member of the Firmicutes, and it is a usual member of the microbiota of the body, frequently found in the upper respiratory tract and on the skin.
Which is the most common fish related toxin in the USA?
Red Tide
Pufferfish
Ciguatera
Histamine
Ciguatera: Ciguatera is a foodborn illness (food poisoning) caused by eating fish that is contaminated by ciguatera toxin. Ciguatera toxin is a heat-stable lipid soluble compound, produced by dinoflagellates and concentrated in fish organs, that can cause nausea, pain, cardiac, and neurological symptoms in humans when ingested
red tide” is a common term used for a harmful algal bloom. … This bloom, like many HABs, is caused by microscopic algae that produce toxins that kill fish and make shellfish dangerous to eat. The toxins may also make the surrounding air difficult to breathe.
Almost all pufferfish contain tetrodotoxin, a substance that makes them foul tasting and often lethal to fish. To humans, tetrodotoxin is deadly, up to 1,200 times more poisonous than cyanide. There is enough toxin in one pufferfish to kill 30 adult humans, and there is no known antidote.
Food that is high-risk for contributing to foodborne illness includes those that are:
High in protein and acidity
High in protein and water
Low in protein and acidity
Low in water and fat
High in protein and water
Which two minerals are lost in the greatest quantity in sweat?
Magnesium and calcium
Calcium and iron
Zinc and iron
Sodium and Chloride
Sodium and chloride
Of these, which is found in the highest amount in sweat (not necessarily highest overall in sweat, but out of these 4 options)?
Zinc
Copper
Calcium
Magnesium
Calcium
Acetylcholine acts to increase or decrease movement?
Increase
Zantac has significant amounts of which ?
Calcium
Magnesium
Sodium
Potassium
Sodium
Which are ok egg substitutes?
Fruit puree Tofu Flax Yeast All of the above
All of the above
T2DM, FTO, ADRB3 are SNPs that relate to:
Immune suppression
CVD
Weight management
Cystic Fibrosis
Weight management
Estrogen and testosterone levels are impacted by
Molybdenum
Magnesium
Boron
Selenium
Boron
Richest sources of iron from these options?
lamb
chicken
beef
oysters
oysters
Respiratory quotient for protein…
1
- 5
- 7
- 8
0.8
Which is not associated with a risk of hepatotoxicity?
Comfrey
Valerian
Green tea extract
ginkgo biloba
Ginkgo biloba
For patients with CKD, serum albumin reflects
protein malnutrition
poor nutrient utilization
inflammation
inflammation
Substance P is a neurotransmitter that stimulates pain receptors in the body and
increases sensory awareness and peristalsis
relaxes the LES
decreases motility
regulates blood flow
increases sensory awareness and peristalsis
People with kidney stones related to acidity could ingest high potassium foods for what reason?
those foods reduce serum calcium
potassium competes with oxalates
those foods are highly alkaline
they shouldn’t ingest high potassium foods
the foods are highly alkaline
Amount of iron for pregnant woman?
15mg/d
18mg/d
27mg/d
34 mg/d
27mg/d
Ruling out celiac is important when assessing thyroid disease.
True or False
True
Which bacteria is the primary source of food-borne illness that includes these sx: bloody diarrhea, abdominal cramping, and fever?
E coli
Campylobacter jejuni
Listeria
clostridium botulinum
c jejuni (from raw/undercooked meat, shellfish, poultry)
High fat foods are usually not well-tolerated in which condition?
PKU
Cystic fibrosis
IBD
histamine intolerace
CF