Paper Practice Exam Materials 2 Flashcards
Higher folate intake is associated with a decreased for which cancers?
Lung
Ovarian
pancreatic and colon
Breast and prostate
Pancreatic and colon
Which is involved in synthesizing carnitine?
zinc
vitamin C
selenium
vitamin D
Vitamin C
Toxicity of which mineral can cause renal impairment and tingling of hands and feet?
Magnesium
Calcium
Potassium
Boron
Potassium
Beta-glucans are found in
Yellow vegetables
Mushrooms
Legumes
Broccoli
Mushrooms (and oats, barley, yeast, and seaweed)
These signs suggest which nutrient deficiency: loss of appetite, alopecia, dermatitis, anorexia, hyperkeratinization?
Iron
Calcium
Magnesium
Zinc
Zinc
All of these are true of SAMe except which?
Can be used for depression Treats osteoarthritis Can improve liver disease Useful in methylation Has effect on memory when used with DHA
has effect on memory when used with DHA….this is NOT true of SAMe
Which nutrient interferes with the sodium-phosphate pump and can be used to reduce phosphate levels in end-stage renal disease?
B3
B2
B12
B9
B3
Weight loss is an INAPPROPRIATE goal of an elimination diet.
True or False
True
Which phytonutrient does NOT effect blood sugar regulation?
4-hydroxyleucine (from fenugreek)
charatin (from bitter melon)
cinnamaldehyde (from cinnamon)
Hydroxytyrosol (from olive oil)
Hydroxytyrosol from olive oil affects LDL by reducing its oxidation but does not affect blood sugar regulation
Which does not cause nephrotic syndrome?
Diabetes mellitus
systemic lupus erythematosus
Diabetes insipidus
amyloidosis
Diabetes insipidus
Nephrotic syndrome causes excess protein excretion
Which is the richest source of vitamin A per serving?
Eggs
Sweet potato
Carrots
Red Peppers
Sweet potato
During pregnancy, edema can be beneficial as it increases blood flow and nutrient transfer from mother to baby.
True or False
True
Which one of these provides BOTH soluble and insoluble fiber?
fruit
oats
nuts
beans
Nuts - contain hemicellulose which has both types of fiber
How much DHA should pregnant women consume for optimal fetal development?
100-200mg
200-300mg
500mg
1000mg
200-300mg
Total Energy Expenditure is calculated by multiplying Resting metabolic rate by
Caloric intake
Thermic effect of food
activity factor
activity factor
TEE=RMR x Activity factor
How many eggs would be an appropriate serving size of protein for a 7-12 year old?
1
2
3
2
The age of both mother and father are risk factors for birth defects.
True or False
False…only the age of the mother is a risk factor
At higher altitudes, what happens to hematocrit and hemoglobin?
Both increase
both Decrease
Hct increase, Hgb decreases
Hct decrease, Hgb increases
both increase to adapt to lower O2 levels
Which are magnesium’s nutrient partners in the specific microenvironment?
Selenium and iron
Manganese and B12
Vit C and Vit D
Calcium and Zinc
Calcium and Zinc
Brown adipose tissues gets its color from
Vit D
Vit A
Iron
Vit E
Iron
Acidity is a sign of inflammation
True or False
False
pain, heat, redness, swelling, and loss of function.
At which ages for men and women is it considered to be a risk factor for CVD?
men 45, women 55
men 55, women 55
men 50, women 50
men 55, women 45
men 45 and women 55
The most important nutrient to assess and monitor when renal function is impaired is
Sodium
Bicarbonate
Potassium
Calcium
potassium (this is controlled by dialysis)
Which deficiencies are likely in a patient with ataxia?
Vitamin K and Vitamin D
Iron, folate
Vit E, b12, thiamin
Mg, Zn, Se
Vit E, B12, thiamin
What is dysgeusia?
Visual disturbance
Altered taste
Loss of hearing in high pitches
Decreased sense of smell
Altered taste
What is hyposmia?
Visual disturbance
Altered taste
Loss of hearing in high pitches
Decreased sense of smell
decreased sense of smell
Which botanical inhibits FSH and prolactin?
Chasteberry
Colts foot
bayberry
black cohosh
chasteberry
Black cohosh suppression of luteinizing hormone secretion or from direct
relaxation of the uterus.
Which component of grapefruit inhibits CYP450 3A4 and thus affects medication metabolism?
phlobatannin
Saponins
furanocoumarins
capsaicin
furanocoumarins
Cloves are useful for which conditions due to _____?
nipple soreness
bruises and burns
toothache and muscle cramps
HTN
toothache and muscle cramps due to eugenol, which is an anesthetic
Which phytonutrient helps clear glucose from the blood?
lycopene
curcuminoids
colosolic acid
isoflavones
colosolic acid
Which stage of kidney disease is a moderate decrease in kidney function?
Stage 1
2
3
4
3
What’s the recommended level of HDL for women?
> 40 mg/dl
50
60
70
> 50 mg/dl
Which nutrient(s) deficiency(ies) is associated with nasolabeal dyssebacea (the exfoliation, inflammation, excessive oil production, and fissuring of sebaceous glands)?
Vit A, Vit C, Zn
B2
B6, EFAs
B3, B9, B12
B2
Safe minimum internal temp for ground meat
140 F
150
160
170
160 F
Which mineral mimics the effects of insulin, stimulates osteoblasts, and regulates the sodium/hydrogen ion transporter?
Boron
Magnesium
Manganese
Vanadium
Vanadium
Vanadium appears to mimic the effects of insulin on adipocytes, may be an enzyme cofactor, may regulate the sodium/hydrogen ion transporter, and may stimulate osteoblast activity. Acute ingestion of 4.5 mg or more may cause cramps and diarrhea. Long term daily intakes of 10 mg may produce sore eyes and bronchi or dermatitis.
Kava kava is appropriate to give for clinical depression.
True or False
FALSE
Which temperature would you recommend reheating fully cooked ham to?
140
150
160
170
140
Different stressors (wound healing, fevers, burns, etc) can increase which of these?
Total energy expenditure
Resting energy expenditure
Thermic effect of activity
Thermic effect of food
Resting energy expenditure
Which mineral is thought of as toxic but in very small amounts does have a role in cell signaling, insulin regulation, and the facilitation of SAMe?
Mercury
Arsenic
Lead
Antimony
Arsenic
Which deficiency would not exacerbate iodine deficiency?
Copper
Iron
Selenium
Vit A
Copper
Polyphenols in shellfish, green and black tea can block absorption of which vitamin and worsen Beriberi?
Thiamin
Riboflavin
Niacin
Pyridoxine
Thiamin
Chronic thiamin deficiency produces various forms of beriberi, with megaloblastic anemia, lactic acidosis, and branched-chain ketoaciduria; dry beriberi affects the nervous system, wet beriberi affects the heart and circulation. Chronic thiamin deficiency combined with alcoholism often produces the Korsakoff Syndrome of mental confusion, memory
loss, delusions, and amnesia or Wernicke Disease (apathy, delusion, and delirium). These may appear concurrently as Wernicke-Korsakoff Syndrome (alcoholic dementia). There is no known upper safe limit of thiamin intake (prolonged intakes of 500 mg/day have been shown to be without
adverse effects).
Which botanical is used for coughing and asthma?
Lavendar
Hawthorn
Burdock
Burdock
Which are needed to form Niacin from Tryptophan?
B2, B3, Mg
B1, B2, B6
B6, B3, Mg
B2, B6, Iron
B2, B6, Iron
How long can an opened package of deli meat stay fresh in the fridge?
3-5 days
5-7 days
10 days
14 days
3-5 days
Males and females 71 years old and above need how much Vitamin D daily?
500 IU
600
800
1000
800 IU
Omega 3s are protective against all but which cancer?
Lung
Renal
Prostate
Colon
Renal
Which vitamin plays a role in histone modifications, gene regulation, and cell signaling?
B3
B5
B6
biotin
Biotin
Infertility, insulin resistance, and PCOS are linked to which deficiency?
Vitamin A
E
D
K
Vitamin D
Which of these doesn’t need to be avoided by someone with sulfite sensitivity?
Iron sulfide
Sodium sulfite
potassium bisulfite
Sulfur dioxide
Iron sulfide. The rest are added to food to preserve it
How long does it take to detect folate store depletion in the body (and thus, a deficiency)?
2-4 months
6-8 months
1 year
several years
2-4 months
Which should not be recommended as an alternative source of DHA for pregnant women who don’t like salmon due to the mercury content?
Mackerel
Caviar
Tilefish
Tilapia
Tilefish
Carbonated beverages can thicken saliva
True or false
True
Infants in first year require how much protein?
In g/kg/day:
- 8
- 0
- 6
- 0
1.6
What does the Nijmegen Scale help diagnose?
Chronic Pain
Seasonal Affective Disorder
Anxiety and hyperventilation
Depression and Insomnia
Anxiety and hyperventilation
How much weight can a woman expect to lose during the first week after delivering a baby?
8 pounds
15 pounds
20 pounds
None
15 pounds
What is the formula for BMI?
Kg/M
Kg^2 / M
Kg / M^2
Kg^2 / M^2
BMI = Kg / M^2
Which of these is not prevented by refrigeration?
Listeria
Salmonella
E coli
Campylobacter
Listeria
Which muscle is not a good indicator of muscle wasting?
Thenar
Hypothenar
Temporalis
Pectoral
Pectoral
Which competes with iron for the binding site on transferrin?
Cu
Mo
Cr
V
Chromium
Recert for BCNS requires how many hours?
50
75
100
125
75
Which form of calcium does not require HCl in the stomach for absorption?
Citrate
Carbonate
Gluconate
Lactate
Citrate
Which is a good dietary source of L-theanine?
Eggs and butter
Shellfish and wheat
green and black tea
soy and seaweed
green and black tea
Which is not a phytonutrient found in cruciferous vegetables?
Lignans
Sulforaphane
Glucosinolates
Limonoids
Lignans (found in grains, seeds, legumes)
Silicon is associated with?
Cartilage formation
Bone formation
Cross linking with elastin
not
Stimulating osteoblast activity
Plastics marked with recycle code 2, 6, and 7 should be avoided due to BPA.
True or False
False…codes 3, 6, and 7
Linoleic acid and GLA differ in their
Chain lengths
Double bond positions
Numbers of double bonds
Side chain moieties
Numbers of double bonds
Dietary fats and oils primarily are composed of
triglycerides
pufas
saturated fatty acids
mufas
triglycerides
Antidiuretic hormone is released in response to
Decreased serum osmolality
Increased serum osmolality
Decreased urine urea nitrogen
Increased urine urea nitrogen
Increased serum osmolality (high solute concentration in blood requires more water retention)
Which kind of starches do colonic bacteria use to generate SCFAs?
Soluble
Insoluble
Resistant
Resistant
Which do you avoid with SSRIs?
Vitamin C
Vitamin D
SAMe
B12
SAMe, along with saint john’s wort and 5HTP
Tx Low sIgA with?
S boulardii and IGGs like microspore
Which kind of diet for acute IBD flares, diverticulosis, dumping sx, etc?
Low residue
FODMAP means
Fermented Oligo Di Monosaccharides and Polyols
Adrenal dysfunction stage 1 and 2 refer to hyper or hypo cortisolism?
Hyper …
Adrenal dysfunction stage 3 is hyper or hypo
hypo
Which stage of adrenal dysfunction is the transient increases in catecholamines and cortisol?
Stage 1
2
3
1
Which stage of adrenal dysfunction is hypercortisol - more evenly across the day>
1
2
3
2
botanical Tx options for stage 1 adrenal dysfunction? (6)
ashwagandha, l-theanine, 5HTP, passion flower, valerian, kava kava,
botanical Tx options for stage 2 adrenal dysfunction? (5)
ashwaghanda, rhodiola, cordyceps, siberian ginseng, St. John’s wort,
Tx options for stage 3 adrenal dysfunction? (4)
ashwaghanda, licorice, cordyceps,asian ginseng .
