Pulmonary Disease/ Cancer

Question 1

What are some main goals of MNT for COPD?

Answer 1

Gain weight if under, maintain if over
Prevent malnutrition
Assess vit deficiencies

Question 2

An individual on Furosemide may have a reduced what?

Answer 2

Serum K

Question 3

Mean survival rate of COPD patients with a _____ BMI is shorter

Answer 3

Low

Question 4

With COPD REE Is ______

Answer 4

Increased (can be increased up to 10 fold)

Question 5

In patients on a feeding tube, what Omegas do you want to avoid?

Answer 5

Avoid high doses Omega 6s

Want Omegas 3s

Question 6

Would you use En or PN if ventilation will last for more than 2 days?

Answer 6

EN

Question 7

Do you use EN or PN if the gut is working?

Answer 7

EN

Question 8

Do you use EN or PN if the patient is severely malnourished?

Answer 8

PN

Question 9

Patients with CF need an increase in both ___ and ____.

Answer 9

Salt and K cals

Question 10

How many units of lipase/kg/meal of pancreatic enzyme replacement do CF patients need?

Answer 10

500-2500 units lipase

Question 11

How much Vit K do CF patients need?

Answer 11

2.5-5mcg/ week

Question 12

How much Vit E do CF patients need?

Answer 12

200-400 per day

Question 13

How much vit D do CF patients need?

Answer 13

800-1000 IU/day

Question 14

How much Vit A do CF patients need?

Answer 14

10,000 IU/ day

Question 15

How many patients with OSA (obstructive sleep apnea) are obses?

Answer 15

2/3

Question 16

People with OSA have a lower level of ______ which may lead to decreased alertness.

Answer 16

Orexin

Question 17

How much weight should a person with OSA lose?

Answer 17

5-10%

Question 18

What are common S/S of OSA?

Answer 18

Snoring
Choking or gasping may follow pauses in breathing
Excessive daytime sleepiness

Question 19

THere is a positive linear relationship b/w excess weight gain and risk of what type of cancer in women?

Answer 19

Endometrial

Question 20

What type of cancer is increased with increased consumption of red meat, pork, lamb, beef, processed meats?

Answer 20

Colorectal cancer

Question 21

What type cancer has been linked to processed meats, especially those with nitrates.

Answer 21

Stomach cancer

Question 22

What should the max intake of cooked red meat be weekly?

Answer 22

18 oz

Question 23

Cooking at high temperatures leads to the formation of what?

Answer 23

Heterocyclic amines (HCAs)

Question 24

Omega ___ may promote prostate cancer.

Answer 24

Omegas 6s

Question 25

Omega ___ are protective against growing tumors.

Answer 25

Omega 3s

Question 26

What is found on the skin of grapes, and red wine?

Answer 26

Resveratrol

Question 27

What are non nutrient substances found in foods that don’t have nutrients but may have other helpful properties?

Answer 27

Phytochemicals

Question 28

What are two main classes of phytochemicals?

Answer 28

Carotenoids (beta carotene)

Flavonoids (resveratrol)

Question 29

What is found in tomatoes and may reduce the risk of prostate cancer?

Answer 29

Lycopene

Question 30

___ grams a day of soy reduced the risk of developing breast cancer.

Answer 30

55

Question 31

Should you supplement with soy or eat it in your diet?

Answer 31

Eat in diet

Question 32

If a women has an estrogen receptive cancer or is taking anti-estrogen medications what should they not consume?

Answer 32

Soy

Question 33

Soy may lower ____ In men.

Answer 33

PSA

Question 34

What foods are high in Ellagic acid?

Answer 34

Raspberries
Pomegranates
Strawberries

Question 35

What foods and high in anthocyalinidins?

Answer 35

Raspberries and blueberries

Question 36

Supplements of what are contraindicated with chemo?

Answer 36

Vitamins and minerals

Question 37

When is cancer cachexia suspected?

Answer 37

When weight loss is >5% of pre-morbid weight is observed w/i the past month

Question 38

How much protein should a cancer patient consume?

Answer 38

1-1.5 gm/kg/day

Question 39

What should cancer patients eat?

Answer 39

Omega 3 fatty acids

EPA

Question 40

Individuals who are ____ are more likely to have colon cancer.

Answer 40

Obese