Questions 111-220 Flashcards
The diet for stomatitis is:
a- low fat, high carb, normal protein
b- avoid spices, very hot, very cold, sour, tart foods
c- high protein, high carb
d- liquids, mostly carbs
b- avoid spices, very hot, very cold, sour, tart foods
The BMI for a woman who is 5’7 and 148 pounds indicates:
a- underweight
b- normal weight
c- overweight
d- obese
b- normal weight
Which of the following is not a guideline for Medicaid?
I- low income
II- over age of 60 only
III- nutritional need
a- I
b- II, III
c- II
d- III
b- II, III (these are medicare)
Which survey is repeated every few years?
a- NHANES
b- WHO
c- Ten State
d- FAO
a- NHANES
The year 2010 Healthy People goals are an outgrowth of a report by:
a- ADA
b- surgeon general under HHS
c- WHO
d- FAO
b- surgeon general under HHS
An example of a “Healthy People” goal is:
a- decrease in saturated fat consumption
b- an increase in iron intake
c- decrease in infant mortality
d- increase in intake of complex carbohydrates
c- decrease in infant mortality
When a starved patient begins to eat, they might expect:
a- constipation
b- increased workload on the heart
c- lethargy
d- diarrhea
b- increased workload on the heart
Which of the following would be classified as NB in the NCP?
a- hypermetabolism
b- inadequate enteral intake
c- impaired ability to prepare foods
d- excessive protein intake
c- impaired ability to prepare foods
The immediate post-stress release of glucagon:
a- increases glucose uptake into cells
b- increases glucose release into bloodstream
c- increases insulin release
d- increases fluid and sodium excretion
b- increases glucose release into bloodstream
Which of the following is the appropriate diet for peritoneal dialysis?
a- .8g protein, 35 cal / kg
b- 2.0g protein, 30 cal / kg
c- 1.5g protein, 30 cal / kg
d- 1.0g protein, 35 cal / kg
c- 1.5g protein, 30 cal / kg
What is an example of a program that provides food to the needy?
a- food bank
b- food stamp program
c- child care program
d- WIC
a- food bank
Which formula is high in calories and low in protein?
a- AminAid
b- Osmolite
c- Sustacal
d- Jevity
a- AminAid
What is the goal of the Dietary Guidelines?
a- prevention of chronic disease
b- provide standard for food stamp allocation
c- provide standards for WIC
d- provide standards for EFNEP
a- prevention of chronic disease
If an IDDM tells you she eats meals on an irregular schedule, you should:
a- obtain more information about her usual habits
b- explain that insulin therapy is related to intake
c- do nothing if blood sugar levels are okay
d- ask her to complete a detailed food record
b- explain that insulin therapy is related to intake
The allowance for food stamps is based on:
a- average cost of food used by a family of the same size
b- USDA Thrifty Food Program
c- data from Congregate Meal Program
d- cost of the Basic Four
b- USDA Thrifty Food Program
A single man with two daughters age 10 and 11 is looking for aid. What program might provide assistance?
a- WIC
b- Food Stamps
c- Child Care Food Program
d- Headstart
b- Food Stamps
Why is an affluent couple (the man with diabetes, 67 years old, and the wife with a broken arm, 50 years of age) not eligible for Meals on Wheels?
a- she is too young
b- they are affluent
c- this program does not cater to special diets
d- they can leave the house
d- they can leave the house
Which is permitted on a diet which excludes gluten?
a- rye
b- corn
c- barely
d- wheat bread
b- corn
Which nutrients are involved in energy metabolism?
a- pyridoxine and cyanocobalamin
b- copper and zinc
c- pantothenic acid and biotin
d- folic acid and iron
c- pantothenic acid and biotin
Where can a pregnant teen learn to cook?
a- EFNEP
b- Child nutrition services
c- UNICEF
d- WIC
a- EFNEP
In metabolic acidosis, which of the following is involved?
a- excretion of potassium
b- excess calcium retention
c- excretion of sodium bicarbonate
d- excess calcium loss
c- excretion of sodium bicarbonate
How can you enhance usage of commodity foods from a food donation program?
a- teach food donation staff how to use the items
b- make a poster on usage
c- give each participant recipes using the food items
d- calculate the amounts of nutrients provided in the donated foods
c- give each participant recipes using the food items
A poor, healthy 19 year old mother is unsure how to feed her 4 year old child. Which program may offer her the most help?
a- EFNEP
b- WIC
c- HHS
d- CACFP
a- EFNEP
An athlete weighs more than the average person of his height. What should you do first?
a- put him on a slow weight reduction diet
b- examine other anthropometric measures
c- have him increase exercise
d- suggest he drink more water
b- examine other anthropometric measures
The most effective nutrition assessment method for large groups is the :
a- food diary
b- 24 hour recall
c- food frequency list
d- diet history
c- food frequency list
Which is the most appropriate bedtime snack for a diabetic on NPH insulin?
a- apple juice and crackers
b- graham crackers and diet soda
c- fresh fruit and crackers
d- cheese and crackers
d- cheese and crackers (NPH = intermediate, onset 1-2 hours)
What can be done to lower the respiratory quotient of a tube fed pulmonary patient?
a- add MCT oil to decrease energy required for growth
b- change type of fat to improve oxygen exchange
c- add carbohydrate to decrease the respiratory quotient
d- add a fat emulsion to replace some carbohydrate
d- add a fat emulsion to replace some carbohydrate
Which correlates best with energy intake?
a- lean body mass
b- tricep skinfold
c- BMI
d- body weight
d- body weight
Which of the following most affects osmolarity?
a- protein
b- sugar
c- electrolytes
d- fat
c- electrolytes
Which fiber is insoluble in water?
a- pectin
b- gums
c- hemicellulose
d- polysaccharides
c- hemicellulose
An infant wants a bottle at bedtime. You should counsel the parents to:
a- give the bottle only at bedtime
b- give the bottle only if the baby insists
c- only give milk in the bottle
d- only give water in the bottle
d- only give water in the bottle
A diabetic wants to exchange his bedtime snack of 8 ounces whole milk. What do you suggest?
a- 1 oz cheese and 1/2 cup orange juice
b- 2 graham crackers and 1/2 cup orange juice
c- 1 ounce cheese
d- 2 ounce cheese
a- 1 oz cheese and 1/2 cup orange juice
Which of the following may result in hypoalbuminemia?
a- amino acid supplementation prior to surgery
b- a high protein diet with inadequate water
c- providing only a 5% dextrose in water solution after stress
d- giving a trauma patient enteral feeding only
c- providing only a 5% dextrose in water solution after stress
A mother with 2 daughters, age 8 and 11, does not earn enough money to feed her family. Which program do you suggest?
a- WIC
b- Food Stamps
c- Child Care Food Program
d- Medicaid
b- Food Stamps
Which drink would a Mormon choose?
a- cola
b- 7 up
c- tea
d- coffee
b- 7 up (???)
What section of the intestine is most likely to be involved in Crohns disease?
a- ileum
b- jejunum
c- duodenum
d- appendix
a- ileum
Which of the following would be classified as NC in the NCP?
a- inadequate vitamin intake
b- limited access to food
c- swallowing difficulty
d- inappropriate intake of food fats
c- swallowing difficulty
An infants failure to thrive can be seen in:
a- their behavior
b- comparison with growth charts
c- weight for height
d- height for age
b- comparison with growth charts
Which of the following has the fewest calories?
a- plain hamburger on a bun
b- chefs salad with dressing
c- green salad with Thousand Island, and shredded cheese
d- fried fish sandwich
a- plain hamburger on a bun
Which of the following indicates protein calorie malnutrition?
a- creatinine height index of 93%
b- height for weight ratio of 89%
c- tricep skinfold and arm muscle circumference of 79%
d- serum albumin of 4.5, transferrin of 410
c- tricep skinfold and arm muscle circumference of 79%
A child with AIDS needs a high calorie and _____ intake.
a- megadose vitamins
b- high protein
c- low fat
d- low residue
b- high protein
An appropriate measurement of iron status in a local community is:
a- serum iron
b- transferrin
c- TIBC
d- hematocrit
d- hematocrit
Which of the following may help decrease cavities?
a- raisins
b- carrots
c- cheese
d- yogurt
c- cheese
Which test helps you determine if a diabetic has been following his diet?
a- blood glucose
b- urine ketones
c- glycosylated hemoglobin
d- urine sugar
c- glycosylated hemoglobin
You discover an incorrect diet order entered in the patients chart:
a- chart the order as incorrect
b- file the order because it was written by a physician
c- discuss it with the physician and suggest change
d- change the order in the chart
c- discuss it with the physician and suggest change
What is the best therapy for weight loss?
a- reducing 500 calories per day, exercise
b- support group, exercise, diet control
c- exercise, diet, behavior modification
d- exercise and diet control
c- exercise, diet, behavior modification
Which is most associated with the incidence of type 2 diabetes?
a- sugar intake
b- protein intake
c- overweight
d- salt intake
c- overweight
According to ADA exchanges, what is the nutrient content of the following: 1 cup cantaloupe, 1/2 cup cereal, 1 cup 1% milk, 1 tsp margarine, 1 tsp low sugar jelly, black coffee, 1 slice toast
a- 397 cal, 12g pro, 61g cho, 6.5g fat
b- 346 cal, 12g pro, 52g cho, 9g fat
c- 365 cal, 12g pro, 57g cho, 7g fat
d- 327 cal, 13g pro, 58g cho, 10g fat
c- 365 cal, 12g pro, 57g cho, 7g fat (cho adds up to 57g)
Iron status is best monitored by:
a- dietary and clinical methods
b- dietary and lab studies
c- dietary studies
d- anthropometric studies
b- dietary and lab studies
Which bacteria may cause gastric ulcers?
a- salmonella
b- streptococcus aureus
c- heliobacter pylori
d- clostridium perfringens
c- heliobacter pylori
The appropriate diet therapy after a Billroth II is:
a- high carb, low fat, high protein
b- high fat, high protein, high carb
c- decrease simple carbs, high protein, mod fat, B12 supplements
d- low fat, low protein, high carb
c- decrease simple carbs, high protein, mod fat, B12 supplements
Which of the following diseases may lead to anemia?
a- myocardial infarction
b- galactosemia
c- renal failure
d- diabetes mellitus
c- renal failure
To learn about prenatal problems in the community, go to:
a- CDC
b- WIC
c- NHANES
d- FDA
b- WIC
Which best applies to nutritional screening?
a- JCAHO standards must be followed
b- should include nutritional parameters
c- done after nutritional problems are identified
d- only done on at risk patients
b- should include nutritional parameters
When using anthropometric measurements, the most important factor is:
a- competence of the practitioner and calibration
b- number of participants done in one sitting
c- patient is sitting
d- that they be done early in the morning
a- competence of the practitioner and calibration
A pork chop is what type of meat exchange?
a- high fat
b- medium fat
c- medium fat plus one fat exchange
d- lean
d- lean
What should most be encouraged in a Headstart program?
a- nutrition activities related to food
b- participation for at least one year
c- class instructions
d- healthy snacks
a- nutrition activities related to food
Medicaid benefits apply to:
a- healthy adults
b- a 60 year old female
c- those at nutritional risk
d- low income
d- low income
The symbol U on a food label indicates:
a- treated with Ultraviolet light
b- treated with radiation
c- vitamin retention has been retained during processing
d- it is Kosher
d- it is Kosher
Congregate meals and home delivered meals fall under:
a- WIC
b- EFNEP
c- Older American Act Title III
d- Medicare
c- Older American Act Title III
Which is most characteristic of Marasmus?
a- serum albumin 2.5g/dl
b- edema
c- severe fat and muscle wasting
d- decreased lymphocytes
c- severe fat and muscle wasting
The stasis of pancreatic juice and bile could result in:
I- autodigestion II- fat malabsorption
III- obstructive jaundice
a- I, II
b- I, III
c- II, III
d- I, II, III
d- I, II, III
A side effect of antidepressants is:
a- chronic diarrhea
b- muscle wasting
c- excess weight gain
d- nausea, vomiting
c- excess weight gain
Which would you recommend to a Mexican American on low fat diet?
a- low fat cottage cheese
b- skim milk
c- beans and rice
d- low fat yogurt
c- beans and rice
Hypertension will decrease with a decrease in:
a- fiber
b- alcohol
c- potassium
d- calcium
b- alcohol
What medication is affected by serum sodium levels?
a- Lithium
b- Mellaril
c- Valproate
d- Tetracycline
a- Lithium
A child has been measured several times before the age of 2 years. Results of measurements were not accurate because the child was measured:
a- first thing in the morning
b- standing up
c- after breakfast
d- in light clothing
b- standing up
Which of the following is not a governmental agency?
a- HHS
b- FDA
c- Food and Nutrition Board
d- American Heart Assoc.
d- American Heart Assoc.
Low levels of folate, pyridoxine, and cyanocobalamin are associated with:
a- glycogen storage disease
b- homocysteinuria
c- PKU
d- galactosemia
b- homocysteinuria
A patient with low hemoglobin and low MCV might have:
a- microcytic anemia
b- macrocytic anemia
c- megaloblastic anemia
d- normochromic anemia
a- microcytic anemia
According to Diabetic Exchanges, 2T peanut butter is:
a- 2 high fat meats
b- 1 high fat meat
c- 2 fats
d- 1 high fat meat plus 2 fats
a- 2 high fat meats
After a gastrectomy, the diet order should indicate a decrease in:
a- disaccharides
b- fats
c- protein
d- calories
a- disaccharides
Children and adolescents need what level of physical activity?
a- 60 minutes every day
b- 30 minutes every day
c- 60 minutes 3 times per week
d- 90 minutes 3 times per week
a- 60 minutes every day
Which of the following provides 60g CHO?
a- 1 english muffin, 1c skim milk, 1/2c apple juice
b- 1 fat free granola bar, 1/2c raisins, 1c fruited yogurt with aspartame
c- 2 small waffles with 2T lite syrup and 1T peanut butter
d- 1 four oz. bagel with 2T lite cream cheese and 1T jelly
a- 1 english muffin, 1c skim milk, 1/2c apple juice
The Prader Willi syndrome is associated with:
a- hyperactivity
b- deficiency of g-6-p
c- macrocytic anemia
d- obesity
d- obesity
Which of the following is permitted on a diet restricting tyramine?
a- hard cheese like cheddar or swiss
b- uncured cheese like cottage, ricotta
c- pickled or smoked foods
d- tofu
b- uncured cheese like cottage, ricotta
What does a fecal fat of 12 grams indicate?
a- severe fat malabsorption
b- normal fat absorption
c- high normal fat absorption
d- nothing
a- severe fat malabsorption
The main goal for a Type 2 Obese Diabetic with persistent hyperglycemia is:
a- weight loss
b- control of serum glucose levels
c- consumption of a low fat diet
d- consumption of a low protein diet
b- control of serum glucose levels
Who is the most appropriate candidate for parenteral nutrition?
a- a 12 year old girl coming in for an appendectomy
b- a middle aged woman who will begin chemotherapy
c- an elderly lady with emphysema
d- a young man going for gallbladder surgery
b- a middle aged woman who will begin chemotherapy
When counseling an anorexic, the best advice is to:
a- be strict about food choices
b- be flexible and help them choose reasonable goals
c- provide a large variety of menu items
d- give them free rein with intake
b- be flexible and help them choose reasonable goals
WIC encourages women with babies to:
a- fomula feed
b- breast feed
c- feed solid foods early
d- feed a mixture of formula and solid foods early
b- breast feed
In reviewing the patients medical record, you note a hemoglobin of 10g/dL and an MCV of 110 cu mm. You should document:
a- anemia due to IF
b- anemia without nutritional implications
c- anemia with larger than normal erythrocytes
d- that the iron content of the diet should increase
c- anemia with larger than normal erythrocytes
For which disease would a low sodium diet be recommended?
a- ascites
b- esopageal varices
c- pancreatitis
d- appendicitis
a- ascites
Which is restricted in a diet for hepatic encephalopathy?
a- protein, sodium, fluid
b- protein, fluid, calories
c- calories, protein, fat
d- sodium, fat, calories
a- protein, sodium, fluid
A patient needs a 2000 calorie, 2g sodium feeding. Which formula is best?
a- formula 1 - 1 cal/ml, 2g Na/L
b- formula 2 - 1.5 cal/ml, 2g Na/L
c- formula 3 - 2 cal/ml, 1g Na/L
d- formula 4 - 1 cal/ml, 1g Na/L
d- formula 4 - 1 cal/ml, 1g Na/L
A 75 year old female with adequate income would benefit from:
a- food stamps
b- congregate meals
c- EFNEP
d- WIC
b- congregate meals (primarily for fairly mobile elderly 60+ or spouse of someone eligible)
Which can be included in a meal for gluten induced enteropathy?
a- spaghetti and tomato sauce
b- cheese and crackers
c- potatoes with butter
d- oatmeal with sugar
c- potatoes with butter (potatoes are OK)
Phytochemicals, which may influence the development of tumors, are found in:
a- fruits, vegetables, grains
b- lean poultry and fish
c- low fat dairy
d- polyunsaturated fats
a- fruits, vegetables, grains
Which diet is restricted in carbohydrates?
a- reactive hypoglycemia
b- diabetes
c- PKU
d- galactosemia
a- reactive hypoglycemia (Diabetes is not necessarily restricted, more balanced intake of CHO)
Compared to whole milk, breast milk is:
a- lower protein, higher carb and fat
b- higher protein and fat, lower carbohydrate
c- lower protein, carb, and fat
d- same nutrients composition
a- lower protein, higher carb and fat
A person with dumping syndrome cannot handle:
a- complex carbohydrates
b- polysaccharides
c- disaccharides
d- amino acids
c- disaccharides
What is the appropriate diet for heart failure?
a- low potassium
b- low calcium
c- low sodium
d- low fat
c- low sodium
How many calories are provided in 1.5L of D25W?
a- 1275
b- 2275
c- 1500
d- 2000
a- 1275
A homeless patient who is deficient in all nutrients is to be discharged. What organization may help?
a- WIC
b- EFNEP
c- social workers group
d- shelter
c- social workers group
Why might a child with PKU have increase incidence of dental caries?
a- phenylalanine is not converted to tyrosine
b- diet is high in CHO, low in PRO
c- pyruvate is not converted to alanine
d- diet is devoid of protein
b- diet is high in CHO, low in PRO
Trauma can place the patient in:
a- an anabolic state
b- a hypermetabolic state
c- a hypothermic state
d- a hypometabolic state
b- a hypermetabolic state
A patient who had an ileal resection is placed on a tube feeding and begins to have diarrhea. This may be due to:
a- use of a hypertonic formula
b- use of an isotonic formula
c- blockage of the GI tract
d- lactose intolerance
a- use of a hypertonic formula
Which is restricted in a diet for hepatic encephalopathy?
a- protein, sodium, fluid
b- protein, fluid, calories
c- calories, protein, fat
d- sodium, fat, calories
a- protein, sodium, fluid
How many non protein calories are provided by 2L of 7% Aminosyn solution and 1 liter of 10% dextrose in water?
a- 340
b- 390
c- 170
d- 255
a- 340 (key - non protein calories)
When should you provide nutrition counseling to an AIDS patient?
a- when nausea and vomiting become problems
b- immediately upon diagnosis
c- when diarrhea occurs
d- no counseling is needed
b- immediately upon diagnosis
Medicare is for:
a- the elderly
b- financially needy
c- those at nutritional risk
d- those with medical needs
a- the elderly (Medicaid = nutritional risk)
What best measures excess calorie reserves?
a- weight
b- creatinine
c- tricep skinfold
d- arm circumference
c- tricep skinfold
Why may a patient with ascites be dehydrated?
a- fluid is in interstitial spaces
b- fluid is in intravascular spaces
c- fluid is in vascular spaces
d- fluid is in the lungs
a- fluid is in interstitial spaces
Which of the following is equivalent to a very lean meat exchange?
a- 1/4c low fat cottage cheese
b- 2T grated parmesan cheese
c- 1 oz mozzarella cheese
d- 1 oz swiss cheese
a- 1/4c low fat cottage cheese
Which is a common complication of AIDS?
a- constipation
b- diarrhea
c- hypoglycemia
d- hyperkalemia
b- diarrhea
A post-surgical patient with prolonged ileus should be treated with:
a- a high fiber diet
b- enteral nutrition with added fiber
c- enteral nutrition
d- parenteral nutrition
d- parenteral nutrition (ileus = blockage)
A common result of treating an AIDS patient with Zidovudine is?
a- diarrhea
b- constipation
c- macrocytic anemia
d- hypokalemia
c- macrocytic anemia (remember this!)
A 140lb female on dialysis should have how many grams of protein?
a- 38-55
b- 58-63
c- 70-89
d- 30-38
c- 70-89 (1.1 - 1.4 g/kg)
An obese person with Type 2 Diabetes should:
a- time meals
b- decrease frequency of feedings
c- achieve DBW
d- increase frequency of feedings
c- achieve DBW
A tube fed patient receiving bolus feedings develops a distended abdomen. What should you recommend?
a- change TF to isotonic, lactose free
b- decrease osmolality of the feeding
c- decrease amount of water flush
d- decrease the rate
d- decrease the rate
