Questions 111-220 Flashcards by Jon C

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

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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

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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)

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Which survey is repeated every few years?

a- NHANES
b- WHO
c- Ten State
d- FAO

a- NHANES

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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

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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

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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

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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

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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

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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

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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

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Which formula is high in calories and low in protein?

a- AminAid
b- Osmolite
c- Sustacal
d- Jevity

a- AminAid

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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

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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

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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

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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

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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

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Which is permitted on a diet which excludes gluten?

a- rye
b- corn
c- barely
d- wheat bread

b- corn

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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

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Where can a pregnant teen learn to cook?

a- EFNEP
b- Child nutrition services
c- UNICEF
d- WIC

a- EFNEP

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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

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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

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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

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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

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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