Questions 221-330 Flashcards
Which food is highest in fiber?
a- cooked dried beans
b- tomato
c- wheat bread
d- lettuce
a- cooked dried beans
Which of the following is lowest in fat?
a- hamburger
b- salami
c- goat cheese
d- canadian bacon
d- canadian bacon
Which is true with osteoporosis?
a- it is more common in men than women
b- it is treated with 500mg calcium per day
c- it is common in those 65+ years old
d- weight bearing exercise exacerbates the problem
c- it is common in those 65+ years old
Open tube feeding should be disposed of after:
a- 48 hours
b- 24 hours
c- 6 hours
d- 3 hours
b- 24 hours
What is a guide for calculating water needs with tube feedings?
a- 1 cc water / 0.5 cals
b- 1 cc water / 1.0 cals
c- 1 cc water / 2.0 cals
d- 1 cc water / 3.0 cals
b- 1 cc water / 1.0 cals
Following a colectomy, the absorption of which of the following would be of most concern?
a- vit D and E
b- water and sodium
c- B vitamins
d- Vit C
b- water and sodium
According to diabetic exchange lists, which of the following is equivalent to 1 medium fat meat?
a- 4 oz tofu
b- 2 oz pork
c- 2 eggs
d- 2T Peanut butter
a- 4 oz tofu
A long term care patient has normal intestinal function but cannot eat. What tube feeding should you provide?
a- high protein, high calorie formula
b- isotonic lactose free formula
c- elemental formula
d- low fiber low fat formula
b- isotonic lactose free formula (normal function)
Which food should someone on an MAOI not eat?
a- cottage cheese
b- herbal tea
c- pepperoni
d- butter
c- pepperoni
If you have lactose intolerance, which food could you most likely tolerate?
a- whole milk
b- skim milk
c- ice cream
d- yogurt
d- yogurt
The normal range for HgbA1C is:
a- 1-2%
b- 4-6%
c- 10-12%
d- 35-40%
b- 4-6%
If a diabetic patient reduces his calorie intake from 2300 to 1800 calories per day, how much will he lose in 1 month?
a- 4 pounds
b- 6 pounds
c- 2 pounds
d- 8 pounds
a- 4 pounds
A spastic quadriplegic requires:
a- lower energy intake
b- fewer calories, increased fluid and fiber
c- increased fluid and fiber, acid ash diet
d- lower energy intake, acid ash diet
b- fewer calories, increased fluid and fiber
An athlete complains of weakness, rapid weight gain and muscle spasms. What may be the cause?
a- lack of adequate rest
b- too much exercise
c- carb loading
d- not enough iron
c- carb loading (remember this)
Who is most at risk from protein calorie malnutrition?
a- cancer patient on chemotherapy
b- patient with gastric ulcers
c- patient with Crohns disease
d- patient with megaloblastic anemia
a- cancer patient on chemotherapy
Patients with decubitus ulcers will likely demonstrate low:
a- serum sodium
b- serum albumin
c- serum potassium
d- serum glucose
b- serum albumin
NHANES III increased the number of participants in which age group?
a- infants and children
b- elderly
c- adolescents
d- pregnant women and infants
b- elderly
Which type of anemia is likely to be seen in a patient with arthritis?
a- microcytic, hypochromic
b- anemia secondary to chronic disease
c- macrocytic
d- megaloblastic
b- anemia secondary to chronic disease
A TPN solution is delivered at 50ml per hour at 3/4 strength. What is the appropriate order?
a- 900 ml formula, 300 ml water
b- 600 ml formula, 600 ml water
c- 800 ml formula, 400 ml water
d- 300 ml formula, 900 ml water
a- 900 ml formula, 300 ml water (1200 ml total, 3/4 strength = 900 ml)
Determine the calorie contribution of carbohydrate from the following PN formula. (per liter)
300 ml 60% dextrose, 500 ml 10% AA, 200 ml 20% lipid
-given at 65 ml/hr for 24 hours
a- 393 calories per day
b- 1550 calories per day
c- 955 calories per day
d- 1572 calories per day
c- 955 calories per day (1560 ml total, 612/L x 1.56)
Using the above formula, determine the calories coming from lipids per day.
a- 519
b- 561
c- 577
d- 624
d- 624
Using the above formula, determine the protein intake per day in grams.
a- 78
b- 80
c- 84
d- 86
a- 78
How much free water is in 1.5L of an enteral feeding that has 1.5 calories per cc?
a- 1155 cc
b- 1057 cc
c- 926 cc
d- 901 cc
a- 1155 cc (1.5 cal/cc 76-78% free water)
A patient receives 4 oz whole milk and 6 graham crackers as a snack. Which of the following substitutes would lower the glycemic index?
a- skim milk in place of whole milk
b- fruit juice in place of whole milk
c- 12 saltines in place of 6 graham crackers
d- 1T peanut butter in place of 3 graham crackers
d- 1T peanut butter in place of 3 graham crackers
Which will cause the most delay in gastric emptying?
a- lean baked meat
b- broiled cod
c- shrimp
d- corned beef
d- corned beef (protein + fat)
If a patients GFR is <50 ml/minute, what should their protein intake be in g/kg?
a- 1
b- .8
c- .55-.6
d- .2-.4
b- .8 (this is stage 3 30-59 GFR)
A 2 year old child with iron-deficiency anemia has anorexia, vomiting, weight loss, and restlessness. Look for:
a- excess milk and fruit juice intake
b- excess Vit C and D intake
c- asthma and respiratory distress
d- pica and lead poisoning
d- pica and lead poisoning
Mr. Jones has heart failure but no CAD or increased CHD risk. His nutritional prescription should be:
a- 2g sodium
b- 2g sodium, low potassium
c- low cholesterol, low sodium
d- low cholesterol, low saturated fat, low sodium
a- 2g sodium
Creatine supplements may be beneficial for the:
a- bodybuilder
b- marathon runner
c- soccer player
d- hockey player
a- bodybuilder
Acidic chyme in the duodenum is neutralized by pancreatic:
a- lipase
b- bicarbonate
c- amylase
d- protease
b- bicarbonate
Milk is packaged in opaque containers to avoid UV destruction of:
a- thiamin
b- riboflavin
c- niacin
d- ascorbic acid
b- riboflavin
Which program teaches good nutrition practices and provides foods with certain nutrients?
a- EFNEP
b- NET
c- WIC
d- MCP
c- WIC (remember)
A PN patient is receiving 45 cal/kg. What may be the result?
a- hypocalcemia
b- hyperkalemia
c- hypokalemia
d- hyperphosphatemia
c- hypokalemia (K supplementation may be inadequate over time)
A tube fed patient develops diarrhea. What is the most likely cause?
a- medications
b- osmolality is too low
c- strength is too weak
d- improper rate
a- medications
You are assessing a 4’11 female pt who weighs 160 lb. She has hypertension, high cholesterol, and diabetes. What do you recommend?
a- low sodium
b- low carb
c- low calories
d- low fat
c- low calories
A patient with liver disease needs adjustments in the intake of:
a- protein, fat, sodium
b- protein, fluid, sodium
c- protein, calories, sodium
d- fluids, calories, fat
b- protein, fluid, sodium
The data that is most useful in evaluating children is:
a- sex and age
b- iron and vitamin intake
c- energy intake and health history
d- height and weight
c- energy intake and health history
Which survey is conducted every 10 years?
a- USDA food consumption survey
b- NHANES
c- ten state nutrition survey
d- preschool children study
a- USDA food consumption survey
Goals for a community nutrition program should be based on:
a- dietary guidelines for americans
b- nutrition screening initiative
c- healthy people report
d- NHANES III report
a- dietary guidelines for americans
The essential amino acid Tryptophan is most closely related to:
a- folic acid
b- riboflavin
c- niacin
d- pantothenic acid
c- niacin (remember tryptophan - niacin relation)
Memory loss may be associated with a deficiency of:
a- riboflavin
b- thiamin
c- protein
d- electrolytes
b- thiamin (remember thiamin - memory relation)
Which of the following would lower serum cholesterol levels?
a- dried beans
b- green beans
c- yellow beans
d- summer squash
a- dried beans (highest fiber)
In a TPN mixture, what volume of the amino acid solutions lsited would come closest to providing 185 calories?
a- 1000 ml 8.5% AA
b- 850 ml 5.5% AA
c- 500 ml 7% AA
d- 500 ml 10% AA
b- 850 ml 5.5% AA
Enteral feeding products that contain protein in the form of small peptides and amino acids are recommended for patients who have:
a- short bowel syndrome
b- undergone gastrectomy
c- undergone colectomy
d- undergone jejunostomy
a- short bowel syndrome