Medical Nutrition Therapy

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1. In community surveys, a frequent symptom of malnutrition is:
a. scurvy
b. rickets
c. low serum albumin
d. low hemoglobin

d. low hemoglobin

2. Which is the least common symptom in the elderly?
a. osteomalacia
b. osteoporosis
c. obesity
d. Hypertension

a. osteomalacia

3. What is included in the study of demograpics?
i. age of individuals ii. population iii. sex of individuals iv. socioeconomic factors

a. i only
b. all of the above
c. ii, iii
d. i, ii, iii

d. i, ii, iii

4. Athletes should receive....
a. salt pills only during the summer months
b. extra protein
c. carbohydrate loading 2 weeks prior to an event
d. water during an event to replace lost fluids

d. water during an event to replace lost fluids

5. HOw many grams of protein would you receive on a 1500 kcal diet which is 20% protein?
a. 70
b. 75
c. 64
d. 300

b. 75

6. A patient is on a high protein, low carb diet. What advice should you offer?
a. increase fluid intake
b. decrease the intake of complex carbs
c. decrease fluid intake
d. decrease the intake of saturated fats

a. increase fluid intake

7. An insulin dependent diabetes living alone calls you with symptoms of nausea, vomiting, and anorexia. What do you recommend?
a. continue with insulin and eat anything he can
b. continue with insulin and drink anything he can
c. discontinue the insulin until he feels better
d. discontinue the insulin and eat whatever he can

b. continue with insulin and drink anything he can

8. Which infant is at the greatest risk?
a. 20 lbs. hemoglobin 10
b. 22 lbs. hemoglobin 10.5
c. 19 lbs. hemoglobin 11
d. 30 lbs. hemoglobin 9

d. 30 lbs. hemoglobin 9

9. Which of the infants in the above questions has a normal hemoglobin
a. 20 lbs. hemoglobin 10
b. 22 lbs. hemoglobin 10.5
c. 19 lbs. hemoglobin 11
d. 30 lbs. hemoglobin 9

a. a, b, d
b. b, d
c. c, d
d. a, b,c

d. a, b,c

10. An alcoholic patent has a low serum albumin, low hemoglobin, high ammonia, abnormal liver function test and ascites. Why is he on the 500 mg sodium diet?
a. secondary renal failur
b. hypoaldosteronism
c. hypoalbuminemia
d. hyperammonemia

c. hypoalbuminemia

11. Which of the following should the patient in the above question have for lunch?
An alcoholic patent has a low serum albumin, low hemoglobin, high ammonia, abnormal liver function test and ascites. Why is he on the 500 mg sodium diet?

a. 4 oz of cottage cheese
b. 1 oz cheddar cheese
c. 1 ounce roast beef
d. 1 ounce cold cuts

c. 1 ounce roast beef

12. Which of the followng should be included in the diet for celiac disease?
i. decrease intake of eggs. ii. use potato and rice flour iii. IM vitamin b12 and iron iv. low cal, high fat, high proteins
a. ii, iii
b. iii, iv
c. i, ii, iv
d. ii, iv

a. ii, iii

13. A 75 yar ofemale weighs 100 lbs, 5'2" tall, lives alone, has a poor appetite. Serum albumin is 1.8; BUN is 35. She is depresed, eats one meal a day, ha dkwashiorkor and needs a high calorie, high protein diet. Using the SOAP format, what information should be listed under "s"?
a. needs a high cal, high protein diet
b. has kwashiorkor
c. poor appetite, lives alone, depressed
d. 5'2", 100 lbs, BUN 35

c. poor appetite, lives alone, depressed

14. From the above question, what should be listed in "a"
a. needs a high cal, high protein diet
b. has protein malnutrition
c. poor appetite, lives alone, depressed
d. 5'2", 100 lbs, BUN 35

b. has protein malnutrition

15. How many calories are in 300 ml of a 5% dextrose solution?
a. 51
b. 60
c. 15
d. 200

a. 51

16. A single 19 year old female is 6 months pregnant. She has not gained any weight and has not seen a physician. Hemoglobin is 9.; Hematocrit is 30. What is the most important recommendation for her?
a. see a physician immediately
b. apply for WIC immediately
c. join a teenage pregnancy support group
d. begin taking iron supplements

a. see a physician immediately

17. A female, 5'7" tall, weighs 115 bs. Six months ago she weighed 130 lbs. What is her % of ideal body weight?
a. 85%
b. 83%
c. 81%
d. 87%

a. 85%

18. A vegan is allergic to milk. Which nutrient would you expect might be deficient in her intake?
a. protein, calories
b. vitamin b12, D
c. vitamin C, calcium
d. vitamin A, D

b. vitamin b12, D

19. A pt with crohn's disease needs the following diet:
i. high fat, high cal, high protein
ii. low fat with fat soluble vits, vit c, b12
iii. high calorie, high protein
iv. high residue, low fat, fat soluble vits
v. low cal, low residue, fat soluble vits, b12

a. i
b. ii, iii
c. iii, iv
d. v

b. ii, iii

20. Which of the following diets is appropriate for reactive hypoglycemia?
a. decrease fat, spread CHO throughout the day, 5-6 small meals
b. increased complex carbs, low fat, high protein
c. decreased comple cars, low fat
d. high protein, high fat, high carbs

a. decrease fat, spread CHO throughout the day, 5-6 small meals

22. When assessing nutritional stats, which would be the most beneficial?
a.24 hr recall, hx of weight changes
b.medical hx, diet rder, socioeconomic status
c. clinical observations, weight status, cultural habits
d. diet intake info, clinical data, lab data

d. diet intake info, clinical data, lab data

23. The first function of th public health nutritionist is:
a. assess the needs of the community
b. counsel patients with special dietary needs
c. write pamphlets with special dietary needs
d. expand the role of dietititans

a. assess the needs of the community

24. What nutrients most affect the renal solute load?
a. protein and carbs
b. sodium and carbs
c. protein and sodium
d. sodium and fat

c. protein and sodium

25. The elderly need how many ml of water per KG?
a. 35
b. 45
c. 30
d. 25

c. 30

26. According to the Diabetic Exchange Lis, when substituting 2% milk for skim ilk, you must omit how many fat exchanges?
a. 1/2
b. 1
c. 1 1/2
d. 2

b. 1

27. If a man normally consuming 2600 cals per day reduces his intake o 1500 cals per day, how much weight will he lose in one week?
a. 0.5 kg
b. 1.0 kg
c. 1.5 kg
d. 2.0 kg

b. 1.0 kg

28. For which of the following diseases is diet therapy the primary treatment?
a. peptic ulcer
b. diabetes
c. Wilson's Disease
d. galactosemia

d. galactosemia

29. Which of the following best reflect protein status?
a. serum albumin
b. serum transferrin
c. retinol-binding protein
d. prealbumin

d. prealbumin

30. Following a Billroth II steatorrhea often results. Whats the likely cause?
a. bacterial vergrowth in the remaining loop
b. lack of pancreatic secretion due to less duodenal hormone secretion
c. a diet restricting simple carbs
d. rapid absorption of simple carbs

b. lack of pancreatic secretion due to less duodenal hormone secretion

31. Meats curd with whey won't be tolerated by someone with:
i. lactose intolerance ii. diabetes iii. post-gastrectomy iv. duodenectomy
a. i, ii, iii
b. ii, iii, iv
c. i
d. i, iii, iv

c. i

33. A PEG feeding would be useful in a patient with:
a. head or neck cancer, who will not be able toe at normally for weeks
b. short bowel syndrome
c. duodenal ulcers
d. pancreatitis

a. head or neck cancer, who will not be able toe at normally for weeks

34. A pt with hepatitis needs a high protein intake. Besides helping the liver to regnerate, what other purpose is served?
a. it helps increase iron absorption
b. it restores glycogen reserves
c. it helps prevent fatty liver
d. it helps prevent necrosis of the liver

c. it helps prevent fatty liver

36. Which foods are most likely to cause an allergic reaction?
a. shellfish, peanuts, wheat
b. wheat, chocolate, rice
c. citrus fruits, milk, corn
d. chocolate, milk, corn

a. shellfish, peanuts, wheat

37. Which set of conditions is most commonly seen in American children?
a. obesity, dental carries, anemia
b. hypertension, dental carries, rickets
c. hyperkinesis, anemia, dental carries
d. dieabetes, obesity, anemia

a. obesity, dental carries, anemia

38. A 1500 cal diabetic diet with 45% cals from carbs is prescribed. One third of the carb grams is met with 1/2 cup oj, 1 cup milk, and:
a. 1 slice of toast
b. 2 slices of toast
c. 2 slices toast and 1/2 cup oatmeal
d. 1/2 slice of toast

b. 2 slices of toast

39. Which of the following is a medium fat meat?
a. pork chop
b. tunafish packed in water
c. roast lamb
d. chicken without skin

c. roast lamb

40. Which government agency would you contact regarding food distribution?
a. USDA
b. FDA
c. HHS
d. Food stamps

a. USDA

41. Which has the greatest effect on the real solute load?
a. potassium
b. sodium
c. glucose
d. protein

d. protein

42. Which is not a fiber in the diet?
a. cellulose
b. hemicellulose
c. amylose
d. pectin

c. amylose

43. What is the diet for hypertension?
i. low sodium ii. high potassium. iii. high calcium
a. i
b. i, ii
c. i, iii
d. i, ii, iii

a. i

44. The NHANES study looks at which parameters?
i. dietary ii. clinical iii. biochemical
a. i,
b. i, ii
c. i, iii
d. i, ii, iii,

d. i, ii, iii,

45. What is a major reason for constipato in the elderly?
a. a diet low in high residue foods
b. a diet high in low residue foods
c. decreased gastric motility
d. lack of physical exercise

c. decreased gastric motility

46. A 11 month old infant is at the 95th percentile weight for age and has been for the past 9 months. What should you do?
a. recommend increasing food intake by 25%
b. recommend decreasing food intake by 50%
c. watch the child's growth for the next 6 months
d. nothing, he's fine

d. nothing, he's fine

47. A 6'2" male, large frame, 230 lbs with type II diabetes should:
a. gain 5lbs, to be at desirable body weight
b. lose 20 lbs slowly following a balanced diet
c. lose 20 lbs in 4 weeks on an 800 cal diet
d. lose 10 lbs slowly by following a balanced diet

b. lose 20 lbs slowly following a balanced diet

48. A patient with chronic pacreatitis should consume oral pancreatic enzymes:
a. with large meals and faty foods
b. only if steatorrhea increases
c. with all meals and snacks
d. only if consuming a high fat, low protein diet

c. with all meals and snacks

49. If a patient is about to be discharged when you receive the discharge diet order, you should....
a. give him something to take home
b. there is not enough time so forget it
c. enroll him in the outpatient clinic and schedule an appointment
d. teach him what you can in the time you have now

c. enroll him in the outpatient clinic and schedule an appointment

50. Following a cholecystectomy, bile is produced by the:
a. pancreas
b. liver
c. spleen
d. portal vein

b. liver

51. HOw many calories are in 1.5 liters of a 25% dextrose solution?
a. 850
b. 1275
c. 1000
d. 1500

b. 1275

52. Research suggests that in order to guard against cancer you should ingest:
a. carotene and vitamin c
b. vitamins c and b12
c. protein and vitamin a
d. vitamins e and k

a. carotene and vitamin c

53. Which of the following may be the cause of loose stools in a tube fed patient?
i. feeding was administered at too rapid rate
ii. the osmolality of the feeding was too low
iii. the patient is constipated
iv. an inadequate amount of intestinal surfcace are

a. i
b. i, ii
c. ii, iii
d. i, iv

d. i, iv

54. an elevated T4 indicates:
a. galactosemia
b. hypothyroidism
c. hyperthyroidism
d. ketonuria

c. hyperthyroidism

55. Before discontinuing a parenteral feeding, provide enteral support to prevent:
a. development of a fatty liver
b. ketoacidosis
c. hypoglycemia
d. hepatic encephalopathy

c. hypoglycemia

56. Which of the following weight gains puts pregnant women at risk?
a. less than 4 lbs/month in the last half of pregnancy
b. less than 5lbs/month in the last half of pregnancy
c. less than 6 lbs/month in the last half of preganancy
d. more than 2 lbs/month in the last half of pregnancy

a. less than 4 lbs/month in the last half of pregnancy

57. Iron deficiency anemia has the following characteristics:
i. large cells laden with hemoglobin ii. small, pale cells. iii. hypchromic, microcytic. iv. macrocytic or megaloblastic

a. i, iii
b. ii, iii
c. i, iv
d. ii, iv

b. ii, iii

58. Which hormone moves milk hrou the mammary ducts?
a. prolactin
b. progesterone
c. estrogen
d. oxytocin

d. oxytocin

59. Which anthropometric measurements are useful in assessing adults?
a. tricips skinflod, head circumference, arm muscle circum
b. head circum, arm muscle circ, height, weight
c. serum albumin, triceps skinfold
d. triceps skinfold, arm muscle cir, height, weight

d. triceps skinfold, arm muscle cir, height, weight

60. Which is a measure of somatic protein?
a. serum albumn
b. serum transferrin
c. mid-arm muscle circ
d. triceps skin fold

c. mid-arm muscle circ

61. Muscle mass is determined using the:
a. triceps skinfold & arm circ.
b. skinfold caliper
c. BEE
d. urinary creatinine measurement

a. triceps skinfold & arm circ.

62 Gastric irritants include:
a. black pepper, chili powder, black pepper, alcohol, cocoa
b. seeds nuts, chili powder, black pepper, alcohol
c. caffeine, black pepper, nuts, alcohol
d. oj, black pepper, chili powder, alcohol

a. black pepper, chili powder, black pepper, alcohol, cocoa

63. Good advice for a pt with a hiatal hernia is to:
a. increase intake of complex carbs
b. lower the fat content of the diet
c. don't eat before bed
. avoid coffee

c. don't eat before bed

64. the dumping syndrome:
i. follows a gastrectomy ii. is secondary to carb overload iii. draws fluid into the intestine iv. needs a high carb diet

a. i, iii, iv
b. ii, iii, iv
c. i
d. i, ii, iii

d. i, ii, iii

65. Nutritional therapy for hepatitis includs:
a. high protein, high carb, mod fat, high cal
b. high protein, low carb, low fat, mod cal
c. low protein, high carb, low fat, high cal
d. low protein, high carb, low fat, low cal

a. high protein, high carb, mod fat, high cal

6.
Esophageal varices may be caused by:
a. portal hypotension
b. portal hypertension
c. a high fiber diet
d. a high fiber diet, high res diet

b. portal hypertension

67. The diet for hepatic coma is low in protein due to:
a. low ammonia levels
b. high cholesterol diet
c. high ammonia levels
d. high LDL

c. high ammonia levels

68. in cystic fibrosis, the most impaired nutrient is:
a. protein.
b. disaccharides
c. electrolytes
d. fat

d. fat

69. hormones that control blood pressure and blood components are produced in:
a. the heart
b. the liver
c. the kidneys
d. the lungs

c. the kidneys

70. An acid ash would be created by ingesting:
a. corn, cranberries
b. milk
c. vegetables
d. fruits

a. corn, cranberries

71. symptoms of nephrosis include:
a. dehydration, hypocholesterolemia
b. albuminuria, hypercholesterolemia
c. edema, hypocholesterolemia
d. hypotension, hyperalbuminemia

b. albuminuria, hypercholesterolemia

72. The catecholamines released during stress cause:
a. hypertension
b. hyperglycemia
c. diuresis
d. elevated BUN

b. hyperglycemia

73. Which is a part of the nutritional therapy for IDDM in a lean person?
a. time meals
b. decrease caloric intake
c. it is not crucial to maintain consistency of calories if average intake is low
d decrease the frequency of feedings

a. time meals

74. Increased serum uric acid levels may lead to:
a. galactosemia
b. glycogen storage disease
c. gout
d. PKU

c. gout

75. The diet for galactosemia should exclude:
a. high fat foods
b. high chol foods
c. organ meats, MSG
d. simple carbs

c. organ meats, MSG

76. the ketogenic diet is used to help treat:
a. cystic fibrosis
b. seizures
c. chronic renal failure
d. hypotension

b. seizures

77. Immediately following a severe burn, nutritional therapy should include:
a. high cal
b. high protein
c. high cal, vites, minerals
d. fluid and electrolyte replacement

d. fluid and electrolyte replacement

78. The theory of obesity that refers to receptors in the hypothalamus is the:
a. lipostatic theory
b. set point theory
c. glucostatic theory
d. glucose obese theory

c. glucostatic theory

79. The VMA test diet measures:
a. fat malabsorption
b. total catecholamines
c. protein malabsorption
d. vitamin, mineral absorption

b. total catecholamines

80. A fecal excretion of __grams of fat/24 hrs is considered fat malabsorption.
a. less than 1
b. more than 7
c. 3-5
d. 2-4

b. more than 7

81. Iatrgenic malnutrition is:
a. vitamin and mineral malabsorption
b. protein malabsorption
c. protein, calorie malnutrition
d. kwashiorkor

c. protein, calorie malnutrition

82. What are the similarities between WIC and Food stamps?
i. regulated by USDA ii. have at risk criteria iii. have income criteria iv. a health exam is required

a. i, ii, iii, iv
b. i, ii, iii
c. ii, iii, iv
d. i, iii

d. i, iii

83. A 60 kg female receives 2700 kcals on PN. The calorie to nitrogen ration is 150:1. How many grams of nitrogen is she getting?
a. 14
b. 16
c. 18
d. 20

c. 18

84. What type of fo would you feed to a pt o has the athetoid form cerebral palsy?
a. milk-based products
b. finger foods like a hot dog in a roll
c. milk free products
d. galactose free foods

b. finger foods like a hot dog in a roll

85. Osteoporosis is most likely to occur in:
a. the physically active adult
b. non smoker
c. a black female
d. a white female

d. a white female

86. Which is a quick diet assessment tool for a large group?
a. food frequency lists
b. diet history forms
c. weighing food samples and recording intake
d. food records

a. food frequency lists

87. compared to human milk, commercially prepared infant formula is:
a. similar in nutrient content
b. equivalent to human milk in nutrient content and antibodies
c. higher in protein and iron but lacks antibodies
d. lower in protein and iron and lacks antibodies

c. higher in protein and iron but lacks antibodies

88. Which of the followign is not associated with anorexia nervosa?
a. food aversions
b. distorted body image
c. schizophrenia
d. constant concern about weight status

c. schizophrenia

89. What is the approp dvice for a person with anorexia nervosa?
a. offer a wide variety of foods and frequent feedings
b. offer liquids high in cals and protein
c. offer nasogastric feedings
d. regular mealtimes, and a varied moderate intake

d. regular mealtimes, and a varied moderate intake

90. A female who eats a wide variety of foods and takes supplemental iron and birth control pills may be:
a. marginally deficient in folic acid
b. low in calcium
c. low in vitamin A
d. low in zinc

a. marginally deficient in folic acid

91. The immobilized state can lead to low levels of:
a. albumin and calcium
b. albumin and sodium
c. calcium and potassium
d. potassium and zinc

a. albumin and calcium

92. A man with a peptic ulcer should consume:
a. milk every two hrs
b. a bland diet
c. a balanced diet he can tolerate
d. a low roughage diet

c. a balanced diet he can tolerate

93. A cholesterol level of 240 mg needs treatment first with:
a. diet
b. diet and drugs
c. drugs
d. exercise, diet, and drugs

a. diet

94. An infant formula for lactose intolerance might include:
i. whey , coconut oil ii. casein hydrolysate, corn oil, glucose iii. soy protein, corn syrup solids iv. sodium caseinate, hydrolyzed cornstarch

a. i, ii, iii
b. ii, iii
c. ii
d. i, iii

b. ii, iii

95. A patient with nephrosis, will likely exhibit:
a. hypercholesterolemia, albuminemia, edema
b. hypertension, hypocholesterolemia
c. hypotension, azotemia
d. malnutrition, hyperalbuminemia

a. hypercholesterolemia, albuminemia, edema

96. The above pt should receive how many grams of protein per KG.
A patient with nephrosis, will likely exhibit:

a. .5-.6
b. .6-.8
c. .8-1.0
d. 1.0-1.4

c. .8-1.0

97. Fiber, like that found in oats, beans and bran cereals, results in:
a. increased water absorption from the intestine
b. binding of bile acids
c. decreased sodium excretion in the stool
d. small, compact stools

a. increased water absorption from the intestine

98. A patient suffering from bulimia may have all of the following symptoms except:
a. sore throat
b. dental problems
c. extreme weight loss
d. rectal bleeding

c. extreme weight loss

99. The efficacy of a low sugar, low artificial flavor diet on hyperkinesis is:
a. it works in two out of three pts
b. it has not been scientifically proven effective
c. it has never been tested
d. it has been proven effective

b. it has not been scientifically proven effective

100. Which of the following is not a sign of marasmus?
a. severe protein and calorie wasting
b. weight loss
c. edema
d. low anthropometric measurements

c. edema

101. Urea excretion is relate to ___while creatinine excretion is related to ____.
a. muscle mass, protein intake
b. protein intake, muscle mass
c. protein intake, adipose reserves
d. protein intake, calcium intake

b. protein intake, muscle mass

102. A pt has a rare urea disease where the body is unable to synthesize urea. what might be the result?
a. elevated ammonia levels
b. elevated BUN
c. elevated glucagon levels
d. compromised visceral protein levels

a. elevated ammonia levels

103. Which statemet applies to nutritional screening?
a. Only a physician makes the referral
b. only a dietitian makes the referral
c. it is exclusively done by nursing
d. all health team members can participate according to policy

d. all health team members can participate according to policy

104. A sandwich with 2 pieces of white bread and 2 oz of turkey provides how many calories?
a. 250
b. 145
c. 198
d. 290

a. 250

105. Current research on the relationship between cancer and diet includes all of the folowing except....
a. cancer is associated with the intake of vitamin A
b. it is related to demographic factors
c. its is related to epidemiologic data
d. it is associated with ascorbic acid

b. it is related to demographic factors

106. Two liters of a 5% dextrose solution provide how many calories?
a. 170
b. 340
c. 212
d. 195

b. 340

107. When instructing a pt on diet therapy needed during intake of a monoamine oxidase inhibitor, which would not be included?
a. milk, cottage cheese yogurt
b. yogurt, ricotta cheese
c. swiss cheese, yogurt
d. cheddar cheese, swiss cheese

d. cheddar cheese, swiss cheese

108. Catecholamines have what physiological effect?
a. induce diuresis
b. cause hypoglycemia
c. cause sodium retention
d. cause potassium retention

c. cause sodium retention

109. The realtionship between vitamin A and cancer is shown by:
a. etiology studies
b. epidemiologic studies
c. demographic relationships
d. socioeconomic satisfication

b. epidemiologic studies

110. Why would a man who eats very litlerotein have an albumin of 5.5g/dL?
a. carbs keeps albumin levels elevated
b. he is dehydrated
c. serum albumin falls quickly with protein deprivation
d. it is a sign of protein malnutrition

b. he is dehydrated

111. The diet for stomatitis is:
a. low fat, high carbs, normal protein
b. avoid spices, very hot, cery cold, sour tart foods
c. high protein, high carb
d. liquids, mostly carbs

b. avoid spices, very hot, cery cold, sour tart foods

112. The BMI for a woman who is 5'7" tall and weighs 148 lbs indicates she is:
a. underweight
b. of normal weight
c. overweight
d. obese

b. of normal weight

113. Which of the following is not a guideline for Medicaid?
i. low income ii. over the age of 60 only
iii nutritional need
a. i
b. ii, iii
c. ii
d. iii

b. ii, iii

114. Which survey is repeated every few years?
a. NHANES
b. WHO
c. TEn State
d. FAO

a. NHANES

115. The year 2010health goals are an outgrowth of a report by:
a. ADA
b. the surgeon general, under HHS
c. WHO
d. FAO

b. the surgeon general, under HHS

116. Which of the following is an example of year 2010 goal?
a. decrease in sat fat consumption
b. an increase in iron intake
c. a decrease in infant mortality
d. an increase in the intake of comple carbs

c. a decrease in infant mortality

117. When a starved pt begns to eat, they might expect:
a. constipation
b. an increased workload on the heart
c. lethargy
d. diarrhea

b. an increased workload on the heart

118. What is the diff betwen the diet for diabetes and the diet for reactive hypoglycemia?
a. the hypoglycemia diet has more carbs and fat
b. the hypoglycemia diet has less fat and more carb
c. the hypoglycemia diet has less carbs
d. the hypoglycemia diet has more carb and less protein

c. the hypoglycemia diet has less carbs

119. The immediate post-stress release of glucagon:
a. increases glucose uptake into cells
b. increases glucose relase into the bloodstream
c. increases insulin release
d. increases fluid and sodium excretion

b. increases glucose relase into the bloodstream

120. Which of th folwing is the appropriate diet for peritoneal dialysis?
a. .8 g protein; 35 cals/KG
b. 2.0 g protein, 30 cals/KG
c. 1.3 g protein, 35 cals/KG
d. 1.0 g protein, 35 cals/KG

c. 1.3 g protein, 35 cals/KG

121. What is an example of a program that provides food to the needy?
a. the Food Bank
b. food stamp program
c. child care program
d. WIC

a. the Food Bank

122. Which formula is high in cal and low in protein?
a. aminaid
b. osmolite
c. sustacal
d. jevity

a. aminaid

123. What is the goal of the dietary guidelines?
a. prevention of chronic disease
b. provide standards for food stamp allocation
c. provide standards for WIC
d. provide standards for EFNEP

a. prevention of chronic disease

124. IF an IDDM tells you she eats meals on an irregular schedule, you should:
a. obtain more info about her usual eating habits
b. explain that insulin therapy is related to intake
c. do nothing if blood sugar levels are ok
d. ask her to complete a detailed food record

b. explain that insulin therapy is related to intake

125. The allowance for food stamps is based on:
a. the average cost of food used by a family of the same size
b. the USDA thrifty food program
c. data from the congregate meal program
d. the cost of the basic four

b. the USDA thrifty food program

126. A single man with two daughters, ages 10 & 11, is looking for aid. Which program might provide assistance?
a. WIC
b. food stamps
c. child care food program
d. headstart

b. food stamps

127. 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 MOW?
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

128. Which is permitted on a diet which excludes gluten?
a. rye
b. corn
c. barley
d. wheat bread

b. corn

129. Which nutrients are involved in energy metabolism?
a. pyridoxine and cyanocobalamin
b. copper and zince
c. pantothenic acid and biotin
d. folic acid and iron

c. pantothenic acid and biotin

130. Where can a pregnant teen lear to cook?
a. EFNEP
b. Child nutrition services
c. UNICEF
d. WIC

a. EFNEP

131. In metabolic acidosis, which of the following is involved?
a. excretion of potassium
b. excess calcium retention
c. excretion of sodium bicarbonate

c. excretion of sodium bicarbonate

132. HOw can you enhance usuage of commodity foods from a food donation program?
a. teach food donation staff how to use the itmes
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

133. A poor, healthy 19 ear 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

134. An athlete weighs more than the average person of his height. What should you do first?
a. put him on a slow eight reduction diet
b. examine other anthropometric measurements
c. have him increase his exercise
d. suggest he drink more water

b. examine other anthropometric measurements

135. The most effectiv nutrition assessment method for large groups is the:
a. food dieary
b. 24 hr recall
c./ food frequency list
d. diet histroy

c./ food frequency list

136. 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

137. 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 the type of fate to improve oxygen exchange
c. add carb to decrease the respiratory quotient
d. add a fat emulsion to replace some of the carbs

d. add a fat emulsion to replace some of the carbs

138. Which correlates best with energy intake?
a. lean body mass
b. triceps skinfold
c. body mass index
d. body weight

d. body weight

139. Which of the following most affects osmolarity?
a. protein
b. sugar
c. electrolytes
d. fat

c. electrolytes

140. Which fiber is insoluble in water?
a. pectin
b. gums
c. hemicellulose
d. polysaccharides

c. hemicellulose

141. 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 the milk in the bottle
d. only give water in the bottle

d. only give water in the bottle

142. A diabetic wants to exchange his bedtime snack of 8 oz whole milk. What do you suggest?
a. 1 oz cheese and 1/2 cup OJ
b. 2 graham crackers and 1/2 cup OJ
c. 1 oz cheese
d. 2 oz cheese

a. 1 oz cheese and 1/2 cup OJ

143. 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 5% dextrose in water solution after stress
d. giving a trauma patient enteral feeding only

c. providing only 5% dextrose in water solution after stress

144. A mother with 2 daughters, ages 8 and 11, does not earn enough money to feed her family. Which program would you suggest?
a. WIC
b. Food Stamps
c. Child Care Food Program
d. Medicaid

b. Food Stamps

145. Which drink would a Mormon choose?
a. cola
b. 7-up
c. tea
d. coffee

b. 7-up

146. What section of the intestine is most likely to be involved in Crohn's disease?
a. ileum
b. jejunum
c. duodenum
d. appendix

a. ileum

147. What advice would you give to the above patients?
a. low protein, high fat, b12 supplements
b. eat small portions of a varied diet
c. high protein, low fat, low residue diet with vit b12 supplements
d. high fat, high residue diet with vit b12

c. high protein, low fat, low residue diet with vit b12 supplements

148. An infant's failure to thrive can be seen in:
a. their behavior
b. comparison with growth chart
c. weight for height
d. height for age

b. comparison with growth chart

149. Which of the following has the fewest calories?
a. plain hamburger on a bun
b. chef's salad with dressing
c. green salad with 1000 island dressing & shredded cheese
d. fried fish sandwich

a. plain hamburger on a bun

150. Which of the following indicates protein cal malnutrition?
a. a creatinine height index of 93%
b. height for weight ration of 89%
c. triceps skinfold and arm muscle circumference of 79%
d. serum albumin of 4.5; transferrin of 410

c. triceps skinfold and arm muscle circumference of 79%

151. A child with AIDS needs a high cal and ____ intake.
a. megadose
b. high protein
c. low fat
d. low residue

b. high protein

152. An appropriate measurement for iron status in a local community is:
a. serum iron
b. transferrin
c. TIBC
d. hematocrit

d. hematocrit

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