Rd Exam Dom Ii Set 3 Flashcards
An AIDS patient should select the following fresh fruit:a. grapes, orangeb. Orange, banana, pineapplec. Apple, grapes, peachd. Grapes, pear
b. Orange, banana, pineappleThink: all fresh fruits have to be pealed or outter removed (rind, etc)
Asian, Hispanic and Native Americans have the following in common:a. they consume few green vegetablesb. they consume significant amounts of dairy productsc. they consume little milkd. they consume few root vegetables
c. they consume little milk
Your patient is on Coumadin. Which foods would you make sure to consistently include in their diet?a. oranges, peachesb. sweet potatoesc. beef, lambd. spinach, collard greens
d. spinach, collard greens
In acute hepatitis, you would likely see:a. decrease in SGOT, increase in SGPTb. increase in both SGOT and SGPTc. decrease in both SGOT and SGPTd. increase in SGOT and decrease in SGPT
b. increase in both SGOT and SGPT
In severe cirrhosis with ascites, diet therapy should be:a. restrict sodiumb. restrict CHO and fatc. restrict protein and sodiumd. restrict fat
a. restrict sodium
A patient on a clear liquid diet should not be served:a. strawberry flavored gelatinb. vegetable stockc. apple juiced. fruit flavored popsicle
b. vegetable stock
What elements of the diet vary the most in hepatic disease?a. fat, carbohydrate, potassiumb. sodium, fluid, proteinc. sodium, potassium, proteind. fat, sodium, potassium
b. sodium, fluid, protein
A 7 year old on a ketogenic diet requires 1500 calories. Which is the appropriate order?a. 145 g fat, 25 g protein, 25 g carbohydrateb. 95 g fat, 40 g protein, 25 g carbohydratec. 102 g fat, 56g protein, 12 g carbohydrated. 75 g fat, 32 g protein, 43 g carbohydrate
a. 145 g fat, 25 g protein, 25 g carbohydrateThink: Ketogenic diet: fat is 3 or 4 fat to 1 pro & CHO
A female has a 36" waist and a 40"hip measurement. She is at risk for:a. nothingb. cancerc. heart diseased. malnutrition
c. heart disease
A vegan with macrocytic anemia needs which of the following?a. iron-rich foodsb. fortified soy milkc. eggs, wheat breadd. meat, green vegetables
b. fortified soy milk
A patient is recovering from an ileocecal resection, where 100 cm was removed. What are your recommendations?a. oral vitamin B12, increase fluidsb. parenteral vitamin B12, increase fluids, increase proteinc. decrease fluids, increase protein, parenteral B12d. decrease protein, decrease fluids, oral B12
b. parenteral vitamin B12, increase fluids, increase protein
A patient on Lithium decreases his sodium intake to 2 grams/day. The effect will be:a. decreased activity of the drugb. enhanced activity of the drugc. no change in drug activityd. reduced response to the drug
b. enhanced activity of the drug
In the Dietary Guidelines, what represents the fat included?a. 20-35% calories, <10% saturated fatb. 30% calories, <6% saturated fatc. 35% calories, <15% saturated fatd. 35% calories, <10% saturated fat
a. 20-35% calories, <10% saturated fat
A tube feeding ran from 7pm till 6 am, providing 1800 calories at 1.6 calories/cc. How many cc/hour were given?a. 100b. 125c. 210d. 65
a. 100Think: 1800/1/6/11 hours = 102100 is the closest answer
A patient on parenteral support develops sepsis. What is the likely cause?a. lack of immune-enhancing nutrientsb. poor care of the entry sitec. related to the condition that created the need for parenteral supportd. bacterial translocation
d. bacterial translocation
How long should a new mother breast-feed?a. at least 6 monthsb. at least 12 monthsc. until 6 months, then add cow's milkd. until 4 months, then switch to cow's milk
b. at least 12 months
A patient has been hospitalized for 17 days with multiple injuries following an accident. When should the discharge plan begin?a. as soon as it is known when the patient will be dischargedb. once the patient is stablec. on the first day of admissiond. at least two days prior to discharge
c. on the first day of admission
A child with PKU can eat:a. spaghettic with tomato sauceb. vanilla ice creamc. carrots and celery sticksd. aspartame-sweetened gelatin
c. carrots and celery sticks
A child has been identified as being at high risk for food allergies. What should be withheld for the first few years?a. peanut butter and milkb. eggs and strawberriesc. oats and fishd. citrus fruits and chocolate
a. peanut butter and milk
Which of the following would be classified as NI in the NCP?a. not ready for diet changeb. altered GI functionc. involuntary weight lossd. increased energy expenditure
d. increased energy expenditure
Which of the following would be appropriate for a hemodialysis patient on a 60 gram protein diet with 75% from HBV protein?a. 1 egg, 2 oz chicken, 3 oz beef, 1/2 cup milkb. 1 egg, 2 oz chicken, 3 slices bread, 3 oz beefc. 2 eggs, 3 oz chicken, 3 oz beef, 1 cup milkd. 1 egg, 3 oz chicken, 2 cups milk, 5 slices bread
d. 1 egg, 3 oz chicken, 2 cups milk, 5 slices bread
Who resolves differences in bills from the House and the Senate?a. House committeeb. Senate committeec. Committee on resolutionsd. Joint conference committee of the House and Senate
d. Joint conference committee of the House and Senate
Which bill requests government funding?a. budget billb. markup billc. appropriations billd. spending grant bill
c. appropriations bill
A father needs help in feeding his children, ages 6 and 8. Which are the best options?a. WIC and TANFb. Head Start and Food Stampsc. Food Stamps and School Lunchd. Commodity Foods and WIC
c. Food Stamps and School Lunch
What would be an expected outcome of WIC?a. fewer women breast feedb. fewer babies, better birth controlc. better educated low income women concerning nutritiond. less anemia, increased HG and HT levels
d. less anemia, increased HG and HT levels
Food staff from a Commodity Distribution program are not allowed to bring foods to a Jewish facility. What is the main reason for this?a. because meat cannot be served with dairy products at the same mealb. kosher foods are not allowed to be mixed with non-kosher foodsc. Jewish dietary practices are lacto-ovo-vegetariand. Jewish dietary practices are lactovegetarian
b. kosher foods are not allowed to be mixed with non-kosher foods
A teenager was brought to the hospital with CVA and dysphagia. The dietitian should immediately:a. order a nasogastric feedingb. request a swallow testc. order a dysphagia dietd. order a CVA diet and disregard the dysphagia
b. request a swallow test
The immune system reacts to foods that are normally harmless. This is:a. food intoxicationb. an inflammatory responsec. an immunoglobulin E (IgE) mediated reactiond. food intolerance
c. an immunoglobulin E (IgE) mediated reaction
A hospitalized patient who had not eaten well for 2 weeks had a 2.3 serum phosphorus level and a 1.3 serum magnesium level. He has:a. hypophoshatemia, hypomagnesemiab. hyperphosphatemia, hypomagnesemiac. hyperphosphatemia, hyponatremiad. hyperkalemia, hypermagnesemia
a. hypophosphatemia, hypomagnesemia
A concern with parenteral feeding is:a. hypokalemiab. hypercalcemiac. hyponatremiad. hypernatremia
a. hypokalemia
Which of the following self-assessment tools would be given to clients prior to screening at a congregate meal site?a. PEACH surveyb. DETERMINE checklistc. NSI Level I screend. NSI Level II screen
b. DETERMINE checklist
A Crohn's patient who was previously well-nourished has a fever and ileus 7 days PO. Which feeding method should you recommend?a. central venous hyperalimentationb. full liquidsc. peripheral IV infusiond. half-strength tube feeding
c. peripheral IV infusion
A clinical dietitian has succesfully met an indicator for 6 months. The next step should be to:a. establish a new indicatorb. report the successful completion of interventionc. evaluate the need to continue monitoring the indicatord. evaluate the need to revise the standard of care
c. evaluate the need to continue monitoring the indicator
A nephrotic syndrome patient with edema has a serum albumin level that continues to fall. Recognize that:a. liver dysfunction is causing decreased albumin synthesisb. volume overload has diluted the albuminc. the patient is getting sicker and eating lessd. protein is being lost in the urine
d. protein is being lost in the urine
Intervention by a dietitian conducting nutrition assessment is best determined by:a. a patient's medical historyb. a patient's diagnosisc. the case mix of the patient populationd. results of nutrition screening
d. results of nutrition screening
The best way to justify continuation of WIC would be to show improvement in:a. the number of participants enrolledb. the infant morbidity ratec. maternal weight gains during pregnancyd. infant head circumference
b. the infant morbidity rate
A patient with severe acute pancreatitis experiences nausea & vomiting and requires 2500 cals/day. Which would you recommend?a. 3000 cc of 1 cal/cc tube feeding thru the jejunumb. 1500 cc of 2 cal/cc nasogastric tube feedingc. 1000 cc D50W, 1000 cc 7% AA, 650 cc 20% lipidsd. 1000 cc D50W, 1000 cc 7% AA, 500 cc 10% lipids
d. 1000 cc D50W, 1000 cc 7% AA, 500 cc 10% lipids
Roman Catholic dietary laws state that fish is:a. to be served every Friday all yearb. to be served on Ash Wednesday and Good Fridayc. to be served on Ash Wednesday & Fridays during Lentd. no longer required on Fridays
c. to be served on Ash Wednesday & Fridays during Lent
A normal pregnancy requires supplementation of:a. ironb. vitamin C, calcium, ironc. iron and folic acidd. calcium and zinc
c. iron and folic acid
Which condition benefits from the use of indirect calorimetry?a. post-gastrectomyb. patient receiving chemotherapyc. patient with third degree burnsd. post-surgical patient
c. patient with third degree burns
A Rabbi is admitted to the hospital. What question will he ask the dietitian?a. What time are meals served?b. Who cooks the food?c. What is the mixture of foods in combination dishes?d. Where will he eat?
c. What is the mixture of foods in combination dishes?
A patient on parenteral nutrition is to be transitioned to enteral feeding. He should receive:a. half-strength enteral feeding initiallyb. half-strength, then 3/4 strength enteral feedingc. half-strength enteral feeding with a low osmolalityd. full strength enteral feeding at a low rate
d. full strength enteral feeding at a low rate
A patient on a full liquid diet should not receive:a. sherbetb. strained cerealc. pureed fruitd. margarine
b. strained cereal
What is the best practical way to measure energy balance?a. evaluate weight gain and weight lossb. utilize food intake recordsc. use activity factorsd. calculate the number of calories consumed
a. evaluate weight gain and weight loss
Infants should be given solid foods at:a. 1-3 monthsb. 3-4 monthsc. 5-8 monthsd. 10-12 months
c. 5-8 months
Iron preparations should be taken:a. before mealsb. on an empty stomachc. with mealsd. before bedtime
c. with meals
An appropriate menu for a Kosher meal is:a. macaroni and cheese, green beansb. roast beef, potato, vegetable, cream soupc. veal parmesan, noodles, green beansd. crabmeat salad, lettuce, milk
a. macaroni and cheese, green beans
A Hispanic woman needs more calcium in her diet. What do you recommend?a. milkb. plantainsc. avocadosd. pinto beans
d. pinto beans
Which of the following would lacto-ovovegetarian not eat?a. eggsb. halibutc. cheesed. beans
b. halibut
Which provides the most vitamin A for a Mexican?a. tortillas and refried beansb. cantaloupe and squashc. cheesed. tortillas and milk
b. cantaloupe and squash
Which snack would you not give to an infant?a. yogurtb. cheese sticksc. graham crackersd. grapes
d. grapes
Which hormone is involved in developing the placenta?a. progesteroneb. estrogenc. lactogend. testosterone
a. progesterone
Which supplements should you give to a breast-fed baby?a. vitamin D and fluorideb. fluoridec. vitamin Dd. vitamins A and C
a. vitamin D and fluoride
Which is the most useful for evaluating recent under-nutrition or over-nutrition?a. height for ageb. weight for heightc. weight for aged. length for weight
b. weight for height
Which is the least useful evaluation tool in a community assessment program?a. height for ageb. weight for heightc. weight for aged. length for weight
c. weight for age
A child is below the 5th percentile weight for height. What can be said about the child?a. The child is tall for their age.b. The child has a disease that inhibits growth.c. It is an indication of long term under-nutrition.d. It is an indication of recent under-nutrition.
d. It is an indication of recent under-nutrition.
What would you first advise a constipated patient to do?a. take a mild laxativeb. eat less fatc. increase fluids and fiber intaked. eat more protein
c. increase fluids and fiber intake
A patient with dysphagia waiting for a swallow test may receive:a. thick liquidsb. thin liquidsc. peripheral parenteral nutritiond. parenteral nutrition
a. thick liquids
At what age should children be measured standing up?a. 6 monthsb. 1 monthsc. 18 monthsd. 24 months
d. 24 months
What is normal weight gain during the first trimester?a. 1-2 lbsb. 2-5 lbsc. 5-8 lbsd. 8-10 lbs
b. 2-5 lbs
The breast-fed infant is drinking primarily colostrum for:a. the first 24 hoursb. the first few daysc. 1-2 weeksd. 3 months
b. the first few days
Which of the following items is appropriate for a Muslim diet?a. sweet and sour porkb. salad with Bacosc. pork-fried riced. chicken in wine sauce
b. salad with Bacos
What would a vegan not eat?a. coleslaw made with oil and vinegarb. congealed fruit saladc. salad with tofu dressing d. peanut butter
b. congealed fruit salad
Which of the following indicates stunted growth?a. weight for ageb. height for agec. weight for aged. weight for length
b. height for age
A patient comes to you with a diet that you know is not good to follow. What should you do?a. Tell him it's not good.b. Explain why it is not good.c. Tell him to only follow what you have provided.d. Let him do as he wishes.
b. explain why it is not good
Which hormone regulates breast milk production?a. prolactinb. progesteronec. estrogend. oxytocin
a. prolactin
How many grams does a low birth weight infant weigh?a. less than 2500b. between 500 and 1500c. between 3000 and 4000d. between 100 and 500
a. less than 2500
Which of the following is true about SGOT:a. it is increased with hepatitis and diabetesb. it is increased with hepatitis, decreased with diabetesc. it is decreased in both hepatitis and diabetesd. it is decreased with hepatitis and increased with diabetes
b. it is increased with hepatitis, decreased with diabetes
What is the best way to increase attendance at a nutrition seminar for dentists?a. hold it in a location convenient to large numbers of dentistsb. have it held in a medical facilityc. hold it on weekends when their offices are likely closedd. have it sponsored by a dental organization
d. have it sponsored by a dental organization
As a public health nutritionist, you notice an increase in the percentage of obese Hispanic females in the community. What is the best way to educate them?a. have a cooking class that they can participate in the cooking & then eat the food they preparedb. hold classes that teach low fat cookingc. develop posters with low fat cooking tipsd. develop low fat recipes & instructional materials that they can follow at home
a. have a cooking class that they can particippate in the cooking & then eat the food they prepared
A five month old baby has changed from the 65th to the 95th percentile weight for height. The dietitian should first:a. suggest the mother introduce more solid foodsb. change the feeding formulac. check to see if weights have been plotted properlyd. increase the amount of formula given
c. check to see if weights have been plotted properly
What would you do to decrease fat intake for a Hispanic?a. change from whole milk to 2% milkb. change beans from refried to boiledc. change to low fat yogurtd. serve low fat cheese
b. change beans from refried to boiled
When is breast feeding contraindicated?a. when the mother is underweightb. when the mother has AIDSc. when the mother has a breast infectiond. when the mother has hyperlipidemia
b. when the mother has AIDS
Which test measures somatic protein:a. prealbumin, albuminb. creatinine clearance, serum creatininec. serum transferrind. prealbumin, albumin, transferrin
b. creatinine clearance, serum creatinine
High doses of which vitamin will interfere with Levodopa?a. pyridoxineb. cyanocobalaminc. thiamind. riboflavin
a. pyridoxine
Levodopa is used in the treatment of:a. rheumatoid arthritisb. Parkinson's diseasec. diabetic ketoacidosisd. nephrotic syndrome
b. Parkinson's disease
Quicly stopping a 25% dextrose solution leads to:a. hyperglycemiab. hypoglycemiac. hypophosphatemiad. hyperkalemia
b. hypoglycemia
Infants born to mothers with diabetes may be:a. larger than normal & be hypoglycemic shortly after birthb. smaller than normal & be hyperglycemic shortly after birthc. larger than normal & be hyperglycemic shortly after birthd. smaller than normal & be hypoglycemic shortly after birth
a. larger than normal & be hypoglycemic shortly after birth
The mother of an infant who weighed 4.5 kg at birth and was hypoglycemic, may:a. have gained excessive amounts of weight during pregnancyb. not have gained enough weight during pregnancyc. have had gestational diabetesd. have reactive hypoglycemia
c. have had gestational diabetes
What is the most important advice to give a patient with a peptic ulcer?a. drink milk every 1-2 hoursb. consume small portionsc. eat everything in balanced. abstain from spicy food
d. abstain from spicy food
A tube fed patient develops diarrhea. What needs to be done first?a. review their nutritional needsb. increase the rate of the feedingc. review the osmolality of the feedingd. discontinue the feeding until the diarrhea stops
c. review the osmolality of the feeding
A young girl who is HIV positive with Karposi's sarcoma tells you she would like to take vitamin C supplements. What should you tell her?a. ignore her request & talk about incorporating better balanced foods into her dietb. ignore her request & advise her to drink more juicesc. explain the dangers of taking too much vitamin Cd. ask her to keep a food diary to see where she is lacking
d. ask her to keep a food diary to see where she is lacking
Why would you add bicarbonate to a solution for a person with hyperkalemia?a. it forces magnesium out of the cell to attract potassiumb. it forces chloride out of the cell to attract potassiumc. it exchanges phosphorus for potassiumd. it exchanges hydrogen for potassium
d. it exchanges hydrogen for potassium
A patient with Parkinson's disease on Levodopa should:a. increase protein intake at breakfastb. consume no more than 40 grams protein per dayc. evenly divide protein intake throughout the dayd. minimize protein at breakfast & lunch & add it tot he evening meal
d. minimize protein at breakfast & lunch & add it to the evening meal
Four patients are admitted to your service. Who would you address first?a. patient who had a recent MIb. patient with gastric distressc. patient with cancerd. patient admitted for an appendectomy
b. patient with gastric distress
Lactic acid is a result of:a. anaerobic glycolysisb. aerobic glycolysisc. TCA cycled. Cori cycle
a. anaerobic glycolysis
Based on the DRG's, Medicare reimbursement depends on: I. length of patient stay, II. age of patient, III. primary diagnosisa. Ib. II, IIIc. I, IId. I, II, III
b. II, III - age of patient and primary diagnosis
A patient is diagnosed with iatrogenic malnutrition. Nutritional therapy should be:a. high calorieb. high proteinc. high calorie, high proteind. low calorie, high protein
c. high calorie, high protein
Within 2-3 hours of continuous exercise at 60-80% of maximum:a. muscle glycogen is depletedb. muscle glycogen is the main energy sourcec. amino acids begin to contribute a source of energyd. fatty acids are the favored substrates
a. muscle glycogen is depleted
To maintain hydration during continuous endurance phydical activity of 4 hours, consume:a. fluidsb. fluids & sodiumc. fluids, sodium, carbohydratesd. non-CHO electrolyte solutions
c. fluids, sodium, carbohydrates
To restore hydration after continuous endurance activity of 2 hours, consume:a. fluid, carbohydrate, sodiumb. non-CHO electrolyte solutionsc. fluidsd. fluids & sodium
a. fluid, carbohydrate, sodium
The test that measures toxic levels of lead on heme synthesis is the:a. prothrombin testb. free erythrocyte protopophyrin testc. hemoglobin value testd. MCV
b. free erythrocyte protopophyrin test
Nutrition intervention with Alzheimer's disease should include:a. eating with TV on provides stimulationb. offer one food at a time, avoid distractionsc. encourage eating meals with othersd. several small meals and snacks throughout the day
b. offer one food at a time, avoid distractions
Anasarca is extreme generalized edema and swelling of the skin associated with:a. uncontrolled diabetesb. heart, liver or renal failurec. short bowel syndromed. pancreatitis
b. heart, liver or renal failure
Glucophage (Metformin) functions by:a. stimulates insulin secretionb. inhibits digestive enzyme actionc. decreases peripheral resistanced. enhances insulin action
d. enhances insulin action
An 11 month old infant is constipated. The most likely nutrition diagnosis would be:a. GI distressb. lack of fruitsc. inadequate fluid intaked. imbalanced intake
c. inadequate fluid intake
A client who primarily consumes frozen dinners & breakfast cereal because of limited access to transportation most likely would have a diagnosis of:a. not ready for diet changeb. inability to manage self carec. impaired ability to prepare mealsd. poor nutrition quality of foods
c. impaired ability to prepare meals
A patient complains of abdominal distention, mouth lesions & a 10% weight loss over the past 6 months. The nutrition diagnosis would be:a. impaired nutrient utilizationb. inadequate vitamin intakec. involuntary weight lossd. altered GI function
a. impaired nutrient utilization
A concer patient receiving radiation therapy to the head & neck presents with weight loss. The nutrition diagnosis would be:a. swallowing difficultyb. involuntary weight lossc. impaired nutrient utilizationd. hypermetabolism
a. swallowing difficulty
When working with patients who have food allergies in a pediatric GI clinic, which of the following outcomes should be measured?a. frequency of patient compliance with instructionsb. reduction of food-related reactions among patientsc. level of knowledge about causes of food allergiesd. patient satisfaction with Dietitian's interaction
b. reduction of food-related reactions among patients
Which of the following is an achievable outcome for a weight loss program?a. Promote desirable body weight among young adultsb. Increase by 25% the number of physicians who refer patients for weight-management counselingc. Screen & refer for treatment within 2 years those whose body weight is 10% above desirabled. Reduce by 10% the number of obese adults, ages 25-49, within 2 years of starting the program
d. Reduce by 10% the number of obese adults, ages 25-49, within 2 years of starting the program
Which of the following about nutrition screening in a hospital is true? a. provides direction for patient careb. cost-effective for all patientsc. it has universal criteria for all age groupsd. it should be performed only when ordered
a. provides direction for patient care
A strict Muslim would not consume:a. fruited gelatin, shrimp, hamb. dairy productsc. non-carbonated beveragesd. eggs, cheese
a. fruited gelatin, shrimp, ham
Which of the following outcomes would best indicate parental support of a child's weight loss effort in a program for obese pre-teen children?a. Eliminate sweetsb. Discuss weight loss indicatorsc. Decide to defer action until after pubertyd. Enroll child in physical activity programs
d. Enroll child in physical activity programs
A 9 month old infant being fed iron-fortified, milk-based formula is obese. You should recommend:a. limiting the formula feeding to 16 ouncesb. changing the formula to 2% milkc. changing the formula to whole milkd. monitoring weight and intake
d. monitoring weight and intake
A patient on warfarin should avoid:a. black cohoshb. thiamin supplementsc. simple carbohydratesd. B vitamin supplements
a. black cohosh
The best way for you to follow up on a patient's application of diet instruction provided is to:a. give pre and post tests on recommendationsb. evaluate his food diary for one weekc. ask him how he is doing with the new pland. use body language to determine his interest in following the plan
b. evaluate his food diary for one week
A 35 year old female with Type 1 diabetes received nutrition counseling & started NPH therapy one month ago. Today her fasting blood glucose level is 290 mg/dl & cholesterol level is 185 mg/dl. She eats one meal per day. Which need to you address first?a. instruction about the relationship of diet to BG levelb. instruction about maintaining current body wtc. advice to include various food groupsd. advice about controlling cholesterol levels
a. instruction about the relationship of diet to BG level
An infant with milk hypersensitivity could safely consume:a. soy milk fortified with calciumb. goat's milk fortified with folic acidc. a modular formula with crystalline amino acidsd. a casein hydrolysate formula
d. a casein hydrolysate formula
Which of the following is included in a subjective global assessment?a. standard weight for heightb. mid-arm muscle circumferencec. prealbumind. dietary intake
d. dietary intake
Southeast Asian populations would likely consume the following foods:a. rice, vegetables & small amounts of meatb. fruits, cheese & small amounts of rice and meatc. large amounts of rice & milk & small amounts of meat & fruitd. large amounts of meat & milk, small amounts of fruite & vegetables
a. rice, vegetables & small amounts of meat
An elderly obese patient has been diagnosed with Type 2 diabetes. Which of the following is an appropriate nutrition diagnosis?a. elevated serum triglyceridesb. high HDL cholesterolc. low blood pressured. low serum insulin
a. elevated serum triglycerides