WorksheetsFinal Exam
Total questions: 44
Worksheet time: 22mins
In metabolic stress, all of the following are true EXCEPT:
energy needs are high
muscle proteins are used to make glucose
there will be positive nitrogen balance
there will be negative nitrogen balance
Patients with calcium oxalate stones should make the following changes:
Increase Vitamin C intake
Avoid high sodium and protein intake
Limit foods high in purines
Decrease calcium intake
Individuals with binge disorder are dieters who usually restrict calories then binge on food, but rarely purge.
True
False
Insoluble fiber from foods and supplements may thicken the stool and decrease diarrhea.
True
False
The weight loss and wasting common to most patients with HIV are a result of the antiretroviral medications.
True
False
Increasing fruit and vegetable intake may decrease the risk of cancer because these food groups contain:
phytochemicals and folate
folate and Vitamin C
antioxidants and calcium
fiber and Vitamin A
Women with gestational diabetes should be encouraged to:
limit carb intake to 40-45% of total calories
increase carb portions to 3 or more at breakfast
avoid bedtime snacks
avoid physical activity during pregnancy
Which is true about the basic carb counting diet?
glycemic index should be considered with each portion
simple carbs should not be included
carb portions should be evenly distributed
the diet pattern should include 3 meals and no snacks
The most effective dietary measure for reducing blood pressure in people with hypertension is:
reduce body weight by 5 kgs.
reduce saturated fat to 7% or less of total calories
limit sodium intake to 1500mgs
follow all the DASH diet principles
A patient is prescribed an 1800 calorie diet at 50% carbohydrate, which means the patient will consume:
100g of carbs, 7 carb portions
225g of carbs, 15 carb portions
225g of carbs, 25 carb portions
100g of carbs, 15 carb portions
If a patient has an EER of 1800 calories and plans to start a walking program that will burn 150 calories per day, what calorie level would you recommend for her to lose 1 pound in 1 week?
1300
1550
1450
1350
Simple tools for assessing USUAL food intake of patients include all of the following except:
24-hour recall
direct observation
food frequency questionnaire
food record
A tool used to assess the USUAL dietary intake of a newly admitted patient would be:
direct observation
food record
food frequency questionnaire
24-hour recall
A tool used to assess the dietary intake of an admitted patient while in the hospital would be:
direct observation
food record
food frequency questionnaire
24-hour recall
It is most accurate to think of modified diets in terms of:
the diseases they treat
the foods they omit or alter
the organs they are associated with
the problems or symptoms they bypass or relieve
All of the following are criteria that determine if a food is allowed on a clear liquid diet except:
transparent
nutrient dense
room temperature
easily absorbed
To decrease reflux, a patient with GERD should do all of the following except:
lie down after eating
lose weight if categorized as obese
eat smaller meals
avoid tight clothing
To prevent dumping syndrome in a patient status post gastrectomy, the patient should:
eat simple, high glycemic carbs
sit up after eating
include soluble fiber
drink liquids with meals
Recommendations for a person with Irritable Bowel Syndrome may include all of the following except:
add probiotic
eat low FODMAP diet
eat high protein diet
eat small, frequent meals
Which feeding tube placement poses the highest risk for aspiration?
nasogastric
nasojejunal
gastrostomy
jejunostomy
What 2 nutrients are increased during pregnancy due to their roles in cell reproduction and synthesis of red blood cells:
calcium and folate
fiber and folate
folate and Vitamin B12
folate and Vitamin B6
Indications that a baby is ready for solid foods include all of the following except:
when they can control head movements
when they can sit independently in a high chair
when they have doubled the birth weight
when the extrusion reflex has diminished
All of these foods are good sources of calcium except:
spinach
milk
tofu
sardines
In addition to BMI, the 2 most important factors to use in evaluating risk to health from obesity are:
waist circumference and family history
disease risk profile and family history
waist circumference and disease risk profile
family history and percent bodyfat
A whole grain can be identified by:
a high amount of fiber
a darker and coarser texture
a whole grain as the first ingredient
the existence of just the germ and bran
Which food has the highest nutrient density for protein:
sausage
turkey
milk
peanut butter
What group of symptoms may give a patient the diagnosis of metabolic syndrome?
central obesity, reduced HDL, hyperglycemia
central obesity, elevated HDL, hypertension
central obesity, elevated LDL, hypoglycemia
central obesity, reduced LDL, elevated triglycerides
Which vitamins would most likely be lacking in the diet of someone who eats no leafy green vegetables?
Vitamin C and Vitamin D
Vitamin E and Vitamin B12
Folate and Vitamin B12
Vitamin A and folate
Which of the following statements is true about bile?
It is an emulsifier made by the liver
It is stored in the liver and secreted into the duodenum
It enter digestion in the small intestine
It is reabsorbed because it cannot be eliminated
What are foods that you would recommend to a patient wanting to lower blood cholesterol level?
apples and brown rice
oatmeal and brown rice
citrus fruits and whole wheat bread
oatmeal and apples
Hydrogenation makes oils with unsaturated fatty acids into solid fats with saturated fatty acids.
True
False
What happens when the body runs out of an essential amino acid?
the protein will be made but without the missing amino acid
protein synthesis will stop
the body will make the missing amino acid
the body will prioritize tissue repair over tissue rebuilding
Food substitutions that decrease saturated and trans fat while increasing unsaturated fat include all of the following except:
avocado instead of cheese
nuts instead of potato chips
salmon instead of steak
coconut oil instead of butter
Marasmus can be distinguished from Kwashiorkor, because in Marasmus:
acute protein deficiency is the problem
severe wasting of body fat and muscle are apparent
the face and body swell from edema
only newly weaned children are affected
When fasting continues beyond glycogen depletion:
the brain will use fatty acids for fuel
the brain shifts from using glucose only to ketones only
the brain will use ketones and glucose made from fatty acids and amino acids
cell death as the brain can only use glucose for fuel
Which of the following is not a behavior modification strategy for weight control?
structured menus
food diaries
cue elimination
personal goal setting
When we get our vitamins and minerals from supplements instead of from food, we miss out on:
antioxidants
fiber
trace minerals
fat soluble vitamins
Reduced stomach acidity (atrophic gastritis) may put the older adult at risk for deficiencies of:
fat soluble vitamins
Vitamin C and Vitamin D
Vitamin A and Iron
Vitamin B12 and Iron
A breast feeding mother can be sure her baby is getting enough milk by monitoring the total time per day the baby nurses.
True
False
Peanut based foods should be introduced to babies before one year of age.
True
False
The consequences of fat malabsorption include include losses of all of the following except:
calcium
magnesium
potassium
essential fatty acids
Nutritional therapy for patients with cystic fibrosis includes all of the following except:
liberal intake of salt
high protein
enzyme replacements
low fat
TPN solutions must be limited in their nutrient concentrations because they are delivered close to the heart.
True
False
Which of the following would not be appropriate on a diet for moderate to severe dysphagia?
pudding
water
mashed potatoes
yogurt
