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Jean Inman Domain 2 Medical Nutrition Therapy for Individuals - Questions with Explanations of Answers
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Jean Inman Domain 2 Medical Nutrition Therapy for Individuals - Questions with Explanations of Answers

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  • June 16, 2024
  • 6
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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Jean Inman Domain 2: Medical Nutrition
Therapy for Individuals
as tolerated, well-balanced, avoid late night snacks - ✅✅
-what is the diet
recommendation for someone with a gastrointestinal ulcer?


✅✅
small, bland feedings; avoid late night snacks, caffeine, chili powder, black pepper -
-what is the diet recommendation for someone with a hiatal hernia?

frequent small, dry feedings. fluids before or after meals. restrict hypertonic

✅✅
concentrated sweets. 50-60% complex CHO and protein at each meal. moderate fat.
B12 may be needed - -what is the diet recommendation for dumping
syndrome?

small, frequent meals; pureed foods; avoid high fiber and high fat - ✅✅-what are
the diet recommendations for gastroparesis

high calories; high protein; IM B12 and folate - ✅✅-what are the diet
recommendations for tropical sprue?

gluten-free diet - ✅✅-what is the diet recommendation for non-tropical sprue?
high-fiber diet - ✅✅-what is the diet recommendation for diverticulosis?

clear liquids; low-residue or elemental; gradual return to high fiber - ✅✅-what is the
diet recommendation for diverticulitis?

clear liquids; advance as tolerated; avoid gastric irritants - ✅✅-what is the diet
recommendation for gastritis?

sulfalazine -✅✅-this is an antidiarrheal agent
bowel rest; TPN or minimal residue - ✅✅-what are the diet recommendations for
acute Crohn's flare-ups?

elemental diet - ✅✅-what are the diet recommendations for acute UC?
✅✅
energy needs for BMI; limit fat when steatorrhea present; vitamins; iron, folate, Ca,
Mg, Zn; MCT oil; watch lactose; frequent feedings - -what are the general diet
recommendations for IBD?

, ✅✅
avoid large meals, excess caffeine, alcohol, and simple sugars. tailor diet pattern to
specific GI issues - -what are the diet recommendations for IBS?

<25 mg/dl - ✅✅-if someone is lactose intolerant, a lactose tolerance test will read
what value?

rehydration - ✅✅-what is the diet recommendation for acute diarrhea in infants and
children?

2-5 g -✅✅-what is a normal stool fat range?
>7 g - ✅✅-what measure of stool fat is indicative of malabsorption?


✅✅
high protein, high complex CHO, fat as tolerated, vitamins, minerals, MCT -
-what are the diet recommendations for steatorrhea?

ileum - ✅✅ -this part of the bowel normally absorbs a major portion of the fluid in
the GI tract

true -✅✅ -true or false: patients who have an ileal resection have above average
needs for water to compensate for excessive losses in stool. they should drink at
least 1 liter more than their ostomy output daily

TPN - ✅✅ -what is the initial plan of nutrition care for someone who underwent
significant resections of the small intestine?

true -✅✅ -true or false: it may take weeks or months for someone who underwent
a significant small intestine resection to transition to food

jejunal - ✅✅ -in which type of small bowel resection would you want to maintain a
normal balance of CHO, protein and fat, avoid lactose, avoid oxalates, and avoid
large amounts of concentrated sweets? would also need vitamin/mineral
supplements

✅✅
ileal - -in which type of small bowel resection would you want to limit fat, use
MCT (doesn't require bile salts, needs less intestinal surface area), supplement
fat-soluble vitamins, Ca, Mg, and Zn. provide parenteral B12, followed by monthly
injections

✅✅-in liver disease, enzyme levels are ________ (elevated/decreased).
elevated -

50-55% - ✅✅-in in acute viral hepatitis, what percent of intake should come from
CHO to replenish liver glycogen and spare protein?

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