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Inman Domain 2 - Questions with Explanations of Answers
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Inman Domain 2 - Questions with Explanations of Answers
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Inman Domain 2In community surveys, a frequent symptom of malnutrition is:
a. scurvy
b. rickets
✅✅
c. low serum albumin
d. low hemoglobin - -d. low hemoglobin
What is the least common symptom in the elderly?
a. osteomalacia
b. osteoporosis
✅✅
c. obesity
d. hypertension - -a. osteomalacia
Osteomalacia - caused by vitamin D deficiency, adult onset rickets
What is included in the study of demographics?
I. age of individuals II. population statistics 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 - demographic info includes age, ethnic groups, sex, birth
rates, death
socioeconomic stratification is a different type of information
Athletes should receive...
a. salt pills only during the summer months
b. extra protein
✅✅
c. carbohydrate loading two weeks prior to an event
d. water during an event to replace lost fluids - -d. water during an event to
replace lost fluids - most important recommendation for athletes is to drink water
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
1500 kcal x .2 = 300kcal from protein
300/4 = 75gPRO
,A patient is on a high protein, low carbohydrate diet. What advice should you offer?
a. increase fluid intake
b. decrease the intake of complex carbohydrates
✅✅
c. decrease fluid intake
d. decrease the intake of saturated fats - -a. increase fluid intake - to help
excrete extra N from high protein since protein can be hard on the kidneys
Nutritional prescription for a patient with cardiac cachexia includes:
a. <1 liter fluid, low sodium
b. low sodium, low saturated fat, low cholesterol, high calorie
✅✅
c. restricted calorie, .8gPRO/kg, fluid restriction
d. normal protein, follow DASH diet - -b. low sodium, low saturated fat, low
cholesterol, high calorie
Cardiac Cachexia - unintended wt loss, blood backs up into liver and intestines
causing nausea and anorexia. Arginine and glutamine may help. Low sat fat, low
cholesterol, <2g sodium, and high kcal.
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 - overweight and lowest hg
Normal level: 9.5-13 g/dL
https://medlineplus.gov/ency/article/003645.htm
Which of the infants in the previous question have a normal hemoglobin level?
a. a, b, d
b. b, d
✅✅
c. c, d
d. a, b, c - -d. a, b, c - all have hg above 9.5 g/dL
An alcoholic patient has a low serum albumin, low hemoglobin, high ammonia,
abnormal liver function tests and ascites. Why is he on a 500 mg sodium diet?
a. secondary renal failure
b. hypoaldosteronism
✅✅
c. hypoalbuminemia
d. hyperammonemia - -c. hypoalbuminemia - no protein to help keep fluid in
the blood vessels, causing edema.
Which of the following should the patient in the above question have for lunch?
a. 4 oz cottage cheese
,b. 1 oz cheddar cheese
✅✅
c. 1 oz roast beef
d. 1 oz cold cuts - -c. 1 oz roast beef - lowest sodium option
Which of the following 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 calorie, high fat, high protein
a. II, III
b. III, IV
✅✅-a. II, III - avoid gluten
c. I II, IV
d. II, IV -
Answer MUST contain II and NOT contain I. No calorie/fat/protein requirement for
celiacs, so answer can't contain IV. This process eliminates all answers but a.
Who is the most at risk for gestational diabetes?
a. BMI <30
b. age <25, overweight
✅✅
c. BMI >30, history of GDM
d. conception within 10 mos of last pregnancy - -c. BMI >30, history of GDM -
being overweight and having a hx of GDM greatly increases risk for GDM.
A child is lethargic, irritable with diarrhea. The cause may be:
a. zinc toxicity
b. lead poisoning
✅✅
c. iron overload
d. vitamin A toxicity - -b. lead poisoning
How many calories are in 300mL of a 5% dextrose solution?
a. 51
b. 60
✅✅
c. 15
d. 200 - -a. 51
Dextrose has 3.4 kcal/g
Fluid x 3.4 kcal/g for dextrose x % dextrose
300 mL x 3.4 x .05 = 51
, 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 - physician
will provide support and recommend prenatal vitamins
A female, 5'7" tall, weights 115 lbs. Six months ago she weighed 130 lbs. What is her
percent of ideal body weight?
a. 85%
b. 83%
✅✅
c. 81%
d. 87% - -a. 85% -
1) actual wt / IBW
IBW use the hamwi equation. Female 5'0 (100lbs + 5 lbs every inch)
= 85%
A vegan is allergic to milk. Which nutrients 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 - B12 only comes from animal products and
D is commonly fortified in milk
A patient with Crohn's disease needs the following diet:
I. high fat, high kcal, high PRO
II. low fat only with steatorrhea, vitamin C, B12
III. calories according to current BMI, high PRO
IV. high residue, low fat, fat soluble vitamins
V. low kcal, low residue, fat soluble vitamins, B12
a. I
b. II, III
✅✅
c. III, IV
d. V - -b. II, III - high residue can irritate the bowel, so all answers with IV are
eliminated. High fat diets can cause discomfort, so I is eliminated. B12 deficiency is
common with Crohn's. Iron deficiency is common due to blood loss. So a high
protein diet with adequate kcal and vitamin C and B12 would help manage Crohn's.
Which of the following diets is appropriate for reactive hypoglycemia?
a. reduce intake of concentrated CHO, 5-6 small meals
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