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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
which is the least common symptom in the elderly
a. osteomalacia
b. osteoporosis
✅✅
c. obesity
d. hypertension - -a. osteomalacia
what is included in the study of demographics
a. age of individuals
b. population statistics
c. sex of individuals
d. socioeconomic factors
e. a only
f. all of the above
✅✅
g. b and c
h. a, b and c - -h. a, b and c (age of individuals, population statistics and sex of
individuals) demographics is assessment information focused on population by age,
ethnic groups, sex, birth rates and deaths
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
how many grams of protein would you receive on a 1500 calorie diet which is 20%
protein
a. 70
b. 75
✅✅
c. 64
d. 300 - -b. 75
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
an insulin dependent diabetic 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
which infant is at greatest risk
a. 20 pounds hemoglobin 10
b. 22 pounds hemoglobin 10.5
✅✅-d. 30 pounds hemoglobin 9
c. 19 pounds hemoglobin 11
d. 30 pounds hemoglobin 9 -
which of the infants in the above question have a normal hemoglobin level
a. a, b, d
b. b, d
✅✅
c. c, d
d. a, b, c - -d. a, b, c (infant hemoglobin levels range from 9.5-20g/dL
dependent on their age)
an alcoholic patient has a low serum albumin, low hemoglobin, high ammonia,
abnormal liver function tests and ascites. why is he on a 500mg sodium diet
a. secondary renal failure
b. hypoaldosteronism
✅✅
c. hypoalbuminemia
d. hyperammonemia - -c. hypoalbuminemia (low sodium with ascites,
hypoalbuminemia is often caused because of dilution due to fluid and sodium
retention)
which of the following should the patient in the above question have for lunch
a. 4oz cottage cheese
b. 1 oz cheddar cheese
✅✅
c. 1 oz roast beef
d. 1 oz cold cuts - -c. 1 oz roast beef
which of the following should be included in the diet for celiac disease
a. decrease intake of eggs
b. use potato and rice flour
c. IM vitamin B12 and iron
d. low calorie, high fat, high protein
e. b and c
,f. c and d
✅✅-e. b and c (use potato and rice flour and IM vitamin B12 and iron)
g. a, b and d
h. b and d -
who is most at risk for gestational diabetes
a. BMI<30
b. age <25, overweight
✅✅-c. BMI>30, history of GSM
c. BMI>30, history of GSM
d. conception within 10 months of last pregnancy -
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 5% dextrose solution
a. 51
b. 60
✅✅
c. 15
d. 200 - -a. 51 (300ml x 5% x 3.4 = 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
a female, 5'7" tall, weights 115 pounds. six months ago she weighed 130 pounds.
what is her percent of ideal body weight
a. 85%
b. 83%
✅✅
c. 81%
d. 87% - -a. 85% (IBW = 7x5+100, 135lb; 115/135=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
, a patient with Crohn's disease needs the following diet
a. high fat, high calorie, high protein
b. low fat only with steatorrhea, vitamin C, B12
c. high calorie, high protein according to current BMI
d. high residue, low fat, fat soluble vitamins
e. low calorie, low residue, fat soluble vitamins, B12
f. a only
g. b and c
✅✅
h. c and d
I. e only - -g. b and c (low fat only with steatorrhea, vitamin C, B12 and high
calorie, high protein according to current BMI) Crohn's affects terminal ileum leads to
B12 deficiency, energy needs according to current BMI, limit fat only with
steatorrhea, water and fat soluble vitmains
which of the following diets is appropriate for reactive hypoglycemia
a. reduce intake of concentrated carbohydrates, 5-6 small meals
b. increased complex carbohydrate, low fat, high protein
✅✅
c. decreased complex carbohydrate, low fat
d. high protein, high fat, high carbohydrate - -a. reduce intake of concentrated
carbohydrates, 5-6 small meals
which patient has marasmus
patient A patient B patient C
male Female Male
serum albumin 3.5 2.6 4.0
transferrin 275 125 450
triceps skinfold 3 16.8 17
MAMC 15 24.1 28.1
TLC 1000 3500
a. A
b. B
✅✅
c. C
d. A, B - -a. A
when assessing nutritional status, which would be the most beneficial
a. 24 hour recall, history of weight changes
b. medical history, diet order, socioeconomic status
✅✅
c. clinical observation, weight status, cultural habits
d. diet intake info, clinical data, laboratory data - -d. diet intake info, clinical
data, laboratory data
the first function of the public health nutritionist is
a. assess the needs of the community
b. counsel patients with special dietary needs
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