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Inman Domain 2 Review Inman Domain 2 Review - - Questions with Explanations of Answers
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Inman Domain 2 Review Inman Domain 2 Review - - Questions with Explanations of Answers
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Inman Domain 2 ReviewInman Domain 2 Review
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
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
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 best reflects protein status?
a. serum albumin
b. serum transferrin
✅✅
c. retinol-binding protein
d. prealbumin - -d. prealbumin - picks up changes in protein status quickly
Transferrin is used to assess iron status
Retinol binding protein binds and transports retinol
The additive influence of foods and constitutes which when eaten have a beneficial
effect on health refers to:
a. nutraceuticals
b. food synergy
✅✅
c. positive corollaries
d. medical foods - -b. food synergy
Which of the following is a medium fat protein?
a. peanut butter
b. tuna packed in water
✅✅
c. corned beef
d. chicken without skin - -c. corned beef - PB is high fat, tuna and chix w/o skin
are lean
The program that provides nutrition education training to teachers and food service
personnel is the:
a. TEFAP
b. CACFP
✅✅
c. EFNEP
d. NETP - -d. NETP
if a pt is about to be discharged when you receive the d/c diet order, you should
a. give him something to take home
b. there is not enough time so forget it
✅✅
c. Enroll him in the Outpatient Clinic and schedule and appt
d. teach him what you can in the time you have now - -c. Enroll him in the
Outpatient Clinic and schedule and appt - allows pt most opportunity to learn diet
recommendations
before discontinuing a parenteral feeding, provide enteral support to prevent:
a. development of a fatty liver
b. ketoacidosis
✅✅
c. hypoglycemia
d. hepatic encephalopathy - -c. hypoglycemia
,In cystic fibrosis, the most impaired nutrient is:
a. protein
b. disaccharides
✅✅
c. electrolytes
d. fat - -d. fat - pancreatic ducts and lipase production decreased
An acid ash would be created by ingesting:
a. corn, cranberries
b. milk
✅✅
c. vegetables
d. fruits - -a. corn, cranberries
http://nh1.ccone.com/acid-diet.html acid ash causing foods
Symptoms of nephrosis include:
a. dehydration, hypocholesterolemia
b. albuminuria, hypercholesterolemia
✅✅-b. albuminuria, hypercholesterolemia -
c. edema, hypocholesterolemia
d. hypotension, hyperalbuminemia -
*CHOL/bile acids are lost through the stool which crosses out A and C. There's less
albumin because it's being lost due to the kidneys' lack of the ability reabsorb and
hold onto the PRO, so it's excreted out causing low levels
The theory of obesity that refers to receptors in the hypothalamus is the:
a. lipostatic theory
b. set point theory
✅✅
c. glucostatic theory
d. glucose-obese theory - -c. glucostatic theory - The glucostatic theory of food
intake control postulated that reduced glucose utilization in critical brain regions
leads to perception and expression of hunger, and increased glucose utilization in
these same glucosensitive sites leads to decreased hunger and cessation of eating.
Iatrogenic malnutrition is:
a. vitamin and mineral malabsorption
b. protein malabsorption
✅✅
c. protein, calorie malnutrition
d. kwashiorkor - -c. protein, calorie malnutrition - protein calorie malnutrition
brought on by treatment, the hospital or medications
Kwashiorkor is only protein malnutrition.
What is the appropriate advice for a person with anorexia nervosa?
, a. offer a wide variety of foods and frequent feedings
b. offer liquids high in kcal and pr
✅✅
c. offer nasogastric feedings
d. regular mealtimes, and a varied moderate intake - -d. regular mealtimes, and
a varied moderate intake - First, correct electrolyte imbalance (K), then plan regular
mealtimes and varied and mod intake, gradually reintroducing feared foods. Focus
on health benefits and life-sustaining aspects of food (reason to eat).
**refeeding increases cardiac load
A female who eats a wide variety of foods and takes supplemental iron and birth
control pills may be:
a. marginally deficient in folic acid
b. low in Ca
✅✅
c. low in vitamin A
d. low in zinc - -a. marginally deficient in folic acid - oral contraceptives
decrease folic acid levels
The immobilized state can lead to low levels of:
a. albumin and calcium
b. albumin and sodium
✅✅
c. calcium and potassium
d. potassium and zinc - -a. albumin and calcium - decreased muscle mass and
increased bone loss of calcium
A man with a peptic ulcer should consume:
a. milk every two hours
b. a bland diet
✅✅
c. a balanced diet he can tolerate
d. a low roughage diet - -c. a balanced diet he can tolerate - take out foods that
cause discomfort, avoid late night snacks, omit cayenne and black pepper, large
amounts of chili powder, avoid excess caffeine and alcohol
A nephrotic syndrome pt should receive how many g of PRO per kg?
a. .5-.6
b. .6-.8
✅✅
c. .8-1.0
d. 1.0-1.4 - -c. .8-1.0 - modest protein restriction, 50% HBV
When conducting a physical assessment of a pt, which method is used to estimate
fat stores?
a. inspection
b. palpation
c. pallor
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