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Jean Inman Domain 2 practice questions-N - Questions with Explanations of Answers
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Jean Inman Domain 2 practicequestions-N
in community surveys, a frequent symptom of malnutrition is:
A. scurvy
B. rickets
C. low serum albumin
D. low hgb - CORRECT ANSWER-D. low hgb*
Which is the least common symptom in the elderly?
A. osteomalacia
B. osteoporosis
C. obesity
D. hypertension - CORRECT ANSWER-A. osteomalacia* (Adult rickets: Vitamin D
def)
-softening of the bones. It most often occurs because of a problem with vitamin D,
which helps your body absorb calcium.
B. osteoporosis: often lack calcium and iron - decreased absorption due to
decreased HCL.
c. decrease muscle mass, increase in fat mass.
d. common issue
what is included in the study of demographics?
1. age
2. population
3. sex
4. socioeconomic status
A. 1 only
B. all of the above
,C. 2 and 3
D. 1, 2, and 3 - CORRECT ANSWER-D. 1, 2, and 3*
Demographics are the statistics of a population. Some statistics that are commonly
recorded include birth rate, death rate, age, race and gender.
Population - county, age group, gender and race
Socioeconomic status - income, poverty, education and unemployment.
-often measured as a combination of education, income and occupation.
-Demographic indicators provide information on demographic processes and their
outcomes.
-Socio-economic indicators track economic progress and social change, and
generally portray a people's state of well-being and quality of life.
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 fluids - CORRECT ANSWER-D. water during an
event to replace fluids*
- during continuous endurance physical activity of 1-4 hrs, to maintain hydration
beverage that equals 100% fluid lost during moderate - vigorous physical activity.
-5.5 - 15% CHO
- 55 -164 mEq Na
how many grams of protein would you receive on a 1500 kcal diet with 20% protein?
A. 70
B. 75
C. 64
D. 300 - CORRECT ANSWER-B. 75* (1500 x.2 = 300/ 4 = 75)
a patient is on a high protein, low cho diet. what advice should you offer?
A. increase fluid intake
B. decrease the intake of complex carb
,C. decrease fluid intake
D. decrease intake of saturated fats - CORRECT ANSWER-A. increase fluid intake*
Nutrition Rx for a pt with cardiac cachexia includes:
A. <1 L fluid, low sodium
B. low sodium, low sat fat, low cholesterol, high kcal
C. restricted kcal, 0.8g pro/kg, fluid restriction
D. normal protein, follow DASH diet - CORRECT ANSWER-B. low sodium, low sat
fat, low cholesterol, high kcal*
- Unintended weight loss, blood backs up into the liver and intestines causing
nausea and decreased appetite.
- arginine and glutamine may help
-DRI for folate (req for B12), Mg(high protein, calcium - increases its need), mv with
B12 (co-enzyme in protein synthesis)
A. heart failure - 1-2 L fluid, low sodium, dash diet,
which infant is at the greatest risk?
A. 20 # hgb 10
B. 22 # hgb 10.5
C. 19# hgb 11
D. 30 # hgb 9 - CORRECT ANSWER-D. 30 # hgb 9*
-Newborn Hg - 16.5 - 19.5
-6- 23 months Hg- 10+
a-b.c. 7- 12 month baby as per wt. around 20lbs
d. Eldest infant among other and lower hb.
which of the infants have a normal hemoglobin level?
A. a b d
B. b d
C. c d
, D. a b c - CORRECT ANSWER-D. a b c *
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 - CORRECT ANSWER-C. hypoalbuminemia*
- Ascites hence on a low sodium diet.
- Blood can't leave the liver, storage capacity exceeded by Increased blood volume
forces fluid to leak through the peritoneal cavity. The fluid is pure plasma, high
osmolar load, pull more fluid to dilute the load, leads to sodium and water retention.
-low albumin and hg due to the dilution factor.
b. Aldosterone is a hormone released from the adrenal cortex. Aldosterone directly
influences the kidney to retain Na+. When Na+ levels increase, increased osmotic
pressure will pull fluid back into the blood; blood volume will thus increase back to its
normal range.
D. hyperammonemia: liver cannot convert ammonia NH3 to urea.
which of the following should the patient above have for lunch?
A. 4 oz cottage cheese
B. 1 oz cheddar cheese
C. 1 oz roast beef
D. 1 oz cold cuts - CORRECT ANSWER-C. 1 oz roast beef* (6o mg in 3 oz= 20 mg)
Choose fresh
- high sodium in processed foods, such as frozen dinners, packaged mixes, cereals,
cheese, bread, soups, salad dressings, and sauces
A. 1 oz cottage -106 mg x4 = 426mg
B. 1 oz cheddar has 176 mg x4 - 704mg
D- one sw of cold cuts - 1651mg
which of the following should be included in the diet for celiac disease?
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