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Inman Domain II - - Questions with Explanations of Answers
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Inman Domain II - - Questions with Explanations of Answers
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Inman Domain IIA 1500 calorie diabetic diet with 45% of the calories from carbohydrate is prescribed.
One third of the carbohydrate grams is met with 1/2 cup orange juice, 1 cup milk,
and:
a. 1 slice toast
b. 2 slices toast
✅✅
c. 2 slices toast and 1/2 cup oatmeal
d. 1/2 slice toast - -b. 2 slices toast
A 6'2" male, large frame, 230 lbs with Type II diabetes should:
a. gain 5 lbs to be at a desirable body weight
b. lose 20 lbs slowly following balanced diet
✅✅
c. lose 20 lbs in 4 weeks on an 800 calorie diet
d. lose 10 lbs slowly by following a balanced diet - -b. lose 20 lbs slowly
following balanced diet
I chose B based on achieving IBW. D would not be enough weight loss.
A 60 kg female receives 2700 calories on PN. The calorie to nitrogen ratio is 150:1.
How many grams of nitrogen is she getting?
a. 14
b. 16
✅✅
c. 18
d. 20 - -c. 18
A 75 year old female with adequate income would benefit from:
a. SNAP
b. Congregate Meals
✅✅
c. EFNEP
d. WIC - -b. Congregate Meals
A child has been measured several times before the age of two years. Results of the
measurements were not accurate because the child was measured:
a. first thing in the morning
b. standing up
✅✅
c. after breakfast
d. with light clothing - -b. standing up
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
,A child with AIDS needs a high calorie and _____ intake.
a. megadose vitamins
b. high protein
✅✅
c. low fat
d. low residue - -b. high protein
A diabetic wants to exchange his bedtime snack of 8 ounces whole milk. What do
you suggest?
a. 1 oz cheese and 1/2 cup orange juice
b. 2 graham crackers and 1/2 cup orange
✅✅
c. 1 ounce cheese
d. 2 ounces cheese - -a. 1 oz cheese and 1/2 cup orange juice
The usual bedtime snack of milk provides 8 g fat, 12 g carb, and 8 g protein. Only
choice A provides macros remotely close to the original snack.
A fecal excretion of ____ grams of fat/24 hours is considered fat malabsorption.
a. less than 1
b. more than 7
✅✅
c. 3-5
d. 2-4 - -b. more than 7
Normal fat in stool is from 2-5 g.
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 calcium
✅✅
c. low in vitamin A
d. low in zinc - -a. marginally deficient in folic acid
Birth control can deplete folate.
A female, 5'7" tall, weighs 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%
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
A mother with 2 daughters, ages 8 and 11, does not earn enough money to feed her
family. Which program would you suggest?
a. WIC
b. SNAP
✅✅
c. Child and Adult Care Food Program
d. Medicaid - -b. SNAP
A nephrotic syndrome patient should receive how many grams of protein per kg?
a. .5-.6
b. .6-.8
✅✅
c. .8-1.0
d. 1.0-1.4 - -c. .8-1.0
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
High protein diet will result in more nitrogen in the body, which will require more
fluids to excrete from the kidneys.
✅✅
A patient needs a 2000 calorie, 2 gram sodium feeding. Which formula is best? -
-d. formula 4
A patient suffering from bulimia may have all of the following symptoms except:
a. a sore throat
b. dental problems
✅✅
c. extreme weight loss
d. rectal bleeding - -c. extreme weight loss
A patient with chronic pancreatitis should consume oral pancreatic enzymes:
a. with large meals and fatty foods
b. only if steatorrhea increases
✅✅
c. with all meals and snacks
d. only if consuming a high fat, low protein diet - -c. with all meals and snacks
This is a chronic issue so it's been happening for a while. The other choices indicate
a new diagnosis or the condition is not very serious.
A patient with Crohn's disease needs the following diet:
, I. high fat, high calorie, high protein
II. low fat only with steatorrhea, vitamin C, B12
III. calories according to current BMI, high protein
IV. high residue, low fat, fat soluble vitamins
V. low calorie, low residue, fat soluble vitamins, B12
a. I
b. II, III
✅✅
c. III, IV
d. V - -b. II, III
A patient with cystic fibrosis, who is non-compliant with their nutritional prescription,
may present with:
a. hypernatremia
b. hyponatremia
✅✅
c. hypokalemia
d. hyperkalemia - -b. hyponatremia
A patient with dehydration exhibits the symptoms of:
a. high blood pressure, dizziness
b. sunken eyes, decreased renal function, increased tachycardia
✅✅
c. decreased BUN, decreased serum creatinine
d. low blood pressure, low serum sodium - -b. sunken eyes, decreased renal
function, increased tachycardia
A patient with hepatitis needs a high protein intake. Besides helping the liver to
regenerate, what other purpose is served?
a. it helps increase iron absorption
b. it restores glycogen reserves
✅✅
c. it helps prevent a fatty liver
d. it helps prevent necrosis of the liver - -c. it helps prevent a fatty liver
A patient with hyperhosphatemia, hyperkalemia, and hypermagnesemia may have:
a. renal disease
b. re-feeding syndrome
✅✅
c. pancreatic disease
d. liver disease - -a. renal disease
A patient with low hemoglobin and low MCV might have:
a. microcytic anemia
b. macrocytic anemia
✅✅
c. megaloblastic anemia
d. normochromic anemia - -a. microcytic anemia
The RBC will be small and pale due to HGB deficiency and low MCV (volume).
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