Question 1

Which of the following is NOT a possible side effect of use of corticosteroids?

Accepted Answer

A)  Bone loss 
B)  Hyperglycemia 
C)  Hypotension 
D)  Obesity 
A)  Bone loss 
B)  Hyperglycemia 
C)  Hypotension 
D)  Obesity C

Question 2

An excipient is a(n)

Accepted Answer

A)  acetylation process. 
B)  active ingredient in a drug. 
C)  pressor agent. 
D)  inactive ingredient. 
A)  acetylation process. 
B)  active ingredient in a drug. 
C)  pressor agent. 
D)  inactive ingredient. D

Question 3

Supplementation of coenzyme Q10 (CoQ10) should be considered in a patient taking which drug?

Accepted Answer

A)  Carbamazepine 
B)  Methotrexate 
C)  Lipitor 
D)  Cholestyramine 
A)  Carbamazepine 
B)  Methotrexate 
C)  Lipitor 
D)  Cholestyramine C

Question 4

Which of the following medications should not be taken with foods that contain bran?

Accepted Answer

A)  Alendronate (Fosamax) 
B)  Iron supplements 
C)  Ciprofloxacin (Cipro) 
D)  Digoxin (Lanoxin) 
A)  Alendronate (Fosamax) 
B)  Iron supplements 
C)  Ciprofloxacin (Cipro) 
D)  Digoxin (Lanoxin)

Question 5

Which of the following drugs will produced an Antabuse (disulfiram)-like reaction when taken with ethanol?

Accepted Answer

A)  Metronidazole (Flagyl) 
B)  Captopril (Capoten) 
C)  Paclitaxel (Taxol) 
D)  Eszopiclone (Lunesta) 
A)  Metronidazole (Flagyl) 
B)  Captopril (Capoten) 
C)  Paclitaxel (Taxol) 
D)  Eszopiclone (Lunesta)

Question 6

Which of the following medications could be given to a patient with cancer or AIDS to stimulate food intake?

Accepted Answer

A)  Dextroamphetamine (Dexedrine) 
B)  Sibutramine (Meridia) 
C)  Phentermine (Adipex-P) 
D)  Oxandrolone (Oxandrin) 
A)  Dextroamphetamine (Dexedrine) 
B)  Sibutramine (Meridia) 
C)  Phentermine (Adipex-P) 
D)  Oxandrolone (Oxandrin)

Question 7

Patients receiving the antibiotic tetracycline should be taught to avoid taking it with what?

Accepted Answer

A)  Fruit juices 
B)  Meat 
C)  Milk 
D)  Sucrose-containing desserts 
A)  Fruit juices 
B)  Meat 
C)  Milk 
D)  Sucrose-containing desserts

Question 8

When the sedative propofol (Diprivan) is administered to a patient, what nutritional consequence must be considered?

Accepted Answer

A)  It can provide 1.1 kcal/ml of lipid. 
B)  It can provide extra calcium. 
C)  It contains lactose and may promote lactose intolerance. 
D)  It contains wheat starch and may affect people with celiac disease. 
A)  It can provide 1.1 kcal/ml of lipid. 
B)  It can provide extra calcium. 
C)  It contains lactose and may promote lactose intolerance. 
D)  It contains wheat starch and may affect people with celiac disease.

Question 9

The cancer chemotherapeutic agent methotrexate acts as an antagonist to

Accepted Answer

A)  thiamin. 
B)  vitamin B12. 
C)  folate. 
D)  vitamin B6. 
A)  thiamin. 
B)  vitamin B12. 
C)  folate. 
D)  vitamin B6.

Question 10

Which of the following is an appropriate procedure for administering oral medications through a feeding tube?

Accepted Answer

A)  Stop the feeding and irrigate the tube with water before and after administering the medication. 
B)  Mix the medications with water and add them to the feeding formula. 
C)  Crush the medications, mix them with water, and then add them to feeding formula. 
D)  Sudafed cough syrup and Robitussin expectorant may be added directly to the feeding formula. 
A)  Stop the feeding and irrigate the tube with water before and after administering the medication. 
B)  Mix the medications with water and add them to the feeding formula. 
C)  Crush the medications, mix them with water, and then add them to feeding formula. 
D)  Sudafed cough syrup and Robitussin expectorant may be added directly to the feeding formula.

Question 11

Which term describes the metabolism of drugs by reactions such as oxidation, reduction, hydrolysis, or conjugation?

Accepted Answer

A)  Bioavailability 
B)  Biotransformation 
C)  Excipient 
D)  Pharmacodynamics 
A)  Bioavailability 
B)  Biotransformation 
C)  Excipient 
D)  Pharmacodynamics

Question 12

Patients receiving anticonvulsant medications, such as phenytoin and phenobarbital, may need to be supplemented with which nutrients?

Accepted Answer

A)  Ascorbic acid and vitamin A 
B)  Ascorbic acid and vitamin D 
C)  Folate and vitamin D 
D)  Iron and vitamin A 
A)  Ascorbic acid and vitamin A 
B)  Ascorbic acid and vitamin D 
C)  Folate and vitamin D 
D)  Iron and vitamin A

Question 13

A patient is being treated for depression with a monoamine oxidase inhibitor. Which of the following should the patient be instructed to avoid while taking this medication?

Accepted Answer

A)  Milk, soy protein, and grapefruit 
B)  Cheese, salami, and Chianti wine 
C)  Tomatoes, onions, and poultry 
D)  Cantaloupe, canned pineapple, and peanuts 
A)  Milk, soy protein, and grapefruit 
B)  Cheese, salami, and Chianti wine 
C)  Tomatoes, onions, and poultry 
D)  Cantaloupe, canned pineapple, and peanuts

Question 14

Antacids, H2-receptor antagonists, and proton pump inhibitors affect the absorption of calcium, iron, and magnesium through

Accepted Answer

A)  decreased bioavailability caused by change in gastrointestinal pH. 
B)  decreased bioavailability caused by inhibition of small intestine enzymes. 
C)  decreased bioavailability caused by damage to the intestinal mucosa. 
D)  increased bioavailability caused by change in gastrointestinal pH. 
A)  decreased bioavailability caused by change in gastrointestinal pH. 
B)  decreased bioavailability caused by inhibition of small intestine enzymes. 
C)  decreased bioavailability caused by damage to the intestinal mucosa. 
D)  increased bioavailability caused by change in gastrointestinal pH.

Question 15

The gastrointestinal side effect commonly seen when narcotic drugs such as codeine and morphine are administered is

Accepted Answer

A)  a change in taste. 
B)  constipation. 
C)  gastrointestinal bleeding. 
D)  anorexia. 
A)  a change in taste. 
B)  constipation. 
C)  gastrointestinal bleeding. 
D)  anorexia.

Question 16

A patient is receiving warfarin (Coumadin). What MNT education should this patient receive?

Accepted Answer

A)  Decrease intake of vitamin K foods. 
B)  Maintain consistent vitamin K intake. 
C)  Increase intake of vitamin D and calcium-rich foods. 
D)  Maintain consistent vitamin D intake. 
A)  Decrease intake of vitamin K foods. 
B)  Maintain consistent vitamin K intake. 
C)  Increase intake of vitamin D and calcium-rich foods. 
D)  Maintain consistent vitamin D intake.

Question 17

Pseudomembranous colitis is a serious side effect of antibiotic therapy

Accepted Answer

A)  that results from a food-drug interaction. 
B)  that is caused by Clostridium difficile infection. 
C)  that can be avoided with good nutrition. 
D)  related to hypertension. 
A)  that results from a food-drug interaction. 
B)  that is caused by Clostridium difficile infection. 
C)  that can be avoided with good nutrition. 
D)  related to hypertension.

Question 18

Decreased serum albumin levels, which are seen in many conditions, including malnutrition and liver disease, affect medications by

Accepted Answer

A)  leading to decreased serum levels of free fraction of a drug. 
B)  leading to increased serum levels of free fraction of a drug. 
C)  leading to decreased metabolism of the drug by the liver. 
D)  leading to decreased pharmacologic effects. 
A)  leading to decreased serum levels of free fraction of a drug. 
B)  leading to increased serum levels of free fraction of a drug. 
C)  leading to decreased metabolism of the drug by the liver. 
D)  leading to decreased pharmacologic effects.

Question 19

Which term is used to describe the movement of a drug through the body by absorption, distribution, metabolism, and excretion?

Accepted Answer

A)  Pharmacodynamics 
B)  Pharmacogenomics 
C)  Pharmacokinetics 
D)  Polypharmacy 
A)  Pharmacodynamics 
B)  Pharmacogenomics 
C)  Pharmacokinetics 
D)  Polypharmacy

Question 20

Hypertensive patients who are taking loop diuretics for reduction of blood pressure may experience hypokalemia. Which other electrolyte does NOT need to be monitored for a potential secondary nutrient deficiency?

Accepted Answer

A)  Magnesium 
B)  Sodium 
C)  Phosphorus 
D)  Calcium 
A)  Magnesium 
B)  Sodium 
C)  Phosphorus 
D)  Calcium

Exam 8: Clinical: Food-Drug Interactions

Which of the following is NOT a possible side effect of use of corticosteroids?

An excipient is a(n)

Supplementation of coenzyme Q10 (CoQ10) should be considered in a patient taking which drug?

Which of the following medications should not be taken with foods that contain bran?

Which of the following drugs will produced an Antabuse (disulfiram)-like reaction when taken with ethanol?

Which of the following medications could be given to a patient with cancer or AIDS to stimulate food intake?

Patients receiving the antibiotic tetracycline should be taught to avoid taking it with what?

When the sedative propofol (Diprivan) is administered to a patient, what nutritional consequence must be considered?

The cancer chemotherapeutic agent methotrexate acts as an antagonist to

Which of the following is an appropriate procedure for administering oral medications through a feeding tube?

Which term describes the metabolism of drugs by reactions such as oxidation, reduction, hydrolysis, or conjugation?

Patients receiving anticonvulsant medications, such as phenytoin and phenobarbital, may need to be supplemented with which nutrients?

A patient is being treated for depression with a monoamine oxidase inhibitor. Which of the following should the patient be instructed to avoid while taking this medication?

Antacids, H2-receptor antagonists, and proton pump inhibitors affect the absorption of calcium, iron, and magnesium through

The gastrointestinal side effect commonly seen when narcotic drugs such as codeine and morphine are administered is

A patient is receiving warfarin (Coumadin). What MNT education should this patient receive?

Pseudomembranous colitis is a serious side effect of antibiotic therapy

Decreased serum albumin levels, which are seen in many conditions, including malnutrition and liver disease, affect medications by

Which term is used to describe the movement of a drug through the body by absorption, distribution, metabolism, and excretion?

Hypertensive patients who are taking loop diuretics for reduction of blood pressure may experience hypokalemia. Which other electrolyte does NOT need to be monitored for a potential secondary nutrient deficiency?

Intake: Digestion, Absorption, Transport, and Excretion of Nutrients

Intake: Energy

Inflammation and the Pathophysiology of Chronic Disease

Intake: Analysis of the Diet

Clinical: Nutritional Genomics

Clinical: Water, Electrolytes, and Acid-Base Balance

Clinical: Biochemical, Physical, and Functional Assessment

Behavioral-Environmental: the Individual in the Community

Overview of Nutrition Diagnosis and Intervention

Food and Nutrient Delivery: Diet Guidelines, Nutrient Standards, and Cultural Competence

Food and Nutrient Delivery: Complementary and Integrative Medicine and Dietary Supplementation

Food and Nutrient Delivery: Nutrition Support

Education and Counseling: Behavioral Change

Nutrition for Reproductive Health and Lactation

Nutrition in Infancy

Nutrition in Childhood

Nutrition in Adolescence

Nutrition in the Adult Years

Nutrition in Aging

Nutrition in Weight Management

Nutrition in Eating Disorders

Nutrition in Exercise and Sports Performance

Nutrition and Bone Health

Nutrition for Oral and Dental Health

Medical Nutrition Therapy for Adverse Reactions to Food: Allergies and Intolerances

Medical Nutrition Therapy for Upper Gastrointestinal Tract Disorders

Medical Nutrition Therapy for Lower Gastrointestinal Tract Disorders

Medical Nutrition Therapy for Hepatobiliary and Pancreatic Disorders

Medical Nutrition Therapy for Diabetes Mellitus and Hypoglycemia of Nondiabetic Origin

Medical Nutrition Therapy for Thyroid, Adrenal, and Other Endocrine Disorders

Medical Nutrition Therapy for Anemia

Medical Nutrition Therapy for Cardiovascular Disease

Medical Nutrition Therapy for Pulmonary Disease

Medical Nutrition Therapy for Renal Disorders

Medical Nutrition Therapy for Cancer Prevention, Treatment, and Survivorship

Medical Nutrition Therapy for Hiv and Aids

Medical Nutrition Therapy in Critical Care

Medical Nutrition Therapy for Rheumatic Disease

Medical Nutrition Therapy for Neurologic Disorders

Mnt in Psychiatric and Cognitive Disorders

Medical Nutrition Therapy for Low-Birth-Weight Infants

Medical Nutrition Therapy for Genetic Metabolic Disorders

Medical Nutrition Therapy for Intellectual and Developmental Disabilities

Filters

Antacids, H₂-receptor antagonists, and proton pump inhibitors affect the absorption of calcium, iron, and magnesium through