Question 1

An example of a strategy used by dietitians to encourage clients on mechanically altered diets to eat is to

Accepted Answer

A) allow them to eat all desired foods. 
B) identify a person's favorite foods and foods that have pleasant smells. 
C) restrict all their favorite foods. 
D) allow them to eat just one meal a day. 
A) allow them to eat all desired foods. 
B) identify a person's favorite foods and foods that have pleasant smells. 
C) restrict all their favorite foods. 
D) allow them to eat just one meal a day.

Question 2

Case Studies
Cassandra Lyons is a 73-year-old retired administrative assistant.She has had recurrent episodes of pneumonia with weight loss for the past 5 months.Her past medical history includes high cholesterol and diabetes.Once again she is admitted to the hospital.
-The nurse documents that Cassandra has a productive cough and a hoarse voice.She most likely has:

Accepted Answer

A) oropharyngeal dysphagia. 
B) esophageal dysphagia. 
C) achalasia. 
D) strictures. 
A) oropharyngeal dysphagia. 
B) esophageal dysphagia. 
C) achalasia. 
D) strictures.

Question 3

_____ refers to a group of symptoms that results from abnormally rapid gastric emptying and is a common complication of both gastrectomy and gastric bypass surgery.

Accepted Answer

A) Sjogren's syndrome 
B) Steven-Johnson's syndrome 
C) Dumping syndrome 
D) Zollinger-Ellison syndrome 
A) Sjogren's syndrome 
B) Steven-Johnson's syndrome 
C) Dumping syndrome 
D) Zollinger-Ellison syndrome

Question 4

Dorothy had a stroke 3 weeks ago.She has been diagnosed with oropharyngeal dysphagia.Which statement does not describe Dorothy's condition?

Accepted Answer

A) She has an impairment that affects the transfer of food from the mouth and pharynx to the esophagus. 
B) She has an inability to initiate swallowing. 
C) She has a neuromuscular condition that affects the tongue or the swallowing reflex. 
D) She has an esophageal stricture that interferes with normal swallowing. 
A) She has an impairment that affects the transfer of food from the mouth and pharynx to the esophagus. 
B) She has an inability to initiate swallowing. 
C) She has a neuromuscular condition that affects the tongue or the swallowing reflex. 
D) She has an esophageal stricture that interferes with normal swallowing.

Question 5

What is the primary reason why dysphagia is life-threatening?

Accepted Answer

A) Causing strokes 
B) Food entering the esophagus 
C) Aspiration 
D) None of the above 
A) Causing strokes 
B) Food entering the esophagus 
C) Aspiration 
D) None of the above

Question 6

A sign of dumping syndrome is

Accepted Answer

A) rapid heart rate. 
B) hyperglycemia. 
C) feelings of satiety. 
D) fluid retention. 
A) rapid heart rate. 
B) hyperglycemia. 
C) feelings of satiety. 
D) fluid retention.

Question 7

All of the following are consequences of untreated GERD except:

Accepted Answer

A) reflux esophagitis. 
B) esophageal ulcers. 
C) Barrett's esophagus. 
D) hiatal hernia. 
A) reflux esophagitis. 
B) esophageal ulcers. 
C) Barrett's esophagus. 
D) hiatal hernia.

Question 8

In a vagotomy, the vagus nerve is severed in order to suppress gastric acid secretion.This procedure is often followed by a _____, which widens the pyloric sphincter.

Accepted Answer

A) gastrectomy 
B) gastric resection 
C) pyloroplasty 
D) bariatric surgery 
A) gastrectomy 
B) gastric resection 
C) pyloroplasty 
D) bariatric surgery

Question 9

Continuous vomiting can lead to which of the following?

Accepted Answer

A) Fluid and electrolyte imbalance 
B) Reduced food intake 
C) Malnutrition 
D) All of the above 
A) Fluid and electrolyte imbalance 
B) Reduced food intake 
C) Malnutrition 
D) All of the above

Question 10

Which of the following liquid consistencies would include fluids that can be eaten with a spoon but do not hold their shape?

Accepted Answer

A) Thin 
B) Nectar-like 
C) Honey-like 
D) Spoon-thick 
A) Thin 
B) Nectar-like 
C) Honey-like 
D) Spoon-thick

Question 11

Examples of substances that cause the lower esophageal sphincter to weaken include

Accepted Answer

A) caffeine-free soft drinks. 
B) high-fat foods. 
C) decaffeinated coffee. 
D) all of the above 
A) caffeine-free soft drinks. 
B) high-fat foods. 
C) decaffeinated coffee. 
D) all of the above

Question 12

All of the following are used in the management of peptic ulcer disease except

Accepted Answer

A) medications that coat the gastrointestinal lining. 
B) antibiotics. 
C) aspirin. 
D) antisecretory agents. 
A) medications that coat the gastrointestinal lining. 
B) antibiotics. 
C) aspirin. 
D) antisecretory agents.

Question 13

A postgastrectomy diet is a

Accepted Answer

A) protein-controlled diet to prevent hypoglycemia. 
B) fat-controlled diet to prevent dumping syndrome. 
C) simple carbohydrate-controlled diet to prevent hypoglycemia. 
D) protein- and fat-controlled diet to prevent dumping syndrome. 
A) protein-controlled diet to prevent hypoglycemia. 
B) fat-controlled diet to prevent dumping syndrome. 
C) simple carbohydrate-controlled diet to prevent hypoglycemia. 
D) protein- and fat-controlled diet to prevent dumping syndrome.

Question 14

A client suffering from chronic nausea should eat

Accepted Answer

A) a hot breakfast in the morning. 
B) a tuna salad sandwich at lunch. 
C) dry toast or crackers. 
D) bagels with jalapeño cream cheese. 
A) a hot breakfast in the morning. 
B) a tuna salad sandwich at lunch. 
C) dry toast or crackers. 
D) bagels with jalapeño cream cheese.

Question 15

James Hammond is a 37-year-old business executive. He travels worldwide and has a very stressful schedule. He self-diagnoses an episode of food poisoning. However, after 5 days of nausea, vomiting, and blood in his stool he visits his physician and is diagnosed with gastritis.
-Mr.Hammond is placed on _____, for gastrointestinal rest.

Accepted Answer

A) a mechanical soft diet 
B) a bland diet 
C) NPO 
D) enteral nutrition support 
A) a mechanical soft diet 
B) a bland diet 
C) NPO 
D) enteral nutrition support

Question 16

Austin is a 42-year-old obese male.He is researching surgical options to lose weight.Which of the following surgeries is reversible?

Accepted Answer

A) Gastric banding 
B) Gastric bypass 
C) Vagotomy 
D) Total gastrectomy 
A) Gastric banding 
B) Gastric bypass 
C) Vagotomy 
D) Total gastrectomy

Question 17

Which statement is true?

Accepted Answer

A) A "one size fits all" approach applies to the dietary modifications for people suffering from GERD. 
B) Proton-pump inhibitors are the most effective antisecretory agents used to treat GERD. 
C) Antacids are appropriate for treating GERD and have no long-term side effects. 
D) Fundoplication, a surgical procedure that raises pressure in the stomach, is used to treat severe GERD. 
A) A "one size fits all" approach applies to the dietary modifications for people suffering from GERD. 
B) Proton-pump inhibitors are the most effective antisecretory agents used to treat GERD. 
C) Antacids are appropriate for treating GERD and have no long-term side effects. 
D) Fundoplication, a surgical procedure that raises pressure in the stomach, is used to treat severe GERD.

Question 18

Bob has been eating pureed food for six months.The nurses have noticed that his skin is pale, he has lost 5 lbs., and he complains constantly about the food.What strategies can the dietitian use to improve Bob's feelings about eating a pureed diet?

Accepted Answer

A) Order larger portions to be given. 
B) Use brightly colored foods. 
C) Prepare the food for serving using molds. 
D) b and c 
E) a and c 
A) Order larger portions to be given. 
B) Use brightly colored foods. 
C) Prepare the food for serving using molds. 
D) b and c 
E) a and c

Question 19

Severe gastrointestinal bleeding or hemorrhage, a complication of peptic ulcer disease, may be evidenced by:

Accepted Answer

A) black, tarry stools. 
B) vomit that resembles coffee grounds. 
C) bright red blood in the stool. 
D) a and b 
E) b and c 
A) black, tarry stools. 
B) vomit that resembles coffee grounds. 
C) bright red blood in the stool. 
D) a and b 
E) b and c

Question 20

Case Studies
Cassandra Lyons is a 73-year-old retired administrative assistant.She has had recurrent episodes of pneumonia with weight loss for the past 5 months.Her past medical history includes high cholesterol and diabetes.Once again she is admitted to the hospital.
-Possible causes of her condition include all of the following except:

Accepted Answer

A) stroke. 
B) Alzheimer's disease. 
C) emphysema. 
D) Parkinson's disease. 
A) stroke. 
B) Alzheimer's disease. 
C) emphysema. 
D) Parkinson's disease.

Exam 23: Upper Gastrointestinal Disorders

An example of a strategy used by dietitians to encourage clients on mechanically altered diets to eat is to

_____ refers to a group of symptoms that results from abnormally rapid gastric emptying and is a common complication of both gastrectomy and gastric bypass surgery.

Dorothy had a stroke 3 weeks ago.She has been diagnosed with oropharyngeal dysphagia.Which statement does not describe Dorothy's condition?

What is the primary reason why dysphagia is life-threatening?

A sign of dumping syndrome is

All of the following are consequences of untreated GERD except:

In a vagotomy, the vagus nerve is severed in order to suppress gastric acid secretion.This procedure is often followed by a _____, which widens the pyloric sphincter.

Continuous vomiting can lead to which of the following?

Which of the following liquid consistencies would include fluids that can be eaten with a spoon but do not hold their shape?

Examples of substances that cause the lower esophageal sphincter to weaken include

All of the following are used in the management of peptic ulcer disease except

A postgastrectomy diet is a

A client suffering from chronic nausea should eat

Austin is a 42-year-old obese male.He is researching surgical options to lose weight.Which of the following surgeries is reversible?

Which statement is true?

Bob has been eating pureed food for six months.The nurses have noticed that his skin is pale, he has lost 5 lbs., and he complains constantly about the food.What strategies can the dietitian use to improve Bob's feelings about eating a pureed diet?

Severe gastrointestinal bleeding or hemorrhage, a complication of peptic ulcer disease, may be evidenced by:

An Overview of Nutrition

Planning a Healthy Diet

Digestion, Absorption, and Transport

The Carbohydrates: Sugars, Starches and Fibers

The Lipids: Triglycerides, Phospholipids, and Sterols

Protein: Amino Acids

Metabolism: Transformations and Interactions

Energy Balance and Body Composition

Weight Management: Overweight, Obesity, and Underweight

The Water-Soluble Vitamins: B Vitamins and Vitamin C

The Fat-Soluble Vitamins: A, D, E, and K

Water and the Major Minerals

The Trace Minerals

Life Cycle Nutrition: Pregnancy and Lactation

Life Cycle Nutrition: Infancy, Childhood, and Adolescence

Life Cycle Nutrition: Adulthood and the Later Years

Nutrition Care and Assessment

Nutrition Intervention

Medications, Diet-Drug Interactions, and Herbal Products

Enteral Nutrition Support

Parenteral Nutrition Support

Metabolic and Respiratory Stress

Lower Gastrointestinal Disorders

Liver Disease and Gallstones

Diabetes Mellitus

Cardiovascular Diseases

Kidney Diseases

Cancer and Hiv Infection

Filters