Question 1

The main goal of managing transplant patients is:

Accepted Answer

A) preventing rejection and its associated complications. 
B) maintaining adequate serum protein levels. 
C) severe immunosuppression. 
D) providing new antibodies to the host. 
A) preventing rejection and its associated complications. 
B) maintaining adequate serum protein levels. 
C) severe immunosuppression. 
D) providing new antibodies to the host. A

Question 2

HD is a 21 yo M who has cystic fibrosis.His physician fears that HD's nutritional status is not optimal and has referred him and his family to you for nutrition counseling.The physician has provided you with HD's medical record, and it shows that he is lethargic, has been vomiting, and has been diagnosed with dehydration.In addition, a bone mineral density scan reveals osteopenia.He reports good appetite and increased intake but the physician believes that both the patient and his family have been non-compliant with nutrition-related recommendations and that HD is not growing as expected.He has been on corticosteroids since early childhood, has gone to chest physiotherapy, and has taken his vitamins "on and off."
-Which of the following will be an optimal amount of vitamin A for HD?

Accepted Answer

A) 200-400 IU/day 
B) 10,000 IU/day 
C) 400-800 IU/day 
D) 0.3-0.5 IU/day 
A) 200-400 IU/day 
B) 10,000 IU/day 
C) 400-800 IU/day 
D) 0.3-0.5 IU/day B

Question 3

Smokers have a higher daily requirement than non-smokers for which vitamin?

Accepted Answer

A) A 
B) C 
C) E 
D) K 
A) A 
B) C 
C) E 
D) K B

Question 4

The syndrome of cardiac complications that occurs with COPD is called _____ and can lead to _____

Accepted Answer

A) cor pulmonale, heart failure 
B) L ventricular failure, orthopnea 
C) cardiomyopathy, L ventricular failure 
D) orthopnea, cor pulmonale 
A) cor pulmonale, heart failure 
B) L ventricular failure, orthopnea 
C) cardiomyopathy, L ventricular failure 
D) orthopnea, cor pulmonale

Question 5

Case Study
TS is an 80 yo F admitted to the hospital with an exacerbation of COPD.She was diagnosed with the disease 20 years ago and now complains of shortness of breath, dyspnea, and an upset stomach.
HT: 5'1"       WT: 104#      UBW: 115#
-All of the following would be part of registered dietitian's nutrition plan for TS except:

Accepted Answer

A) resting before meals. 
B) small, frequent meals. 
C) avoiding excess energy intake. 
D) physical exercise to increase fat mass. 
A) resting before meals. 
B) small, frequent meals. 
C) avoiding excess energy intake. 
D) physical exercise to increase fat mass.

Question 6

The defect seen in CF results in improper transport of:

Accepted Answer

A) glucose. 
B) sodium. 
C) chloride. 
D) magnesium. 
A) glucose. 
B) sodium. 
C) chloride. 
D) magnesium.

Question 7

HD is a 21 yo M who has cystic fibrosis.His physician fears that HD's nutritional status is not optimal and has referred him and his family to you for nutrition counseling.The physician has provided you with HD's medical record, and it shows that he is lethargic, has been vomiting, and has been diagnosed with dehydration.In addition, a bone mineral density scan reveals osteopenia.He reports good appetite and increased intake but the physician believes that both the patient and his family have been non-compliant with nutrition-related recommendations and that HD is not growing as expected.He has been on corticosteroids since early childhood, has gone to chest physiotherapy, and has taken his vitamins "on and off."
-The registered dietitian is creating a meal plan for HD that will also include effective ways to manage CFRD How much of the diet should come from fat?

Accepted Answer

A) 20-30% of kcal 
B) enough to provide essential fatty acids 
C) 35-45% of kcal 
D) at least 60 grams/day of polyunsaturated fatty acids 
A) 20-30% of kcal 
B) enough to provide essential fatty acids 
C) 35-45% of kcal 
D) at least 60 grams/day of polyunsaturated fatty acids

Question 8

If your patient has respiratory failure in the ICU and is on a mechanical ventilator, generally his or her nutritional needs are:

Accepted Answer

A) increased. 
B) decreased but only slightly. 
C) decreased dramatically. 
D) the same as those of other patients. 
A) increased. 
B) decreased but only slightly. 
C) decreased dramatically. 
D) the same as those of other patients.

Question 9

In general, the energy needs of an infant with BPD are _____ higher than those of normal infants in order to support lung function and growth

Accepted Answer

A) 50-55% 
B) 15-25% 
C) 30% 
D) 70% 
A) 50-55% 
B) 15-25% 
C) 30% 
D) 70%

Question 10

Overfeeding results in:

Accepted Answer

A) lipolysis. 
B) gluconeogenesis. 
C) increased CO₂ retention. 
D) hyponatremia. 
A) lipolysis. 
B) gluconeogenesis. 
C) increased CO₂ retention. 
D) hyponatremia.

Question 11

Which antibody is most associated with asthma?

Accepted Answer

A) IgG 
B) IgE 
C) IgA 
D) IgD 
A) IgG 
B) IgE 
C) IgA 
D) IgD

Question 12

HD is a 21 yo M who has cystic fibrosis.His physician fears that HD's nutritional status is not optimal and has referred him and his family to you for nutrition counseling.The physician has provided you with HD's medical record, and it shows that he is lethargic, has been vomiting, and has been diagnosed with dehydration.In addition, a bone mineral density scan reveals osteopenia.He reports good appetite and increased intake but the physician believes that both the patient and his family have been non-compliant with nutrition-related recommendations and that HD is not growing as expected.He has been on corticosteroids since early childhood, has gone to chest physiotherapy, and has taken his vitamins "on and off."
-Because HD is not growing as expected, the registered dietitian may also recommend which of the following as part of his/her overall nutrition plan?

Accepted Answer

A) EN 
B) PN 
C) po supplement 
D) LCT oil 
A) EN 
B) PN 
C) po supplement 
D) LCT oil

Question 13

During _____, the patient breathes into a tube attached to a machine which calculates the amount of air the lungs can hold

Accepted Answer

A) metabolic cart analysis 
B) spirometry 
C) pulse oximetry 
D) percussion 
A) metabolic cart analysis 
B) spirometry 
C) pulse oximetry 
D) percussion

Question 14

Which of the following would be included in an ABG evaluation?

Accepted Answer

A) FEV 
B) O₂ saturation 
C) FVC 
D) minute ventilation 
A) FEV 
B) O₂ saturation 
C) FVC 
D) minute ventilation

Question 15

Which of the following recommendations would you make to your patient with CF?

Accepted Answer

A) high-protein, high-kcal, low-fat diet 
B) take LCT oil between meals 
C) take pancreatic enzymes with meals 
D) restrict carbohydrate kcal if DM is present 
A) high-protein, high-kcal, low-fat diet 
B) take LCT oil between meals 
C) take pancreatic enzymes with meals 
D) restrict carbohydrate kcal if DM is present

Question 16

Which of the following is a proven intervention for asthma?

Accepted Answer

A) vitamins C and E 
B) omega-3 FA 
C) omega-6 FA 
D) removing the trigger from the environment 
A) vitamins C and E 
B) omega-3 FA 
C) omega-6 FA 
D) removing the trigger from the environment

Question 17

Your patient has chronic bronchitis You would expect to see all of the following signs except:

Accepted Answer

A) cyanosis. 
B) cor pulmonale. 
C) clubbing. 
D) secondary polycythemia. 
A) cyanosis. 
B) cor pulmonale. 
C) clubbing. 
D) secondary polycythemia.

Question 18

Gas exchange occurs in the _____ unit

Accepted Answer

A) bronchi 
B) bronchioles 
C) blood stream 
D) alveolar-capillary 
A) bronchi 
B) bronchioles 
C) blood stream 
D) alveolar-capillary

Question 19

Which of the following is not a nutritional concern for a patient with BPD?

Accepted Answer

A) need for nutrition support 
B) weaning off of the ventilator 
C) reflux esophagitis 
D) fatigue during feeding 
A) need for nutrition support 
B) weaning off of the ventilator 
C) reflux esophagitis 
D) fatigue during feeding

Question 20

All of the following are nutritional concerns for the CF patient except:

Accepted Answer

A) glomerulonephritis. 
B) increased nutrient needs. 
C) pancreatic insufficiency. 
D) diabetes. 
A) glomerulonephritis. 
B) increased nutrient needs. 
C) pancreatic insufficiency. 
D) diabetes.

Exam 21: Diseases of the Respiratory System

The main goal of managing transplant patients is:

Smokers have a higher daily requirement than non-smokers for which vitamin?

The syndrome of cardiac complications that occurs with COPD is called _____ and can lead to _____

The defect seen in CF results in improper transport of:

If your patient has respiratory failure in the ICU and is on a mechanical ventilator, generally his or her nutritional needs are:

In general, the energy needs of an infant with BPD are _____ higher than those of normal infants in order to support lung function and growth

Overfeeding results in:

Which antibody is most associated with asthma?

During _____, the patient breathes into a tube attached to a machine which calculates the amount of air the lungs can hold

Which of the following would be included in an ABG evaluation?

Which of the following recommendations would you make to your patient with CF?

Which of the following is a proven intervention for asthma?

Your patient has chronic bronchitis You would expect to see all of the following signs except:

Gas exchange occurs in the _____ unit

Which of the following is not a nutritional concern for a patient with BPD?

All of the following are nutritional concerns for the CF patient except:

Role of the Dietitian in the Health Care System

The Nutrition Care Process

Nutrition Assessment: Foundation of the Nutrition Care Process

Nutrition Intervention

Enteral and Parenteral Nutrition Support

Documentation of the Nutrition Care Process

Fluid and Electrolyte Balance

Acid-Base Balance

Cellular and Physiological Response to Injury:The Role of the Immune System

Nutritional Genomics

Pharmacology

Energy Balance and Body Weight

Diseases of the Cardiovascular System

Diseases of the Upper Gastrointestinal Tract

Diseases of the Lower Gastrointestinal Tract

Diseases of the Liver, Gallbladder, and Exocrine Pancreas

Diseases of the Endocrine System

Diseases of the Renal System

Diseases of the Hematological System

Diseases and Disorders of the Neurological System

Metabolic Stress and the Critically Ill

Neoplastic Disease

Hiv and Aids

Diseases of the Musculoskeletal System

Metabolic Disorders

Filters

The syndrome of cardiac complications that occurs with COPD is called _ and can lead to _