Question 1

The post-gastrectomy or "anti-dumping" diet encourages which of the following?

Accepted Answer

A) well-balanced diet slightly higher in protein and fat than recommended by U.S.Dietary Guidelines 
B) well-balanced diet slightly lower in protein and fat than recommended by U.S.Dietary Guidelines 
C) well-balanced diet as recommended by U.S.Dietary Guidelines 
D) well-balanced diet slightly higher in protein and carbohydrates 
A) well-balanced diet slightly higher in protein and fat than recommended by U.S.Dietary Guidelines 
B) well-balanced diet slightly lower in protein and fat than recommended by U.S.Dietary Guidelines 
C) well-balanced diet as recommended by U.S.Dietary Guidelines 
D) well-balanced diet slightly higher in protein and carbohydrates

Question 2

The goals of care for GERD include:

Accepted Answer

A) decreasing LES competence. 
B) increasing gastric acidity. 
C) improving clearance of contents from the esophagus. 
D) increasing irritation of the esophagus. 
A) decreasing LES competence. 
B) increasing gastric acidity. 
C) improving clearance of contents from the esophagus. 
D) increasing irritation of the esophagus.

Question 3

Your patient has stomatitis Which of the following may be helpful in reducing his symptoms?

Accepted Answer

A) encourage hot beverages 
B) use carbonated beverages 
C) avoid rinsing the mouth 
D) suggest oral glutamine supplements 
A) encourage hot beverages 
B) use carbonated beverages 
C) avoid rinsing the mouth 
D) suggest oral glutamine supplements

Question 4

Which of the following neurotransmitters inhibit the closure of the LES, allowing it to relax?

Accepted Answer

A) dopamine and serotonin 
B) acetylcholine and noradrenaline 
C) GABA and glycine 
D) nitric oxide and VIP 
A) dopamine and serotonin 
B) acetylcholine and noradrenaline 
C) GABA and glycine 
D) nitric oxide and VIP

Question 5

_____ converts pepsinogen (inactive) to pepsin (active)

Accepted Answer

A) Hydrochloric acid 
B) Carbonic acid 
C) Gastrin 
D) Bicarbonate 
A) Hydrochloric acid 
B) Carbonic acid 
C) Gastrin 
D) Bicarbonate

Question 6

Case Study
            LK is a 40 yo F s/p gastric resection 2 weeks ago due to a perforated ulcer from complicated PUD. Prior to her surgery, she was experiencing severe pain and upset stomach. She is now complaining of persistent diarrhea after she eats.              HT: 5’4”         WT: 170#       UBW: 187#              Usual intake:      Diet: NPO               AM       juice and fruit                      Snack       toast with butter                      Noon       half a tuna sandwich                      Snack       granola bar, Gatorade                      PM       mashed potatoes with gravy                      Snack       ice cream                      Labs:                                    Na: 151       Cl: 107       BUN: 8       Glucose: 140               K: 3.5       CO2: 28       Cr: 1.1             
-Which of the following is not a nutritional recommendation that the registered dietitian will suggest for LK?

Accepted Answer

A) plenty of fluids with meals 
B) small, frequent meals 
C) avoid lactose 
D) supplement with calcium and vitamin D 
A) plenty of fluids with meals 
B) small, frequent meals 
C) avoid lactose 
D) supplement with calcium and vitamin D

Question 7

Gastritis can be caused by an infection with _____

Accepted Answer

A) H.pylori 
B) E.coli 
C) C.difficile 
D) S.aureus 
A) H.pylori 
B) E.coli 
C) C.difficile 
D) S.aureus

The post-gastrectomy or "anti-dumping" diet encourages which of the following?

The goals of care for GERD include:

Your patient has stomatitis Which of the following may be helpful in reducing his symptoms?

Which of the following neurotransmitters inhibit the closure of the LES, allowing it to relax?

_____ converts pepsinogen (inactive) to pepsin (active)

Gastritis can be caused by an infection with _____

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 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

Diseases of the Respiratory System

Metabolic Stress and the Critically Ill

Neoplastic Disease

Hiv and Aids

Diseases of the Musculoskeletal System

Metabolic Disorders

Filters

LK is a 40 yo F s/p gastric resection 2 weeks ago due to a perforated ulcer from complicated PUD. Prior to her surgery, she was experiencing severe pain and upset stomach. She is now complaining of persistent diarrhea after she eats.
HT: 5’4” WT: 170# UBW: 187#
Usual intake:			Diet: NPO
AM	juice and fruit
Snack	toast with butter
Noon	half a tuna sandwich
Snack	granola bar, Gatorade
PM	mashed potatoes with gravy
Snack	ice cream
Labs:
Na: 151	Cl: 107	BUN: 8	Glucose: 140
K: 3.5	CO₂: 28	Cr: 1.1

Exam 14: Diseases of the Upper Gastrointestinal Tract

The post-gastrectomy or "anti-dumping" diet encourages which of the following?

The goals of care for GERD include:

Your patient has stomatitis Which of the following may be helpful in reducing his symptoms?

Which of the following neurotransmitters inhibit the closure of the LES, allowing it to relax?

_____ converts pepsinogen (inactive) to pepsin (active)

Gastritis can be caused by an infection with _____

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 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

Diseases of the Respiratory System

Metabolic Stress and the Critically Ill

Neoplastic Disease

Hiv and Aids

Diseases of the Musculoskeletal System

Metabolic Disorders

Filters