Question 1

The term used to describe substernal pain experienced when the workload of the heart is increased due to physical or emotional stress is:

Accepted Answer

A) ventricle fibrillation. 
B) PVD. 
C) stable angina. 
D) unstable angina. 
A) ventricle fibrillation. 
B) PVD. 
C) stable angina. 
D) unstable angina.

Question 2

At Mr Jones's annual examination, his blood pressure was 165/80 What category would this put him in?

Accepted Answer

A) high-normal BP 
B) stage 1 hypertension 
C) stage 2 hypertension 
D) stage 3 hypertension 
A) high-normal BP 
B) stage 1 hypertension 
C) stage 2 hypertension 
D) stage 3 hypertension

Question 3

Atherosclerosis is negatively associated with:

Accepted Answer

A) chylomicrons. 
B) VLDL cholesterol. 
C) LDL cholesterol. 
D) HDL cholesterol. 
A) chylomicrons. 
B) VLDL cholesterol. 
C) LDL cholesterol. 
D) HDL cholesterol.

Question 4

Which of the following minerals does not have a positive effect on blood pressure?

Accepted Answer

A) Mn 
B) Ca 
C) Mg 
D) K 
A) Mn 
B) Ca 
C) Mg 
D) K

Question 5

Over time as the heart is unable to deliver oxygen to the tissues, the condition of _____ develops

Accepted Answer

A) congestive heart failure 
B) high blood pressure 
C) cardiac arrhythmia 
A) congestive heart failure 
B) high blood pressure 
C) cardiac arrhythmia

Question 6

Occlusion of an artery that does not permit blood flow is _____, whereas cell death due to the resulting lack of oxygen is termed _____

Accepted Answer

A) ischemia, infarction 
B) angina, infarction 
C) ischemia, angina 
D) infarction, ischemia 
A) ischemia, infarction 
B) angina, infarction 
C) ischemia, angina 
D) infarction, ischemia

Question 7

Abnormal findings commonly seen in metabolic syndrome include:

Accepted Answer

A) increased TG, HDL, and BP. 
B) decreased MCHC and HgbA1c. 
C) increased TG, wt, and BP. 
D) decreased HDL, TG, and BP. 
A) increased TG, HDL, and BP. 
B) decreased MCHC and HgbA1c. 
C) increased TG, wt, and BP. 
D) decreased HDL, TG, and BP.

Question 8

TR is a 75 yo M admitted into the hospital with heart failure. He complains of shortness of breath and orthopnea and has not eaten for several days. He has a history of hypertension, which has gone uncontrolled for several decades. His typical intake is:               B Scrambled eggs       D 1 12-oz can tomato soup                Bacon       1 slice meat loaf                Grits       20 oz lemonade                16 oz orange juice                      Banana                      L Pastrami sandwich on rye bread                      Potato salad                      1 12-oz can of clam chowder                       20 oz water             
-Which is the likely cause of his heart failure?

Accepted Answer

A) age 
B) hypertension 
C) high consumption of fat 
D) gender 
A) age 
B) hypertension 
C) high consumption of fat 
D) gender

Question 9

Case Study
             PT is a 65 yo M who comes to the emergency room complaining of chest pain. Several diagnostic tests conclude that he has suffered an MI. The registered dietitian is consulted for nutrition education. PT reports that he has gained 30 pounds in the previous year due to his hectic work schedule, which forces him to eat out often. In addition, he is physically inactive. PT also reports that he has a family history of heart disease and his father died of an MI.               HT: 5’9       WT: 190#       Waist Circumference: 105 cm       BP: 140/93               Cholesterol:       259                             LDL:       180                             HDL:       58                             TG:       234                             Diet Hx:                                    B Egg and sausage muffin Coffee               D Chicken breast Mashed potatoes Iced tea                                                          L Ham and cheese sandwich on white bread Potato chips Soda                           
-Should the MD decide to put PT on medication to lower his cholesterol, what would be an optimal LDL level for him to achieve?

Accepted Answer

A) 150 
B) 130 
C) 100 
D) 120 
A) 150 
B) 130 
C) 100 
D) 120

Question 10

Good advice for a dietitian working with clients who have cardiac disease is:

Accepted Answer

A) focus on the cumulative effect of diet and lifestyle changes. 
B) focus on increasing fiber because research shows a positive effect on cholesterol levels. 
C) always obtain a full lipid profile. 
D) assess the level of physical activity the patient is at and counsel towards meeting the recommendations of the American Heart Association. 
A) focus on the cumulative effect of diet and lifestyle changes. 
B) focus on increasing fiber because research shows a positive effect on cholesterol levels. 
C) always obtain a full lipid profile. 
D) assess the level of physical activity the patient is at and counsel towards meeting the recommendations of the American Heart Association.

Question 11

Relaxation of the ventricle as it fills with blood is referred to as

Accepted Answer

A) diastole. 
B) systole. 
C) tachycardia. 
D) arrhythmia. 
A) diastole. 
B) systole. 
C) tachycardia. 
D) arrhythmia.

Question 12

Gas exchange occurs in the body's:

Accepted Answer

A) endocardium. 
B) arteries. 
C) capillaries. 
D) arterioles. 
A) endocardium. 
B) arteries. 
C) capillaries. 
D) arterioles.

Question 13

Within the cardiac cycle, contraction of the ventricle and ejection of the blood is referred to as

Accepted Answer

A) diastole. 
B) systole. 
C) tachycardia. 
D) arrhythmia. 
A) diastole. 
B) systole. 
C) tachycardia. 
D) arrhythmia.

Question 14

You have a patient who is taking a medication to control hypertension He mentioned that his doctor described this medicine as "blocking the enzyme that converts angiotensin" Which medication is he taking?

Accepted Answer

A) calcium channel blocker 
B) beta adrenergic blocking agent 
C) ACE inhibitor 
D) carbonic anhydrase inhibitor 
A) calcium channel blocker 
B) beta adrenergic blocking agent 
C) ACE inhibitor 
D) carbonic anhydrase inhibitor

Question 15

Case Study
             PT is a 65 yo M who comes to the emergency room complaining of chest pain. Several diagnostic tests conclude that he has suffered an MI. The registered dietitian is consulted for nutrition education. PT reports that he has gained 30 pounds in the previous year due to his hectic work schedule, which forces him to eat out often. In addition, he is physically inactive. PT also reports that he has a family history of heart disease and his father died of an MI.               HT: 5’9       WT: 190#       Waist Circumference: 105 cm       BP: 140/93               Cholesterol:       259                             LDL:       180                             HDL:       58                             TG:       234                             Diet Hx:                                    B Egg and sausage muffin Coffee               D Chicken breast Mashed potatoes Iced tea                                                          L Ham and cheese sandwich on white bread Potato chips Soda                           
-Which of the following fortified foods, when consumed twice daily, can have therapeutic effects on cholesterol?

Accepted Answer

A) nuts 
B) folate 
C) vitamin B6 
D) plant stanols 
A) nuts 
B) folate 
C) vitamin B6 
D) plant stanols

Question 16

All of the following may be incorporated into plaque formation except:

Accepted Answer

A) collagen. 
B) NO. 
C) connective tissue. 
D) smooth muscle cells. 
A) collagen. 
B) NO. 
C) connective tissue. 
D) smooth muscle cells.

Question 17

The term for protein-energy malnutrition associated with congestive heart failure is:

Accepted Answer

A) anorexia nervosa. 
B) cardiac cachexia. 
C) dyspnea. 
D) tachycardia. 
A) anorexia nervosa. 
B) cardiac cachexia. 
C) dyspnea. 
D) tachycardia.

Question 18

You have instructed your patients to look for "Light in Sodium" on certain food labels This means:

Accepted Answer

A) the food only contains 5 mg of sodium. 
B) the food contains 50% less sodium than the regular version. 
C) the food contains 25% less sodium than the regular version. 
D) the food has 140 mg or less of sodium per serving. 
A) the food only contains 5 mg of sodium. 
B) the food contains 50% less sodium than the regular version. 
C) the food contains 25% less sodium than the regular version. 
D) the food has 140 mg or less of sodium per serving.

Question 19

The middle layer of the heart is called the _____ and is responsible for _____

Accepted Answer

A) epicardium, contractions 
B) myocardium, contractions 
C) endocardium, thermoregulation 
D) myocardium, thermoregulation 
A) epicardium, contractions 
B) myocardium, contractions 
C) endocardium, thermoregulation 
D) myocardium, thermoregulation

Question 20

TR is a 75 yo M admitted into the hospital with heart failure. He complains of shortness of breath and orthopnea and has not eaten for several days. He has a history of hypertension, which has gone uncontrolled for several decades. His typical intake is:               B Scrambled eggs       D 1 12-oz can tomato soup                Bacon       1 slice meat loaf                Grits       20 oz lemonade                16 oz orange juice                      Banana                      L Pastrami sandwich on rye bread                      Potato salad                      1 12-oz can of clam chowder                       20 oz water             
-If TR had visited a registered dietitian and was placed on the DASH diet, which food from his diet would be recommended for its contribution of beneficial minerals?

Accepted Answer

A) eggs 
B) grits 
C) banana 
D) rye bread 
A) eggs 
B) grits 
C) banana 
D) rye bread

TR is a 75 yo M admitted into the hospital with heart failure. He complains of shortness of breath and orthopnea and has not eaten for several days. He has a history of hypertension, which has gone uncontrolled for several decades. His typical intake is:
B Scrambled eggs	D 1 12-oz can tomato soup
Bacon	1 slice meat loaf
Grits	20 oz lemonade
16 oz orange juice
Banana
L Pastrami sandwich on rye bread
Potato salad
1 12-oz can of clam chowder
20 oz water

PT is a 65 yo M who comes to the emergency room complaining of chest pain. Several diagnostic tests conclude that he has suffered an MI. The registered dietitian is consulted for nutrition education. PT reports that he has gained 30 pounds in the previous year due to his hectic work schedule, which forces him to eat out often. In addition, he is physically inactive. PT also reports that he has a family history of heart disease and his father died of an MI.
HT: 5’9	WT: 190#	Waist Circumference: 105 cm	BP: 140/93
Cholesterol:	259
LDL:	180
HDL:	58
TG:	234
Diet Hx:
B Egg and sausage muffin Coffee		D Chicken breast Mashed potatoes Iced tea

L Ham and cheese sandwich on white bread Potato chips Soda

Exam 13: Diseases of the Cardiovascular System

The term used to describe substernal pain experienced when the workload of the heart is increased due to physical or emotional stress is:

At Mr Jones's annual examination, his blood pressure was 165/80 What category would this put him in?

Atherosclerosis is negatively associated with:

Which of the following minerals does not have a positive effect on blood pressure?

Over time as the heart is unable to deliver oxygen to the tissues, the condition of _____ develops

Occlusion of an artery that does not permit blood flow is _____, whereas cell death due to the resulting lack of oxygen is termed _____

Abnormal findings commonly seen in metabolic syndrome include:

Good advice for a dietitian working with clients who have cardiac disease is:

Relaxation of the ventricle as it fills with blood is referred to as

Gas exchange occurs in the body's:

Within the cardiac cycle, contraction of the ventricle and ejection of the blood is referred to as

You have a patient who is taking a medication to control hypertension He mentioned that his doctor described this medicine as "blocking the enzyme that converts angiotensin" Which medication is he taking?

All of the following may be incorporated into plaque formation except:

The term for protein-energy malnutrition associated with congestive heart failure is:

You have instructed your patients to look for "Light in Sodium" on certain food labels This means:

The middle layer of the heart is called the _____ and is responsible for _____

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 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

Diseases of the Respiratory System

Metabolic Stress and the Critically Ill

Neoplastic Disease

Hiv and Aids

Diseases of the Musculoskeletal System

Metabolic Disorders

Filters

Occlusion of an artery that does not permit blood flow is _, whereas cell death due to the resulting lack of oxygen is termed _

The middle layer of the heart is called the _ and is responsible for _