Exam 13: Diseases of the Cardiovascular System

Which type of oil has the highest monounsaturated content?

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 of the following foods is contributing the most sodium to his diet?

ACE Inhibitors work to control blood pressure by

Which of the following is an example of a medication that works as a vasodilator?

You have a patient with a thrombus that has occluded the lumen of the artery in his leg Which type of intervention would be necessary?

Which of the following fats is associated with increased risk of myocardial infarction and increased inflammatory response?

Which of the following statements is true?

If heart failure originates on the left side of the heart, the patient will most likely present with:

Which of the following is not high in sodium?

Which of the following is consistent with the DASH diet?

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 is an alterable risk factor that contributed to his condition?

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

-Due to his diagnosis and symptoms, what will he have to limit?

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

-For which medication likely to be prescribed to TR should he receive education on drug-nutrient interactions?

The name of the lipoprotein with the highest triglyceride content is:

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

-TR is at risk for developing which condition?

If a patient develops heart failure, which of the following is not a possible etiological factor?

Which of the following is not one of the basic components of the nutrition therapy for hypertension?