Question 1

Gastroparesis most often develops as a consequence of what condition?

Accepted Answer

A)  cardiomyopathy 
B)  Kawasaki disease 
C)  diabetes 
D)  hepatitis 
A)  cardiomyopathy 
B)  Kawasaki disease 
C)  diabetes 
D)  hepatitis

Question 2

Nutrition care and treatment of peptic ulcers includes ____.

Accepted Answer

A)  quitting smoking 
B)  consuming dry, starchy foods 
C)  Increasing caffeine intake 
D)  eating meals 30 minutes before bedtime 
A)  quitting smoking 
B)  consuming dry, starchy foods 
C)  Increasing caffeine intake 
D)  eating meals 30 minutes before bedtime

Question 3

Short Case Study Questions  
James Hammond is a 37-year-old business executive. He travels worldwide and has a very stressful schedule. He has been having chronic pain in his stomach for a month. After a recent trip he visits his physician after 5 days of nausea, vomiting, and blood in his stool and is diagnosed with severe gastritis.
-Mr) Hammond's gastritis may have been caused by ____.

Accepted Answer

A)  infection 
B)  intake of acidic foods 
C)  antibodies 
D)  intake of high-fiber foods 
A)  infection 
B)  intake of acidic foods 
C)  antibodies 
D)  intake of high-fiber foods

Question 4

Austin is a 42-year-old obese male. He is researching surgical options to lose weight. Which type of bariatric surgery is fully reversible?

Accepted Answer

A)  gastric banding 
B)  gastric bypass 
C)  biliopancreatic diversion 
D)  total gastrectomy 
A)  gastric banding 
B)  gastric bypass 
C)  biliopancreatic diversion 
D)  total gastrectomy

Question 5

A potential long-term consequence of chronic reflux and Barrett's esophagus is ____.

Accepted Answer

A)  esophageal cancer 
B)  liver disease 
C)  peptic ulcer disease 
D)  kidney failure 
A)  esophageal cancer 
B)  liver disease 
C)  peptic ulcer disease 
D)  kidney failure

Question 6

Why is a person with diabetes mellitus at higher risk for developing periodontal disease?

Accepted Answer

A)  impaired immune response 
B)  increased rigidity of the collagen structure of tissues 
C)  decreased dental plaque 
D)  increased salivation 
A)  impaired immune response 
B)  increased rigidity of the collagen structure of tissues 
C)  decreased dental plaque 
D)  increased salivation

Question 7

The inflammatory process induced by periodontal pathogens may ____.

Accepted Answer

A)  slow the progression of rheumatoid arthritis 
B)  decrease insulin resistance 
C)  improve immune responses 
D)  accelerate the progression of atherosclerosis 
A)  slow the progression of rheumatoid arthritis 
B)  decrease insulin resistance 
C)  improve immune responses 
D)  accelerate the progression of atherosclerosis

Question 8

Thomas receives milk pudding with his breakfast. What type of a fluid is this under the National Dysphagia Guidelines?

Accepted Answer

A)  thin 
B)  nectarlike 
C)  honeylike 
D)  spoon-thick 
A)  thin 
B)  nectarlike 
C)  honeylike 
D)  spoon-thick

Question 9

What meets the guidelines for a postgastrectomy diet?

Accepted Answer

A)  unlimited liquids with meals 
B)  unlimited simple sugar intake 
C)  small, frequent meals and snacks 
D)  unrestricted simple carbohydrate intake 
A)  unlimited liquids with meals 
B)  unlimited simple sugar intake 
C)  small, frequent meals and snacks 
D)  unrestricted simple carbohydrate intake

Question 10

Eric has developed dysphagia after having a stroke. He requires mechanically altered foods that are easier to swallow. His caregiver is assisting him with eating so that he will not become malnourished. What strategy can the caregiver perform that would most likely help Eric to accept his mechanically altered foods?

Accepted Answer

A)  Substitute white vegetables for brightly colored ones. 
B)  Serve the foods on an attractive plate to improve visual appeal 
C)  Blend all foods and serve with a straw. 
D)  Heavily season the foods with salt and pepper. 
A)  Substitute white vegetables for brightly colored ones. 
B)  Serve the foods on an attractive plate to improve visual appeal 
C)  Blend all foods and serve with a straw. 
D)  Heavily season the foods with salt and pepper.

Question 11

Discuss the relationship between oral health and diabetes mellitus, atherosclerosis, and respiratory illnesses.

Accepted Answer

Dental diseases may have adverse effects

Question 12

The postgastrectomy diet often includes ____.

Accepted Answer

A)  fluid with meals 
B)  refined carbohydrates 
C)  foods high in fat 
D)  supplementation with calcium and vitamin D 
A)  fluid with meals 
B)  refined carbohydrates 
C)  foods high in fat 
D)  supplementation with calcium and vitamin D

Question 13

The dietary management of acute gastritis includes ____.

Accepted Answer

A)  avoiding antacids 
B)  eating dry crackers 
C)  increasing aspirin for pain 
D)  avoiding alcohol 
A)  avoiding antacids 
B)  eating dry crackers 
C)  increasing aspirin for pain 
D)  avoiding alcohol

Question 14

Karen has intractable vomiting. Which type of a diet order would be most appropriate for her?

Accepted Answer

A)  gastric tube feeding 
B)  intestinal tube feeding 
C)  parenteral nutrition 
D)  clear liquid 
A)  gastric tube feeding 
B)  intestinal tube feeding 
C)  parenteral nutrition 
D)  clear liquid

Question 15

Anemia may develop after a gastrectomy because ____.

Accepted Answer

A)  surgery alters vitamin B  6  absorption 
B)  calcium-rich foods are avoided 
C)  iron and vitamin B 12  are absorbed poorly 
D)  lactose is absorbed poorly 
A)  surgery alters vitamin B  6  absorption 
B)  calcium-rich foods are avoided 
C)  iron and vitamin B 12  are absorbed poorly 
D)  lactose is absorbed poorly

Question 16

What is a risk factor for the development of periodontal disease?

Accepted Answer

A)  wearing dentures 
B)  tobacco smoking 
C)  history of cardiovascular disease 
D)  excessive salivation 
A)  wearing dentures 
B)  tobacco smoking 
C)  history of cardiovascular disease 
D)  excessive salivation

Question 17

Bacterial overgrowth, a common consequence of gastric surgeries, is caused by all of the following factors EXCEPT :

Accepted Answer

A)  reduced gastric acid secretion 
B)  altered motility of intestinal contents 
C)  changes in intestinal anatomy due to surgery 
D)  deficiency of fat-soluble vitamins 
A)  reduced gastric acid secretion 
B)  altered motility of intestinal contents 
C)  changes in intestinal anatomy due to surgery 
D)  deficiency of fat-soluble vitamins

Question 18

Short Case Study Questions  
A 73-year-old retired administrative assistant has had recurrent episodes of pneumonia with weight loss for the past 5 months. Her past medical history includes high cholesterol and diabetes. Currently, she is admitted to the hospital because of complications arising from a recent stroke.
-The nurse suspects a swallowing problem and recommends an evaluation that involves direct visualization of the esophagus, which will most likely be performed by ____.

Accepted Answer

A)  a barium swallow test 
B)  an endoscopy 
C)  a neurological exam 
D)  surgery 
A)  a barium swallow test 
B)  an endoscopy 
C)  a neurological exam 
D)  surgery

Question 19

A sign of oropharyngeal dysphagia is ____.

Accepted Answer

A)  a sensation of food "sticking" in the esophagus 
B)  nasal regurgitation 
C)  achalasia 
D)  heartburn 
A)  a sensation of food "sticking" in the esophagus 
B)  nasal regurgitation 
C)  achalasia 
D)  heartburn

Question 20

In what percentage of individuals with chronic Helicobacter pylori infection does a peptic ulcer actually develop?

Accepted Answer

A)  5 to 15 
B)  45 to 50 
C)  60 to 65 
D)  75 to 80 
A)  5 to 15 
B)  45 to 50 
C)  60 to 65 
D)  75 to 80

Exam 23: Upper Gastrointestinal Disorders

Gastroparesis most often develops as a consequence of what condition?

Nutrition care and treatment of peptic ulcers includes ____.

Austin is a 42-year-old obese male. He is researching surgical options to lose weight. Which type of bariatric surgery is fully reversible?

A potential long-term consequence of chronic reflux and Barrett's esophagus is ____.

Why is a person with diabetes mellitus at higher risk for developing periodontal disease?

The inflammatory process induced by periodontal pathogens may ____.

Thomas receives milk pudding with his breakfast. What type of a fluid is this under the National Dysphagia Guidelines?

What meets the guidelines for a postgastrectomy diet?

Discuss the relationship between oral health and diabetes mellitus, atherosclerosis, and respiratory illnesses.

The postgastrectomy diet often includes ____.

The dietary management of acute gastritis includes ____.

Karen has intractable vomiting. Which type of a diet order would be most appropriate for her?

Anemia may develop after a gastrectomy because ____.

What is a risk factor for the development of periodontal disease?

Bacterial overgrowth, a common consequence of gastric surgeries, is caused by all of the following factors EXCEPT :

A sign of oropharyngeal dysphagia is ____.

In what percentage of individuals with chronic Helicobacter pylori infection does a peptic ulcer actually develop?

An Overview of Nutrition

Planning a Healthy Diet

Digestion, Absorption, and Transport

The Carbohydrates: Sugar, Starches, and Fibers

The Lipids: Triglycerides, Phospholipids, and Sterols

Protein: Amino Acids

Energy Metabolism

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

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