Question 1

Branched-chain amino acids may be supplemented in the diets of clients with hepatic encephalopathy because they ____.

Accepted Answer

A) increase the synthesis of albumin 
B) reduce bilirubin levels 
C) may improve neurological functioning 
D) prevent a false positive test for occult blood in stool 
A) increase the synthesis of albumin 
B) reduce bilirubin levels 
C) may improve neurological functioning 
D) prevent a false positive test for occult blood in stool

Question 2

Karen Bauman is a 27-year-old employed in the cosmetic and fashion industry. Lately, she has reported feeling fatigued. She feels her long hours and hectic schedule are the main contributors. Her past medical history includes type 1 diabetes. She returns to her doctor due to abnormal lab results from her last physical. Ms. Bauman's doctor explains that she will need to ____.

Accepted Answer

A) control her blood glucose 
B) have gastric bypass surgery 
C) increase her alcohol intake 
D) start TPN 
A) control her blood glucose 
B) have gastric bypass surgery 
C) increase her alcohol intake 
D) start TPN

Question 3

In a cirrhotic liver, portal hypertension is the result of ____.

Accepted Answer

A) increased pressure in the hepatic artery 
B) increased pressure in the portal vein 
C) normal pressure 
D) blood flow through the liver 
A) increased pressure in the hepatic artery 
B) increased pressure in the portal vein 
C) normal pressure 
D) blood flow through the liver

Question 4

Match between columns
                        Premises: crystalline deposits that form in the gallbladder from cholesterol or bilirubin

Accepted Answer

The Answer of cholecystitis and sinusoids and varices and gallstones is...

Question 5

In what ways do immunosuppressant drugs given after liver transplant impact nutrition?

Accepted Answer

A) by increasing sodium excretion 
B) by causing gastroparesis 
C) by causing abdominal pain and mouth sores 
D) by altering calcium absorption 
A) by increasing sodium excretion 
B) by causing gastroparesis 
C) by causing abdominal pain and mouth sores 
D) by altering calcium absorption

Question 6

Elizabeth had a liver transplant two weeks ago. She is on immunosuppressive therapy. What side effect of these medications might interfere with her nutrition status?

Accepted Answer

A) steatorrhea 
B) orthostatic hypotension 
C) gastroesophageal reflux 
D) abdominal pain 
A) steatorrhea 
B) orthostatic hypotension 
C) gastroesophageal reflux 
D) abdominal pain

Question 7

When foodservice workers don't follow good hygiene practices, which strain of hepatitis virus can be transmitted?

Accepted Answer

A) hepatitis A virus 
B) hepatitis B virus 
C) hepatitis C virus 
D) hepatitis D virus 
A) hepatitis A virus 
B) hepatitis B virus 
C) hepatitis C virus 
D) hepatitis D virus

Question 8

A patient with ascites should decrease his intake of ____ in his diet.

Accepted Answer

A) sodium 
B) potassium 
C) calcium 
D) magnesium 
A) sodium 
B) potassium 
C) calcium 
D) magnesium

Question 9

Gallstone pain is most frequently described as ____.

Accepted Answer

A) steady, severe abdominal pain 
B) intermittent, burning pain 
C) pain that radiates to the chest, jaw, or head 
D) excruciating pain that limits activities of daily living 
A) steady, severe abdominal pain 
B) intermittent, burning pain 
C) pain that radiates to the chest, jaw, or head 
D) excruciating pain that limits activities of daily living

Question 10

Isabella is being evaluated for liver transplant surgery. The dietitian finds it difficult to assess her nutritional needs because ____.

Accepted Answer

A) she may have fluid retention 
B) her intake may be inadequate due to esophageal varices 
C) she is receiving nutrients via parenteral nutrition 
D) she is suffering from steatorrhea 
A) she may have fluid retention 
B) her intake may be inadequate due to esophageal varices 
C) she is receiving nutrients via parenteral nutrition 
D) she is suffering from steatorrhea

Question 11

What condition is thought to play a key role in hepatic encephalopathy?

Accepted Answer

A) elevated blood ammonia levels 
B) prolonged plasma prothrombin time 
C) decreased levels of alkaline phosphatase 
D) increased blood urea nitrogen levels 
A) elevated blood ammonia levels 
B) prolonged plasma prothrombin time 
C) decreased levels of alkaline phosphatase 
D) increased blood urea nitrogen levels

Question 12

Match between columns
                        Premises: abnormal accumulation of fluid in the abdominal cavity

Accepted Answer

The Answer of cholecystitis and ascites and jaundice and cholelithiasis is...

Question 13

Veronica Riley-O'Brien is a 30-year-old mother of two young boys (Tyler, 4 years old, and Ethan, 6 weeks old). Veronica is 5 feet, 4 inches tall and weighs 126 pounds. She is having difficulty sleeping due to pain in her abdomen and back. She calls her doctor this morning because the pain has intensified. An appropriate treatment for Ms. Riley-O'Brien's gallbladder disease would be ____.

Accepted Answer

A) hormone replacement 
B) a low-fat/low-cholesterol diet 
C) surgery 
D) cholesterol-lowering medications 
A) hormone replacement 
B) a low-fat/low-cholesterol diet 
C) surgery 
D) cholesterol-lowering medications

Question 14

Vitamin ____ status may be affected by steatorrhea related to liver damage.

Accepted Answer

A) C 
B) A 
C) B12 
D) B6 
A) C 
B) A 
C) B12 
D) B6

Question 15

Where does erythropoiesis take place?

Accepted Answer

A) in the stomach 
B) in the small intestines 
C) in the bone marrow 
D) in the large intestine 
A) in the stomach 
B) in the small intestines 
C) in the bone marrow 
D) in the large intestine

Question 16

Match between columns
                        Premises: accumulation of triglycerides in the liver

Accepted Answer

The Answer of sinusoids and hepatic encephalopathy and jaundice and is...

Question 17

Match between columns
                        Premises: condition characterized by altered neurological functioning, including personality changes, reduced mental abilities, and disturbances in motor function

Accepted Answer

The Answer of paracentesis and portal hypertension and ascites and is...

Question 18

Fatty liver disease associated with inflammation is known as ____.

Accepted Answer

A) hepatomegaly 
B) steatohepatitis 
C) steatorrhea 
D) hepatic encephalopathy 
A) hepatomegaly 
B) steatohepatitis 
C) steatorrhea 
D) hepatic encephalopathy

Question 19

The dietitian evaluates a patient whose status is post liver transplant. Her education plan should include ____.

Accepted Answer

A) food safety 
B) blood glucose monitoring 
C) portion control 
D) hepatitis information 
A) food safety 
B) blood glucose monitoring 
C) portion control 
D) hepatitis information

Question 20

Pigment gallstones are primarily made up of which substance?

Accepted Answer

A) the calcium salt of bilirubin 
B) excess pancreatic enzymes 
C) phospholipids 
D) inorganic salts 
A) the calcium salt of bilirubin 
B) excess pancreatic enzymes 
C) phospholipids 
D) inorganic salts

Exam 25: Liver Disease and Gallstones

Branched-chain amino acids may be supplemented in the diets of clients with hepatic encephalopathy because they ____.

In a cirrhotic liver, portal hypertension is the result of ____.

In what ways do immunosuppressant drugs given after liver transplant impact nutrition?

Elizabeth had a liver transplant two weeks ago. She is on immunosuppressive therapy. What side effect of these medications might interfere with her nutrition status?

When foodservice workers don't follow good hygiene practices, which strain of hepatitis virus can be transmitted?

A patient with ascites should decrease his intake of ____ in his diet.

Gallstone pain is most frequently described as ____.

Isabella is being evaluated for liver transplant surgery. The dietitian finds it difficult to assess her nutritional needs because ____.

What condition is thought to play a key role in hepatic encephalopathy?

Vitamin ____ status may be affected by steatorrhea related to liver damage.

Where does erythropoiesis take place?

Fatty liver disease associated with inflammation is known as ____.

The dietitian evaluates a patient whose status is post liver transplant. Her education plan should include ____.

Pigment gallstones are primarily made up of which substance?

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

Upper Gastrointestinal Disorders

Lower Gastrointestinal Disorders

Diabetes Mellitus

Cardiovascular Diseases

Kidney Diseases

Cancer and Hiv Infection

Filters