Exam 20: Nutrition Therapy for Liver and Gallbladder Diseases

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Case Study Questions ​ Use this case study to answer the following questions. Andrew Jamison is a 47-year-old construction worker with a long history of alcohol abuse. Recently he has been experiencing fatigue, weakness, loss of appetite, and weight loss. A visit to his physician and laboratory testing confirmed a diagnosis of cirrhosis. He is 5'10" tall and currently weighs 145 pounds (66 kilograms). -To improve Mr. Jamison's appetite, his physician may prescribe:

(Multiple Choice)
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A feeding tube used for a patient with esophageal varices should be:

(Multiple Choice)
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A patient with cirrhosis may present with no symptoms. ​

(True/False)
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Match each nutrition term with the appropriate definition.
Premises:
hepatomegaly
Responses:
an abnormal accumulation of fluid in the abdominal cavity
blood vessels that enlarge in order to allow an alternative pathway for diverted blood
yellow discoloration of the skin and eyes due to an accumulation of bilirubin
Correct Answer:
Verified
Premises:
Responses:
hepatomegaly
an abnormal accumulation of fluid in the abdominal cavity
(Matching)
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Which statement characterizes fatty liver?

(Multiple Choice)
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All of these factors contribute to the development of ascites EXCEPT:

(Multiple Choice)
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Which method for treating gallstones relies on medications to dissolve gallstones? ​

(Multiple Choice)
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What is ascites? ​

(Multiple Choice)
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Patients with ascites generally must restrict their intake of:

(Multiple Choice)
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Case Study Questions ​ Use this case study to answer the following questions. Andrew Jamison is a 47-year-old construction worker with a long history of alcohol abuse. Recently he has been experiencing fatigue, weakness, loss of appetite, and weight loss. A visit to his physician and laboratory testing confirmed a diagnosis of cirrhosis. He is 5'10" tall and currently weighs 145 pounds (66 kilograms). -Mr. Jamison eventually receives a liver transplant. Due to the risk of foodborne illness, Mr. Jamison should avoid all of these foods except _____. ​

(Multiple Choice)
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A gallstone lodged in the _____ can obstruct bile flow and cause cholecystitis.

(Multiple Choice)
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Which laboratory finding is not associated with fatty liver? ​

(Multiple Choice)
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Patients with cirrhosis require _____ in order to prevent wasting. ​

(Multiple Choice)
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Deficiency of _____ in a person who abuses alcohol can result in malabsorption of other nutrients, as well.

(Multiple Choice)
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Collaterals are:

(Multiple Choice)
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Match each nutrition term with the appropriate definition.
Premises:
albumin
Responses:
virus spread via infected blood and needles; no vaccine is available
immunosuppressant drug given after a liver transplant
procedure that removes fluid associated with ascites
Correct Answer:
Verified
Premises:
Responses:
albumin
virus spread via infected blood and needles; no vaccine is available
(Matching)
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The daily protein intake for a patient with cirrhosis is _____ grams/kg dry body weight. ​

(Multiple Choice)
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To help reduce ammonia production in the colon, patients with cirrhosis may be given a(n):

(Multiple Choice)
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What are some of the possible causes of wasting seen in people with cirrhosis? ​

(Essay)
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Describe ways to help a patient with cirrhosis consume enough nutrients. ​

(Essay)
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