Exam 20: Nutrition Therapy for Liver and Gallbladder Diseases

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Nutrients are carried from the digestive tract to the liver via small blood vessels called collaterals.

(True/False)
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Describe the possible causes of hepatic encephalopathy. ​

(Essay)
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Match each nutrition term with the appropriate definition.
Premises:
jaundice
Responses:
yellow discoloration of the skin and eyes due to an accumulation of bilirubin
an abnormal accumulation of fluid in the abdominal cavity
an accumulation of fat in the liver
Correct Answer:
Verified
Premises:
Responses:
jaundice
yellow discoloration of the skin and eyes due to an accumulation of bilirubin
(Matching)
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The diet of a patient with cirrhosis who has severe steatorrhea may need to be supplemented with all of these nutrients EXCEPT:

(Multiple Choice)
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Hepatitis patients should avoid:

(Multiple Choice)
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The most common cause of chronic liver disease in the U.S. is:

(Multiple Choice)
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Match each nutrition term with the appropriate definition.
Premises:
hepatitis B
Responses:
carries blood to the liver from the digestive tract
immunosuppressant drug given after a liver transplant
virus spread via infected blood and needles; no vaccine is available
Correct Answer:
Verified
Premises:
Responses:
hepatitis B
carries blood to the liver from the digestive tract
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Which factor does not increase the risk of developing gallstones? ​

(Multiple Choice)
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Match each nutrition term with the appropriate definition.
Premises:
hepatic encephalopathy
Responses:
itchy skin associated with bile obstruction
primary plasma protein synthesized by the liver
neurological condition associated with advanced liver disease
Correct Answer:
Verified
Premises:
Responses:
hepatic encephalopathy
itchy skin associated with bile obstruction
(Matching)
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The main product of alcohol metabolism is:

(Multiple Choice)
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Performing a nutrition assessment on a patient who is a candidate for liver transplant is complicated by all of these factors EXCEPT:

(Multiple Choice)
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Cirrhosis is treated by all of these drugs EXCEPT:

(Multiple Choice)
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Cook with Cholelithiasis:  Marcia Brown is a 42-year-old Pima Indian who works as a cook in a casino in Arizona. She has just been diagnosed with cholelithiasis. She is 5'4" tall and once weighed 210 pounds. One year ago, she underwent gastric bypass surgery and has lost 75 pounds. For several months, she had been experiencing episodes of pain in the right upper part of her abdomen. The pain usually began after eating and lasted for several hours. Lately she began to experience nausea and vomiting with the pain and began to run a fever. -​What are Marcia's risk factors for cholelithiasis? ​

(Essay)
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Match each nutrition term with the appropriate definition.
Premises:
ascites
Responses:
abnormally dilated blood vessels
enlargement of the liver
excess triglycerides packaged and exported to the blood
Correct Answer:
Verified
Premises:
Responses:
ascites
abnormally dilated blood vessels
(Matching)
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Furosemide is a(n)_____ often used to treat the symptoms of cirrhosis. ​

(Multiple Choice)
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The three most important risk factors for gallstones are low body weight, gender, and tobacco use.

(True/False)
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Cook with Cholelithiasis:  Marcia Brown is a 42-year-old Pima Indian who works as a cook in a casino in Arizona. She has just been diagnosed with cholelithiasis. She is 5'4" tall and once weighed 210 pounds. One year ago, she underwent gastric bypass surgery and has lost 75 pounds. For several months, she had been experiencing episodes of pain in the right upper part of her abdomen. The pain usually began after eating and lasted for several hours. Lately she began to experience nausea and vomiting with the pain and began to run a fever. -​What are the treatment options for cholelithiasis? Explain each. ​

(Essay)
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Severe liver damage may lead to:

(Multiple Choice)
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Match each nutrition term with the appropriate definition.
Premises:
varices
Responses:
abnormally dilated blood vessels
liver inflammation that is associated with fatty liver
enlargement of the liver
Correct Answer:
Verified
Premises:
Responses:
varices
abnormally dilated blood vessels
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A patient in the middle stage of hepatic encephalopathy may exhibit:

(Multiple Choice)
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