Exam 15: Diseases of the Lower Gastrointestinal Tract

Describe the FODMAP diet, and give examples of foods included in a low-FODMAP diet plan.

RD is a 29-year-old female who is admitted to a hospital. She has intractable diarrhea and abdominal pain. She has a past medical history of Crohn's disease and has had two resections of the small intestine. She frequently experiences pain in the right lower quadrant of the abdomen after eating. She claims the pain often gets so bad that she is afraid to eat and has been progressively consuming less than her caloric needs. She takes Asacol and Lomotil to manage the symptoms of Crohn's disease. During a colonoscopy, an obstruction resulting from stricture in the terminal ileum was discovered. A surgery was performed to remove the obstruction and a resection was done with the remaining intestine. RD's gastroenterologist recommends bowel rest and expects her to have a full recovery. Height: 5'4" $~~$ Weight: 110 pounds $~~$ Usual Body Weight: 122 pounds Diet: NPO $~~$ Meds: Asacol, Lomotil Alb. 2.7 $~$ Pre-Alb. 17 Na: $~ 138 ~\mathrm{Cl}: 98 ~$ BUN: 5 Glucose: 80 $\mathrm{K}: 3.6~ \mathrm{CO} 2: 25 \mathrm{Cr}: 0.8$ -RD's frequent diarrhea most likely puts her at risk of which nutrient deficiency?

Which sphincter or valve protects the small intestine from the harmful bacteria that are present in the large intestine?

Damage to the anatomy and physiology of the small intestine due to disease is the most common cause of malabsorption.

At least two-thirds of IBS patients associate the signs and symptoms they experience with characteristics of the foods that they eat.

How much fiber is recommended for adults daily?

Absorption of _______________ is of specific concern because it requires adequate ileal receptors and a normal transit time.

As chyme enters the duodenum from the stomach, gastrin stimulates the segmental contractions of the small intestine.

The tissue of the small intestine is circularly folded into folds of Kerckring.

Which condition would most likely be a possible cause of malabsorption?

The primary function of the large intestine is to:

The primary enzyme involved in starch digestion is:

Which condition is most likely a cause of short bowel syndrome among children?

Consumption of fructans or fructo-oligosaccharides (FOS) has been shown to soften feces and to assist in relieving constipation.

Which statement is true of small intestinal bacterial overgrowth?

Which condition is associated with irritable bowel syndrome?

Which of the following is a true statement regarding osmotic diarrhea?

Recommendations for the prevention of diarrhea worldwide include strategies such as:

A patient with inflammatory bowel disease is taking medication to manage his acute symptoms. What must a dietitian consider when planning the nutrition interventions for this patient?

Which of the following foods may increase the risk of urolithiasis or kidney stones?