Question 1

Following bariatric surgery, the gastric pouch may eventually stretch to hold about _____ of food.​

Accepted Answer

A)  ​1/4 cup 
B)  ​1/2 cup 
C)  1 cup 
D)  ​1 1/2 cups 
E)  ​2 cups 
A)  ​1/4 cup 
B)  ​1/2 cup 
C)  1 cup 
D)  ​1 1/2 cups 
E)  ​2 cups

Question 2

What method would most likely improve a patient's acceptance of pureed foods in a dysphagia diet?​

Accepted Answer

A)  ​Changing the foods so that they are watery and thin 
B)  ​Serving brightly colored foods 
C)  ​Avoiding spices and seasonings 
D)  ​Using paper plates and plastic cutlery 
E)  ​Avoiding pureeing a patient's favorite foods. 
A)  ​Changing the foods so that they are watery and thin 
B)  ​Serving brightly colored foods 
C)  ​Avoiding spices and seasonings 
D)  ​Using paper plates and plastic cutlery 
E)  ​Avoiding pureeing a patient's favorite foods.

Question 3

Current research suggests that periodontal disease may increase the risk of developing _____.​

Accepted Answer

A)  ​heart disease 
B)  ​renal failure 
C)  ​arthritis 
D)  ​dermatitis 
E)  ​reflux esophagitis 
A)  ​heart disease 
B)  ​renal failure 
C)  ​arthritis 
D)  ​dermatitis 
E)  ​reflux esophagitis

Question 4

M.L. is a 34-year-old male computer programmer with a BMI of 26 who is seeking dietary counseling. His dose of Prilosec was recently increased, and although he now suffers less often from heartburn symptoms, he is also leery of medical side effects and would like any and all suggestions to manage his GERD "naturally." Having had GERD for the past eight years and been on some form of antacid or antisecretory medication continuously during that time, M.L. knows what foods or factors cause symptoms, and is able to generally avoid them; hence, he has not had reflux esophagitis in over a year. A 24-hour diet history reveals M.L. ate these foods yesterday:
Breakfast: Skipped
Snack: Fresh pear; instant oatmeal made with water, eaten with brown sugar and two non-dairy creamers; skim milk
Lunch: Lean turkey lunch meat on whole-grain bread with lettuce, tomato, and mustard; 100% grape juice diluted with water; snack pack of carrots, no dressing
Snack: Sugar cookies; skim milk
Dinner: Tempura (deep-fried, breaded) salmon; buttered rice; salad with lettuce and tomato; vinegar and oil dressing; water
Snack, at bedtime: Ginger ale and ginger snap cookies
​
-M.L. should be made aware that absorption of some nutrients can be adversely affected by antacid and antisecretory medication use. An example of one of these nutrients includes _____.​

Accepted Answer

A)  ​iron 
B)  ​magnesium 
C)  zinc 
D)  ​vitamin A 
E)  ​vitamin K 
A)  ​iron 
B)  ​magnesium 
C)  zinc 
D)  ​vitamin A 
E)  ​vitamin K

Question 5

A patient with oropharyngeal dysphagia would most likely demonstrate which symptom?​

Accepted Answer

A)  ​A gurgling noise after swallowing 
B)  ​Bad breath 
C)  ​Gum ulcerations 
D)  ​Heartburn 
E)  ​Abdominal distention 
A)  ​A gurgling noise after swallowing 
B)  ​Bad breath 
C)  ​Gum ulcerations 
D)  ​Heartburn 
E)  ​Abdominal distention

Question 6

Matching​
-​xerostomia

Accepted Answer

A) ​difficulty passing food through the esophagus 
B) ​a condition characterized by backward flow of the stomach's acidic contents into the esophagus 
C) ​inflammation in the esophagus resulting from the reflux of acidic stomach contents 
D) ​an open sore in the GI mucosa 
E) ​abnormally low gastric acid secretions
F)​difficulty transferring food from the mouth and pharynx to the esophagus to initiate the swallowing process
G)​surgery that treats severe obesity
H)​abnormal narrowing of a passageway; often due to inflammation, scarring, or a congenital abnormality
I)​disease that involves the connective tissues that support the teeth
J)​inflammation of stomach tissue
K)​mineralized dental plaque, often associated with inflammation and progressive gum disease
L)​a film of bacteria and bacterial by-products that accumulates on the tooth surface
M)​an autoimmune disease characterized by the destruction of secretory glands, resulting in dry mouth and dry eyes
N)inflammation of the gums, characterized by redness, swelling, and bleeding​
O)​a blockage that prevents the normal emptying of stomach contents into the duodenum
P)​excessive bacterial colonization of the stomach and small intestine
Q)inflammation or degeneration of the tissues that support the teeth​
R)​dry mouth caused by reduced salivary flow
S)​an esophageal disorder characterized by weakened peristalsis and impaired relaxation of the lower esophageal sphincter
T)​symptoms of pain or discomfort in the upper abdominal area, often called "indigestion" 
A) ​difficulty passing food through the esophagus 
B) ​a condition characterized by backward flow of the stomach's acidic contents into the esophagus 
C) ​inflammation in the esophagus resulting from the reflux of acidic stomach contents 
D) ​an open sore in the GI mucosa 
E) ​abnormally low gastric acid secretions
F)​difficulty transferring food from the mouth and pharynx to the esophagus to initiate the swallowing process
G)​surgery that treats severe obesity
H)​abnormal narrowing of a passageway; often due to inflammation, scarring, or a congenital abnormality
I)​disease that involves the connective tissues that support the teeth
J)​inflammation of stomach tissue
K)​mineralized dental plaque, often associated with inflammation and progressive gum disease
L)​a film of bacteria and bacterial by-products that accumulates on the tooth surface
M)​an autoimmune disease characterized by the destruction of secretory glands, resulting in dry mouth and dry eyes
N)inflammation of the gums, characterized by redness, swelling, and bleeding​
O)​a blockage that prevents the normal emptying of stomach contents into the duodenum
P)​excessive bacterial colonization of the stomach and small intestine
Q)inflammation or degeneration of the tissues that support the teeth​
R)​dry mouth caused by reduced salivary flow
S)​an esophageal disorder characterized by weakened peristalsis and impaired relaxation of the lower esophageal sphincter
T)​symptoms of pain or discomfort in the upper abdominal area, often called "indigestion"

Question 7

Psychological stress by itself is not believed to cause ulcers, but it has effects on physiological processes and behaviors that may increase a person's vulnerability.​

Accepted Answer

A) True 
 B)False

Question 8

Liquids are restricted during meals following a gastrectomy because they _____.​

Accepted Answer

A)  can increase stomach emptying rate.​ 
B)  ​lead to urinary retention 
C)  add unwanted kcalories 
D)  ​are likely to cause aspiration 
E)  ​can decrease stomach emptying rate 
A)  can increase stomach emptying rate.​ 
B)  ​lead to urinary retention 
C)  add unwanted kcalories 
D)  ​are likely to cause aspiration 
E)  ​can decrease stomach emptying rate

Question 9

Oropharyngeal dysphagia is common in elderly persons and frequently follows a stroke.​

Accepted Answer

A) True 
 B)False

Question 10

Nutrition interventions to ease the symptoms of nausea include _____.​

Accepted Answer

A)  ​eating dry, starchy foods 
B)  ​drinking hot beverages 
C)  ​adding butter and oil to foods 
D)  ​eating raw vegetables 
E)  ​drinking beverages with meals 
A)  ​eating dry, starchy foods 
B)  ​drinking hot beverages 
C)  ​adding butter and oil to foods 
D)  ​eating raw vegetables 
E)  ​drinking beverages with meals

Question 11

What food should be limited in a post-gastrectomy diet unless tolerated by the patient?​

Accepted Answer

A)  ​Milkshakes 
B)  ​Lean meat 
C)  ​Bananas 
D)  ​Lettuce 
E)  ​Cheese 
A)  ​Milkshakes 
B)  ​Lean meat 
C)  ​Bananas 
D)  ​Lettuce 
E)  ​Cheese

Question 12

Jennie Wilson is a 42-year-old administrative assistant who recently underwent sleeve gastrectomy surgery to treat her obesity and weight-related problems: diabetes and hypertension. Ms. Wilson will need nutrition education before being discharged from the hospital.
-Once she is able to tolerate regular foods, what type of foods should Ms. Wilson be encouraged to eat before consuming other foods in a meal?​

Accepted Answer

A)  ​Complex carbohydrates 
B)  ​High-protein foods 
C)  ​Low-fat foods 
D)  ​High-fat foods 
E)  ​Low-sodium foods 
A)  ​Complex carbohydrates 
B)  ​High-protein foods 
C)  ​Low-fat foods 
D)  ​High-fat foods 
E)  ​Low-sodium foods

Question 13

What condition would most likely contribute to development of GERD? ​

Accepted Answer

A)  Advancing age 
B)  ​Underweight 
C)  ​H. pylori infection 
D)  ​Pregnancy 
E)  Head and neck cancer 
A)  Advancing age 
B)  ​Underweight 
C)  ​H. pylori infection 
D)  ​Pregnancy 
E)  Head and neck cancer

Question 14

Matching​
-​achalasia

Accepted Answer

A) ​difficulty passing food through the esophagus 
B) ​a condition characterized by backward flow of the stomach's acidic contents into the esophagus 
C) ​inflammation in the esophagus resulting from the reflux of acidic stomach contents 
D) ​an open sore in the GI mucosa 
E) ​abnormally low gastric acid secretions
F)​difficulty transferring food from the mouth and pharynx to the esophagus to initiate the swallowing process
G)​surgery that treats severe obesity
H)​abnormal narrowing of a passageway; often due to inflammation, scarring, or a congenital abnormality
I)​disease that involves the connective tissues that support the teeth
J)​inflammation of stomach tissue
K)​mineralized dental plaque, often associated with inflammation and progressive gum disease
L)​a film of bacteria and bacterial by-products that accumulates on the tooth surface
M)​an autoimmune disease characterized by the destruction of secretory glands, resulting in dry mouth and dry eyes
N)inflammation of the gums, characterized by redness, swelling, and bleeding​
O)​a blockage that prevents the normal emptying of stomach contents into the duodenum
P)​excessive bacterial colonization of the stomach and small intestine
Q)inflammation or degeneration of the tissues that support the teeth​
R)​dry mouth caused by reduced salivary flow
S)​an esophageal disorder characterized by weakened peristalsis and impaired relaxation of the lower esophageal sphincter
T)​symptoms of pain or discomfort in the upper abdominal area, often called "indigestion" 
A) ​difficulty passing food through the esophagus 
B) ​a condition characterized by backward flow of the stomach's acidic contents into the esophagus 
C) ​inflammation in the esophagus resulting from the reflux of acidic stomach contents 
D) ​an open sore in the GI mucosa 
E) ​abnormally low gastric acid secretions
F)​difficulty transferring food from the mouth and pharynx to the esophagus to initiate the swallowing process
G)​surgery that treats severe obesity
H)​abnormal narrowing of a passageway; often due to inflammation, scarring, or a congenital abnormality
I)​disease that involves the connective tissues that support the teeth
J)​inflammation of stomach tissue
K)​mineralized dental plaque, often associated with inflammation and progressive gum disease
L)​a film of bacteria and bacterial by-products that accumulates on the tooth surface
M)​an autoimmune disease characterized by the destruction of secretory glands, resulting in dry mouth and dry eyes
N)inflammation of the gums, characterized by redness, swelling, and bleeding​
O)​a blockage that prevents the normal emptying of stomach contents into the duodenum
P)​excessive bacterial colonization of the stomach and small intestine
Q)inflammation or degeneration of the tissues that support the teeth​
R)​dry mouth caused by reduced salivary flow
S)​an esophageal disorder characterized by weakened peristalsis and impaired relaxation of the lower esophageal sphincter
T)​symptoms of pain or discomfort in the upper abdominal area, often called "indigestion"

Question 15

What factor is most likely a cause of xerostomia?​

Accepted Answer

A)  Poorly controlled cardiovascular disease​ 
B)  ​High cholesterol levels 
C)  ​Excessive nose breathing 
D)  ​Poor taste sensation 
E)  ​Radiation therapy to the head and neck 
A)  Poorly controlled cardiovascular disease​ 
B)  ​High cholesterol levels 
C)  ​Excessive nose breathing 
D)  ​Poor taste sensation 
E)  ​Radiation therapy to the head and neck

Question 16

Matching​
-​gastritis

Accepted Answer

A) ​difficulty passing food through the esophagus 
B) ​a condition characterized by backward flow of the stomach's acidic contents into the esophagus 
C) ​inflammation in the esophagus resulting from the reflux of acidic stomach contents 
D) ​an open sore in the GI mucosa 
E) ​abnormally low gastric acid secretions
F)​difficulty transferring food from the mouth and pharynx to the esophagus to initiate the swallowing process
G)​surgery that treats severe obesity
H)​abnormal narrowing of a passageway; often due to inflammation, scarring, or a congenital abnormality
I)​disease that involves the connective tissues that support the teeth
J)​inflammation of stomach tissue
K)​mineralized dental plaque, often associated with inflammation and progressive gum disease
L)​a film of bacteria and bacterial by-products that accumulates on the tooth surface
M)​an autoimmune disease characterized by the destruction of secretory glands, resulting in dry mouth and dry eyes
N)inflammation of the gums, characterized by redness, swelling, and bleeding​
O)​a blockage that prevents the normal emptying of stomach contents into the duodenum
P)​excessive bacterial colonization of the stomach and small intestine
Q)inflammation or degeneration of the tissues that support the teeth​
R)​dry mouth caused by reduced salivary flow
S)​an esophageal disorder characterized by weakened peristalsis and impaired relaxation of the lower esophageal sphincter
T)​symptoms of pain or discomfort in the upper abdominal area, often called "indigestion" 
A) ​difficulty passing food through the esophagus 
B) ​a condition characterized by backward flow of the stomach's acidic contents into the esophagus 
C) ​inflammation in the esophagus resulting from the reflux of acidic stomach contents 
D) ​an open sore in the GI mucosa 
E) ​abnormally low gastric acid secretions
F)​difficulty transferring food from the mouth and pharynx to the esophagus to initiate the swallowing process
G)​surgery that treats severe obesity
H)​abnormal narrowing of a passageway; often due to inflammation, scarring, or a congenital abnormality
I)​disease that involves the connective tissues that support the teeth
J)​inflammation of stomach tissue
K)​mineralized dental plaque, often associated with inflammation and progressive gum disease
L)​a film of bacteria and bacterial by-products that accumulates on the tooth surface
M)​an autoimmune disease characterized by the destruction of secretory glands, resulting in dry mouth and dry eyes
N)inflammation of the gums, characterized by redness, swelling, and bleeding​
O)​a blockage that prevents the normal emptying of stomach contents into the duodenum
P)​excessive bacterial colonization of the stomach and small intestine
Q)inflammation or degeneration of the tissues that support the teeth​
R)​dry mouth caused by reduced salivary flow
S)​an esophageal disorder characterized by weakened peristalsis and impaired relaxation of the lower esophageal sphincter
T)​symptoms of pain or discomfort in the upper abdominal area, often called "indigestion"

Question 17

Matching​
-​gastric outlet obstruction

Accepted Answer

A) ​difficulty passing food through the esophagus 
B) ​a condition characterized by backward flow of the stomach's acidic contents into the esophagus 
C) ​inflammation in the esophagus resulting from the reflux of acidic stomach contents 
D) ​an open sore in the GI mucosa 
E) ​abnormally low gastric acid secretions
F)​difficulty transferring food from the mouth and pharynx to the esophagus to initiate the swallowing process
G)​surgery that treats severe obesity
H)​abnormal narrowing of a passageway; often due to inflammation, scarring, or a congenital abnormality
I)​disease that involves the connective tissues that support the teeth
J)​inflammation of stomach tissue
K)​mineralized dental plaque, often associated with inflammation and progressive gum disease
L)​a film of bacteria and bacterial by-products that accumulates on the tooth surface
M)​an autoimmune disease characterized by the destruction of secretory glands, resulting in dry mouth and dry eyes
N)inflammation of the gums, characterized by redness, swelling, and bleeding​
O)​a blockage that prevents the normal emptying of stomach contents into the duodenum
P)​excessive bacterial colonization of the stomach and small intestine
Q)inflammation or degeneration of the tissues that support the teeth​
R)​dry mouth caused by reduced salivary flow
S)​an esophageal disorder characterized by weakened peristalsis and impaired relaxation of the lower esophageal sphincter
T)​symptoms of pain or discomfort in the upper abdominal area, often called "indigestion" 
A) ​difficulty passing food through the esophagus 
B) ​a condition characterized by backward flow of the stomach's acidic contents into the esophagus 
C) ​inflammation in the esophagus resulting from the reflux of acidic stomach contents 
D) ​an open sore in the GI mucosa 
E) ​abnormally low gastric acid secretions
F)​difficulty transferring food from the mouth and pharynx to the esophagus to initiate the swallowing process
G)​surgery that treats severe obesity
H)​abnormal narrowing of a passageway; often due to inflammation, scarring, or a congenital abnormality
I)​disease that involves the connective tissues that support the teeth
J)​inflammation of stomach tissue
K)​mineralized dental plaque, often associated with inflammation and progressive gum disease
L)​a film of bacteria and bacterial by-products that accumulates on the tooth surface
M)​an autoimmune disease characterized by the destruction of secretory glands, resulting in dry mouth and dry eyes
N)inflammation of the gums, characterized by redness, swelling, and bleeding​
O)​a blockage that prevents the normal emptying of stomach contents into the duodenum
P)​excessive bacterial colonization of the stomach and small intestine
Q)inflammation or degeneration of the tissues that support the teeth​
R)​dry mouth caused by reduced salivary flow
S)​an esophageal disorder characterized by weakened peristalsis and impaired relaxation of the lower esophageal sphincter
T)​symptoms of pain or discomfort in the upper abdominal area, often called "indigestion"

Question 18

List the symptoms of dumping syndrome and explain the sequence of events that results in these symptoms.​

Accepted Answer

dumping syndrome is a group of symptoms

Question 19

​What condition is considered a cause of acute gastritis?

Accepted Answer

A)  Food allergies​ 
B)  ​Viral infection 
C)  ​Repeated use of NSAIDS 
D)  ​Radiation therapy 
E)  Stomach cancer 
A)  Food allergies​ 
B)  ​Viral infection 
C)  ​Repeated use of NSAIDS 
D)  ​Radiation therapy 
E)  Stomach cancer

Question 20

What substance has been reported to cause symptoms of dyspepsia?​

Accepted Answer

A)  Apples 
B)  ​Turkey 
C)  ​Coffee 
D)  ​Peanut butter 
E)  ​Corn 
A)  Apples 
B)  ​Turkey 
C)  ​Coffee 
D)  ​Peanut butter 
E)  ​Corn

Exam 17: Nutrition and Upper Gastrointestinal Disorders

Following bariatric surgery, the gastric pouch may eventually stretch to hold about _____ of food.​

What method would most likely improve a patient's acceptance of pureed foods in a dysphagia diet?​

Current research suggests that periodontal disease may increase the risk of developing _____.​

A patient with oropharyngeal dysphagia would most likely demonstrate which symptom?​

Matching​ -​xerostomia

Psychological stress by itself is not believed to cause ulcers, but it has effects on physiological processes and behaviors that may increase a person's vulnerability.​

Liquids are restricted during meals following a gastrectomy because they _____.​

Oropharyngeal dysphagia is common in elderly persons and frequently follows a stroke.​

Nutrition interventions to ease the symptoms of nausea include _____.​

What food should be limited in a post-gastrectomy diet unless tolerated by the patient?​

What condition would most likely contribute to development of GERD? ​

Matching​ -​achalasia

What factor is most likely a cause of xerostomia?​

Matching​ -​gastritis

Matching​ -​gastric outlet obstruction

List the symptoms of dumping syndrome and explain the sequence of events that results in these symptoms.​

​What condition is considered a cause of acute gastritis?

What substance has been reported to cause symptoms of dyspepsia?​

Overview of Nutrition and Health

Digestion and Absorption

Carbohydrates

Lipids

Protein

Energy Balance and Body Composition

Weight Management - Overweight and Underweight

The Vitamins

Water and the Minerals

Nutrition Through the Life Span - Pregnancy and Infancy

Nutrition Through the Life Span - Childhood and Adolescence

Nutrition Through the Life Span - Later Adulthood

Nutrition Care and Assessment

Nutrition Intervention and Diet-Drug Interactions

Enteral and Parenteral Nutrition Support

Nutrition in Metabolic and Respiratory Stress

Nutrition and Lower Gastrointestinal Disorders

Nutrition and Liver Diseases

Nutrition and Diabetes Mellitus

Nutrition and Disorders of the Heart and Blood Vessels

Nutrition and Renal Diseases

Nutrition - Cancer - and HIV Infection

Filters

Following bariatric surgery, the gastric pouch may eventually stretch to hold about _____ of food.

What method would most likely improve a patient's acceptance of pureed foods in a dysphagia diet?

Current research suggests that periodontal disease may increase the risk of developing _____.

A patient with oropharyngeal dysphagia would most likely demonstrate which symptom?

Matching -xerostomia

Psychological stress by itself is not believed to cause ulcers, but it has effects on physiological processes and behaviors that may increase a person's vulnerability.

Liquids are restricted during meals following a gastrectomy because they _____.

Oropharyngeal dysphagia is common in elderly persons and frequently follows a stroke.

Nutrition interventions to ease the symptoms of nausea include _____.

What food should be limited in a post-gastrectomy diet unless tolerated by the patient?

What condition would most likely contribute to development of GERD?

Matching -achalasia

What factor is most likely a cause of xerostomia?

Matching -gastritis

Matching -gastric outlet obstruction

List the symptoms of dumping syndrome and explain the sequence of events that results in these symptoms.

What condition is considered a cause of acute gastritis?

What substance has been reported to cause symptoms of dyspepsia?