Question 1

​Aggressive dietary management of Crohn's disease is required in children because this disorder can lead to _____.

Accepted Answer

A)  ​growth failure 
B)  ​a shortened lifespan 
C)  ​behavioral problems 
D)  ​impaired glucose tolerance 
E)  ​learning disabilities 
A)  ​growth failure 
B)  ​a shortened lifespan 
C)  ​behavioral problems 
D)  ​impaired glucose tolerance 
E)  ​learning disabilities

Question 2

Mrs. Hernandez, a 59-year-old female, has been experiencing diarrhea and increased intestinal gas after drinking milk. She is diagnosed with lactose intolerance and subsequently worried about her bone health if she cannot drink milk. The nurse reassures her that she may still be able to tolerate some dairy foods and consume adequate calcium by what means?​

Accepted Answer

A)  ​Eating ice cream 
B)  ​Consuming yogurt with live bacterial cultures 
C)  ​Dividing her milk intake into three 2-cup portions per day 
D)  ​Consuming processed cheeses 
E)  ​Drinking 2% milk instead of 1% milk 
A)  ​Eating ice cream 
B)  ​Consuming yogurt with live bacterial cultures 
C)  ​Dividing her milk intake into three 2-cup portions per day 
D)  ​Consuming processed cheeses 
E)  ​Drinking 2% milk instead of 1% milk

Question 3

What describes a potential cause of osmotic diarrhea?​

Accepted Answer

A)  ​Foodborne illness 
B)  ​Intestinal inflammation 
C)  ​Irritating chemicals 
D)  ​High fructose intake 
E)  ​Accelerated colonic transit 
A)  ​Foodborne illness 
B)  ​Intestinal inflammation 
C)  ​Irritating chemicals 
D)  ​High fructose intake 
E)  ​Accelerated colonic transit

Question 4

A person with _____ typically experiences an excessive colonic response to meals, gastrointestinal hormones, and stress.​

Accepted Answer

A)  ​celiac disease 
B)  ​short bowel syndrome 
C)  ​Crohn's disease 
D)  ​irritable bowel syndrome 
E)  ​ulcerative colitis 
A)  ​celiac disease 
B)  ​short bowel syndrome 
C)  ​Crohn's disease 
D)  ​irritable bowel syndrome 
E)  ​ulcerative colitis

Question 5

​Matching
-​blind loops

Accepted Answer

A) physiological changes in the small intestine that increase its absorptive capacity after resection​ 
B) ​excessive bacterial colonization of the stomach and small intestine 
C) ​a family of water-insoluble proteins in wheat 
D) ​medications or enzyme preparations that are coated to withstand stomach acidity 
E) ​the condition of having excessive intestinal gas, which causes abdominal discomfort
F)​the surgical removal of part of an organ or body structure
G)​a gluten-sensitive disorder characterized by a severe skin rash
H)​bypassed sections of small intestine that are cut off from the normal flow of food material, allowing bacteria to flourish
I)​a surgically created opening in a body tissue or organ
J)​a genetic disorder characterized by abnormal chloride and sodium levels in exocrine secretions
K)​a surgical passage through the abdominal wall into the ileum
L)​removal of a portion or all of the colon
M)​inflammation or infection involving diverticula
N)​chemical compounds formed from fatty acids and positively charged minerals
O)​an immune disorder characterized by an abnormal immune response to wheat gluten and related proteins 
A) physiological changes in the small intestine that increase its absorptive capacity after resection​ 
B) ​excessive bacterial colonization of the stomach and small intestine 
C) ​a family of water-insoluble proteins in wheat 
D) ​medications or enzyme preparations that are coated to withstand stomach acidity 
E) ​the condition of having excessive intestinal gas, which causes abdominal discomfort
F)​the surgical removal of part of an organ or body structure
G)​a gluten-sensitive disorder characterized by a severe skin rash
H)​bypassed sections of small intestine that are cut off from the normal flow of food material, allowing bacteria to flourish
I)​a surgically created opening in a body tissue or organ
J)​a genetic disorder characterized by abnormal chloride and sodium levels in exocrine secretions
K)​a surgical passage through the abdominal wall into the ileum
L)​removal of a portion or all of the colon
M)​inflammation or infection involving diverticula
N)​chemical compounds formed from fatty acids and positively charged minerals
O)​an immune disorder characterized by an abnormal immune response to wheat gluten and related proteins

Question 6

Psyllium may be helpful in the treatment of diarrhea because it reduces the liquidity of the stool.​

Accepted Answer

A) True 
 B)False

Question 7

Beyond complications associated with lung tissue, the pancreas, and sweat glands in the patient with cystic fibrosis, which complication has also been associated with cystic fibrosis?​

Accepted Answer

A)  ​Decreased fertility 
B)  ​Cardiac arrhythmias 
C)  ​Elevated blood glucose levels 
D)  ​Poor wound healing 
E)  ​Vision loss 
A)  ​Decreased fertility 
B)  ​Cardiac arrhythmias 
C)  ​Elevated blood glucose levels 
D)  ​Poor wound healing 
E)  ​Vision loss

Question 8

Describe important components of nutrition management for people with ostomies.​

Accepted Answer

an ostomy is a surgically created openin

Question 9

​Matching
-soaps

Accepted Answer

A) physiological changes in the small intestine that increase its absorptive capacity after resection​ 
B) ​excessive bacterial colonization of the stomach and small intestine 
C) ​a family of water-insoluble proteins in wheat 
D) ​medications or enzyme preparations that are coated to withstand stomach acidity 
E) ​the condition of having excessive intestinal gas, which causes abdominal discomfort
F)​the surgical removal of part of an organ or body structure
G)​a gluten-sensitive disorder characterized by a severe skin rash
H)​bypassed sections of small intestine that are cut off from the normal flow of food material, allowing bacteria to flourish
I)​a surgically created opening in a body tissue or organ
J)​a genetic disorder characterized by abnormal chloride and sodium levels in exocrine secretions
K)​a surgical passage through the abdominal wall into the ileum
L)​removal of a portion or all of the colon
M)​inflammation or infection involving diverticula
N)​chemical compounds formed from fatty acids and positively charged minerals
O)​an immune disorder characterized by an abnormal immune response to wheat gluten and related proteins 
A) physiological changes in the small intestine that increase its absorptive capacity after resection​ 
B) ​excessive bacterial colonization of the stomach and small intestine 
C) ​a family of water-insoluble proteins in wheat 
D) ​medications or enzyme preparations that are coated to withstand stomach acidity 
E) ​the condition of having excessive intestinal gas, which causes abdominal discomfort
F)​the surgical removal of part of an organ or body structure
G)​a gluten-sensitive disorder characterized by a severe skin rash
H)​bypassed sections of small intestine that are cut off from the normal flow of food material, allowing bacteria to flourish
I)​a surgically created opening in a body tissue or organ
J)​a genetic disorder characterized by abnormal chloride and sodium levels in exocrine secretions
K)​a surgical passage through the abdominal wall into the ileum
L)​removal of a portion or all of the colon
M)​inflammation or infection involving diverticula
N)​chemical compounds formed from fatty acids and positively charged minerals
O)​an immune disorder characterized by an abnormal immune response to wheat gluten and related proteins

Question 10

their nutrition care.
Medical History: A.R. is a healthy 51-year old premenopausal Caucasian woman with pallor who is employed full-time in an office job. She had a pancreatic cyst removed six years ago. She was asymptomatic until one year ago when she developed acute pancreatitis flare-ups after consuming fatty foods. The condition was attributed to scarring at the pancreatic duct, which secretes pancreatic lipase, and was accompanied by severe abdominal pain radiating to her back, vomiting, and steatorrhea. She was placed on oral pancreatic lipase enzyme tablets (Pancrease™) that digest fat, and was also prescribed to follow a "low-fat diet." The medication and diet help to reduce her symptoms, and she notes that flare-ups generally only occur when she eats too much fat. 
Anthropometric: Ht: 5'2. Wt: 156 lbs. Wt 1 yr ago: 199 lbs. Frame size: Medium.
Clinical/Labs: A.R.'s serum vitamin D was low (20 ng/mL; normal is 25-80 ng/mL), but all other labs were within normal limits when she last visited her internal medicine physician several months ago. She was placed on a 5,000-IU vitamin D supplement, to be reduced to a 2,000-IU vitamin D supplement thereafter; she takes no other vitamins or minerals. Other medications include Synthroid and Aygestin.
Current Chief Complaints: A.R.'s current problems include constipation and dry skin.
Diet: "My usual grocery list consists of boneless chicken breasts, turkey, pork chops (infrequently), strip steak (infrequently), 90/10 ground beef, pasta (half whole-wheat, half regular), tomatoes and sauce to make pasta sauce, 90 percent fat-free lunch meat ham or turkey, brown rice, steamable microwave vegetables, red and green lettuce, tomatoes, onions, cereal, blueberries if on sale, apples, tangerines, red licorice, bread, crackers, and canned soup. I am concerned about not having enough protein or iron because I am afraid to eat very much red meat. The foods I miss the most include iced tea, which I skip because of caffeine-I am getting bored with water. I like to bake and I miss baked goods, and I also miss cheese-I am afraid it is too high in fat. I have a hard time figuring out what to pack for lunch. The restaurants I go to if I do go out are Chick-Fil-A, Panera, Viva, a local diner, and an Italian restaurant. I like Italian and Mexican food. Usually if I do eat out it is for lunch but it is sometimes hard to figure out something safe to eat..." Dairy foods: Twice a day, drinks 2 8-oz glasses of 1% milk. Fruits: 1 cup per day. ​
-To follow a fat-restricted diet, A.R. should _____.​

Accepted Answer

A)  choose vegetable oils instead of solid fats​ 
B)  ​use only medium-chain triglyceride oil to fry foods 
C)  ​consume no more than a 6-ounce portion of meat at one sitting 
D)  ​limit fats and oils to 8 teaspoons per day 
E)  ​choose foods that have less than 5 grams of fat per serving 
A)  choose vegetable oils instead of solid fats​ 
B)  ​use only medium-chain triglyceride oil to fry foods 
C)  ​consume no more than a 6-ounce portion of meat at one sitting 
D)  ​limit fats and oils to 8 teaspoons per day 
E)  ​choose foods that have less than 5 grams of fat per serving

Question 11

Bacterial overgrowth in the stomach and small intestine can result in _____. ​

Accepted Answer

A)  ​a deficiency of fat-soluble vitamins 
B)  ​weight gain 
C)  ​vitamin B6 deficiency 
D)  ​abnormal glucose tolerance 
E)  ​loss of bone density 
A)  ​a deficiency of fat-soluble vitamins 
B)  ​weight gain 
C)  ​vitamin B6 deficiency 
D)  ​abnormal glucose tolerance 
E)  ​loss of bone density

Question 12

Discuss the characteristic differences between Crohn's disease and ulcerative colitis.​

Accepted Answer

The two major forms of inflammatory bowe

Question 13

​Matching
-​ileostomy

Accepted Answer

A) physiological changes in the small intestine that increase its absorptive capacity after resection​ 
B) ​excessive bacterial colonization of the stomach and small intestine 
C) ​a family of water-insoluble proteins in wheat 
D) ​medications or enzyme preparations that are coated to withstand stomach acidity 
E) ​the condition of having excessive intestinal gas, which causes abdominal discomfort
F)​the surgical removal of part of an organ or body structure
G)​a gluten-sensitive disorder characterized by a severe skin rash
H)​bypassed sections of small intestine that are cut off from the normal flow of food material, allowing bacteria to flourish
I)​a surgically created opening in a body tissue or organ
J)​a genetic disorder characterized by abnormal chloride and sodium levels in exocrine secretions
K)​a surgical passage through the abdominal wall into the ileum
L)​removal of a portion or all of the colon
M)​inflammation or infection involving diverticula
N)​chemical compounds formed from fatty acids and positively charged minerals
O)​an immune disorder characterized by an abnormal immune response to wheat gluten and related proteins 
A) physiological changes in the small intestine that increase its absorptive capacity after resection​ 
B) ​excessive bacterial colonization of the stomach and small intestine 
C) ​a family of water-insoluble proteins in wheat 
D) ​medications or enzyme preparations that are coated to withstand stomach acidity 
E) ​the condition of having excessive intestinal gas, which causes abdominal discomfort
F)​the surgical removal of part of an organ or body structure
G)​a gluten-sensitive disorder characterized by a severe skin rash
H)​bypassed sections of small intestine that are cut off from the normal flow of food material, allowing bacteria to flourish
I)​a surgically created opening in a body tissue or organ
J)​a genetic disorder characterized by abnormal chloride and sodium levels in exocrine secretions
K)​a surgical passage through the abdominal wall into the ileum
L)​removal of a portion or all of the colon
M)​inflammation or infection involving diverticula
N)​chemical compounds formed from fatty acids and positively charged minerals
O)​an immune disorder characterized by an abnormal immune response to wheat gluten and related proteins

Question 14

Irritable bowel syndrome occurs more frequently in men than in women and episodes of acute symptoms often increase with age.​

Accepted Answer

A) True 
 B)False

Question 15

What situation best describes a potential cause of constipation?​

Accepted Answer

A)  ​A high-fiber diet 
B)  ​Lactase deficiency 
C)  ​Inadequate fluid intake 
D)  ​A viral infection 
E)  ​Foodborne illness 
A)  ​A high-fiber diet 
B)  ​Lactase deficiency 
C)  ​Inadequate fluid intake 
D)  ​A viral infection 
E)  ​Foodborne illness

Question 16

With early detection and advances in medical treatment of cystic fibrosis, the median life span for patients with this condition has reached nearly _____ years of age.​

Accepted Answer

A)  20​ 
B)  ​35 
C)  40 
D)  ​45 
E)  ​55 
A)  20​ 
B)  ​35 
C)  40 
D)  ​45 
E)  ​55

Question 17

Identify the possible causes of diarrhea and describe its appropriate treatment.​

Accepted Answer

diarrhea is characterized by the passage

Question 18

Which food contains the most probiotics?​

Accepted Answer

A)  chicory root 
B)  ​acidophilus milk 
C)  ​pickles 
D)  ​bananas 
E)  ​sauerkraut 
A)  chicory root 
B)  ​acidophilus milk 
C)  ​pickles 
D)  ​bananas 
E)  ​sauerkraut

Question 19

Kelly is a 27-year-old Caucasian who works as a bank teller. She is 5'3" tall and weighs 102 pounds. She began experiencing recurrent gastrointestinal disturbances such as diarrhea, steatorrhea, and flatulence several months ago. She made an appointment with her physician after noticing that she was losing weight. Laboratory tests confirmed a diagnosis of celiac disease.
-Kelly should be instructed to avoid _____ until her intestine has recovered. ​

Accepted Answer

A)  sodium 
B)  fat 
C)  lactose 
D)  ​fructose 
E)  protein 
A)  sodium 
B)  fat 
C)  lactose 
D)  ​fructose 
E)  protein

Question 20

Which condition is most likely associated with fat malabsorption in the gastrointestinal tract?​

Accepted Answer

A)  Acute pancreatitis 
B)  Celiac disease 
C)  Gall stones 
D)  ​Constipation 
E)  ​Peptic ulcer disease 
A)  Acute pancreatitis 
B)  Celiac disease 
C)  Gall stones 
D)  ​Constipation 
E)  ​Peptic ulcer disease

Aggressive dietary management of Crohn's disease is required in children because this disorder can lead to _____.

What describes a potential cause of osmotic diarrhea?

A person with _____ typically experiences an excessive colonic response to meals, gastrointestinal hormones, and stress.

Matching -blind loops

Psyllium may be helpful in the treatment of diarrhea because it reduces the liquidity of the stool.

Beyond complications associated with lung tissue, the pancreas, and sweat glands in the patient with cystic fibrosis, which complication has also been associated with cystic fibrosis?

Describe important components of nutrition management for people with ostomies.

Matching -soaps

Bacterial overgrowth in the stomach and small intestine can result in _____.

Discuss the characteristic differences between Crohn's disease and ulcerative colitis.

Matching -ileostomy

Irritable bowel syndrome occurs more frequently in men than in women and episodes of acute symptoms often increase with age.

What situation best describes a potential cause of constipation?

With early detection and advances in medical treatment of cystic fibrosis, the median life span for patients with this condition has reached nearly _____ years of age.

Identify the possible causes of diarrhea and describe its appropriate treatment.

Which food contains the most probiotics?

Which condition is most likely associated with fat malabsorption in the gastrointestinal tract?

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 Upper 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

Exam 18: Nutrition and Lower Gastrointestinal Disorders