Question 1

The herbal remedy St John's Wort may interact with which of the following medications?

Accepted Answer

A) Statin drugs 
B) Digoxin 
C) Coumadin 
D) All of the above 
A) Statin drugs 
B) Digoxin 
C) Coumadin 
D) All of the above D

Question 2

Which of the following is true for athletic amenorrhea, the loss of menstrual periods caused by excessive exercise?

Accepted Answer

A) It results in irreversible bone loss 
B) It may be successfully treated by increasing carbohydrate intake 
C) It is treated by decreasing the intensity and amount of exercise 
D) A & C 
A) It results in irreversible bone loss 
B) It may be successfully treated by increasing carbohydrate intake 
C) It is treated by decreasing the intensity and amount of exercise 
D) A & C D

Question 3

The usual dietary treatment for cholecystitis is:

Accepted Answer

A) Restriction of foods that stimulate pancreatic enzymes 
B) 20% fat diet with MCT supplementation 
C) 25% fat diet with fat-soluble vitamin supplementation 
D) Lowering cholesterol intake to less than 300 mg/day 
A) Restriction of foods that stimulate pancreatic enzymes 
B) 20% fat diet with MCT supplementation 
C) 25% fat diet with fat-soluble vitamin supplementation 
D) Lowering cholesterol intake to less than 300 mg/day C

Question 4

Which dietary measures are recommended for treating hypercalcuria that is not associated with renal stones?

Accepted Answer

A) Limiting calcium to 1000 mg per day 
B) Increasing fluid intake to 2 liters per day 
C) 400 IU vitamin D per day 
D) Limiting animal protein to less than 1.7 g/kg per day 
A) Limiting calcium to 1000 mg per day 
B) Increasing fluid intake to 2 liters per day 
C) 400 IU vitamin D per day 
D) Limiting animal protein to less than 1.7 g/kg per day

Question 5

Brown adipose tissue performs what function in the body:

Accepted Answer

A) Protects internal organs from injury 
B) Storage site for triglycerides 
C) Is considered to be "essential fat" that supports metabolic processes 
D) Heat production and regulation of body temperature 
A) Protects internal organs from injury 
B) Storage site for triglycerides 
C) Is considered to be "essential fat" that supports metabolic processes 
D) Heat production and regulation of body temperature

Question 6

Which of the following is not included in extracellular water (ECF)?

Accepted Answer

A) Plasma 
B) Lymph 
C) Metabolic water 
D) Spinal fluid 
A) Plasma 
B) Lymph 
C) Metabolic water 
D) Spinal fluid

Question 7

The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) uses which of the following criteria to qualify participants?

Accepted Answer

A) Nutritional risk 
B) Income 
C) Proof of US citizenship 
D) A & B 
A) Nutritional risk 
B) Income 
C) Proof of US citizenship 
D) A & B

Question 8

Low-salt syndrome may be caused by:

Accepted Answer

A) Extreme sodium restriction due to congestive heart failure 
B) Decreased glomerular filtration rate 
C) Adrenal gland insufficiency 
D) All of the above 
A) Extreme sodium restriction due to congestive heart failure 
B) Decreased glomerular filtration rate 
C) Adrenal gland insufficiency 
D) All of the above

Question 9

Dietary zinc may promote wound healing by which of the following mechanisms?

Accepted Answer

A) Promotes epithelial cell differentiation 
B) Reduces the inflammatory response 
C) Prevents oxidation of lipids in cell membranes 
D) Increases collagen synthesis 
A) Promotes epithelial cell differentiation 
B) Reduces the inflammatory response 
C) Prevents oxidation of lipids in cell membranes 
D) Increases collagen synthesis

Question 10

Which of the following vitamins functions as a hormone?

Accepted Answer

A) Folic acid 
B) Vitamin C 
C) Vitamin E 
D) Vitamin D 
A) Folic acid 
B) Vitamin C 
C) Vitamin E 
D) Vitamin D

Question 11

Diets rich in omega-3 fatty acids reduce the inflammation of arthritis through the action of which intermediary:

Accepted Answer

A) Corticosteroids 
B) Prostaglandin 3 
C) Arachidonic acid 
D) Ganglioside 
A) Corticosteroids 
B) Prostaglandin 3 
C) Arachidonic acid 
D) Ganglioside

Question 12

The Thermic Effect of Food (TEF):

Accepted Answer

A) Is the amount of energy needed to digest and absorb food 
B) Makes up a large percentage of total energy expenditure 
C) Is unaffected by the nutritional composition of the diet 
D) May be increased through weight loss 
A) Is the amount of energy needed to digest and absorb food 
B) Makes up a large percentage of total energy expenditure 
C) Is unaffected by the nutritional composition of the diet 
D) May be increased through weight loss

Question 13

A food frequency questionnaire differs from a 24-hour recall in what way:

Accepted Answer

A) A food frequency questionnaire does not inquire about portion sizes. 
B) The 24-hour recall asks about typical meal patterns. 
C) A food frequency questionnaire allows open-ended responses. 
D) A food frequency questionnaire always asks about the same types of foods. 
A) A food frequency questionnaire does not inquire about portion sizes. 
B) The 24-hour recall asks about typical meal patterns. 
C) A food frequency questionnaire allows open-ended responses. 
D) A food frequency questionnaire always asks about the same types of foods.

Question 14

Which microorganism is involved in the etiology of peptic ulcer:

Accepted Answer

A) Clostridium difficile 
B) Heliobacter pylori 
C) Heliobacter baculiformis 
D) Vibrio vulnificus 
A) Clostridium difficile 
B) Heliobacter pylori 
C) Heliobacter baculiformis 
D) Vibrio vulnificus

Question 15

Examples of foods avoided on a low-purine diet are:

Accepted Answer

A) Eggs, cheese, peanut butter 
B) Sardines, broth, organ meats 
C) Carrots, tomatoes, corn 
D) Bread, crackers, cold cereal 
A) Eggs, cheese, peanut butter 
B) Sardines, broth, organ meats 
C) Carrots, tomatoes, corn 
D) Bread, crackers, cold cereal

Question 16

A medication which needs to be discontinued in a uremic patient is:

Accepted Answer

A) Epogen 
B) Kayexelate 
C) Humulin 
D) Triamterene 
A) Epogen 
B) Kayexelate 
C) Humulin 
D) Triamterene

Question 17

The kidney is active in all of the following bodily functions except:

Accepted Answer

A) Filtration 
B) Secretion 
C) Oxidation 
D) Absorption 
A) Filtration 
B) Secretion 
C) Oxidation 
D) Absorption

Question 18

Addison's disease is caused by the deterioration of the adrenal cortex, and results in hypoglycemia, weight loss, and muscle wasting. Dietary intervention includes:

Accepted Answer

A) A high protein diet with liberal sodium 
B) A high protein diet with restricted sodium 
C) Frequent meals with 50-60 grams of complex carbohydrates 
D) A & C 
A) A high protein diet with liberal sodium 
B) A high protein diet with restricted sodium 
C) Frequent meals with 50-60 grams of complex carbohydrates 
D) A & C

Question 19

Maple-syrup urine disease (MSUD) is an autosomal recessive disorder in infants caused by:

Accepted Answer

A) The inability to metabolize branched-chain amino acids 
B) Plasma leucine levels exceeding 10 mg/dl 
C) A defect in the gene that controls the activity of alpha-keto acid hydrogenase 
D) A & C 
A) The inability to metabolize branched-chain amino acids 
B) Plasma leucine levels exceeding 10 mg/dl 
C) A defect in the gene that controls the activity of alpha-keto acid hydrogenase 
D) A & C

Question 20

Clinical signs of cirrhosis of the liver are:

Accepted Answer

A) Ascites and hypoalbuminemia 
B) Portal hypotension and constriction of esophageal veins 
C) Fat malabsorption and hyponatremia 
D) Decreased hepatic plasma volume and high osmolality 
A) Ascites and hypoalbuminemia 
B) Portal hypotension and constriction of esophageal veins 
C) Fat malabsorption and hyponatremia 
D) Decreased hepatic plasma volume and high osmolality

Exam 1: American Clinical Board of Nutrition