Question 1

Cirrhosis patients frequently develop insulin resistance and consequently must follow a diet that _____.

Accepted Answer

A)  ​maintains blood glucose control 
B)  ​is low in fiber 
C)  ​provides consistent vitamin K intake 
D)  ​is low in sodium 
E)  ​is low in protein 
A)  ​maintains blood glucose control 
B)  ​is low in fiber 
C)  ​provides consistent vitamin K intake 
D)  ​is low in sodium 
E)  ​is low in protein A

Question 2

What is the cause of the pain associated with cholelithiasis?​

Accepted Answer

blockage of the cystic duct, which leads from the gallbladder to the duodenum.​

Question 3

In liver disease, blood ammonia levels rise because the liver cannot convert the ammonia to _____.

Accepted Answer

A)  ​nitrogen 
B)  ​amino acids 
C)  ​urea 
D)  ​sodium 
E)  ​cholesterol 
A)  ​nitrogen 
B)  ​amino acids 
C)  ​urea 
D)  ​sodium 
E)  ​cholesterol C

Question 4

Hepatomegaly refers to a surgical puncture of a body cavity with an aspirator to draw out excess fluid.

Accepted Answer

A) True 
 B)False

Question 5

Ascites is exacerbated by _____.​

Accepted Answer

A)  ​low plasma albumin levels 
B)  ​abdominal pressure 
C)  ​hyperglycemia 
D)  ​amino acid imbalances 
E)  ​increased blood flow through the liver 
A)  ​low plasma albumin levels 
B)  ​abdominal pressure 
C)  ​hyperglycemia 
D)  ​amino acid imbalances 
E)  ​increased blood flow through the liver

Question 6

Moderate use of alcohol has been shown to reduce deaths from coronary heart disease in middle-aged and older adults.

Accepted Answer

A) True 
 B)False

Question 7

All of these factors contribute to the development of ascites except _____.​

Accepted Answer

A)  ​portal hypertension 
B)  ​reduced albumin synthesis 
C)  ​sodium and water retention by the kidneys 
D)  ​obesity 
E)  ​liver damage 
A)  ​portal hypertension 
B)  ​reduced albumin synthesis 
C)  ​sodium and water retention by the kidneys 
D)  ​obesity 
E)  ​liver damage

Question 8

A patient in the middle stage of hepatic encephalopathy may exhibit _____.​

Accepted Answer

A)  ​confusion 
B)  ​lethargy 
C)  ​depression 
D)  ​short attention span 
E)  ​amnesia 
A)  ​confusion 
B)  ​lethargy 
C)  ​depression 
D)  ​short attention span 
E)  ​amnesia

Question 9

Which method for treating gallstones relies on medications to dissolve gallstones?​

Accepted Answer

A)  ​cholecystectomy 
B)  ​administration of ursodiol 
C)  ​a sodium-controlled diet 
D)  ​shock-wave lithotripsy 
E)  ​laparoscopic procedures 
A)  ​cholecystectomy 
B)  ​administration of ursodiol 
C)  ​a sodium-controlled diet 
D)  ​shock-wave lithotripsy 
E)  ​laparoscopic procedures

Question 10

Gallstone disease affects about _____ percent of the adult population in the United States.

Accepted Answer

A)  ​1-2 
B)  ​10-15 
C)  ​20-25 
D)  ​30-35 
E)  ​35-40 
A)  ​1-2 
B)  ​10-15 
C)  ​20-25 
D)  ​30-35 
E)  ​35-40

Question 11

A patient is admitted to the hospital with decreased albumin, elevated alkaline phosphatase, and elevated bilirubin. These clinical findings are evidence of _____.​

Accepted Answer

A)  ​portal hypertension 
B)  ​liver disease 
C)  ​esophageal varices 
D)  ​hepatic coma 
E)  ​gallstones 
A)  ​portal hypertension 
B)  ​liver disease 
C)  ​esophageal varices 
D)  ​hepatic coma 
E)  ​gallstones

Question 12

All of these factors must be considered in medical nutrition therapy following liver transplant except _____.​​

Accepted Answer

A)  ​oral supplements 
B)  ​low-protein diet 
C)  ​food safety education 
D)  ​vitamin and mineral supplements 
E)  ​high-kcalorie snacks 
A)  ​oral supplements 
B)  ​low-protein diet 
C)  ​food safety education 
D)  ​vitamin and mineral supplements 
E)  ​high-kcalorie snacks

Question 13

What are the treatment options for cholelithiasis? Explain each.​

Accepted Answer

(1)Surgery - removal of the gallbladder

Question 14

Many patients with cirrhosis require medication or insulin to control hyperglycemia.​

Accepted Answer

A) True 
 B)False

Question 15

Left untreated for years, a blocked bile duct may lead to _____.​

Accepted Answer

A)  ​liver damage 
B)  ​kidney failure 
C)  ​neuropathy 
D)  ​gastritis 
E)  ​pancreatic cancer 
A)  ​liver damage 
B)  ​kidney failure 
C)  ​neuropathy 
D)  ​gastritis 
E)  ​pancreatic cancer

Question 16

One standard vodka drink (1.5 ounces) is equivalent to _____ ounces of beer.​

Accepted Answer

A)  ​4 
B)  ​6 
C)  ​10 
D)  ​12 
E)  ​18 
A)  ​4 
B)  ​6 
C)  ​10 
D)  ​12 
E)  ​18

Question 17

What symptoms did Marcia have that are consistent with a diagnosis of cholelithiasis?​

Accepted Answer

Pain after

Question 18

Which laboratory values should be monitored to assess liver function?​

Accepted Answer

Serum liver enzyme levels are elevated i

Question 19

The most common complication of alcohol abuse is _____.​

Accepted Answer

A)  ​chronic pancreatitis 
B)  ​alcoholic liver disease 
C)  ​chronic renal failure 
D)  ​heart arrhythmias 
E)  ​neuromuscular dysfunction 
A)  ​chronic pancreatitis 
B)  ​alcoholic liver disease 
C)  ​chronic renal failure 
D)  ​heart arrhythmias 
E)  ​neuromuscular dysfunction

Question 20

Among patients with liver disease, _____ may be to blame if malnutrition develops.​

Accepted Answer

A)  ​low-sodium diets 
B)  ​jaundice 
C)  ​lactulose 
D)  ​impaired memory 
E)  ​bilirubin clearance 
A)  ​low-sodium diets 
B)  ​jaundice 
C)  ​lactulose 
D)  ​impaired memory 
E)  ​bilirubin clearance

Exam 20: Nutrition Therapy for Liver and Gallbladder Diseases

Cirrhosis patients frequently develop insulin resistance and consequently must follow a diet that _____.

What is the cause of the pain associated with cholelithiasis?​

In liver disease, blood ammonia levels rise because the liver cannot convert the ammonia to _____.

Hepatomegaly refers to a surgical puncture of a body cavity with an aspirator to draw out excess fluid.

Ascites is exacerbated by _____.​

Moderate use of alcohol has been shown to reduce deaths from coronary heart disease in middle-aged and older adults.

All of these factors contribute to the development of ascites except _____.​

A patient in the middle stage of hepatic encephalopathy may exhibit _____.​

Which method for treating gallstones relies on medications to dissolve gallstones?​

Gallstone disease affects about _____ percent of the adult population in the United States.

A patient is admitted to the hospital with decreased albumin, elevated alkaline phosphatase, and elevated bilirubin. These clinical findings are evidence of _____.​

All of these factors must be considered in medical nutrition therapy following liver transplant except _____.​​

What are the treatment options for cholelithiasis? Explain each.​

Many patients with cirrhosis require medication or insulin to control hyperglycemia.​

Left untreated for years, a blocked bile duct may lead to _____.​

One standard vodka drink (1.5 ounces) is equivalent to _____ ounces of beer.​

What symptoms did Marcia have that are consistent with a diagnosis of cholelithiasis?​

Which laboratory values should be monitored to assess liver function?​

The most common complication of alcohol abuse is _____.​

Among patients with liver disease, _____ may be to blame if malnutrition develops.​

Overview of Nutrition and Health

Carbohydrates

Lipids

Protein

Digestion and Absorption

Metabolism Energy Balance and Body Composition

Weight Management Overweight and Underweight

The Vitamins

Water and the Minerals

Fitness and Nutrition

Nutrition Through the Life Span Pregnancy and Lactation

Nutrition Through the Life Span Infancy Childhood and Adolescence

Nutrition Through the Life Span Later Adulthood

Illness and Nutrition Care

Medications - Diet Drug Interactions - and Herbal Supplements

Specialized Nutrition Support - Enteral and Parenteral Nutrition

Foods and Food Consistency for Upper Gi Disorders

Fiber-Modified Diets for Lower Gastrointestinal Tract Disorders

Carbohydrate - and Fat Modified Diets for Malabsorption Disorders

Carbohydrate Controlled Diets for Diabetes Mellitus

Fat Controlled - Mineral Modified Diets for Cardiovascular Diseases

Protein - Mineral - and Fluid Modified Diets for Kidney Diseases

Energy - and Protein - Modified Diets for Metabolic and Respiratory Stress

Energy - and Protein - Modified Diets for Cancer and HIV Infection

Filters

What is the cause of the pain associated with cholelithiasis?

Ascites is exacerbated by _____.

All of these factors contribute to the development of ascites except _____.

A patient in the middle stage of hepatic encephalopathy may exhibit _____.

Which method for treating gallstones relies on medications to dissolve gallstones?

A patient is admitted to the hospital with decreased albumin, elevated alkaline phosphatase, and elevated bilirubin. These clinical findings are evidence of _____.

All of these factors must be considered in medical nutrition therapy following liver transplant except _____.

What are the treatment options for cholelithiasis? Explain each.

Many patients with cirrhosis require medication or insulin to control hyperglycemia.

Left untreated for years, a blocked bile duct may lead to _____.

One standard vodka drink (1.5 ounces) is equivalent to _____ ounces of beer.

What symptoms did Marcia have that are consistent with a diagnosis of cholelithiasis?

Which laboratory values should be monitored to assess liver function?

The most common complication of alcohol abuse is _____.

Among patients with liver disease, _____ may be to blame if malnutrition develops.