Question 1

What are some of the possible causes of wasting seen in people with cirrhosis?​

Accepted Answer

Malnutrition is usually caused by a comb

Question 2

Matching
-pruritis

Accepted Answer

A) itchy skin associated with bile obstruction 
B) primary plasma protein synthesized by the liver 
C) neurological condition associated with advanced liver disease 
D) virus transmitted sexually or via contaminated blood; a vaccine is available 
E) immunosuppressant drug given after a liver transplant
F)composed of mucus, cholesterol crystals and bilirubin granules
G)procedure that removes fluid associated with ascites
H)increased levels associated with liver disease impair neurotransmitter production
I)carries blood to the liver from the digestive tract
J)virus spread via infected blood and needles; no vaccine is available 
A) itchy skin associated with bile obstruction 
B) primary plasma protein synthesized by the liver 
C) neurological condition associated with advanced liver disease 
D) virus transmitted sexually or via contaminated blood; a vaccine is available 
E) immunosuppressant drug given after a liver transplant
F)composed of mucus, cholesterol crystals and bilirubin granules
G)procedure that removes fluid associated with ascites
H)increased levels associated with liver disease impair neurotransmitter production
I)carries blood to the liver from the digestive tract
J)virus spread via infected blood and needles; no vaccine is available

Question 3

Patients with ascites generally must restrict their intake of _____.​

Accepted Answer

A)  ​fat 
B)  ​carbohydrates 
C)  ​sodium 
D)  ​iron 
E)  ​potassium 
A)  ​fat 
B)  ​carbohydrates 
C)  ​sodium 
D)  ​iron 
E)  ​potassium

Question 4

The daily protein intake for a patient with cirrhosis is _____ grams/kg dry body weight.​

Accepted Answer

A)  ​0.5-1.0 
B)  ​1.0-1.5 
C)  ​1.5-2.0 
D)  ​2.0-2.5 
E)  ​2.5-3.0 
A)  ​0.5-1.0 
B)  ​1.0-1.5 
C)  ​1.5-2.0 
D)  ​2.0-2.5 
E)  ​2.5-3.0

Question 5

Alcohol abuse affects all of these organs except the _____.​

Accepted Answer

A)  ​lungs 
B)  ​liver 
C)  ​GI tract 
D)  ​heart 
E)  ​pancreas 
A)  ​lungs 
B)  ​liver 
C)  ​GI tract 
D)  ​heart 
E)  ​pancreas

Question 6

Describe appropriate nutrition intervention before and after a liver transplant.​

Accepted Answer

advanced liver disease is usually associ

Question 7

Describe why ascites, portal hypertension, and esophageal varices occur in patients with cirrhosis.​

Accepted Answer

The restricted blood flow within the liv

Question 8

Severe liver damage may lead to _____.​

Accepted Answer

A)  ​reduced levels of aromatic amino acids 
B)  ​reduced levels of cholesterol 
C)  ​reduced levels of bilirubin 
D)  ​elevated levels of albumin 
E)  ​reduced levels of branched-chain amino acids 
A)  ​reduced levels of aromatic amino acids 
B)  ​reduced levels of cholesterol 
C)  ​reduced levels of bilirubin 
D)  ​elevated levels of albumin 
E)  ​reduced levels of branched-chain amino acids

Question 9

The beneficial effects of moderate alcohol intake are mainly seen in _____.​

Accepted Answer

A)  ​women who have type 1 diabetes 
B)  ​people with risk factors for liver disease 
C)  ​older people with risk factors for heart disease 
D)  ​men with cirrhosis 
E)  ​men who suffer from prostate disease 
A)  ​women who have type 1 diabetes 
B)  ​people with risk factors for liver disease 
C)  ​older people with risk factors for heart disease 
D)  ​men with cirrhosis 
E)  ​men who suffer from prostate disease

Question 10

Matching
-paracentesis

Accepted Answer

A) itchy skin associated with bile obstruction 
B) primary plasma protein synthesized by the liver 
C) neurological condition associated with advanced liver disease 
D) virus transmitted sexually or via contaminated blood; a vaccine is available 
E) immunosuppressant drug given after a liver transplant
F)composed of mucus, cholesterol crystals and bilirubin granules
G)procedure that removes fluid associated with ascites
H)increased levels associated with liver disease impair neurotransmitter production
I)carries blood to the liver from the digestive tract
J)virus spread via infected blood and needles; no vaccine is available 
A) itchy skin associated with bile obstruction 
B) primary plasma protein synthesized by the liver 
C) neurological condition associated with advanced liver disease 
D) virus transmitted sexually or via contaminated blood; a vaccine is available 
E) immunosuppressant drug given after a liver transplant
F)composed of mucus, cholesterol crystals and bilirubin granules
G)procedure that removes fluid associated with ascites
H)increased levels associated with liver disease impair neurotransmitter production
I)carries blood to the liver from the digestive tract
J)virus spread via infected blood and needles; no vaccine is available

Question 11

Furosemide is a(n) _____ often used to treat the symptoms of cirrhosis.​

Accepted Answer

A)  ​appetite stimulant 
B)  ​diuretic 
C)  ​laxative 
D)  ​antiviral 
E)  ​immunosuppressant 
A)  ​appetite stimulant 
B)  ​diuretic 
C)  ​laxative 
D)  ​antiviral 
E)  ​immunosuppressant

Question 12

Matching
-cirrhosis

Accepted Answer

A) an accumulation of fat in the liver 
B) enlargement of the liver 
C) an advanced stage of liver disease in which extensive scarring replaces healthy liver tissue, causing impaired liver function and liver failure 
D) elevated blood pressure in the portal vein due to obstructed blood flow through the liver 
E) blood vessels that enlarge in order to allow an alternative pathway for diverted blood
F)abnormally dilated blood vessels
G)yellow discoloration of the skin and eyes due to an accumulation of bilirubin
H)liver inflammation that is associated with fatty liver
I)an abnormal accumulation of fluid in the abdominal cavity
J)excess triglycerides packaged and exported to the blood 
A) an accumulation of fat in the liver 
B) enlargement of the liver 
C) an advanced stage of liver disease in which extensive scarring replaces healthy liver tissue, causing impaired liver function and liver failure 
D) elevated blood pressure in the portal vein due to obstructed blood flow through the liver 
E) blood vessels that enlarge in order to allow an alternative pathway for diverted blood
F)abnormally dilated blood vessels
G)yellow discoloration of the skin and eyes due to an accumulation of bilirubin
H)liver inflammation that is associated with fatty liver
I)an abnormal accumulation of fluid in the abdominal cavity
J)excess triglycerides packaged and exported to the blood

Question 13

Matching
-aromatic amino acids

Accepted Answer

A) itchy skin associated with bile obstruction 
B) primary plasma protein synthesized by the liver 
C) neurological condition associated with advanced liver disease 
D) virus transmitted sexually or via contaminated blood; a vaccine is available 
E) immunosuppressant drug given after a liver transplant
F)composed of mucus, cholesterol crystals and bilirubin granules
G)procedure that removes fluid associated with ascites
H)increased levels associated with liver disease impair neurotransmitter production
I)carries blood to the liver from the digestive tract
J)virus spread via infected blood and needles; no vaccine is available 
A) itchy skin associated with bile obstruction 
B) primary plasma protein synthesized by the liver 
C) neurological condition associated with advanced liver disease 
D) virus transmitted sexually or via contaminated blood; a vaccine is available 
E) immunosuppressant drug given after a liver transplant
F)composed of mucus, cholesterol crystals and bilirubin granules
G)procedure that removes fluid associated with ascites
H)increased levels associated with liver disease impair neurotransmitter production
I)carries blood to the liver from the digestive tract
J)virus spread via infected blood and needles; no vaccine is available

Question 14

Collaterals are _____.​

Accepted Answer

A)  ​small blood vessels in the intestines 
B)  ​blood vessels that enlarge in order to allow an alternate path for blood flow 
C)  ​induced by fatty liver disease 
D)  ​hemorrhages in the esophagus 
E)  ​an abnormal growth of blood vessels in response to disease 
A)  ​small blood vessels in the intestines 
B)  ​blood vessels that enlarge in order to allow an alternate path for blood flow 
C)  ​induced by fatty liver disease 
D)  ​hemorrhages in the esophagus 
E)  ​an abnormal growth of blood vessels in response to disease

Question 15

What are Marcia's risk factors for cholelithiasis?​

Accepted Answer

Pima Indian, female,

Question 16

In the future, Mr. Jamison may face all of these complications except _____.

Accepted Answer

A)  ​ascites 
B)  ​portal hypertension 
C)  ​gastroesophageal varices 
D)  ​kidney cancer 
E)  ​jaundice 
A)  ​ascites 
B)  ​portal hypertension 
C)  ​gastroesophageal varices 
D)  ​kidney cancer 
E)  ​jaundice

Question 17

Which clinical feature is associated with the later stages of hepatic encephalopathy?​

Accepted Answer

A)  ​muscle tremor 
B)  ​short attention span 
C)  ​lethargy 
D)  ​sleep disturbances 
E)  ​coma 
A)  ​muscle tremor 
B)  ​short attention span 
C)  ​lethargy 
D)  ​sleep disturbances 
E)  ​coma

Question 18

A gallstone lodged in the _____ can obstruct bile flow and causes cholecystitis.​

Accepted Answer

A)  ​common bile duct 
B)  ​pancreatic duct 
C)  ​duodenum 
D)  ​common hepatic duct 
E)  ​cystic duct 
A)  ​common bile duct 
B)  ​pancreatic duct 
C)  ​duodenum 
D)  ​common hepatic duct 
E)  ​cystic duct

Question 19

The three most important risk factors for gallstones are low body weight, gender, and tobacco use.

Accepted Answer

A) True 
 B)False

Question 20

Albumin is not always a good indicator of nutrition status in patients with liver disease because _____.

Accepted Answer

A)  ​the damaged liver cannot synthesize adequate plasma proteins 
B)  ​it is degraded by elevated liver enzymes 
C)  ​liver disease causes elevated levels of albumin 
D)  ​ammonia levels affect albumin levels 
E)  ​albumin is removed by ascites 
A)  ​the damaged liver cannot synthesize adequate plasma proteins 
B)  ​it is degraded by elevated liver enzymes 
C)  ​liver disease causes elevated levels of albumin 
D)  ​ammonia levels affect albumin levels 
E)  ​albumin is removed by ascites

Exam 20: Nutrition Therapy for Liver and Gallbladder Diseases

What are some of the possible causes of wasting seen in people with cirrhosis?​

Matching -pruritis

Patients with ascites generally must restrict their intake of _____.​

The daily protein intake for a patient with cirrhosis is _____ grams/kg dry body weight.​

Alcohol abuse affects all of these organs except the _____.​

Describe appropriate nutrition intervention before and after a liver transplant.​

Describe why ascites, portal hypertension, and esophageal varices occur in patients with cirrhosis.​

Severe liver damage may lead to _____.​

The beneficial effects of moderate alcohol intake are mainly seen in _____.​

Matching -paracentesis

Furosemide is a(n) _____ often used to treat the symptoms of cirrhosis.​

Matching -cirrhosis

Matching -aromatic amino acids

Collaterals are _____.​

What are Marcia's risk factors for cholelithiasis?​

In the future, Mr. Jamison may face all of these complications except _____.

Which clinical feature is associated with the later stages of hepatic encephalopathy?​

A gallstone lodged in the _____ can obstruct bile flow and causes cholecystitis.​

The three most important risk factors for gallstones are low body weight, gender, and tobacco use.

Albumin is not always a good indicator of nutrition status in patients with liver disease because _____.

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 are some of the possible causes of wasting seen in people with cirrhosis?

Patients with ascites generally must restrict their intake of _____.

The daily protein intake for a patient with cirrhosis is _____ grams/kg dry body weight.

Alcohol abuse affects all of these organs except the _____.

Describe appropriate nutrition intervention before and after a liver transplant.

Describe why ascites, portal hypertension, and esophageal varices occur in patients with cirrhosis.

Severe liver damage may lead to _____.

The beneficial effects of moderate alcohol intake are mainly seen in _____.

Furosemide is a(n) _____ often used to treat the symptoms of cirrhosis.

Collaterals are _____.

What are Marcia's risk factors for cholelithiasis?

Which clinical feature is associated with the later stages of hepatic encephalopathy?

A gallstone lodged in the _____ can obstruct bile flow and causes cholecystitis.