Question 1

Which of the following are NOT included in the gluten-restricted, gliadin-free diet to treat celiac disease?

Accepted Answer

A) Wheat, rye, barley, and oats 
B) Corn, rice, soybeans, and tapioca 
C) Potatoes, hydrolyzed vegetable protein, and arrowroot starch 
D) Wheat, rice, barley, and corn 
A) Wheat, rye, barley, and oats 
B) Corn, rice, soybeans, and tapioca 
C) Potatoes, hydrolyzed vegetable protein, and arrowroot starch 
D) Wheat, rice, barley, and corn A

Question 2

What is a characteristic difference between Crohn's disease and ulcerative colitis?

Accepted Answer

A) Age at disease onset 
B) Segmental versus continuous distribution of the disease throughout the GI tract 
C) Clinical features of diarrhea, food intolerance, and dehydration 
D) Medical management with steroids and diet 
A) Age at disease onset 
B) Segmental versus continuous distribution of the disease throughout the GI tract 
C) Clinical features of diarrhea, food intolerance, and dehydration 
D) Medical management with steroids and diet B

Question 3

What should be included in the initial treatment of diarrhea?

Accepted Answer

A) Low-fat, low-fiber diet 
B) Replacement of lost fluids and electrolytes 
C) Increase of high-pectin foods 
D) High-fiber diet to increase stool bulk and restore normal bowel motility 
A) Low-fat, low-fiber diet 
B) Replacement of lost fluids and electrolytes 
C) Increase of high-pectin foods 
D) High-fiber diet to increase stool bulk and restore normal bowel motility B

Question 4

The most common cause of antibiotic-induced diarrhea is

Accepted Answer

A) Lactobacillus spp. 
B) Saccharomyces boulardii. 
C) Escherichia coli. 
D) Clostridium difficile. 
A) Lactobacillus spp. 
B) Saccharomyces boulardii. 
C) Escherichia coli. 
D) Clostridium difficile.

Question 5

What type of diarrhea may be experienced by a patient with lactase deficiency?

Accepted Answer

A) Exudative diarrhea 
B) Malabsorptive diarrhea 
C) Osmotic diarrhea 
D) Secretory diarrhea 
A) Exudative diarrhea 
B) Malabsorptive diarrhea 
C) Osmotic diarrhea 
D) Secretory diarrhea

Question 6

How much lactose can most lactase-deficient people consume without major symptoms?

Accepted Answer

A) The equivalent to 1/2 cup of milk 
B) The equivalent to 1 cup of milk 
C) 12 to 15 g of lactose 
D) Lactase-deficient people cannot consume any lactose without experiencing symptoms. 
A) The equivalent to 1/2 cup of milk 
B) The equivalent to 1 cup of milk 
C) 12 to 15 g of lactose 
D) Lactase-deficient people cannot consume any lactose without experiencing symptoms.

Question 7

Blind loop syndrome is

Accepted Answer

A) an abnormal passage between two internal organs. 
B) the presence of excessive amounts of gas in the GI tract. 
C) a disorder of bacterial overgrowth with resulting malabsorption. 
D) a malabsorptive condition resulting from massive bowel resection. 
A) an abnormal passage between two internal organs. 
B) the presence of excessive amounts of gas in the GI tract. 
C) a disorder of bacterial overgrowth with resulting malabsorption. 
D) a malabsorptive condition resulting from massive bowel resection.

Question 8

What should patients with Crohn's disease be monitored for when experiencing diarrhea?

Accepted Answer

A) Calcium and phosphorus status 
B) Magnesium and iron status 
C) Zinc and potassium status 
D) Iron and selenium status 
A) Calcium and phosphorus status 
B) Magnesium and iron status 
C) Zinc and potassium status 
D) Iron and selenium status

Question 9

What should be in the solution used for fluid replacement for acute diarrhea in infants and small children?

Accepted Answer

A) Vitamins, minerals, and electrolytes 
B) Glucose and electrolytes in water 
C) Chemically defined formula 
D) Lactose-free formula 
A) Vitamins, minerals, and electrolytes 
B) Glucose and electrolytes in water 
C) Chemically defined formula 
D) Lactose-free formula

Question 10

What is the most common carbohydrate intolerance that affects people of all ages?

Accepted Answer

A) Lactose intolerance 
B) Galactose intolerance 
C) Sucrose intolerance 
D) Maltose intolerance 
A) Lactose intolerance 
B) Galactose intolerance 
C) Sucrose intolerance 
D) Maltose intolerance

Question 11

A lifelong low-fiber diet is considered to be a cause of which disease?

Accepted Answer

A) Crohn's disease 
B) Diverticulitis 
C) Ulcerative colitis 
D) Tropical sprue 
A) Crohn's disease 
B) Diverticulitis 
C) Ulcerative colitis 
D) Tropical sprue

Question 12

Which of the following statements is TRUE regarding medium-chain triglycerides (MCTs)?

Accepted Answer

A) MCTs are rapidly hydrolyzed and absorbed in the absence of bile acids. 
B) MCTs require pancreatic lipase for digestion. 
C) MCTs must be administered intravenously in PN. 
D) MCTs are contraindicated in steatorrhea and other malabsorptive conditions. 
A) MCTs are rapidly hydrolyzed and absorbed in the absence of bile acids. 
B) MCTs require pancreatic lipase for digestion. 
C) MCTs must be administered intravenously in PN. 
D) MCTs are contraindicated in steatorrhea and other malabsorptive conditions.

Question 13

Which of the following should be included in the advice given to a patient regarding eating a high-fiber diet?

Accepted Answer

A) Increase polyunsaturated fat intake. 
B) Make sure to get more vitamin C. 
C) Drink at least 2 L of water each day. 
D) Make sure to get more iron. 
A) Increase polyunsaturated fat intake. 
B) Make sure to get more vitamin C. 
C) Drink at least 2 L of water each day. 
D) Make sure to get more iron.

Question 14

Which of the following is a risk factor for developing colon cancer?

Accepted Answer

A) IBS 
B) Lactase deficiency 
C) Polyps 
D) Diverticulitis 
A) IBS 
B) Lactase deficiency 
C) Polyps 
D) Diverticulitis

Question 15

What condition is associated with the feeling of incomplete evacuation of the bowel?

Accepted Answer

A) Inflammatory bowel disease 
B) Constipation 
C) Irritable bowel syndrome 
D) Diverticulosis 
A) Inflammatory bowel disease 
B) Constipation 
C) Irritable bowel syndrome 
D) Diverticulosis

Question 16

Why do renal oxalate stones form as a consequence of ileal resection?

Accepted Answer

A) Inadequate intake of dietary fiber and water 
B) Malabsorption of fat-soluble vitamins 
C) Malabsorption of calcium, zinc, and magnesium 
D) Malabsorption of vitamin B12 and intrinsic factor complex 
A) Inadequate intake of dietary fiber and water 
B) Malabsorption of fat-soluble vitamins 
C) Malabsorption of calcium, zinc, and magnesium 
D) Malabsorption of vitamin B12 and intrinsic factor complex

Question 17

___________is the preferred fuel for the small intestinal enterocyte and is considered important to adaption after bowel resection.

Accepted Answer

A) Glucose 
B) Glutamine 
C) MCT 
D) Butyrate 
A) Glucose 
B) Glutamine 
C) MCT 
D) Butyrate

Question 18

Which of the following patients with small bowel resection is the LEAST likely to need long-term parenteral nutrition?

Accepted Answer

A) 40-year-old man with a jejunal resection 
B) 20-year-old woman who had radiation enteritis before resection 
C) 60-year-old woman with an almost total ileal resection 
D) 50-year-old woman with the ileocecal valve removed 
A) 40-year-old man with a jejunal resection 
B) 20-year-old woman who had radiation enteritis before resection 
C) 60-year-old woman with an almost total ileal resection 
D) 50-year-old woman with the ileocecal valve removed

Question 19

In the MNT for inflammatory bowel disease, which of the following is LEAST likely to be used?

Accepted Answer

A) Low-residue diet 
B) Parenteral nutrition 
C) Lactose-free or reduced diet 
D) High-fiber diet 
A) Low-residue diet 
B) Parenteral nutrition 
C) Lactose-free or reduced diet 
D) High-fiber diet

Question 20

The use of omega-3 fatty acid supplements has been associated with reduced disease activity in

Accepted Answer

A) Colon polyps 
B) Celiac disease 
C) Crohn's disease 
D) IBS 
A) Colon polyps 
B) Celiac disease 
C) Crohn's disease 
D) IBS

Exam 29: Medical Nutrition Therapy for Lower Gastrointestinal Tract Disorders

Which of the following are NOT included in the gluten-restricted, gliadin-free diet to treat celiac disease?

What is a characteristic difference between Crohn's disease and ulcerative colitis?

What should be included in the initial treatment of diarrhea?

The most common cause of antibiotic-induced diarrhea is

What type of diarrhea may be experienced by a patient with lactase deficiency?

How much lactose can most lactase-deficient people consume without major symptoms?

Blind loop syndrome is

What should patients with Crohn's disease be monitored for when experiencing diarrhea?

What should be in the solution used for fluid replacement for acute diarrhea in infants and small children?

What is the most common carbohydrate intolerance that affects people of all ages?

A lifelong low-fiber diet is considered to be a cause of which disease?

Which of the following statements is TRUE regarding medium-chain triglycerides (MCTs)?

Which of the following should be included in the advice given to a patient regarding eating a high-fiber diet?

Which of the following is a risk factor for developing colon cancer?

What condition is associated with the feeling of incomplete evacuation of the bowel?

Why do renal oxalate stones form as a consequence of ileal resection?

___________is the preferred fuel for the small intestinal enterocyte and is considered important to adaption after bowel resection.

Which of the following patients with small bowel resection is the LEAST likely to need long-term parenteral nutrition?

In the MNT for inflammatory bowel disease, which of the following is LEAST likely to be used?

The use of omega-3 fatty acid supplements has been associated with reduced disease activity in

Digestion, Absorption, Transport, and Excretion of Nutrients

Energy

The Nutrients and Their Metabolism

Intake: Analysis of the Diet

Assessment: Nutritional Genomics

Clinical: Inflammation, Physical and Functional Assessment

Water, Electrolytes, and Acid-Base Balance

Clinical: Biochemical Assessment

Clinical: Food-Drug Interactions

Behavioral-Environmental: The Individual in the Community

Overview of Nutrition Diagnosis and Intervention

Food-Nutrient Delivery: Planning the Diet With Cultural Competency

Food and Nutrient Delivery: Bioactive Substances and Integrative Care

Food-Nutrient Delivery: Nutrition Support Methods

Interventions: Education and Counseling for Behavior Change

Nutrition in Pregnancy and Lactation

Nutrition During Infancy

Nutrition in Childhood

Nutrition in Adolescence

Nutrition in the Adult Years

Nutrition in Aging

Weight Management

Nutrition in Eating Disorders

Nutrition in Exercise and Sports Performance

Nutrition and Bone Health

Nutrition for Oral and Dental Health

Mnt for Food Allergy and Food Intolerance

Medical Nutrition Therapy for Upper Gastrointestinal Tract Disorders

Medical Nutrition Therapy for Liver, Biliary System, and Exocrine Pancreas Disorders

Medical Nutrition Therapy for Diabetes Mellitus and Hypoglycemia of Nondiabetic Origin

Medical Nutrition Therapy for Thyroid and Related Disorders

Medical Nutrition Therapy for Anemia

Medical Nutrition Therapy for Cardiovascular Disease

Medical Nutrition Therapy for Pulmonary Disease

Medical and Nutrition Therapy for Renal Disorders

Medical and Nutrition Therapy for Cancer

Medical and Nutrition Therapy for HIV and AIDS

Medical and Nutrition Therapy for Metabolic Stress: Sepsis, Trauma, Burns, and Surgery

Medical and Nutrition Therapy for Rheumatic Disease

Medical and Nutrition Therapy for Neurologic Disorders

Medical and Nutrition Therapy for Psychiatric Conditions

Medical and Nutrition Therapy for Low-Birth-Weight Infants

Medical and Nutrition Therapy for Genetic Metabolic Disorders

Medical and Nutrition Therapy for Developmental Disabilities

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