Question 1

Which of the following herbal supplements is used to treat liver disease?

Accepted Answer

A) Milk thistle 
B) Centella asiatica 
C) ephedra 
D) Kava 
A) Milk thistle 
B) Centella asiatica 
C) ephedra 
D) Kava A

Question 2

Which of the following biochemical measures is a test of the liver's excretion?

Accepted Answer

A) Serum alkaline phosphatase 
B) Direct serum bilirubin 
C) Alanine aminotransferase 
D) Prothrombin time 
A) Serum alkaline phosphatase 
B) Direct serum bilirubin 
C) Alanine aminotransferase 
D) Prothrombin time B

Question 3

Which of the following is used in the medical treatment of ascites?

Accepted Answer

A) Shunt placement 
B) Whipple procedure 
C) Paracentesis 
D) Shock-wave lithotripsy 
A) Shunt placement 
B) Whipple procedure 
C) Paracentesis 
D) Shock-wave lithotripsy C

Question 4

Which of the following is characterized by the presence of gallstones in the common bile duct?

Accepted Answer

A) Cholangitis 
B) Cholecystitis 
C) Choledocholithiasis 
D) Cirrhosis 
A) Cholangitis 
B) Cholecystitis 
C) Choledocholithiasis 
D) Cirrhosis

Question 5

Enteral nutrition is preferred over parenteral nutrition when treating patients with severe, acute pancreatitis because:

Accepted Answer

A) Enteral nutrition is more expensive. 
B) Enteral nutrition can prevent pseudocysts from developing. 
C) Failure to use the gastrointestinal tract exacerbates the stress response. 
D) It is not the preferred route of nutrition. 
A) Enteral nutrition is more expensive. 
B) Enteral nutrition can prevent pseudocysts from developing. 
C) Failure to use the gastrointestinal tract exacerbates the stress response. 
D) It is not the preferred route of nutrition.

Question 6

Which of the following is a common sign of portal hypertension secondary to cirrhosis?

Accepted Answer

A) Ascites 
B) Cardiac arrhythmias 
C) Increased gastrointestinal motility and peristalsis 
D) Pulmonary fibrosis 
A) Ascites 
B) Cardiac arrhythmias 
C) Increased gastrointestinal motility and peristalsis 
D) Pulmonary fibrosis

Question 7

How is serum alkaline phosphatase used to diagnose liver disease

Accepted Answer

A) It is decreased in cholestasis. 
B) It is increased in cholestasis. 
C) It indicates prolonged bleeding time. 
D) It precedes jaundice. 
A) It is decreased in cholestasis. 
B) It is increased in cholestasis. 
C) It indicates prolonged bleeding time. 
D) It precedes jaundice.

Question 8

Which of the following foods would be recommended to be avoided by a patient with Wilson's disease, in which excretion of copper from the body becomes impaired?

Accepted Answer

A) Dried beans, dried fruits, and shellfish 
B) Eggs, milk, and cheese 
C) Sweet potato, rice, and oatmeal 
D) Butter, cream, oil, and salad dressing 
A) Dried beans, dried fruits, and shellfish 
B) Eggs, milk, and cheese 
C) Sweet potato, rice, and oatmeal 
D) Butter, cream, oil, and salad dressing

Question 9

Which is the most common hepatitis virus that is primarily transmitted by blood and body fluids?

Accepted Answer

A) A 
B) B 
C) D 
D) E 
A) A 
B) B 
C) D 
D) E

Question 10

Which of the following symptoms appears when pancreatitis progresses to where the ability to secrete a sufficient quantity of enzymes is impaired?

Accepted Answer

A) Constipation 
B) Hypervitaminosis A 
C) Steatorrhea 
D) Elevated serum ammonia 
A) Constipation 
B) Hypervitaminosis A 
C) Steatorrhea 
D) Elevated serum ammonia

Question 11

Which of the following, when eaten by a patient with cholecystitis, may cause pain?

Accepted Answer

A) High-protein foods 
B) High-fat foods 
C) Complex carbohydrates 
D) Simple carbohydrates 
A) High-protein foods 
B) High-fat foods 
C) Complex carbohydrates 
D) Simple carbohydrates

Question 12

A deficiency of which nutrient is associated with Wernicke's encephalopathy?

Accepted Answer

A) Copper 
B) Essential fatty acid 
C) Tryptophan 
D) Thiamin 
A) Copper 
B) Essential fatty acid 
C) Tryptophan 
D) Thiamin

Question 13

Which of the following laboratory measures is NOT included in Ranson's criteria to classify severity of pancreatitis?

Accepted Answer

A) WBC 
B) Blood glucose 
C) Serum calcium 
D) Serum amylase 
A) WBC 
B) Blood glucose 
C) Serum calcium 
D) Serum amylase

Question 14

In liver disease, which factor(s) affect the interpretation of serum albumin values?

Accepted Answer

A) Increased synthesis of albumin by the liver 
B) Increased synthesis of albumin by the liver and increased nitrogen retention 
C) Decreased synthesis of albumin by the liver and increased urinary nitrogen excretion 
D) Decreased synthesis of albumin by the liver and the presence of edema and ascites 
A) Increased synthesis of albumin by the liver 
B) Increased synthesis of albumin by the liver and increased nitrogen retention 
C) Decreased synthesis of albumin by the liver and increased urinary nitrogen excretion 
D) Decreased synthesis of albumin by the liver and the presence of edema and ascites

Question 15

Increased serum aromatic amino acids and decreased serum branched-chain amino acids is associated with

Accepted Answer

A) sclerosing cholangitis. 
B) acute pancreatitis. 
C) hepatic encephalopathy. 
D) cholecystis. 
A) sclerosing cholangitis. 
B) acute pancreatitis. 
C) hepatic encephalopathy. 
D) cholecystis.

Question 16

Which of the following, when consumed by a patient with chronic pancreatitis, may cause symptoms to worsen?

Accepted Answer

A) Fried foods, foods with a high sucrose content, and caffeine 
B) Carbohydrates, low-fat dairy products, and coffee 
C) Large meals, fatty foods, and alcohol 
D) Red meat, sweets, and coffee 
A) Fried foods, foods with a high sucrose content, and caffeine 
B) Carbohydrates, low-fat dairy products, and coffee 
C) Large meals, fatty foods, and alcohol 
D) Red meat, sweets, and coffee

Question 17

Which of the following may be provided to a patient with chronic pancreatitis to minimize steatorrhea?

Accepted Answer

A) Water-soluble form of fat-soluble vitamins 
B) Pancreatic enzyme replacements 
C) Antacids 
D) Proton pump inhibitors 
A) Water-soluble form of fat-soluble vitamins 
B) Pancreatic enzyme replacements 
C) Antacids 
D) Proton pump inhibitors

Question 18

Which type of immunosuppressant drug used in the treatment of liver transplant is most likely to promote sodium retention, hyperglycemia, and impaired absorption of calcium?

Accepted Answer

A) Azathioprine 
B) Cyclosporine 
C) Glucocorticoid 
D) Tacrolimus 
A) Azathioprine 
B) Cyclosporine 
C) Glucocorticoid 
D) Tacrolimus

Question 19

Which of the following recommendations should be included in the nutrition care plan for a patient in the acute post liver transplant phase?

Accepted Answer

A) Calorie restriction 
B) Increased sodium 
C) Decreased protein 
D) Increased protein 
A) Calorie restriction 
B) Increased sodium 
C) Decreased protein 
D) Increased protein

Question 20

Which of the following parameters is included in Subjective Global Assessment?

Accepted Answer

A) Change in weight 
B) Nitrogen balance 
C) Fluid intake and output 
D) Liver enzyme levels 
A) Change in weight 
B) Nitrogen balance 
C) Fluid intake and output 
D) Liver enzyme levels

Exam 30: Medical Nutrition Therapy for Liver, Biliary System, and Exocrine Pancreas Disorders

Which of the following herbal supplements is used to treat liver disease?

Which of the following biochemical measures is a test of the liver's excretion?

Which of the following is used in the medical treatment of ascites?

Which of the following is characterized by the presence of gallstones in the common bile duct?

Enteral nutrition is preferred over parenteral nutrition when treating patients with severe, acute pancreatitis because:

Which of the following is a common sign of portal hypertension secondary to cirrhosis?

How is serum alkaline phosphatase used to diagnose liver disease

Which of the following foods would be recommended to be avoided by a patient with Wilson's disease, in which excretion of copper from the body becomes impaired?

Which is the most common hepatitis virus that is primarily transmitted by blood and body fluids?

Which of the following symptoms appears when pancreatitis progresses to where the ability to secrete a sufficient quantity of enzymes is impaired?

Which of the following, when eaten by a patient with cholecystitis, may cause pain?

A deficiency of which nutrient is associated with Wernicke's encephalopathy?

Which of the following laboratory measures is NOT included in Ranson's criteria to classify severity of pancreatitis?

In liver disease, which factor(s) affect the interpretation of serum albumin values?

Increased serum aromatic amino acids and decreased serum branched-chain amino acids is associated with

Which of the following, when consumed by a patient with chronic pancreatitis, may cause symptoms to worsen?

Which of the following may be provided to a patient with chronic pancreatitis to minimize steatorrhea?

Which type of immunosuppressant drug used in the treatment of liver transplant is most likely to promote sodium retention, hyperglycemia, and impaired absorption of calcium?

Which of the following recommendations should be included in the nutrition care plan for a patient in the acute post liver transplant phase?

Which of the following parameters is included in Subjective Global Assessment?

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 Lower Gastrointestinal Tract 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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