Question 1

The Shilling test is useful in diagnosing which type of anemia?

Accepted Answer

A) Pernicious 
B) Iron deficiency 
C) Hemolytic 
D) Medication induced 
A) Pernicious 
B) Iron deficiency 
C) Hemolytic 
D) Medication induced A

Question 2

Which nutrient deficiency is associated with the development of hemolytic anemia?

Accepted Answer

A) Iron 
B) Vitamin B6 
C) Vitamin E 
D) Folate 
A) Iron 
B) Vitamin B6 
C) Vitamin E 
D) Folate C

Question 3

Although severe microcytic, hypochromic anemia is present, which of the following is also a characteristic of sideroblastic anemia?

Accepted Answer

A) Iron overload 
B) Low serum iron levels 
C) High serum iron and low tissue iron levels 
D) Low tissue iron levels 
A) Iron overload 
B) Low serum iron levels 
C) High serum iron and low tissue iron levels 
D) Low tissue iron levels A

Question 4

Which protein is most responsible for the transport of vitamin B₁₂ to target cells in the body?

Accepted Answer

A) Haptocorrin 
B) Intrinsic factor 
C) Holotranscobalamin I 
D) Holotranscobalamin II 
A) Haptocorrin 
B) Intrinsic factor 
C) Holotranscobalamin I 
D) Holotranscobalamin II

Question 5

What causes pernicious anemia?

Accepted Answer

A) Problem with vitamin B12 intake or absorption 
B) A loss of blood through the gastrointestinal tract 
C) A lack of iron from both heme and nonheme iron sources 
D) Interference with pyridoxine metabolism 
A) Problem with vitamin B12 intake or absorption 
B) A loss of blood through the gastrointestinal tract 
C) A lack of iron from both heme and nonheme iron sources 
D) Interference with pyridoxine metabolism

Question 6

After absorption, iron is transported by

Accepted Answer

A) hemoglobin. 
B) serum albumin. 
C) plasma transferrin. 
D) Protoporphyrin. 
A) hemoglobin. 
B) serum albumin. 
C) plasma transferrin. 
D) Protoporphyrin.

Question 7

Which of the following food groups should be limited to maximize the absorption of iron?

Accepted Answer

A) Meat, fish, and poultry 
B) Ascorbic acid, tea, and vegetable fiber 
C) Vegetable fiber, tea, and soybeans 
D) Fish, unrefined cereals, and egg yolks 
A) Meat, fish, and poultry 
B) Ascorbic acid, tea, and vegetable fiber 
C) Vegetable fiber, tea, and soybeans 
D) Fish, unrefined cereals, and egg yolks

Question 8

Foods high in _____ should be avoided by individuals with sickle cell anemia.

Accepted Answer

A) protein 
B) folate 
C) iron 
D) vitamin A 
A) protein 
B) folate 
C) iron 
D) vitamin A

Question 9

Which of the following foods provide significant amounts of folate in the diet?

Accepted Answer

A) Fish and seafood 
B) Milk products 
C) Fresh fruit and vegetables 
D) Eggs and poultry 
A) Fish and seafood 
B) Milk products 
C) Fresh fruit and vegetables 
D) Eggs and poultry

Question 10

Which form of folate is the one that becomes "trapped" when vitamin B₁₂ deficiency occurs?

Accepted Answer

A) Folate 
B) THFA 
C) 5-Methyl THFA 
D) 5,10-Methyl THFA 
A) Folate 
B) THFA 
C) 5-Methyl THFA 
D) 5,10-Methyl THFA

Question 11

In what stage of iron deficiency does the value of soluble serum transferrin receptors measure as high as in the blood?

Accepted Answer

A) Stage I early negative iron balance 
B) Stage II iron depletion 
C) Stage III iron-deficient erythropoiesis 
D) Stage IV iron-deficiency anemia 
A) Stage I early negative iron balance 
B) Stage II iron depletion 
C) Stage III iron-deficient erythropoiesis 
D) Stage IV iron-deficiency anemia

Question 12

Which biochemical measure is useful in evaluating the body's folate stores?

Accepted Answer

A) Serum folate level 
B) Red blood cell folate level 
C) Urinary formiminoglutamic acid (FIGLU) 
D) Serum homocysteine level 
A) Serum folate level 
B) Red blood cell folate level 
C) Urinary formiminoglutamic acid (FIGLU) 
D) Serum homocysteine level

Question 13

Which of the following enhances the absorption of dietary iron and iron supplements?

Accepted Answer

A) Calcium-containing foods 
B) Carbohydrates 
C) Vitamin C 
D) Magnesium 
A) Calcium-containing foods 
B) Carbohydrates 
C) Vitamin C 
D) Magnesium

Question 14

Which nutrient deficiency is most likely to cause an anemia that appears microcytic and hypochromic?

Accepted Answer

A) Folic acid 
B) Pyridoxine 
C) Iron 
D) Vitamin B12 
A) Folic acid 
B) Pyridoxine 
C) Iron 
D) Vitamin B12

Question 15

Which of the following food groupings has the greatest iron content?

Accepted Answer

A) Milk, raisins, and spinach 
B) Broccoli, Rice Krispies, and black beans 
C) Kidney beans, pistachio nuts, and eggs 
D) Tuna fish, beef tenderloin steak, and chicken liver 
A) Milk, raisins, and spinach 
B) Broccoli, Rice Krispies, and black beans 
C) Kidney beans, pistachio nuts, and eggs 
D) Tuna fish, beef tenderloin steak, and chicken liver

Question 16

Hepcidin, a peptide synthesized in the liver, is associated with what function?

Accepted Answer

A) Absorption of vitamin B12 
B) Iron saturation of myoglobin 
C) Increasing iron absorption 
D) Systemic iron homeostasis 
A) Absorption of vitamin B12 
B) Iron saturation of myoglobin 
C) Increasing iron absorption 
D) Systemic iron homeostasis

Question 17

Which of the following may reduce the absorption of iron when consumed in large amounts?

Accepted Answer

A) Coffee or tea with meals 
B) Leavened bread 
C) Pork 
D) Fish 
A) Coffee or tea with meals 
B) Leavened bread 
C) Pork 
D) Fish

Question 18

How does pernicious anemia differ from folate deficiency?

Accepted Answer

A) Pernicious anemia is easily treated by dietary alterations. 
B) Pernicious anemia affects the central and peripheral nervous systems. 
C) Pernicious anemia is reversible with treatment. 
D) Pernicious anemia results in microcytic, hypochromic red blood cells. 
A) Pernicious anemia is easily treated by dietary alterations. 
B) Pernicious anemia affects the central and peripheral nervous systems. 
C) Pernicious anemia is reversible with treatment. 
D) Pernicious anemia results in microcytic, hypochromic red blood cells.

Question 19

Restless legs syndrome is associated with deficiency of what nutrient?

Accepted Answer

A) Iron 
B) Folic acid 
C) Vitamin B12 
D) Vitamin C 
A) Iron 
B) Folic acid 
C) Vitamin B12 
D) Vitamin C

Question 20

What does the quantity plasma ferritin value provide a measure of when iron status is evaluated?

Accepted Answer

A) Supply of iron delivered to developing red blood cells 
B) The most sensitive indicator of negative iron balance 
C) Total iron-binding capacity 
D) Iron supply to the tissues 
A) Supply of iron delivered to developing red blood cells 
B) The most sensitive indicator of negative iron balance 
C) Total iron-binding capacity 
D) Iron supply to the tissues

Exam 33: Medical Nutrition Therapy for Anemia

The Shilling test is useful in diagnosing which type of anemia?

Which nutrient deficiency is associated with the development of hemolytic anemia?

Although severe microcytic, hypochromic anemia is present, which of the following is also a characteristic of sideroblastic anemia?

Which protein is most responsible for the transport of vitamin B₁₂ to target cells in the body?

What causes pernicious anemia?

After absorption, iron is transported by

Which of the following food groups should be limited to maximize the absorption of iron?

Foods high in _____ should be avoided by individuals with sickle cell anemia.

Which of the following foods provide significant amounts of folate in the diet?

Which form of folate is the one that becomes "trapped" when vitamin B₁₂ deficiency occurs?

In what stage of iron deficiency does the value of soluble serum transferrin receptors measure as high as in the blood?

Which biochemical measure is useful in evaluating the body's folate stores?

Which of the following enhances the absorption of dietary iron and iron supplements?

Which nutrient deficiency is most likely to cause an anemia that appears microcytic and hypochromic?

Which of the following food groupings has the greatest iron content?

Hepcidin, a peptide synthesized in the liver, is associated with what function?

Which of the following may reduce the absorption of iron when consumed in large amounts?

How does pernicious anemia differ from folate deficiency?

Restless legs syndrome is associated with deficiency of what nutrient?

What does the quantity plasma ferritin value provide a measure of when iron status is evaluated?

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 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 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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