Question 1

Which of the following is a protein that affects fat stores during cancer and induces a state of anorexia?

Accepted Answer

A) Insulin 
B) Growth hormone 
C) Tumor necrosis factor (cachectin) 
D) Glucagon 
A) Insulin 
B) Growth hormone 
C) Tumor necrosis factor (cachectin) 
D) Glucagon C

Question 2

Which dietary modification would be used when a patient has neutropenia?

Accepted Answer

A) Provide bland liquids and soft solids. 
B) Avoid strong flavors, acidic, or spicy foods. 
C) Provide special handling of raw meats 
D) Provide sauces and gravies with foods. 
A) Provide bland liquids and soft solids. 
B) Avoid strong flavors, acidic, or spicy foods. 
C) Provide special handling of raw meats 
D) Provide sauces and gravies with foods. C

Question 3

For which of the following problems associated with cancer treatment should a high-calorie diet supplemented with calorically dense foods be provided?

Accepted Answer

A) Constipation 
B) Xerostomia 
C) Anorexia 
D) Neutropenia 
A) Constipation 
B) Xerostomia 
C) Anorexia 
D) Neutropenia C

Question 4

Graft-versus-host disease (GVHD)

Accepted Answer

A) should never be treated with parenteral nutrition. 
B) always occurs immediately after transplant. 
C) is a minor complication of chemotherapy. 
D) is a major complication seen primarily after allogenic transplants. 
A) should never be treated with parenteral nutrition. 
B) always occurs immediately after transplant. 
C) is a minor complication of chemotherapy. 
D) is a major complication seen primarily after allogenic transplants.

Question 5

Parenteral nutrition support should be routinely considered for

Accepted Answer

A) all cancer patients. 
B) After hematopoietic cell transplantation (HCT) 
C) well-nourished cancer patients in whom oral intake is about 50% of desired goal. 
D) patients with advanced cancer whose disease is unresponsive to chemotherapy or radiation. 
A) all cancer patients. 
B) After hematopoietic cell transplantation (HCT) 
C) well-nourished cancer patients in whom oral intake is about 50% of desired goal. 
D) patients with advanced cancer whose disease is unresponsive to chemotherapy or radiation.

Question 6

An autologous hematopoietic stem cell transplant is one involving

Accepted Answer

A) stem cells donated by a sibling or parent. 
B) stem cells donated by a twin. 
C) stem cells previously taken from the patient. 
D) stem cells from an unrelated donor or cadaver. 
A) stem cells donated by a sibling or parent. 
B) stem cells donated by a twin. 
C) stem cells previously taken from the patient. 
D) stem cells from an unrelated donor or cadaver.

Question 7

A goal of nutrition therapy during palliative care is to

Accepted Answer

A) replenish nutrient stores. 
B) promote weight gain. 
C) improve albumin status. 
D) alleviate symptoms. 
A) replenish nutrient stores. 
B) promote weight gain. 
C) improve albumin status. 
D) alleviate symptoms.

Question 8

Common side effects of radiation-induced enteritis combined with small bowel resection include

Accepted Answer

A) sore throat, mucositis, and severe dental and gum destruction. 
B) nausea, vomiting, and diarrhea. 
C) maldigestion, malabsorption, dehydration, and malnutrition. 
D) edema, ascites, and weight gain. 
A) sore throat, mucositis, and severe dental and gum destruction. 
B) nausea, vomiting, and diarrhea. 
C) maldigestion, malabsorption, dehydration, and malnutrition. 
D) edema, ascites, and weight gain.

Question 9

Which diagnostic mechanism is used to determine tumor size?

Accepted Answer

A) Staging 
B) Tumor biopsy 
C) Tumor markers 
D) Cytokines 
A) Staging 
B) Tumor biopsy 
C) Tumor markers 
D) Cytokines

Question 10

For the pharmacologic management of patients with anorexia and cachexia associated with cancer and cancer treatment, which of the following has been demonstrated to promote weight gain and increase in lean body tissue?

Accepted Answer

A) Corticosteroids 
B) Dronabinol 
C) Megestrol acetate 
D) Oxandrolone 
A) Corticosteroids 
B) Dronabinol 
C) Megestrol acetate 
D) Oxandrolone

Question 11

Epidemiologic studies have demonstrated most often a positive association between body weight or BMI and which site-specific cancers?

Accepted Answer

A) Bladder and lung 
B) Breast and prostate 
C) Colon, pancreas, and thyroid 
D) Esophagus, endometrium, gallbladder, and kidney 
A) Bladder and lung 
B) Breast and prostate 
C) Colon, pancreas, and thyroid 
D) Esophagus, endometrium, gallbladder, and kidney

Question 12

Which of the following is recommended in the medical nutrition therapy for a patient undergoing surgical treatment of esophageal tumors?

Accepted Answer

A) Placement of a feeding tube at the time of surgery 
B) Oral liquid diet with supplements 
C) Regular diet with multivitamin supplementation 
D) Total parenteral nutrition 
A) Placement of a feeding tube at the time of surgery 
B) Oral liquid diet with supplements 
C) Regular diet with multivitamin supplementation 
D) Total parenteral nutrition

Question 13

For _____ cancer, epidemiologic studies indicated that alcohol consumption increases the risk of development.

Accepted Answer

A) ovarian 
B) prostate 
C) mouth 
D) pancreatic 
A) ovarian 
B) prostate 
C) mouth 
D) pancreatic

Question 14

Which of the following presents with the symptoms of progressive weight loss, anorexia, wasting, and immunosuppression?

Accepted Answer

A) Radiation-induced enteritis 
B) Xerostomia 
C) Veno-occlusive disease 
D) Cancer cachexia 
A) Radiation-induced enteritis 
B) Xerostomia 
C) Veno-occlusive disease 
D) Cancer cachexia

Question 15

What cautions should be made to a cancer patient considering use of a macrobiotic diet for treatment?

Accepted Answer

A) It may not provide enough energy and is deficient in calcium and vitamin B12. 
B) It may be high in energy, fat, and protein and low in vitamin B12. 
C) It may be low in protein and high in energy and fat. 
D) It may be high in protein and low in energy and fat. 
A) It may not provide enough energy and is deficient in calcium and vitamin B12. 
B) It may be high in energy, fat, and protein and low in vitamin B12. 
C) It may be low in protein and high in energy and fat. 
D) It may be high in protein and low in energy and fat.

Question 16

Which of the following may be avoided after cancer therapy as the result of alteration in taste sensation?

Accepted Answer

A) Sweets 
B) Salty foods 
C) Meats 
D) Dairy products 
A) Sweets 
B) Salty foods 
C) Meats 
D) Dairy products

Question 17

According to the evidence from current research, what role does drinking regular amounts of coffee or tea have on cancer development?

Accepted Answer

A) There is a strong causal relationship between coffee intake and cancer. 
B) There is a suggested causal relationship between coffee intake and cancer. 
C) Coffee may have an anticancer effect. 
D) There is a strong causal relationship for tea but not for coffee. 
A) There is a strong causal relationship between coffee intake and cancer. 
B) There is a suggested causal relationship between coffee intake and cancer. 
C) Coffee may have an anticancer effect. 
D) There is a strong causal relationship for tea but not for coffee.

Question 18

In carcinogenesis, which step does NOT necessarily occur in tumor development?

Accepted Answer

A) Initiation 
B) Promotion 
C) Progression 
D) Metastasis 
A) Initiation 
B) Promotion 
C) Progression 
D) Metastasis

Question 19

Chemoprevention is the

Accepted Answer

A) pharmacologic use of nutrients to suppress or reverse carcinogenesis. 
B) pharmacologic use of medications to treat cancer. 
C) use of CAM therapy to prevent or treat cancer. 
D) reduction of carcinogenic growth factors in the blood. 
A) pharmacologic use of nutrients to suppress or reverse carcinogenesis. 
B) pharmacologic use of medications to treat cancer. 
C) use of CAM therapy to prevent or treat cancer. 
D) reduction of carcinogenic growth factors in the blood.

Question 20

Which type of cancer treatment is systemic therapy?

Accepted Answer

A) Chemotherapy 
B) Surgery 
C) Radiation therapy 
D) Syngeneic hematopoietic stem cell transplant 
A) Chemotherapy 
B) Surgery 
C) Radiation therapy 
D) Syngeneic hematopoietic stem cell transplant

Exam 37: Medical and Nutrition Therapy for Cancer

Which of the following is a protein that affects fat stores during cancer and induces a state of anorexia?

Which dietary modification would be used when a patient has neutropenia?

For which of the following problems associated with cancer treatment should a high-calorie diet supplemented with calorically dense foods be provided?

Graft-versus-host disease (GVHD)

Parenteral nutrition support should be routinely considered for

An autologous hematopoietic stem cell transplant is one involving

A goal of nutrition therapy during palliative care is to

Common side effects of radiation-induced enteritis combined with small bowel resection include

Which diagnostic mechanism is used to determine tumor size?

For the pharmacologic management of patients with anorexia and cachexia associated with cancer and cancer treatment, which of the following has been demonstrated to promote weight gain and increase in lean body tissue?

Epidemiologic studies have demonstrated most often a positive association between body weight or BMI and which site-specific cancers?

Which of the following is recommended in the medical nutrition therapy for a patient undergoing surgical treatment of esophageal tumors?

For _____ cancer, epidemiologic studies indicated that alcohol consumption increases the risk of development.

Which of the following presents with the symptoms of progressive weight loss, anorexia, wasting, and immunosuppression?

What cautions should be made to a cancer patient considering use of a macrobiotic diet for treatment?

Which of the following may be avoided after cancer therapy as the result of alteration in taste sensation?

According to the evidence from current research, what role does drinking regular amounts of coffee or tea have on cancer development?

In carcinogenesis, which step does NOT necessarily occur in tumor development?

Chemoprevention is the

Which type of cancer treatment is systemic therapy?

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 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 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

Filters