Question 1

Which of the following statements is NOT associated with Helicobacter pylori?

Accepted Answer

A) H.pylori increases the risk of atrophic gastritis and gastric cancer. 
B) H.pylori is a viral infection found in the intestine. 
C) H.pylori is a bacterial infection found in the gastric mucosa. 
D) H.pylori infection may be treated with antibiotics and acid suppression therapies. 
A) H.pylori increases the risk of atrophic gastritis and gastric cancer. 
B) H.pylori is a viral infection found in the intestine. 
C) H.pylori is a bacterial infection found in the gastric mucosa. 
D) H.pylori infection may be treated with antibiotics and acid suppression therapies. B

Question 2

Which of the following contributes to nighttime GERD?

Accepted Answer

A) Delayed gastric emptying 
B) Increased swallowing 
C) Decreased digestive secretions 
D) Increased saliva production 
A) Delayed gastric emptying 
B) Increased swallowing 
C) Decreased digestive secretions 
D) Increased saliva production A

Question 3

A recommendation to a patient with gastroparesis who needs to gain weight would be:

Accepted Answer

A) increase the amount of dietary fiber. 
B) ingest liquids or pureed foods. 
C) eat more high-fat foods. 
D) eat meals and avoid snacks. 
A) increase the amount of dietary fiber. 
B) ingest liquids or pureed foods. 
C) eat more high-fat foods. 
D) eat meals and avoid snacks. B

Question 4

What type(s) of foods should be avoided in a patient with GERD because it(they) decrease(s) LES pressure?

Accepted Answer

A) High-acid foods 
B) Low-fat milk and yogurt 
C) High-protein foods 
D) Peppermint 
A) High-acid foods 
B) Low-fat milk and yogurt 
C) High-protein foods 
D) Peppermint

Question 5

The gastrointestinal effects of smoking include

Accepted Answer

A) reduction of LES pressure. 
B) lower duodenal pH. 
C) inhibition of pancreatic bicarbonate secretion. 
D) all of the above. 
A) reduction of LES pressure. 
B) lower duodenal pH. 
C) inhibition of pancreatic bicarbonate secretion. 
D) all of the above.

Question 6

What symptoms of dumping syndrome follow the total or subtotal removal of the stomach?

Accepted Answer

A) Nausea, abdominal cramping, and diarrhea 
B) Elevated blood pressure, headache, and substernal pain 
C) Heartburn, vomiting blood, and hypoglycemia 
D) Decreased saliva production, steatorrhea, and bloating 
A) Nausea, abdominal cramping, and diarrhea 
B) Elevated blood pressure, headache, and substernal pain 
C) Heartburn, vomiting blood, and hypoglycemia 
D) Decreased saliva production, steatorrhea, and bloating

Question 7

A patient with gastroparesis may benefit by which of these drugs?

Accepted Answer

A) Metoclopramide 
B) Aspirin 
C) Acarbose 
D) Simethicone 
A) Metoclopramide 
B) Aspirin 
C) Acarbose 
D) Simethicone

Question 8

What is the major difference between gastric and duodenal ulcers?

Accepted Answer

A) Gastric ulcers can develop with low acid output, and duodenal ulcers develop with high acid secretion. 
B) Gastric ulcers develop with high acid secretion, and duodenal ulcers develop with low acid output. 
C) H.pylori is the primary cause of gastric ulcers. 
D) Gastric ulcers are treated with proton pump inhibitors, and duodenal ulcers are treated with H2-receptor antagonists. 
A) Gastric ulcers can develop with low acid output, and duodenal ulcers develop with high acid secretion. 
B) Gastric ulcers develop with high acid secretion, and duodenal ulcers develop with low acid output. 
C) H.pylori is the primary cause of gastric ulcers. 
D) Gastric ulcers are treated with proton pump inhibitors, and duodenal ulcers are treated with H2-receptor antagonists.

Question 9

Which of the following surgeries would be used to treat a patient with GERD?

Accepted Answer

A) Billroth I 
B) Billroth II 
C) Fundoplication 
D) Roux-en-Y procedure 
A) Billroth I 
B) Billroth II 
C) Fundoplication 
D) Roux-en-Y procedure

Question 10

Which of the following is NOT associated with dyspepsia?

Accepted Answer

A) Diet 
B) Abnormal gastric emptying 
C) Being underweight 
D) Upper abdominal discomfort 
A) Diet 
B) Abnormal gastric emptying 
C) Being underweight 
D) Upper abdominal discomfort

Question 11

What causes the hypoglycemia that occurs after meals in patients who have had a gastrectomy?

Accepted Answer

A) Poor dietary intake 
B) Rapid digestion and absorption of sugars and elevation of insulin levels 
C) Pancreatic insufficiency 
D) Elevated levels of secretin and pancreozymin 
A) Poor dietary intake 
B) Rapid digestion and absorption of sugars and elevation of insulin levels 
C) Pancreatic insufficiency 
D) Elevated levels of secretin and pancreozymin

Question 12

Treating esophagitis with cimetidine, a histamine H₂-receptor blocking agent, is effective because it

Accepted Answer

A) provides a viscous protective barrier. 
B) decreases gastric acid production. 
C) increases LES pressure. 
D) promotes gastric emptying. 
A) provides a viscous protective barrier. 
B) decreases gastric acid production. 
C) increases LES pressure. 
D) promotes gastric emptying.

Question 13

When an H₂ blocker is used in the treatment of peptic ulcer disease, the patient may be at risk for deficiency of which nutrient?

Accepted Answer

A) Vitamin A 
B) Vitamin B6 
C) Vitamin B12 
D) Vitamin D 
A) Vitamin A 
B) Vitamin B6 
C) Vitamin B12 
D) Vitamin D

Question 14

Which of the following is NOT one of the benefits of using pectin to manage dumping syndrome?

Accepted Answer

A) Reduced upper gastrointestinal tract transit time 
B) Reduced glycemic load and decreased insulin response 
C) Increased glucose absorption and insulin response 
D) Slow carbohydrate absorption 
A) Reduced upper gastrointestinal tract transit time 
B) Reduced glycemic load and decreased insulin response 
C) Increased glucose absorption and insulin response 
D) Slow carbohydrate absorption

Question 15

Which of the following is a condition involving the cells lining the distal esophagus becoming abnormal and premalignant?

Accepted Answer

A) Gastroesophageal reflux disease 
B) Esophageal stricture 
C) Hiatal hernia 
D) Barrett esophagus 
A) Gastroesophageal reflux disease 
B) Esophageal stricture 
C) Hiatal hernia 
D) Barrett esophagus

Question 16

Which factor has been associated with developing gastric cancer?

Accepted Answer

A) Smoking 
B) Obesity 
C) A diet high in salt and fat 
D) All of the above 
A) Smoking 
B) Obesity 
C) A diet high in salt and fat 
D) All of the above

Question 17

Which of the following is NOT true for diet recommendations after Nissen fundoplication?

Accepted Answer

A) Start with clear liquid diet. 
B) Advance to full liquid diet. 
C) Consume multiple, small meals. 
D) Avoid dry, hard foods. 
A) Start with clear liquid diet. 
B) Advance to full liquid diet. 
C) Consume multiple, small meals. 
D) Avoid dry, hard foods.

Question 18

Evaluation of which of the following should be included in the nutritional assessment of patients with atrophic gastritis?

Accepted Answer

A) Essential fatty acid deficiency 
B) Vitamin B6 status 
C) Vitamin B12 status 
D) Iron deficiency anemia 
A) Essential fatty acid deficiency 
B) Vitamin B6 status 
C) Vitamin B12 status 
D) Iron deficiency anemia

Question 19

Which of the following dietary modifications minimize the problems associated with a gastrectomy with a vagotomy?

Accepted Answer

A) Increasing carbohydrate intake, particularly simple sugars, and decreasing fat and protein 
B) Decreasing intake of liquids and simple sugars with meals 
C) Reducing the intake of fiber from fruits and vegetables 
D) Increasing the intake of milk at mealtimes and between meals 
A) Increasing carbohydrate intake, particularly simple sugars, and decreasing fat and protein 
B) Decreasing intake of liquids and simple sugars with meals 
C) Reducing the intake of fiber from fruits and vegetables 
D) Increasing the intake of milk at mealtimes and between meals

Question 20

When a gastrectomy is performed with an accompanying vagotomy, what physiologic changes occur?

Accepted Answer

A) Antral and pyloric dysfunction, poor peristalsis, and diminished gastric acid secretion 
B) Antral and pyloric dysfunction, poor peristalsis, and high gastric acid secretion 
C) Impaired digestion leading to the need for parenteral nutrition almost all the time 
D) Dysphagia because of a relaxed LES 
A) Antral and pyloric dysfunction, poor peristalsis, and diminished gastric acid secretion 
B) Antral and pyloric dysfunction, poor peristalsis, and high gastric acid secretion 
C) Impaired digestion leading to the need for parenteral nutrition almost all the time 
D) Dysphagia because of a relaxed LES

Exam 27: Medical Nutrition Therapy for Upper Gastrointestinal Tract Disorders

Which of the following statements is NOT associated with Helicobacter pylori?

Which of the following contributes to nighttime GERD?

A recommendation to a patient with gastroparesis who needs to gain weight would be:

What type(s) of foods should be avoided in a patient with GERD because it(they) decrease(s) LES pressure?

The gastrointestinal effects of smoking include

What symptoms of dumping syndrome follow the total or subtotal removal of the stomach?

A patient with gastroparesis may benefit by which of these drugs?

What is the major difference between gastric and duodenal ulcers?

Which of the following surgeries would be used to treat a patient with GERD?

Which of the following is NOT associated with dyspepsia?

What causes the hypoglycemia that occurs after meals in patients who have had a gastrectomy?

Treating esophagitis with cimetidine, a histamine H₂-receptor blocking agent, is effective because it

When an H₂ blocker is used in the treatment of peptic ulcer disease, the patient may be at risk for deficiency of which nutrient?

Which of the following is NOT one of the benefits of using pectin to manage dumping syndrome?

Which of the following is a condition involving the cells lining the distal esophagus becoming abnormal and premalignant?

Which factor has been associated with developing gastric cancer?

Which of the following is NOT true for diet recommendations after Nissen fundoplication?

Evaluation of which of the following should be included in the nutritional assessment of patients with atrophic gastritis?

Which of the following dietary modifications minimize the problems associated with a gastrectomy with a vagotomy?

When a gastrectomy is performed with an accompanying vagotomy, what physiologic changes occur?

Intake: Digestion, Absorption, Transport, and Excretion of Nutrients

Intake: Energy

Inflammation and the Pathophysiology of Chronic Disease

Intake: Analysis of the Diet

Clinical: Nutritional Genomics

Clinical: Water, Electrolytes, and Acid-Base Balance

Clinical: Biochemical, Physical, and Functional Assessment

Clinical: Food-Drug Interactions

Behavioral-Environmental: the Individual in the Community

Overview of Nutrition Diagnosis and Intervention

Food and Nutrient Delivery: Diet Guidelines, Nutrient Standards, and Cultural Competence

Food and Nutrient Delivery: Complementary and Integrative Medicine and Dietary Supplementation

Food and Nutrient Delivery: Nutrition Support

Education and Counseling: Behavioral Change

Nutrition for Reproductive Health and Lactation

Nutrition in Infancy

Nutrition in Childhood

Nutrition in Adolescence

Nutrition in the Adult Years

Nutrition in Aging

Nutrition in Weight Management

Nutrition in Eating Disorders

Nutrition in Exercise and Sports Performance

Nutrition and Bone Health

Nutrition for Oral and Dental Health

Medical Nutrition Therapy for Adverse Reactions to Food: Allergies and Intolerances

Medical Nutrition Therapy for Lower Gastrointestinal Tract Disorders

Medical Nutrition Therapy for Hepatobiliary and Pancreatic Disorders

Medical Nutrition Therapy for Diabetes Mellitus and Hypoglycemia of Nondiabetic Origin

Medical Nutrition Therapy for Thyroid, Adrenal, and Other Endocrine Disorders

Medical Nutrition Therapy for Anemia

Medical Nutrition Therapy for Cardiovascular Disease

Medical Nutrition Therapy for Pulmonary Disease

Medical Nutrition Therapy for Renal Disorders

Medical Nutrition Therapy for Cancer Prevention, Treatment, and Survivorship

Medical Nutrition Therapy for Hiv and Aids

Medical Nutrition Therapy in Critical Care

Medical Nutrition Therapy for Rheumatic Disease

Medical Nutrition Therapy for Neurologic Disorders

Mnt in Psychiatric and Cognitive Disorders

Medical Nutrition Therapy for Low-Birth-Weight Infants

Medical Nutrition Therapy for Genetic Metabolic Disorders

Medical Nutrition Therapy for Intellectual and Developmental Disabilities

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