Question 1

The FODMAPs diet is showing success for which group of patients?

Accepted Answer

A) Patients with diverticulosis 
B) Celiac disease patients 
C) Crohn disease patients 
D) IBS patients 
A) Patients with diverticulosis 
B) Celiac disease patients 
C) Crohn disease patients 
D) IBS patients D

Question 2

Blind loop syndrome is

Accepted Answer

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

Question 3

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 C

Question 4

Which disease is associated with advanced age?

Accepted Answer

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

Question 5

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 6

What is a characteristic difference between Crohn 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

Question 7

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 8

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 9

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 10

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

Accepted Answer

A) The equivalent to a half cup of milk 
B) The equivalent to one 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 a half cup of milk 
B) The equivalent to one cup of milk 
C) 12 to 15 g of lactose 
D) Lactase-deficient people cannot consume any lactose without experiencing symptoms

Question 11

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 12

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

Question 13

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 14

__________ is the preferred fuel for the small intestinal enterocytes 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 15

What should patients with Crohn 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 16

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 17

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

Question 18

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 19

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 20

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

Exam 28: Medical Nutrition Therapy for Lower Gastrointestinal Tract Disorders

The FODMAPs diet is showing success for which group of patients?

Blind loop syndrome is

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

Which disease is associated with advanced age?

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

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

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

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

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

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

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

What should be included in the initial treatment of diarrhea?

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

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

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

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

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

The most common cause of antibiotic-induced diarrhea is

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

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

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 Upper 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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