Question 1

Which of the following is an important component in the nutritional assessment of patients with rheumatoid arthritis?

Accepted Answer

A) ADLs 
B) Degree of malabsorption 
C) Blood glucose control 
D) Nitrogen balance 
A) ADLs 
B) Degree of malabsorption 
C) Blood glucose control 
D) Nitrogen balance A

Question 2

Which spices are included in the "antiinflammatory diet"?

Accepted Answer

A) Thyme, cayenne, and cloves 
B) Oregano, lemon peel, and thyme 
C) Ginger, curry, turmeric, and rosemary 
D) Cayenne, cumin, and parsley 
A) Thyme, cayenne, and cloves 
B) Oregano, lemon peel, and thyme 
C) Ginger, curry, turmeric, and rosemary 
D) Cayenne, cumin, and parsley C

Question 3

A group of self-reacting antibodies found in the sera of rheumatic patients

Accepted Answer

A) include CRP. 
B) are known to suppress the immune system. 
C) are known as rheumatoid factor. 
D) are known as eicosanoids. 
A) include CRP. 
B) are known to suppress the immune system. 
C) are known as rheumatoid factor. 
D) are known as eicosanoids. C

Question 4

Which feature associated with the joint of a person affected with gout is different from the joint of a person affected with rheumatoid arthritis?

Accepted Answer

A) Bone erosion 
B) Inflamed synovium 
C) Bone spurs 
D) Presence of tophi 
A) Bone erosion 
B) Inflamed synovium 
C) Bone spurs 
D) Presence of tophi

Question 5

Which of the following may have a beneficial effect in the treatment of patients with Sjögren syndrome?

Accepted Answer

A) Increase frequency of meals. 
B) Moisten foods with sauces or gravies. 
C) Limit fiber. 
D) Increase citrus fruits. 
A) Increase frequency of meals. 
B) Moisten foods with sauces or gravies. 
C) Limit fiber. 
D) Increase citrus fruits.

Question 6

Which of the following conditions is characterized by hardening of the skin and visceral organs?

Accepted Answer

A) Gout 
B) Scleroderma 
C) Fibromyalgia 
D) Sjögren syndrome 
A) Gout 
B) Scleroderma 
C) Fibromyalgia 
D) Sjögren syndrome

Question 7

What drug(s) is(are) the first line of therapy for controlling the inflammatory process seen in arthritis?

Accepted Answer

A) Corticosteroids 
B) Salicylates 
C) Gold salts 
D) Methotrexate 
A) Corticosteroids 
B) Salicylates 
C) Gold salts 
D) Methotrexate

Question 8

Current research suggests that which of the following play a role in the inflammatory process?

Accepted Answer

A) Polyunsaturated fatty acids 
B) Monounsaturated fatty acids 
C) Omega-3 and omega-6 fatty acids 
D) Medium-chain triglycerides 
A) Polyunsaturated fatty acids 
B) Monounsaturated fatty acids 
C) Omega-3 and omega-6 fatty acids 
D) Medium-chain triglycerides

Question 9

What should be the primary nutritional goal for patients with osteoarthritis?

Accepted Answer

A) Achieve and maintain a desirable body weight. 
B) Increase fiber intake to prevent constipation. 
C) Increase omega-3 oils in the diet. 
D) Decrease sodium intake to reduce edema. 
A) Achieve and maintain a desirable body weight. 
B) Increase fiber intake to prevent constipation. 
C) Increase omega-3 oils in the diet. 
D) Decrease sodium intake to reduce edema.

Question 10

What is the role of prostacyclin or PGI₂?

Accepted Answer

A) Converts arachidonic acid into PGE1 
B) Converts arachidonic acid into PGE2 
C) Promotes platelet aggregation 
D) Inhibits platelet aggregation 
A) Converts arachidonic acid into PGE1 
B) Converts arachidonic acid into PGE2 
C) Promotes platelet aggregation 
D) Inhibits platelet aggregation

Question 11

Which of the following conditions is NOT a disease of autoimmune origin?

Accepted Answer

A) OA 
B) RA 
C) SLE 
D) Scleroderma 
A) OA 
B) RA 
C) SLE 
D) Scleroderma

Question 12

Which of the following is characteristic of Sjögren syndrome?

Accepted Answer

A) Excessive sweating and salivation 
B) Temporomandibular joint symptoms 
C) Diminished production of tears and saliva 
D) Diminished production of hydrochloric acid 
A) Excessive sweating and salivation 
B) Temporomandibular joint symptoms 
C) Diminished production of tears and saliva 
D) Diminished production of hydrochloric acid

Question 13

With what do the plasma copper levels seen in patients with rheumatoid arthritis correlate?

Accepted Answer

A) Dietary intake of copper 
B) Type of medication 
C) Degree of joint inflammation 
D) Degree of malabsorption and diarrhea 
A) Dietary intake of copper 
B) Type of medication 
C) Degree of joint inflammation 
D) Degree of malabsorption and diarrhea

Question 14

Which of the following dietary recommendations assists in the management of patients with gout?

Accepted Answer

A) Fluid restriction and avoidance of coffee and chocolate 
B) Limit intake of animal foods, seafood, and alcohol 
C) High-fat, low-carbohydrate diet 
D) Low-pyrimidine diet with decreased carbohydrates 
A) Fluid restriction and avoidance of coffee and chocolate 
B) Limit intake of animal foods, seafood, and alcohol 
C) High-fat, low-carbohydrate diet 
D) Low-pyrimidine diet with decreased carbohydrates

Question 15

Which of the following CAM therapies has been demonstrated as effective in the treatment of rheumatoid arthritis?

Accepted Answer

A) Copper bracelets 
B) Echinacea 
C) Borage and evening primrose oil 
D) Thunder god vine 
A) Copper bracelets 
B) Echinacea 
C) Borage and evening primrose oil 
D) Thunder god vine

Question 16

Nonsteroidal antiinflammatory drugs (NSAIDs)

Accepted Answer

A) include the drug Tylenol. 
B) work by inhibiting the COX-1 enzyme. 
C) work by blocking interleukin. 
D) have significant catabolic effects. 
A) include the drug Tylenol. 
B) work by inhibiting the COX-1 enzyme. 
C) work by blocking interleukin. 
D) have significant catabolic effects.

Question 17

Which of the following food lists has high purine content?

Accepted Answer

A) Enriched white bread, rice, and tomatoes 
B) Cheese, chocolate, butter, and coffee 
C) Fruit, ice cream, pasta, and nuts 
D) Herring, kidney, sardines, and consommé 
A) Enriched white bread, rice, and tomatoes 
B) Cheese, chocolate, butter, and coffee 
C) Fruit, ice cream, pasta, and nuts 
D) Herring, kidney, sardines, and consommé

Question 18

How are thromboxanes involved in the inflammation process?

Accepted Answer

A) Activation of platelet aggregation 
B) Activation of cytokines 
C) Attraction of neutrophils and macrophages 
D) Production of arachidonic acid 
A) Activation of platelet aggregation 
B) Activation of cytokines 
C) Attraction of neutrophils and macrophages 
D) Production of arachidonic acid

Question 19

Which of the following provides abundant omega-3 fatty acids such as DHA and EPA?

Accepted Answer

A) Flaxseed and walnuts 
B) Soy and canola oils 
C) Salmon and tuna 
D) Lard 
A) Flaxseed and walnuts 
B) Soy and canola oils 
C) Salmon and tuna 
D) Lard

Question 20

Which of the following is an autoimmune disorder that presents with severe fatigue, painful or swollen joints, and skin rashes?

Accepted Answer

A) Chronic fatigue syndrome 
B) Systemic lupus erythematosus 
C) Raynaud syndrome 
D) Scleroderma 
A) Chronic fatigue syndrome 
B) Systemic lupus erythematosus 
C) Raynaud syndrome 
D) Scleroderma

Exam 39: Medical Nutrition Therapy for Rheumatic Disease

Which of the following is an important component in the nutritional assessment of patients with rheumatoid arthritis?

Which spices are included in the "antiinflammatory diet"?

A group of self-reacting antibodies found in the sera of rheumatic patients

Which feature associated with the joint of a person affected with gout is different from the joint of a person affected with rheumatoid arthritis?

Which of the following may have a beneficial effect in the treatment of patients with Sjögren syndrome?

Which of the following conditions is characterized by hardening of the skin and visceral organs?

What drug(s) is(are) the first line of therapy for controlling the inflammatory process seen in arthritis?

Current research suggests that which of the following play a role in the inflammatory process?

What should be the primary nutritional goal for patients with osteoarthritis?

What is the role of prostacyclin or PGI₂?

Which of the following conditions is NOT a disease of autoimmune origin?

Which of the following is characteristic of Sjögren syndrome?

With what do the plasma copper levels seen in patients with rheumatoid arthritis correlate?

Which of the following dietary recommendations assists in the management of patients with gout?

Which of the following CAM therapies has been demonstrated as effective in the treatment of rheumatoid arthritis?

Nonsteroidal antiinflammatory drugs (NSAIDs)

Which of the following food lists has high purine content?

How are thromboxanes involved in the inflammation process?

Which of the following provides abundant omega-3 fatty acids such as DHA and EPA?

Which of the following is an autoimmune disorder that presents with severe fatigue, painful or swollen joints, and skin rashes?

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 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 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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