Question 1

Which of the following foods is easiest to swallow for patients experiencing difficulty swallowing?

Accepted Answer

A) Thin liquids 
B) Room temperature cream soups 
C) Lukewarm cooked cereals diluted with milk 
D) Cool, soft textured foods with sauce or gravy 
A) Thin liquids 
B) Room temperature cream soups 
C) Lukewarm cooked cereals diluted with milk 
D) Cool, soft textured foods with sauce or gravy D

Question 2

Which of the following can result from thiamin deficiency?

Accepted Answer

A) Pernicious anemia 
B) Wernicke-Korsakoff syndrome 
C) Pellagra 
D) Adrenomyeloleukodystrophy 
A) Pernicious anemia 
B) Wernicke-Korsakoff syndrome 
C) Pellagra 
D) Adrenomyeloleukodystrophy B

Question 3

Which of the following is characterized by a cholesterol plaque within an artery that ruptures and promotes platelet aggregation to clog an already narrowed artery?

Accepted Answer

A) Intracranial hemorrhage 
B) Embolic stroke 
C) Thrombotic stroke 
D) Transient ischemic attack 
A) Intracranial hemorrhage 
B) Embolic stroke 
C) Thrombotic stroke 
D) Transient ischemic attack C

Question 4

Damage to which of the following cranial nerves will likely affect the ability to eat food?

Accepted Answer

A) Olfactory (I) nerve 
B) Abducens (VI) nerve 
C) Glossopharyngeal (IX) nerve 
D) Vagus (X) nerve 
A) Olfactory (I) nerve 
B) Abducens (VI) nerve 
C) Glossopharyngeal (IX) nerve 
D) Vagus (X) nerve

Question 5

What is the guideline for accepted weight adjusted for quadriplegia?

Accepted Answer

A) Ideal body weight (IBW) as determined by the Hamwi formula 
B) 10 to 15 lb less than IBW as determined by the Hamwi formula 
C) 10 to 15 lb less than ideal body mass index (BMI) 
D) 15 to 20 lb less than ideal BMI 
A) Ideal body weight (IBW) as determined by the Hamwi formula 
B) 10 to 15 lb less than IBW as determined by the Hamwi formula 
C) 10 to 15 lb less than ideal body mass index (BMI) 
D) 15 to 20 lb less than ideal BMI

Question 6

What is dysphagia?

Accepted Answer

A) Inhalation of a foreign object into the lungs 
B) Impaired taste 
C) Difficulty swallowing 
D) Impairment of the tongue or other muscles essential to speech 
A) Inhalation of a foreign object into the lungs 
B) Impaired taste 
C) Difficulty swallowing 
D) Impairment of the tongue or other muscles essential to speech

Question 7

The Frazier free water protocol is used for patients with

Accepted Answer

A) Wernicke-Korsakoff syndrome. 
B) brain trauma. 
C) multiple sclerosis. 
D) dysphagia. 
A) Wernicke-Korsakoff syndrome. 
B) brain trauma. 
C) multiple sclerosis. 
D) dysphagia.

Question 8

How may phenobarbital, used for anticonvulsant therapy, interfere with the intestinal absorption of calcium?

Accepted Answer

A) It increases metabolism of vitamin D in the liver. 
B) It prevents absorption of vitamin D in the intestinal mucosa. 
C) It induces diarrhea and loss of electrolytes. 
D) It damages the mucosal cells lining the intestinal wall. 
A) It increases metabolism of vitamin D in the liver. 
B) It prevents absorption of vitamin D in the intestinal mucosa. 
C) It induces diarrhea and loss of electrolytes. 
D) It damages the mucosal cells lining the intestinal wall.

Question 9

On the Dysphagia Outcome and Severity Scale, at what level is total assistance for the patient necessary?

Accepted Answer

A) Level 7 
B) Level 5 
C) Level 3 
D) Level 1 
A) Level 7 
B) Level 5 
C) Level 3 
D) Level 1

Question 10

Which of the following is NOT true of head-injured patients?

Accepted Answer

A) They have profound urinary nitrogen loss. 
B) Their energy needs are related to the Glasgow Coma Scale. 
C) They are hypermetabolic. 
D) They have decreased energy needs. 
A) They have profound urinary nitrogen loss. 
B) Their energy needs are related to the Glasgow Coma Scale. 
C) They are hypermetabolic. 
D) They have decreased energy needs.

Question 11

Pyrazole curcumin is being actively researched for treatment for

Accepted Answer

A) stroke. 
B) traumatic brain injury. 
C) ALS. 
D) seizures. 
A) stroke. 
B) traumatic brain injury. 
C) ALS. 
D) seizures.

Question 12

Because of potential drug-nutrient interactions, it would be more beneficial to provide the majority of their dietary protein to patients with Parkinson disease

Accepted Answer

A) during breakfast. 
B) at the noon meal. 
C) evenly throughout the day. 
D) with the evening meal. 
A) during breakfast. 
B) at the noon meal. 
C) evenly throughout the day. 
D) with the evening meal.

Question 13

For which condition might a ketogenic diet be used in treatment?

Accepted Answer

A) Myasthenia gravis 
B) Migraine headache 
C) Epilepsy 
D) Guillain-Barré syndrome (GBS) 
A) Myasthenia gravis 
B) Migraine headache 
C) Epilepsy 
D) Guillain-Barré syndrome (GBS)

Question 14

Which of the following can occur with impaired swallowing?

Accepted Answer

A) Aspiration pneumonia 
B) Hemiparesis 
C) Dysgeusia 
D) Comminution 
A) Aspiration pneumonia 
B) Hemiparesis 
C) Dysgeusia 
D) Comminution

Question 15

The guideline for use of a percutaneous endoscopic gastrostomy (PEG) in patients with neurologic disease or disorders is to use

Accepted Answer

A) whenever there is a risk of aspiration pneumonia. 
B) with patients whose swallowing function will not ensure adequate nutritional intake. 
C) with patients who refuse a central line for total parenteral nutrition. 
D) with patients who are expected to resume oral alimentation within 7 days. 
A) whenever there is a risk of aspiration pneumonia. 
B) with patients whose swallowing function will not ensure adequate nutritional intake. 
C) with patients who refuse a central line for total parenteral nutrition. 
D) with patients who are expected to resume oral alimentation within 7 days.

Question 16

During which phase of swallowing does bolus formation occur?

Accepted Answer

A) Oral phase 
B) Early pharyngeal phase 
C) Middle pharyngeal phase 
D) Esophageal phase 
A) Oral phase 
B) Early pharyngeal phase 
C) Middle pharyngeal phase 
D) Esophageal phase

Question 17

Which of the following requires the greatest coordination and control in order to swallow?

Accepted Answer

A) Solid foods 
B) Liquids of thin consistency 
C) Soft foods with high water content 
D) Thick, viscous liquids 
A) Solid foods 
B) Liquids of thin consistency 
C) Soft foods with high water content 
D) Thick, viscous liquids

Question 18

A patient with amyotrophic lateral sclerosis (ALS) has a rating of 3 or 4 on the swallowing severity scale.Which of the following interventions would be recommended in the medical nutrition therapy plan?

Accepted Answer

A) A regular diet with small, frequent feedings 
B) Modification of dietary consistency and texture 
C) Supplemental tube feedings 
D) Nothing by mouth (NPO) 
A) A regular diet with small, frequent feedings 
B) Modification of dietary consistency and texture 
C) Supplemental tube feedings 
D) Nothing by mouth (NPO)

Question 19

Sensory deficits of limbs on the opposite of the body that result from an occlusion of the middle cerebral artery on one side of the brain are known as

Accepted Answer

A) hemiparesis. 
B) hemiplegia. 
C) hemianopsia. 
D) hemi-inattention. 
A) hemiparesis. 
B) hemiplegia. 
C) hemianopsia. 
D) hemi-inattention.

Question 20

Which of the following is the inability to perform purposeful, complex movements, although no sensory or motor impairment is evident?

Accepted Answer

A) Apraxia 
B) Aphasia 
C) Anosmia 
D) Agnosia 
A) Apraxia 
B) Aphasia 
C) Anosmia 
D) Agnosia

Exam 40: Medical Nutrition Therapy for Neurologic Disorders

Which of the following foods is easiest to swallow for patients experiencing difficulty swallowing?

Which of the following can result from thiamin deficiency?

Which of the following is characterized by a cholesterol plaque within an artery that ruptures and promotes platelet aggregation to clog an already narrowed artery?

Damage to which of the following cranial nerves will likely affect the ability to eat food?

What is the guideline for accepted weight adjusted for quadriplegia?

What is dysphagia?

The Frazier free water protocol is used for patients with

How may phenobarbital, used for anticonvulsant therapy, interfere with the intestinal absorption of calcium?

On the Dysphagia Outcome and Severity Scale, at what level is total assistance for the patient necessary?

Which of the following is NOT true of head-injured patients?

Pyrazole curcumin is being actively researched for treatment for

Because of potential drug-nutrient interactions, it would be more beneficial to provide the majority of their dietary protein to patients with Parkinson disease

For which condition might a ketogenic diet be used in treatment?

Which of the following can occur with impaired swallowing?

The guideline for use of a percutaneous endoscopic gastrostomy (PEG) in patients with neurologic disease or disorders is to use

During which phase of swallowing does bolus formation occur?

Which of the following requires the greatest coordination and control in order to swallow?

A patient with amyotrophic lateral sclerosis (ALS) has a rating of 3 or 4 on the swallowing severity scale.Which of the following interventions would be recommended in the medical nutrition therapy plan?

Sensory deficits of limbs on the opposite of the body that result from an occlusion of the middle cerebral artery on one side of the brain are known as

Which of the following is the inability to perform purposeful, complex movements, although no sensory or motor impairment is evident?

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 Rheumatic Disease

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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