Question 1

Which of the following is(are) synthesized in the lungs?

Accepted Answer

A)   Angiotensin I
B)   Arachidonic acid
C)   Prostaglandins
D)   Hemoglobin B

Question 2

Which of the following recommendations should be made to the parents of an infant who has both BPD and esophageal reflux?

Accepted Answer

A)   Thicken formula with baby cereal.
B)   Thin formula with a glucose solution.
C)   Feed the infant positioned in the supine position.
D)   Delay introduction of baby food until 9 months of age. A

Question 3

What is the recommendation for determining energy needs for patients with COPD?

Accepted Answer

A)   Provide 30 to 35 kcal/kg of body weight.
B)   Provide 130% to 150% of the BEE.
C)   Use indirect calorimetry.
D)   Provide the EER. C

Question 4

Although cigarette smoking is considered a major risk factor for developing COPD, what percentage of smokers develop the disease?

Accepted Answer

A)   5%
B)   20%
C)   35%
D)   50%

Question 5

What vitamin supplementation may be necessary for patients with tuberculosis?

Accepted Answer

A)   Vitamins C and E
B)   Folate and vitamin B12
C)   Vitamins B6 and D
D)   Pyridoxine and folate

Question 6

Which of the following is NOT true of pulse oximetry?

Accepted Answer

A)   It is a pulmonary function test.
B)   It gives information on lung volume.
C)   It uses light waves to measure oxygen saturation of arterial blood.
D)   It measures the ability of the respiratory system to exchange O2 and CO2.

Question 7

Which vitamins are thought to be of particular importance in the prevention and treatment of bronchopulmonary dysplasia?

Accepted Answer

A)   Pyridoxine, niacin, and folate
B)   Vitamins A, C, and E
C)   Folate, B12, and K
D)   Thiamin, riboflavin, and vitamin D

Question 8

What pulmonary condition is a common complication of critical illness?

Accepted Answer

A)   Cor pulmonale
B)   Emphysema
C)   Pneumonia
D)   Acute respiratory distress syndrome

Question 9

The primary cause of aspiration pneumonia is

Accepted Answer

A)   drinking water or other thin liquids.
B)   tube feeding at a high rate per hour.
C)   weak muscles.
D)   excessive lung secretion.

Question 10

Which of the following is TRUE regarding pancreatic enzyme replacement therapy?

Accepted Answer

A)   It is needed to treat all patients with CF.
B)   It is needed to treat CF patients with malabsorption.
C)   It is provided in approximately the same dosages for all CF patients.
D)   It is not used to treat CF patients.

Question 11

Which of the following explains why nutritional wasting is commonly seen in patients with COPD?

Accepted Answer

A)   Increased energy expenditure, decreased energy intake, and impaired oxygenation
B)   Decreased oxygen consumption and increased energy expenditure
C)   Decreased energy expenditure and decreased oxygen consumption
D)   Increased oxygen consumption and increased energy intake

Question 12

Which results from a sweat test indicate that a patient may have CF?

Accepted Answer

A)   Elevated levels of sodium and chloride
B)   Decreased levels of sodium and chloride
C)   Elevated levels of sodium and potassium
D)   Decreased levels of potassium and chloride

Question 13

What is the effect of pulmonary disease on a patient's energy requirements?

Accepted Answer

A)   Decreased need for energy because of loss of lean body mass
B)   Increased need for energy because of increased work of breathing
C)   Decreased need for energy because of a lack of physical activity
D)   Decreased need for energy because of starvation

Question 14

Which of the following is a dietary modification needed for treatment of cystic fibrosis?

Accepted Answer

A)   Increased sodium for infants
B)   Reduction of fat to less than 20% of calories
C)   Increased carbohydrates
D)   Additional water-soluble vitamins

Question 15

What term refers to rapid breathing?

Accepted Answer

A)   Dyspnea
B)   Hemoptysis
C)   Tachypnea
D)   Aspiration

Question 16

Long-term pulmonary improvement requires special monitoring of what in the infant with BPD?

Accepted Answer

A)   Fluid and electrolytes
B)   Lipid intake
C)   Head circumference
D)   Serum albumin

Question 17

Fluid in the pleural space with a milky appearance is a symptom of

Accepted Answer

A)   chylothorax.
B)   respiratory distress syndrome.
C)   acute respiratory distress syndrome.
D)   asthma.

Question 18

Which of the following is a disease of bronchial hyperresponsiveness?

Accepted Answer

A)   Cystic fibrosis
B)   Emphysema
C)   Tuberculosis
D)   Asthma

Question 19

Which of the following is TRUE about chronic obstructive pulmonary disease?

Accepted Answer

A)   COPD is rarely caused by chronic bronchitis.
B)   COPD can progress to cor pulmonale.
C)   COPD leads to emphysema.
D)   COPD is not seen in obese patients.

Question 20

Which vitamins are most likely to be deficient in a child with cystic fibrosis?

Accepted Answer

A)   Vitamins A, E, and C
B)   Water-soluble vitamins and K
C)   Vitamins A, D, E, and K
D)   Fat-soluble vitamins and B12

Exam 34: Medical Nutrition Therapy for Pulmonary Disease