review comp

Which size is associated with a standard case of institutional sliced peaches:

#10 can

What does NOT have to be included on a nutrition label on a food product?

% kcal of fat

What would be found on a production schedule and be the most useful for forecasting?

-Using data from previous special events, holidays, weather -Eliminates overproduction and is an improtant tool.

1 ml

1 CC

4 quart

1 gallon

How many kilocalories are provided by one ounce of standard infant formula?

1 oz =20 kcal 10 oz=200 kcal

12 scoops

1 quart

If XYZ corporation had a beginning inventory of 600,000 purchased 800,00 and ended up with 400,000. What is the cost of food used?

1,000,000

How many gallons of milk are in 2 qts?

1/2 gallon

Type A school lunch programs are designed to meet what % of nutritional needs for kids age 10-12?

1/3 of RDA

What does infant mortality 10/1000 mean?

10 of 1,000 live births die within 1 year of infancy.

A standardized recipe for beef stew supposedly yields 100, 8 oz ladle portions at a portion cost of $1.05. However, when the recipe is tested, it only yields 92, 8 oz ladle portions, what is the actual portion cost?

100 X 1.05= $105..............$105/92= $1.14 per 8 oz ladle portion.

What is the minimum safe internal temperature for food being held on a steam table?

140

1 LB

16 oz

Leftovers should be reheated to an internal temperature of:

165 Degrees F

What is the desirable levels of blood cholesterol recommended by the national cholesterol education program (NCEP)?

180-200

Infants increase in length over their first year. What is the normal increase?

2-3 inches

Normal weight gain for a pregnant woman during her first trimester is:

2-4 lbs

1 cup

236.58 cc

If 4 lbs of ground beef can feed 50 people, how many lbs would you need to feed 300 people?

24

Low Temp storage for meat is:

30-36 degrees F

1 quart

32 oz

In a ½ cup apple juice, 1 cup broth, ½ cup pudding and 5 saltine crackers, how much fluid is consumed?

360 cc (1 ½ cup= 360 cc)

What is the portion size of a #8 scoop?

4 oz or ½ cup or 8 tablespoons

Dry storage areas should be:

50-70 degrees

the desirable temperature for a dry storage area is:

50-70 degrees

Energy needs increase during pregnancy. What is true regarding weight gain and kcal intake expectation for pregnancy?

500 kcal

The weight in pounds of a #10 can is closest to :

6

The RDA for folic acid during pregnancy is:

600 mg/day

If a recipe yields to a toal of 12 ½ quarts or 50 portions, what is the portion size? (1qt =32 oz).

8 oz

2.25 FTEs is equivalent to _____hours

90 hours

If the percentage of loss in preparation is 30% and the standard portion size is 5oz, cooked, approximately how may servable portions can be obtained from a raw piece of meat weighing 9 lbs? 1lb= 16 oz

9X16= 144oz 144ozX0.7= 100.8 100.8/5=20.16 servings

A protein diet in which corn is a principle food, this can result in pellagra due to:

A Niacin (b3) deficiency

Commissary food service:

A centralized production facility transports food to satellite service center.

Upper limit (UL) has been established for which of the following vitamins?

A,D,E,K, Vitamin C, Nicain,B6,Folate ALL OF THE ABOVE

Difference between Chron's and ulcerative colitis

A. Chron's causes vomiting and UC not b. Chron's affects the whole GI. c. UC only affects the colon.

What is an organizational chart?

A. Framework established by top management to describe the relationships of people. B.Shows employees where they fit in the organization

In what form do the metabolites of fatty acids (i.e break down products) feed into the Krebs cycle (TCA) cycle?

Acetyl CoA

What is the first product and End product of Beta-oxidation?

Acetyl CoA

When free fatty acids are broken down during metabolism, they enter the Krebs Cycle as:

Acetyl-CoA

The best way to determine recipe size changes is by:

Add ingredients in a different order, repeated testing, change serving size, ALL OF THE ABOVE

Which of the following are Omega 3 fatty acids?

Alpha linolenic acid, DHA, EPA(PUFA), All of the above

The metabolic result of defects in the urea cycle is an accumulation of:

Ammonia in blood

Which iron is recycled more often in the body?

Animal source (heme iron)

Most useful indicator of nutritional status when assessing CHF (Congestive Heart Failure):

Anthropometrics, Diet history, and edema

The most important key informant who can provide needs assessment information during program planning for nutrition education would be:

Ask the person who invited you

Which of the following FS requires food to be purchased in a highly-prepared form?

Assembly Serve

Income statements indicate the performance of a company:

At a point in time

what are the three most significant proteins found in egg whites?

Avidin, Ovalbumin, Ovotranferrin, All of the above

Renal (failure) insufficiency can be evaluated through:

BUN and Cr

Having no ileum will impair the absorption of:

Bile salts and vitamin B12

examples of moist heat are

Boiling, simmering, stewing and braising

When cooking meat such as boneless roast pork, internal temperature should be:

Braising at 150 degrees

What is the primary function of LDL?

Brings cholesterol from liver to cells.

Fruits and vegetables are most susceptible to:

C.Botulinum, Shigella bacteria, S. Aureus and All of the above.

What is a difference between cake and bread flour?

Cake flour has less gluten, weaker gluten, less protein

Throughout all age groups, most don't consume enough:

Calcium ... Folate?

Upper limit (UL) has been established for which of the following minerals?

Calcium, Copper, Iodine, Iron, Chloride, Molybdenum, Selenium ALL OF THE ABOVE

A Balance Sheets Report represents the financial condition of a company as of a particular date or at the end of an accounting period. Assets include:

Cash, Equipment, Inventory, ALL OF THE ABOVE b. EQUITY or accounts receivable

Which of the following pathogenic microorganisms would likely be associated with low acid canned foods?

Clostridium Botulism

What would be this research design? "A researcher would like to determine the cardiovascular disease development of all individuals currently living in Alaska."

Cohort study

The food service industry formally classified as "Commercial or Noncommercial" is now defined as:

Commercial and institutions

According to TQM, before making a department change:

Consider doing a pilot project. Evaluate it and improve it. Implement the improved pilot project. Make changes to the pilot project until it us stable and predictable. Then, institute the full process. ALL OF THE ABOVE.

The most important function of a standardized recipe is:

Consistency and cost control.... Quality and quantity

_____ is required for the absorption of hemoglobin with iron.

Copper

A change in ego when using confrontation technique?

Cross transaction

Portion control is essential for:

Customer satisfaction and cost.

Pyridoxine acts as a coenzyme in:

Deamination and transamination

What are the nutrition priorities for a patient post partial gastrectomy?

Decrease Fiber and increase Fluid

Metabolic acidosis (renal failure) can be caused by:

Decreased retention of Bicarbonate

Which of the following is a behavioral objective?

Definition of behavioral objective is a goal in therapy/ research that concerns an act or a specific behavior or pattern behavior.

When a dying patient is not following a diet, they are in:

Denial stage

MNT for CHF

Diet: low sat. fat, low Na, Low chol, and fluid restriction

What would be true if a significant length of the small intestine was not functioning properly?

Digestion and absorption would be affected

ESRD patients have:

Diminished erythropoietin production, Proteinuria and GFR<15, Decreased production of calcitriol, ALL OF THE ABOVE

November data: total revenue $909,009. Net income $173,010. number of customers 32, 613, the average check for November was:

Divide revenue sales in a meal by the number of customers served at that meal; Avg Check = $27.87

You have been assigned to analyze the nutrient content of the food consumed by the staff in the hospital cafeteria. The most accurate yield data source to assist you in assessing the nutritional composition is:

Estimate food cost, Prepare food buying guide, requisitions for supplier, ALL THE ABOVE

What is best practical way to measure energy balance?

Evaluate weight gain and weight loss

If you want answers regarding problems with food you should call:

FDA

The metabolism of iron in the body involves its absorption, transport, and storage. True or False: The levels of iron are regulated through urinary excretion.

False

True or False The Nutrition Care Process, due to its ability to capture those at nutrition risk, is utilized by other allied health members.

False

During the 3rd trimester of pregnancy, women rely on their supply of :

Fat

What is the function of bile during digestion?

Fat emulsification

Fat produces more calories than carbohydrate when oxidized because:

Fat has more carbon and hydrogen in relation to oxygen

What level of management is concerned with procedures, methods and day to day production?

First line management : Supervisory manager such as staff managers, crew leaders, store managers, forepersons.

What would be this research design? "A researcher would like to determine the common reasons why mother's are not enrolling their children in swimming lessons to prevent drowning."

Focus group

Which industry is considered a top retail employer?

Food Service

Which is most likely to cause the development of staphylococcal poisoning:

Food contaminated with bacteria that is left out too long at room temperature

Determinants of bacterial growth are:

Food, Acid, Temperature, Time, Oxygen and moisture, ALL OF THE ABOVE

Food borne illness, such as Salmonella, may result from improper handling of a variety of foods. Which foods are less likely to be included in this group:

Fruits and vegetables

What are some of the classic symptoms of preeclampsia?

Gaining more than 2lbs per week and headaches, N/V stomach pain and swelling of hands and face, vision problems, High fluid, HTN, Proteinuria All OF THE ABOVE

Brainstorm:

Generates alternate ideas

During fasting, which hormone is most responsible for initiating the process of glucose production by the liver

Glucagon

In the liver, the process by which glucose is made from a non-carbohydrate source is called:

Gluconeogenisis

The catabolism of glycogen to glucose is called

Glycogenolysis

System that developed in the early 70s to monitor risk of contamination in food service

HACCP

Health maintenance organizations are examples of which type of insurance plan?

HMO is a type of managed care organization that provides health care coverage (prepaid group)

which of the following woud a lacto ovo vegetarian not eat?

Halibut

The connective tissue elastin:

Hard yellow elastic connective tissue in meat that is unaffected by heat or moisture.

Compared to human milk, commercially prepared infant formula is:

Higher in protein and iron but lacks antibodies.

A 65 yo ambulatory man is recovering from surgery. His 57 yo wife is suffering from mild depression. What help do you suggest they seek:

Home delivery

Serum triglycerides are elevated in:

Hyperlipidemia, Uncontrolled DM, Alcoholic cirrhosis and pancreatitis, ALL OF THE ABOVE

When determining if a pregnant woman has iron deficiency anemia, one would look for

Hypocaloric and microcytic anemia, fatigue, paleness, SOB, Lowered immunity, impaired cognitive and learning ability in children, itching, reduced ability to regenerate body temp and pica, ALL THE ABOVE

A waist to hip ratio of 1.0 or greater in men and a 0.8 or greater in women is associated with

Increase Risk of CVD

The goal of SWOT analysis is to:

Increase Strength, decrease Weakness, increase Opportunity, and decrease Threat.

Mr. G is diagnosed as having hepatic cirrhosis without impending encephalopathy. The dietary regimen that will best fit his treatment is that of:

Increased protein, 30-35 % CHO, moderate fat, decreased fluid, low sodium

Nominal group technique

Increases structural technology, minimizes personal interaction to encourage activity and pressure.

A nutrition surveillance program is designed primarily to:

Indicates # of people at risk of medical conditions.

In receiving weekly deliveries, the supervisor checks the received goods against the original purchase order. This is an example of:

Invoice

Which nutrient is added for flour enrichment?

Iron

The hospital accreditation group known as The Joint Commission (formerly known as JCAHO):

Is a private non-profit organization and federal program that evaluates medical facilities compliance.

Which of the following lipoproteins (phospholipids) contains the highest percentage of cholesterol?

LDL

Which of the following is the least likely cause of difficulty in changing behavior?

Lack of nutrition knowledge

Which environmental contaminant competes with calcium, iron, and zinc and is a concern to children:

Lead

Which of the following weight gain puts pregnant women at risk?

Less than 4 lbs/ month in the last half of pregnancy

Principles for dry storage include:

Limited # of doors to maintain security, Opaque windows or none, good ventilation control, All of the above

The only organ that can oxidize alcohol for fuel to any great extent is the

Liver

Primary guide to determine the level of nutrition intervention for a terminally ill adult?

Living will

Why do geriatric patients develop dehydration?

Loss sense of thirst, polypharmacy, fear of incontinence, disease states. BOTH A and C

Food and Nutrition Assistant Programs such as the Food Stamps Program, School Lunch Program, and Older Americans Act Nutrition Program(formerly known as Elderly Nutrition Program) response to

Lunch, nutrition education, social service and transportation

The gravy of a frozen beef stew that was reheated in a cook-freeze food service system separates into unattractive lumps. What could have prevented this

Making it with modified starch

A true experimental design includes:

Manipulation, randomization, control

Vitamin A toxicity is more likely to occur from:

Megadosing, Peristant large supplemental doses, carrot consumption, Both A & B

Hydrogenation of oils is a process which:

More spreadable, increases melting point, more stable, ALL OF THE ABOVE

A client says I know 5.4, 90#. The client has:

Motivation heart attack/Anorexia

convention/convection heat is

Movement of liquid or vapor (fans circulate) or food can move as rotary.

Survey being done for obesity and decrease in growth:

NHANES

Which is considered the "gold standard" for the nutrient status of Americans?

NHANES

What is not a responsibility of OSHA?

NOT implement and develop safety regulation of a facility.

Habitual high salt intake may affect blood pressure in certain individuals. These individuals are referred to as:

Na sensative

What is the normal dietary treatment for babies with galactosemia?

No dairy. Formula soy casein hydrolysate.

What are the energy needs for the gestational period?

No extra calories needed in the first trimester, 340 kcal for the second trimester, 452 kcal for the third trimester, ALL of the above.

What is xerostomia, a disorder commonly seen in older adults?

No saliva production/ Dry mouth

The ethical principle that embodies the Hippocratic oath is:

Non Maleficence

Which population subgroup is most likely to have cultural tolerance to overweight and obesity?

NonWhite

_________ examine the health of a population at a particular point in time

Nutrition Survey

Kelly is a 25 yo secretary at a local law office. Her height is just under 5 feet (below average). Her BMI is 26. How would Kelly be classified?

Overweight

Carotenoid pigments are least affected by heat but are susceptible to:

Oxidation

If a catering manager needed to schedule a large project, he/she might use one of the following to improve the planning and control of the functions:

PERT _problem evaluation and review technique) (graphic representation depicting flow

Based on what we know about nutritional analysis, approximately how many calories (kcal) does the 1 cup portion of chocolate pudding below contain? Chocolate Pudding (1 cup) protein 8g fat 12g.

PRO 8X4= 32 + FAT 12X9= 108 + CARB 60X4= 240 = 380

Which enzymes are involved in protein digestion?

Pepsin, Tryptin, Chymotrypsin, Carboxypeptidase

Which amino acid is NOT synthesized in PKU due to a genetic alteration in enzyme activity?

Phenylalanine and Tyrosine

what causes an amino acid to be conditionally dispensable?

Physiological conditions and pathological states

The five management functions in order of implementation are:

Planning, organizing, directing, controlling, evaluating (staffing)

Blanching, marinating, peeling and breading are all examples of:

Pre-preparation

Which biochemical parameter is good for measuring nutritional status?

Prealbumin and TTR (transtheryn), BOTH A & B

The best way of preventing food borne illness is

Proper and frequent hand washing

Which of the following enzymes is involved in carbohydrate digestion?

Ptylin

What is the most satisfactory way to obtain quality when ordering a supply of canned goods large enough to last an institution for several months

Purchase from a reputable supplier, make sure cans are intact, cans that are dented, swollen or expired should be discarded, ALL of the above. b.Can Cutting samples and choose best

Which of the following publications would be the most useful to a community dietitian who is planning a chronic disease prevention education program?

RDA

Which of the following would best exemplify a proper recipe step in a recipe written with HACCP guidelines in mind?

Recipes that provide the final cooking temp and number of seconds that temp must be held. LOOK AT TEMPERATURE

A cholecystectomy involves

Removal of the gallbladder

Which of the following is caused by a vitamin D deficiency?

Rickets in infants and children and osteomalacia in adults.

A budget does not include:

Sales

Fruits and vegetables are least susceptible to which bacteria?

Salmonella, E.Coli, C.Perfringens, L.Monocytogenes, C.Jejuni and All of the above.

What are the steps for manual washing?

Scrape, pre-rinse, wash, rinse, sanitize, air dry

The difference between nutritional screening and nutritional assessment:

Screening uses Ht, Wt and BMI. Assessment/record determines nutritional risk.

The food service procedure most important to ensuring patient satisfaction is:

Serve hot food hot and cold food cold.

What is a cause of the decrease in gastric hydrochloric acid seen in older adults?

Slowed peristalsis, loss of digestive enzymes.

Where is lactose absorbed? (lactose helps increase calcium absorption).

Small intestine

Menu planning procedures suggest that the last item for which to plan should be:

Snacks

What would be an appropriate nutrition intervention for a patient with esophageal varices:

Soft Foods

The rationale for adding a small amount of vinegar to the water in which an egg will be poached:

Speed the coagulation of the albumin

Beta-carotene is:

Stable at high temperatures and absence of oxygen, Stable to acid, alkali and normal cooking temperatures. Destroyed by time.

Gelatinization is

Starch, heat, water, ALL OF THE ABOVE

A pt has taken a cathartic agent (drug for constipation/laxative) for years; stool soft and floats indicate:

Steatorrhea

When protein consumption is in excess of body needs and energy intake also exceeds body needs, the excess amino acids are metabolized and

Stored as fat

Nutrition surveillance, in contrast with a survey, implies:

Surveillance is to monitor the survey is to analyze details.

NHANES nutrient composition:

Survey method and non continuous

The following food product can be consumed to promote regrowth of the normal flora in the body after an antibiotic treatment:

Sweet acidophilus milk

Food quality is measured by:

Taste, color, flavor, physical aspects, ALL OF THE ABOVE

Study Hypothesis: infants who are given calcium supplements will have teeth that are more developed. What is the dependent variable

Teeth Development. Independent would be the calcium supplement.

What are theory X, Y & Z?

Theory X- corresponds closely to the classical management theory where managers exert direct control over their employees. Theory X assumes that work is inherently distasteful to most people and that workers are not ambitious, do not want responsibility, and have little creativity. Strict managers. b. Theory Y- parallels the human relations model that holds workers accept responsibility and are self-motivated. Theory Y assumes that work is natural and enjoyable, promote growth & development. Democratic c. Theory Z- empathizes planning, decision-making by general agreement, and loyalty between workers and employees.

Food stamp allotments are based oon:

Thrifty (low income) plan

The main reason for taking a weekly inventory is

To determine when and how much to order

Starting inventory= $6,000. Purchased= $8,000. Left over at the end of the month= $4,000. What is the amount of food used?

Total inventory= Starting inventory + Purchased... 6,000+ $8,000= $14,000 Food used= total inventory- final inventory... $14,000- $4,000= $10,000

True or False It is best practice to NOT use the medical diagnosis in the etiology of PES statement.

True

True or False Setting goals are part of the key strategy in all theories of health behavior change.

True

True or False The grading of meat is optional in the United States.

True

True or False The small intestine is the major site of absorption for most vitamins and minerals.

True

True or false ALL patients are assessed for nutritional risk within 24 hours of admission.

True

What are the enzymes secreted by the pancreas that act on protein?

Trypsin, ribonuclease, elastase, carboxypeptidase, and chymotrypsin

Excessive protein is then:

Turned into amino acids

The Federal Regulatory Agency that is responsible for assuring the safety of meat, poultry and eggs is the:

USDA

The agency responsible for the wholesomeness of meat is:

USDA

Which agency is responsible for the Farm Bill and SNAP program?

USDA

Which one is not related ......?

Urine collection

How can you decrease the cholesterol in a recipe?

Use skim milk, Use margarine, Use egg substitute, I II III

Depth method:

Used to obtain consesus on expert opinion

Synectic

Uses metaphorical thinking to make the familiar strange and strength the familiar.

Ms. S, 49 yo, has a high fasting serum triglyceride. Which serum lipoprotein would be elevated?

VLDL

Variable Cost

Vary with each unit activity. Changes in direct portion to the volume of sales.

What bacterium prefers to grow in a halophilic environment(salty), causes wound infection with increased incidence in the summer months:

Vibrio parahaemolyticus

What vitamins is important in bone health?

Vitamin A, D and K

Unless supplemented, a person with a total gastrectomy will eventually develop a deficiency of vitamin:

Vitamin B12

Elevated homocysteine levels can be due to ______, ______, and _______ deficiency

Vitamin B6, Vitamin B12, and Folic acid. (EXCEPT: NIACIN)

Which of the following organizations is primarily responsible for providing services to lower income women and children?

WIC

Which of the following federally funded nutrition programs has a required nutrition education program?

WIC and EFNEP (expanded food and Nutr ed program)

Counter transference occurs:

When the therapist transfers his feelings onto a client.

Questions that would focus on bonafide occupational qualifications?

Why did you leave your last job?

A patient that complains of Hypoguesia (lost taste sensation) is most likely to have deficiency in:

Zinc

When washing dishes mechanically, the final rinse must reach a temperature of at least_____ to assure proper sanitation.

a. 150- 165 degrees F (mechanical wash cycle) b. 165-180 degrees F (mechanical rinse cycle)

Which of the following pack sizes would be an appropriate purchase if you were buying ketchup bottles to put on individual tables at your facility?

a. 24-14 oz b. 14-24 oz

Which of the following is a closed question? a. Did you have breakfast? b. What did you have for breakfast? c. You drank orange juice at breakfast, is this correct? d. What types of breakfast foods do you normally eat?

a. Did you have breakfast?

Which of the following is a correctly written Nutrition Diagnosis? a. Inadequate oral intake RT swallowing difficulty AEB calorie count and 5% weight loss b. Inadequate oral intake RT CHF and CVD AEB pt report c. Swallowing difficulty RT Speech Therapy report AEB dx of CVA d. Inadequate po intake RT inability to cook and shop AEB pt report and weight loss of 4% over 3 months

a. Inadequate oral intake RT swallowing difficulty AEB calorie count and 5% weight loss

Which of the following is true about the HACCP?

a. It is a tool for safe food production

Which step provides the data that will lead to the selection of data for the M/E step? a. Nutrition Assessment b. Nutrition Intervention c. Nutrition Diagnosis d. Nutrition Assessment and Intervention

a. Nutrition Assessment

The etiology of the nutrition concern is documented in which step of the NCP? a. Nutrition Diagnosis b. Nutrition Assessment c. Nutrition Intervention d. Nutrition Monitoring and Evaluation

a. Nutrition Diagnosis

What is the difference between nutrition education and nutrition counseling?

a. Nutrition education- should be done first. General education on nutrition related to condition in question. b. Nutrition counseling- working with a RD to assess dietary needs and set goals to stimulate permanent behavior change.

Counseling stages:

a. Pre-contemplation Stage = clients have not accepted or personalized the health risks involved and do not recognize the need for change. b. Contemplation = believe they have a problem but are not sure where to start. They intend to start but are not committed to a specific date or action.

Which lipoprotein is commonly seen elevated in those with elevated triglycerides? a. VLDL b. LDL c. ILDL d. HDL

a. VLDL

Which is not true about informed consent?

a. You can ask questions, can get info on study, can leave at any time, ALL OF THE ABOVE

A patient that consistently restricts food and has physical symptoms of starvation has: a. anorexia nervosa b. bulemia c. anorexia d. eating disorder not otherwise specified

a. anorexia nervosa

Your patient is an 89 yo male who walks with a cane and lives alone. He shows signs of demenia and has trouble feeding himself. He has not experienced any weight loss and consumes adequate calories and protein despite his physical limitations. You are called to see this patient, what is your most important intervention? a. consult social worker b. consult with PT c. perform a 24 hour recall or usual intake history d. change the diet

a. consult social worker

THE NCP is considered to be: a. continuous b. linear c. random

a. continuous

In pts with neurological conditions, the first nutrition concern to address is: a. dysphagia b. cognition c. intake d. weight loss

a. dysphagia

All of the following affect intake in the older adult except: a. fluid status b. economics c. impairedd ADLs d. dentition

a. fluid status

A diet in which the infant cannot have dairy products would be the treatment for which metabolic condition? a. galactosemia b. glucosuria c. lactose intolerance or allergy d. PKU

a. galactosemia

Which of the following is not true? a. infants will begin solids at 4 months b. pregnant moms should gain about 2-4 pounds in the first trimester c. there are food plans available for low income households d. the federally funded program, SNAP, is designed to help mothers of lower income to obtain food

a. infants will begin solids at 4 months

Crohns disease is characterized by: a. inflammation throughout GI tract b. inflammation throughout rectum c. inflammation throughout ileum d. inflammation throughout colon

a. inflammation throughout GI tract

In which domain is the diagnosis "increased energy expenditure?" a. intake b. clinical c. Behavioral d. Environmental

a. intake

A patient/client with CHF must follow which of the follow diet recommendations? a. low Na b. low choleseterol c. low fat d. restrict soda

a. low Na

Which of the following has the most impact on total cholesterol? a. margarine b. eggs c. butter d. beef

a. margarine

You have a 60 y old female client, HT: 5' WT: 150#. She claims that she eats very well and tries to cut as much sugar out of her diet as possible because she is at risk for DM. She exercises once a week and claims she is taking weight loss supplements. What would be the first nutritional concern to address? a. nutrition education b. weight c. exercise habits d. supplementation

a. nutrition education

Vitamin B12 may develop in all of the following except: a. pancreatitis b. UC c. bariatric d. chronic antacid use

a. pancreatitis

Esophageal varices are as a result of: a. portal HTN b. esophagotomy c. gastrectomy d. dysphagia

a. portal HTN

A patient/client who has undergone a cholecystectomy would be advised to: a. reduce fat in the diet b. reduce cholesterol in the diet c. reduce sodium in the diet d. reduce roughage in the diet

a. reduce fat in the diet

Which of the following statements is NOT true? a. the immune system will always reject a foreign invader b. the immune system includes bone marrow cells c. the immune system includes GALT d. the mucous lining in our airway is part of our immune system

a. the immune system will always reject a foreign invader

Which of the following would expend the most energy? a. trauma patient b.teenage boy c. surgical patient post op day 1 d. AIDS patient

a. trauma patient

The best nutrition advice for GI patients is: a. try new foods one at a time b. low fiber/roughage foods c. eliminate caffeine/soda d. avoid spicy/citrus foods

a. try new foods one at a time

What kind of stool would you expect to see in an ileostomy and what is the recommended nutritional advice? a. watery, increase fiber and water b. formed, increase water c. watery, increase fiber d. formed, increase salt

a. watery, increase fiber and water

The most important nutrition intervention in the treatment of peptic ulcers is

a.Protein b. vitamin C and zinc c. bland diet

Budgeting is a process of planning, preparation, control, reporting, utilization, and related procedures. It does not include one of the following

accounting procedure

Carbohydrate, fat and protein are all converted into____________

acetyl coA

In response to change in health care delivery system, dietitians need to:

all of the above

Urea production means _______________ have been broken down

amino acids (AA)

If there is a urea cycle deficit, what would happen?

ammonia build up

A staph outbreak is likely from:

an open wound

Folate deficiency

anemia

A main function of Vitamin E in the body is to act as:

antioxidant

active listening involves ___________

attentive body language

What is the protein in raw egg whites that binds Biotin and affects its bioavailability?

avidin

The medical tx for ESRD is: a. diet modification b. HD c. epogen d. prescription calcium supplement

b. HD

A full anemia workup has been completed and patient/client has low Hg and Hct. It is likely that they have which type of anemia? a. megaloblastic anemia b. anemia of chronic disease c. pernicious anemia d. sickle cell anemia

b. anemia of chronic disease

The goal of the Nutrition Intervention is to specifically address the _________________ Which of the following is the BEST answer? a. sign and symptoms b. etiology c. problem d. assessment

b. etiology

In liver disease, jaundice is caused by: a. excess ammonia b. excess bilirubin c. reduction of protein metabolism d. low platelets

b. excess bilirubin

The most important nutritional concern for a patient/client with a colectomy is: a. K b. fluids c. Na d. fiber

b. fluids

Which of the following is true? a. mothers should gain 15 pounds in first trimester b. infants increase in length by 50% in first year c. the DRI for folic acid is 300 mcg for pregnant women d. babies can begin eating solid foods when they can make their hands and grasp for food

b. infants increase in length by 50% in first year

Which of the following snack foods has the least amount of sodium? a. reduced sodium soup b. mozzarella cheese c. Lean Cuisine vegetables d. frozen vegetables with light sauce

b. mozzarella cheese

All of the following are proteolytic enzymes secreted into small intestine during digestion except: a. trypsin b. secretin c. chymotrypsin d. chymotrypsinogen

b. secretin

Which of the following bacteria grow in a halophilic environment? a. staphylococcus aureus b. vibrio vulnificus c. listeria monocytogenes d. trichinella spiralis

b. vibrio vulnificus

Which person would have the highest basal metabolic rate?

babies

Kcal RDA means

balanced Kcal

If you are in a low phosphorous diet, what food should you most avoid?

beef

Vitamin B1 deficiency (thiamin)

beri beri

A quick treatment given to vegetables to inactivate enzyme, expel air, and eliminate some organic acids is called:

blanching

What cooking method is the most desirable for beef brisket?

braising

enzymes in pineapple are called

bromelin

Which labs, which reflect kidney status, are out of normal range with ESRD? a. Na, Cl b. Na, albumin c. BUN/Cr d. Na, BUN

c. BUN/Cr

In ESRD, the diet is modified in which of the following minerals to ensure proper cardiac function: a. P b. Na c. K d. Ca

c. K

Probiotics have been shown to be the most useful in which of the following: a. vomiting b. consipation c. abx induced diarrhea d. weight loss

c. abx induced diarrhea

All of the following are words associated with biotin except: a. avidin b. dermatitis c. antioxidant d. water soluble

c. antioxidant

Which of the following is recommended for a jejunal feeding? a. reduced fat formula b. bolus feeding schedule for tolerance c. hydrolyzed formula d. fiber containing formula for prevention of constipation

c. hydrolyzed formula

Malnutrition can be defined by: a. BMI 20 b. Not eating for 3 days c. weight loss over 10% d. diminished hand strength

c. weight loss over 10%

If an adolescent has an allergy to milk. Which of these foods will be the best source of calcium?

canned salmon and broccoli

Which would you give to a person who is mildly hypokalemic?

canteloupe

Which pigment does not change color in an acid or an alkaline solution?

carotene

What would be this research design? "What is the cause of this new rare infection from a staphylococcus strain?"

case control study

menu planning involves food to be purchased, staffing required, and necessary equipment. However, menu planning is least likely to include:

census

An 8 month old contracts botulism. What is the likely cause?

cereal and honey

Which mineral is involved in carbohydrate metabolism?

chromium and zinc

To prevent browning, add _______________-

citric acid

Which of the following retards browning of cut fruits:

citric acid

An organism associated with low acidity in the canning process is:

clostridium botulinum

Food was held at 70 degrees F for a long time in anaerobic conditions. Eight hours after eating it you became ill. What is the culprit?

clostridium perfringens

A fruit with elevated saturated fatty acid:

coconut

The primary function of B vitamins is/are:

coenzyme in metabolism

The individual participant is observing a positive behavior in order make a health change. This is which type of theory?

cognitive theory

During the planning phase management determines in advance what should happen. plans may be short-term or long-range. A strategic plan is:

conceptual

Which method of bread making is not as dependent on the length of time the dough sits to rise?

continuous method

The greatest benefit of using standardized recipes for a large facility is:

control food cost

Which of the following statements is true about basal metabolic rate?

correlated with lean body mass

Which of the following is not a Nutrition Diagnosis? a. Swallowing Difficulty b. Excessive Intake of CHO c. Predicted Breastfeeding Difficulty d. Diarrhea

d. Diarrhea

Which of the following patients/clients(s) may a potential thiamine deficiency? a. bariatric, alcoholic and IBD pt b. alcoholic and UC patient c. anorexic and UC patient d. bariatric and alcoholic patient

d. bariatric and alcoholic patient

Which of the following is the most likely reason for individuals to NOT adopt a new healthy eating behavior? a. lack of reliable information on the behavior b. lack of family support to change behavior c. lack of understanding the benefits of changing the behavior d. lack of motivation

d. lack of motivation

Which of the following accessory organs of the GI tract is responsible for digestion of carbohydrates? a. mouth b. small intestine c. liver d. pancreas

d. pancreas

Which of the following is the most important consideration for the Nutrition Intervention? a. that it be able to be accomplished during the hospital stay b. that the patient's family be a part of implementation of intervention c. that there are back up interventions documented in case one doesn't work d. that it be realistic and measurable

d. that it be realistic and measurable

Food & nutrition programs like food stamp, school lunch, are initiated in response to:

decrease US hunger

What is a major reason for constipation in the elderly?

decreased gastric motility

A serum sodium level of 150 mEq/L indicaes:

dehydration

lipids differ in degree of saturation or unsaturation due to their number of:

double bonds

pheophytin is a ___________________

dull color

Why is BMI a good indicator

easily calculated

If ground beef has a 80% yield, how many pounds of beef must be used in spaghetti sauce to ensure a 2 oz meat portion for 50 people?

edible portion/%yield= As purchased Amount 100/80 %= 125 oz 125/16oz in a pound = 7.819 pounds

Reflection involves ____________

empathy

What would be this research design? "What is the effect of nutrition education in 1000 women living in Florida?"

experimental study

During the third trimester fetal demand for energy increases causing mother to rely on ________for her own fuel.

fat

Ketones are associated with

fats

Biotin is considered a coenzyme in the synthesis of:

fatty acids

The federal Agency responsible for the safety of the food supply for foods other than meat, poultry and eggs is the:

fda

Food iron is in the _____form.

ferric (heme, non-heme)

Food iron is reduced in the stomach to the more absorbable ______ form.

ferrous

What contributes the most to the weight gain of a pregnant woman?

fluid and blood

A low income single parent has a 6-year-old and an 8-year-old child. She is having difficulty providing adequate meals for her family. For which federal program is this family eligible?

food stamps

carrageenan is a type of __________

gel

Vitamin B2 deficiency

glossitis

During fasting or starvation ____________ is released to __________ blood levels of glucose

glucagon, increase

What is considered the major fetal fuel during gestation?

glucose

Which of the following is a component of all three dietary disaccharides?

glucose

Glycolysis is the process in which __________.

glucose is broken down

Gluconeogenesis is the process in which ________.

glucose is produced

When a slice of bread is toasted the protein that forms is:

gluten

The first function of a Public Health Nutritionist should be

health promotion

The best drink to support exercise performance is:

high sodium with electrolytes

The definition of mortality rate is:

how many deaths occur in the given population count

In the manufacture of fats and oils, which one of the following processes alters the amount of "cis" and "trans" fatty acids in the final product?

hydrogenation

The process in which starch molecules break into fragments is called:

hydrolysis

Your patient has a jejunostomy. He begins to have diarrhea and dehydration. This may be due to:

hypertonic formula

In cross-cultural counseling, an emphasis on openness and intimacy is:

in some cultures not acceptable

What would you first advise a constipated patient to do?

increase fluid and fiber intake

If you have n ileostomy you should:

increase fluid and sodium

changes that commonly occur in the food patterns of immigrants include

increase of complex carbs

Protein requirements per unit of body weight are greatest in the:

infant

Which nutrient requirement is higher in females versus males:

iron

Which are the 2 trace minerals that vegetarians may have a higher need for?

iron and zinc

An Economic Order Quantity (EOQ) is:

is the order quantity that minimizes the total holding costs and ordering costs

A list of duties, working conditions and tools/equipment to perform a job is called:

job description

In periods of starvation, the brain uses which nutrients as an energy source?

ketone bodies

One of the most challenging cost to control in a food service operations is:

labor

You are planning to deliver a nutrition education seminar to adults. What would be the first planning action?

learn about the audience

Best approach to weight loss:

lifestyle change

_________ means talking to public officials and legislators to persuade them to consider the information you provide on an issue you believe is important.

lobbying

The most important function of a (STND) recipe is:

maintain production of a standard product

to prevent frozen gravy from separating when thawed____

make with modified starch

When bread browns during baking it is the result of what reaction?

malliard reaction

the primary control of any food service operation is the:

menu

Boiling, simmering, stewing and poaching are methods of:

moist cooking

The type of micro-organism that can exist at the lowest moisture level is:

mold

Glycogen is mostly stored in

muscle and liver

Vitamin A deficiency

night blindness

An 11 month old infant is at the 95th percentile weight for age and has been for the past 9 months. What should you do?

nothing hes fine

confronting involves __________

noting a discrepancy

The Older American Act (OAA) authorizes a broad array of community-based services. Which of the following is NOT relevant to the OAA?

nursing home services (only in-home/independent services offered)

The first step in the nutritional care process is to:

nutr assessment

What leads to the production of urea?

oxidation of amino acids

A high peroxide number is an indication of

oxidative rancidity

What hormone regulates calcium levels in the body?

parathyroid

Which snack has the least cholesterol?

pb and crackers

Niacin deficiency

pellagra

The olive green color of vegetables is the result of which substance?

pheophytin

patients with ESRD who present with elevated blood pressure and edema may need to restrict dietary ____________

potassium

Which of the following is NOT recognized as one of the needs in Maslow's Hierarchy of needs:

power

What information is less likely to be included in a recipe?

price

clarifying involves __________

probing

Which hormone is related to milk secretion during lactation?

prolactin

The accumulation of nitrogenous waste products in the blood of a patient with acute renal failure is directly affected by:

protein

mirroring involves __________

repetition

The first step in constructing a lesson plan is to:

research knowledge of class

A chronic COPD patient with CO2 retention would have which one of the following acid-balance imabalances?

respitory acidosis

Dietary treatment of cholecystitis includes:

restrict fat (low fat diet)

A high protein diet increases the need for______.

riboflavin

Milk provides about half of the _____ available to the U.S. population

riboflavin

Raw egg white have protein, avidin and :

riboflavin

Vitamin D deficiency

rickets

What cooking method is likely to result in a desirable end product using beef/ chuck roast?

roasting

Vitamin C deficiency

scurvy

A type evaluation used to measure the taste, texture, and flavor of prepared foods:

sensory

Informed consent is used in research studies primarily for which reason?

so that the participant can ask questions if needed

Food Product characteristics are defined in the:

specification

Four hours after dining in a restaurant you develop nausea, vomiting and diarrhea but no fever. The cause may be:

staphylococcus

Most food- borne illness in America is due to:

stapphylococcus

Carbohydrate is stored in plants as:

starch

Protein digestion begins in the:

stomach

Which ingredient should be adjusted in a recipe if cake has a crunchy crust and a compact moist texture?

sugar

_________ measure health status at one point in time and _________ measures health status in a continuous manner.

surveys, surveillances

Why do egg whites beat easier at room temperature?

there is lower surface tension

management philosophy where processes are refined with the goal of improving the performance of an organization is known as:

tqm

Within the first year of life infants

triple their weight 50% of height

What is the most important when creating a lesson plan?

understanding the needs and knowledge level of audience

When employees of an organization frequently have problems with economic needs, become dissatisfied with management policies, and generally feel like they are treated unfairly, they are most likely to:

unionize

Decision tree:

used in uncerain increased risk situations

n 3 sink facility, what is the process of mechanical cleaning?

wash, rinse, sanitize, air dry

Best fluid to consume when exercising:

water and diluted juice

the principle end products of cellular oxidation are:

water co2

Which of the following is the most useful for evaluating recent under or over nutrition?

weight for height

Which of the following would be the best measure of long-term undernutrition in children?

weight for height

What color do onions turn when cooked in an aluminum pan?

yellow

cognitive theory states that:

you learn by observing