Multiple Choice Questions - Exit Exam

59. Following his burn injury it is estimated that as much as _____% of Bucks body protein will be lost within the first 2 weeks of recovery. A. 20% B. 15% C. 25% D. 10%

A. 20%

43. Which diabetes medication causes hypoglycemia? A. Biguanides B. Sulfonylureas C. Thiazolidinediones D. DPP-4 Inhibitors

B. Sulfonylureas

48. How many cups in a #10 can? (RS) A. 10 B. 11 C. 12 D. 13

D. 13

68. Marketing focuses on all of the following objectives except: A. Profit B. Future growth C. Customer wants D. Coordination of subsystems

D. Coordination of subsystems

54. True or false: fires release carbon monoxide gas (RS)

True

83. All of the following are the branched chain amino acids except: a. Tyrosine b. Leucine c. Isoleucine d. Valine

a. Tyrosine

13. The recipe standardization process typically starts with which phase? a. Verifying the recipe b. Evaluating the product c. Adjusting the quality

a. Verifying the recipe

4. At the beginning of the month inventory was valued at $100,000. During the month, $85,000 worth of purchases were made. At the end of the month, $90,000 of inventory remained. What was the cost of food for the month? a. $185,000 b. $95,000 c. $175,000 d. $85,000

b. $95,000

45. Which of the following lunch menus reflect proper menu planning principles? a. Steamed haddock, rice, roasted cauliflower, vanilla frozen yogurt with fresh pineapple b. Baked pork chop, sautéed broccoli, rice pilaf, vanilla frozen yogurt with strawberries c. Grilled chicken breast, mashed potatoes, steamed parsnips, lemon sorbet d. Meatballs, tiny whole potatoes, brussels sprouts, fresh bing cherries

b. Baked pork chop, sautéed broccoli, rice pilaf, vanilla frozen yogurt with strawberries

2. Which of the following criteria is not considered when selecting equipment for a kitchen? a. Durability b. Cost c. Size d. Capacity

b. Cost

5. During the month of May the cost of food was $100,000. The inventory at the beginning of the month was $95,000 and at the end of the month, inventory totaled $75,000. What is the inventory turnover for the month? a. 1.3 b. 1.1 c. 1.2 d. 1.5

c. 1.2

278. When a child's meal size is reduced or one or more of the household members does not eat regularly it is referred to as: A. Food security B. Food insecurity C. Low food security D. Very low food security

D. Very low food security

217. True or False: Deep fat frying is a moist heat cooking method.

False

75. Iron and Calcium based Phos binders can be taken at the same time. TRUE or FALSE

False

112. Glycogen storage disease: 60-70% of the diet should be comprised of complex CHO. What percent of total calories should be consumed at night? a. 0% b. 25% c. 33% d. 50%

c. 33%

121. How many mg of sodium can be in a product for it to be considered "very low sodium?" a. 50mg b. 5mg c. 35mg d. 15mg

c. 35mg

176. The accumulation of fluid within the body cavities and spaces between the organs such as the peritoneal, pericardial and thoracic cavities is known as ____________? a. Anascara b. Edema c. 3rdspacing d. extracellular fluid

c. 3rd spacing

92. Low blood glucose occurs when a person's blood glucose level is less than ___mg/dL. It should be treated with 15g CHO. Wait ___ minutes and check it again. If it is still low eat another 15g CHO and check it again in ___minutes. Once the blood glucose returns to normal, follow up with a meal or snack. a. 70, 10 b. 65, 15 c. 70, 15 d. 65, 10

c. 70, 15

116. Peter is a 5mth old boy who suffers from Phenylketonuria. Peter currently weighs 6.4kg and is 23" long. What are Peter's estimated needs? a. 960kcal 16g Pro b. 1280kcal, 26g Pro c. 768kcal, 19g Pro d. 640kcal, 10g Pro Pg. 769 Nelms

c. 768kcal, 19g Pro

182. HCl and IF are secreted in the stomach by a. Mucous cells b. Chief cells c. Pyloric cells d. Parietal cells

d. Parietal cells

200. During digestion the chief cells within the stomach secrete: a. Hydrochloric Acid and Intrinsic Factor b. Mucous c. Histamine, Somatostatin, Gastrin d. Pepsinogen and Gastric Lipase

d. Pepsinogen and Gastric Lipase

104. The process to calculate diet prescription for PROP is similar to what metabolic disorder? a. Maple syrup urine disease b. Carnitine Update defects c. Isovaleric aciduria d. Phenylketonuria

d. Phenylketonuria

111. What is the primary goal in managing GSD1? a. Consume adequate simple CHO b. Lowering triglyceride levels c. Maximizing protein intake d. Prevent hypoglycemia

d. Prevent hypoglycemia

194. The most bioavailable form of Zinc is in: a. Leafy greens b. Seeds c. Fresh fruits especially papaya d. Red meat

d. Red meat

41. What is the most important force in menu planning? a. The budget b. The food served c. The theme of the restaurant d. The customer's wants/needs

d. The customer's wants/needs

240. An employee becomes less involved at work and continues to be late. This employee is exhibiting what type of behavior? a. Substitution b. Compensation c. Revert or regress d. Withdrawal

d. Withdrawal

76. A GFR to classify Stage 5 CKD is a. ≥90 b. 60-89 c. 30-59 d. 15-29 e. <15

e. <15

139. Which of the following terms is not defined by US Food and Drug Administration (FDA) for use on a food label? A. Sugar free B. Reduced sugar C. Low sugar D. Unsweetened

C. Low sugar

137. If the cost to produce an entrée item is $3.50 and the target budgeted food cost is 40% what is the selling price of the entrée? A. $8.75 B. $3.40 C. $4.50 D. $4.40

A. $8.75

133. Stacy is 5'5" and weighs 160#. If she were to get pregnant how much weight should she gain during her pregnancy? A. 15-25 lbs B. 28-40 lbs C. 25-35 lbs D. 11-20 lbs

A. 15-25 lbs

128. The internal temperature of cooked ground hamburger must be at least A. 160* B. 165* C. 170* D. 145*

A. 160*

181. Which element is not added routinely to standard parenteral nutrition formulas? a. Iron b. Selenium c. Zinc d. Copper

a. Iron

135. Which of the following microorganisms is known as the "cafeteria bug" and results in symptoms of nausea vomiting, abdominal pain, and diarrhea within 8-18 hours after ingestion? A. Clostridium perfringes B. E coli C. Shigella D. Ciguatoxin

A. Clostridium perfringes

129. Which of the following is an intracellular electrolyte? A. K+ B. Cl- C. Na+ D. Ca++

A. K+

276. _______ is used to prevent withdrawal symptoms and may produce extreme constipation A. Methadone B. Oxycodone C. Morphine D. Fentanyl

A. Methadone

272. _______ malnutrition occurs when substances replace nutrients A. Primary B. Secondary

A. Primary

140. The premise of the economic order of quality (EOQ) is to achieve cost balance based on the following assumptions: A. ordering costs decrease at a greater rate as size of order increases and holding costs increase in direct relation to the size of the order. B. ordering costs increase at a greater rate as size of order increases, and holding costs increase in direct relation to the size of the order. C. ordering costs decrease at a greater rate as size of order decreases, and holding costs decrease in direct relation to the size of the order. D. ordering costs decrease at a greater rate as size of order decreases, and holding costs increase in direct relation to the size of the order. EOQ is a calculation used to determine ordering quantities based on the relationship between ordering costs and holding costs. Balance of costs is desirable. Therefore, when the cost of placing an order aligns with the cost of holding merchandise, EOQ is obtained.

A. ordering costs decrease at a greater rate as size of order increases and holding costs increase in direct relation to the size of the order.

130. An infant is born at 29 weeks gestation. If her actual age is now 7 months what is her adjusted or corrected age? A. 11 weeks B. 17 weeks C. 3 months D. 7 months

B. 17 weeks

126. What method of food service is used when one school delivers meals to another? A. Ready-prepared B. Commissary C. Assembly serve D. Cook-chill

B. Commissary

270. Drugs and alcohol increase ______ activity which boosts mood and relieves negative feelings A. Serotonin B. Dopamine C. Oxytocin D. Epinephrine

B. Dopamine

124. Clostridium botulinum is an example of a foodborne: A. Illness B. Intoxication C. Disease D. Infection

B. Intoxication

127. The generation of heat energy by wave action within an object is called: A. Conduction B. Radiation C. Induction D. Convection

B. Radiation

271. _______ malnutrition results from improper nutrient metabolism absorption, utilization, or excretion even though the diet may be adequate A. Primary B. Secondary

B. Secondary

279. Which type of medication is most commonly used by older adults? A. Cardiac B. Statins C. Anticoagulants D. Antidepressants

B. Statins

136. National Foodie Corporation purchases the Deluxe Dishwasher machine for $23 053.80. it has an estimated salvage value of $2,636 and a useful life of 9 years. What is the annual depreciation? A. $670.20 B. $20,417.80 C. $2,268.64 D. $4,539.80 Straight line depreciation is a method used to determine the estimated useful life of a fixed asset. Purchase cost - estimated salvage value = depreciable asset cost of $20,417.80. 1/9 year useful life = 11.11% depreciation rate per year 11.11% x $20,417.80 = $2,268.64 annual depreciation

C. $2,268.64

123. What does the "a" in the acronym FAT TOM stand for? A. Analyze B. Accountability C. Acidity D. Alert

C. Acidity

274. People who take in >30% of kcals from alcohol generally have significant deficiencies in ________ A. Iron folate, B12 B. Vitamin A, Vitamin C, iron C. B12, thiamine, B6 D. Vitamin C, vitamin A, thiamine

C. B12, thiamine, B6

275. Monitor _____ intake as it triggers the same reward centers of brain as substances and can impact anxiety and sleep A. Sugar B. Fat C. Caffeine D. Protein

C. Caffeine

141. A school foodservice has centralized procurement and production facilities with distribution of prepared menu items to several remote areas for final preparation and service. What name is given to this type of foodservice operation? A. Conventional B. Ready prepared C. Commissary D. Assembly/serve A commissary system is when food is all prepared in one location and transported to remote locations for service. Conventional foodservice is when all of the production and service is in the same facility.

C. Commissary

138. Which of the following controls employment of workers under age 16 years of age? A. Civil Rights Act of 1964 B. Landrum-Griffin Act C. Fair Labor Standards Act D. Norris-LaGuardia Act

C. Fair Labor Standards Act

125. What are the steps in a dishwashing process? A. Soaking scraping, prewashing, washing, sanitizing, air drying B. Scraping, soaking, washing, sanitizing, air drying C. Scraping, prewashing, washing, sanitizing, air drying D. Soaking, prewashing, scraping, washing, sanitizing, air drying

C. Scraping, prewashing, washing, sanitizing, air drying

277. ______ is a true positive and _____ is a true negative A. Specificity sensitivity B. Reliability, validity C. Sensitivity, specificity D. Validity, reliability

C. Sensitivity, specificity

273. When CHO are used by cells for energy during drug/alcohol detoxification _______ enters the brain, which is then converted to _______ A. Dopamine, Serotonin B. Serotonin, Tryptophan C. Tryptophan, Serotonin D. Tryptophan, Epinephrine

C. Tryptophan, Serotonin

132. Maggie's meal prep company wants to determine a selling price for their newest breakfast item protein buttermilk pancakes. Using the cost plus pricing method, how much should this item be sold for? Fixed costs = 23% Labor costs = 44% Profit costs = 15% Food costs = $1.87 A. $2.20 B. $3.40 C. $7.49 D. $10.38 Cost plus pricing is a pricing method that ensures a predetermined percentage of profit by establishing profit as a cost. 1. Add up all the percentage costs: 23% + 44% + 15% = 82% 2. Find the targeted food cost percentage: 100% - 82% = 18.0% 3. Determine the selling price of the item: $1.87 / 0.18 = %10.38

D. $10.38

134. Becky's BBQ Restaurant wants to determine the selling price for a beef brisket sandwich. The restaurant spent $133.05 on the recipe (yields 30 servings) and determined the percentage food cost will be 35%. Based on the available information what should be the selling price of the beef brisket sandwich? A. $1.55 B. $4.44 C. $7.21 D. $12.67

D. $12.67

131. Which of the following foods would you recommend to a celiac patient? A. Rye B. Bran C. Couscous D. Quinoa

D. Quinoa

195. True or False: Vitamin E is destroyed by oxidation when exposed to air light, heat, or metals. (light will inactive vitamin E serum - reason for dark container)

True

152. Put these steps of the decision making process in order ____Evaluate outcomes ____Evaluate alternatives ____Select the best alternative ____Recognize and define the problem ____Implement chosen alternative ____Identify alternatives

__6__Evaluate outcomes __3__Evaluate alternatives __4__Select the best alternative __1__Recognize and define the problem __5__Implement chosen alternative __2__Identify alternatives

153. Match the word with its definition ____ Rationalization ____ Substitution ____ Projection ____ Repression ____ Withdrawal ____ Revert or regress ____ Compensation ____ Aggression A. May be exhibited by apathy excessive absences, lateness or turnover B. When an individual directly attacks the source of frustration or another object or party C. When an individual puts something in the place of the original object D. When a person goes overboard in one area or activity to make up for deficiencies in another E. When an individual exhibits childlike behavior as a way of dealing with an unpleasant situation F. When an individual loses awareness of or forgets incidents that cause anxiety or frustration G. When an individual attributes his or her own feelings to someone else H. When an individual presents a reason that is less ego deflating or more socially acceptable than the true reason

__H__ Rationalization __C__ Substitution __G__ Projection __F__ Repression __A__ Withdrawal __E__ Revert or regress __D__ Compensation __B__ Aggression

160. A cooked 19 lb, bone-in turkey breast has a yield of 35.4%. The cost of the turkey breast is $1.19 per pound. What will be the cost of a 4 oz portion? a. $0.84 b. $0.42 c. $0.36 d. $8.40 $1.19 per lb/0.354 = $3.36 per pound $3.36 per pound/16 oz per lb = $0.21 per oz $0.21 per ounce x 4 = $0.84 $1.19 x 19lb = $22.61 for 19 lbs 19lb x .354 = 6.627lb that is edible $22.61/6.726 = $3.36/edible lb 3.36 x.25 (since 4oz is a quarter of a lb)= $0.84/4 oz

a. $0.84

142. Your Nutrition Department has 6.5 FTE Dietitians at $20/hr. How much salary is that per week? a. $5200 b. $3960 c. $4850 d. $6550

a. $5200

145. How many quarts of batter are needed to make 144 muffins using a #12 scoop? a. 12 b. 16 c. 22 d. 6

a. 12

120. You are trying to follow the DASH diet due to your recent diagnosis with HTN. Your doctor told you to look for foods that are "low sodium." How many mg of sodium can be in a product in order for it to be considered "low sodium?" a. 140mg b. 40mg c. 100mg d. 10mg

a. 140mg

221. At a long-term care facility what is the maximum amount of hours that can be between a substantial evening meal and breakfast the following day? a. 16 hours b. 12 hours c. 15 hours d. 14 hours e. There is no regulation Karlee

a. 16 hours

213. You are having a summer BBQ and are expecting 100 people. You need to make enough 4oz burgers for everyone. If the ground beef has an 85% yield how many pounds of beef should you buy? a. 30lb b. 25lb c. 29lb d. 28lb

a. 30lb

149. What is the food cost percentage if the cost of food is $325 and the income is $865? a. 38% b. 36% c. 34% d. 32%

a. 38%

203. You need to cover 280 hours worth of work in the next 5 days. The work schedule is a typical 9-5 Monday-Friday. How many FTEs does this require? a. 7 b. 5 c. 4 d. 8

a. 7

239. A written record of items ordered with quantities and specifications is: a. A purchase requisition b. A standing order c. An invoice d. A receiving order

a. A purchase requisition

236. What procedure is binding and cannot be changed? a. Arbitration b. Mediation c. An injunction d. Collective bargaining

a. Arbitration

235. The dietitian finds that the ice cream freezer is not working and everything inside has melted. She decides to throw it all out and substitute another item for dessert. She is demonstrating what type of leadership? a. Autocratic b. Bureaucratic c. Democratic d. Participatory

a. Autocratic

216. Stirring a sauce while it is cooking utilizes which form of heat transfer a. Convection b. Conduction c. Infrared waves - radiation d. Microwaves - radiation e. Induction

a. Convection

179. An abnormality in the neurotransmitter _____ is seen in patients with Parkinson's Disease. a. Dopamine b. Serotonin c. Norepinephrine d. Acetylcholine

a. Dopamine

110. What CHO compound/s have to be restricted in FDP deficiency? a. Galactose and lactose b. Fructose, sucrose, and sorbitol c. Maltose d. Xylitol, sucrose, and glucose

a. Galactose and lactose

201. During digestion the parietal cells within the stomach secrete: a. Hydrochloric Acid and Intrinsic Factor b. Mucous c. Histamine, Somatostatin, and Gastrin d. Pepsinogen and Gastric Lipase

a. Hydrochloric Acid and Intrinsic Factor

207. The main electrolytes in the ICF are: a. K phos, Mg b. Na, Cl, HCO3, Ca (ECF) c. K, Na, phos d. Na, Mg, phos

a. K phos, Mg

222. The _________ detects reduced oxygen carrying capacity in the blood and secretes the hormone erythropoietin which then stimulates erythrocyte production by the bone marrow. a. Kidney b. Adrenal gland c. Pancreas d. Pituitary gland

a. Kidney

265. Select the correct definition of infant mortality rate (IMR) a. Number of infant deaths in 1 year per 1000 live births b. Number of infant deaths in 1 year per 1000 births c. Number of infant deaths in 1 year per 100 live births d. Number of infant deaths in 1 year per 100 births

a. Number of infant deaths in 1 year per 1000 live births

211. Hypocaloric high-pro feeds meet 60-70% of est needs while providing at least 2g/kg/day of protein. Contraindications to hypocaloric, high-pro feeds include: unable to tolerate high pro intake, Class I or II obesity with good BG control and good oxygenation on ventilator, AND: a. Poor wound healing b. Uncontrolled hyperglycemia c. Poor respiratory fxn d. Critically ill & intubated B,c and d are indications

a. Poor wound healing

257. _____ refers to existing cases of a disease at a particular time. a. Prevalence b. Incidence

a. Prevalence

259. A cross sectional study is an example of a. Prevalence b. Incidence

a. Prevalence

196. A patient recently failed their FEES and the Speech Language Pathologist recommended that the patient be on the National Dysphagia Diet 1 with Honey-Thick Liquids. What kind of foods can the patient eat? a. Pureed - ex) mashed potatoes, pureed chicken, applesauce, pudding b. Mechanically Altered - ex) scrambled eggs, pancakes with syrup, ground beef c. Advanced - ex) soup, turkey sandwich, cookie with no nuts d. Normal diet - ex) apples, peanut butter, corn nuts, steak

a. Pureed - ex) mashed potatoes, pureed chicken, applesauce, pudding

228. pH 7.29-HC03 26-pCO2 49 a. Respiratory Acidosis b. Respiratory Alkalosis c. Metabolic Acidosis d. Metabolic Alkalosis

a. Respiratory Acidosis

241. A GFR of 33 indicates what stage of chronic kidney disease? a. Stage 3 b. Stage 4 c. Stage 5 or ESRD

a. Stage 3

102. Patient PP walks into the WSU Metabolic Disorders clinic and has a confirmed case of PKU. All of the following are MNT recommendations for PP EXCEPT: a. Supplementation of Phenylalanine Hydrogenase (PAH) enzyme @ 2-6mg/day b. Strict monitoring of blood phenylalanine within a range of 2-6mg/day c. Synthetic medical protein food that does not contain phenylalanine, the offending amino acid d. A diet consisting of high fruits and vegetables, and low grains

a. Supplementation of Phenylalanine Hydrogenase (PAH) enzyme @ 2-6mg/day

212. The patient you are seeing was recently diagnosed with breast cancer. Based off the TNM staging system the patient has a T2, N1, M0 breast cancer. What does this mean? a. The cancer is >2cm but <5cm, has only reached 1 lymph node, and has not metastasized. b. The cancer is <2cm, has not reached the lymph nodes, and has not metastasized. c. The cancer is >2cm but <5cm, has reached 1 lymph node, and has metastasized. d. The cancer is <2cm, has reached 1 lymph node, and has metastasized.

a. The cancer is >2cm but <5cm, has only reached 1 lymph node, and has not metastasized.

206. ___________ of total body water is in the ICF. a. Two-thirds b. One-third c. One-quarter d. One-half

a. Two-thirds

252. What organization is responsible for the School Lunch Program? a. USDA b. FDA c. School Districts d. Alliance for a Healthier Generation

a. USDA

227. MNT for cystic fibrosis may include: Choose ALL that apply. a. Weight management b. Digestive enzymes c. MVI w/ water soluble ADEK d. Increased Na intake

a. Weight management b. Digestive enzymes c. MVI w/ water soluble ADEK d. Increased Na intake

218. You are going to make 7 apple pies. In order to make the pies you need 12 pounds of apples. An apple has a 78% yield, once it is cored and peeled. If the actual purchase price for a pound of apples is $0.80, what is the EP price for apples? a. $12.32 b. $15.86 c. $9.60 d. $12.36 AP price / EP yield = EP price (pg 9) 12lb / 0.78 = 15.4lb $0.80 / 0.78 = 1.03 x 15.4 = $15.86 (should be $0.80 / 0.78 = 1.03 x 12 lbs)

b. $15.86

157. A recipe requires 1¾ cup quick-cooking tapioca. Tapioca is purchased in twelve 8-oz boxes in a case and costs $41.88 per case. Three cups of quick-cooking tapioca weighs 1 lb. What is the recipe cost for tapioca? a. $2.33 b. $4.07 c. $5.24 d. $6.98 One case of tapioca contains 12 boxes of 8 oz apiece for a total of 6 lb (12 x 0.5 lb = 6). To calculate the price per pound divide $41.88 by 6 lb to get $6.98 per lb. To get the price per cup, divide $6.98 by 3 to get $2.33 per cup. Finally, to get the price for 1¾ cups, multiply $2.33 per cup by 1.75 to get $4.07.

b. $4.07

249. The School Lunch Program requires how many serving of fruit & vegetables for those between 9th and 12th grade? a. 1.5 cups b. 1 cup c. ½ cup d. ¾ cup

b. 1 cup

250. Grades K-8th should get a minimum of how many ounces of meat and grains per day under the School Lunch Program? a. 0.5 oz b. 1 oz c. 1.5 oz d. 2 oz

b. 1 oz

209. Hyponatremia is defined as a serum sodium less than: a. 145 mEq/L b. 135 mEq/L c. 125 mEq/L d. 130 mEq/L Symptoms appear at 120-125mEq/L

b. 135 mEq/L

173. When cooking fish it should reach an internal temperature of: a. 135°F for 15 seconds. b. 145°F for 15 seconds. c. 155°F for 15 seconds. d. 165°F for 15 seconds.

b. 145°F for 15 seconds.

210. A person consumes 110g of Protein. How much Niacin did they intake? a. 60mg b. 18.3mg c. 1100mg d. 11g 60mg of tryptophan = 1mg of Niacin

b. 18.3mg

119. In the handwashing and warewashing portion of the kitchen how many lights would be required? a. 50 foot candles b. 20 foot candles c. 100 foot candles d. 75 foot candles Chapter 4, pg 80 Required lighting levels of at least 10 foot candles in storage areas 20 foot candles in handwashing and warewashing areas and self service areas 50 foot candles in preparing and food working areas

b. 20 foot candles

106. With a severe UCD what percentage of protein intake should be provided by essential amino acids? a. 10-25% b. 25-50% c. 40-60% d. 50-75%

b. 25-50%

246. When a patient has fat malabsorption there total fat intake should be reduced to ____ per day: a. 30-60g b. 25-50g c. 60-80g d. 45-75g

b. 25-50g

158. How many 3-lb cases of bulk potato chips are needed to feed 75 people 1½ oz each? a. 2 b. 3 c. 7 d. 8 To feed 75 people 1½ oz of potato chips purchase 112.5 oz. To convert 112.5 oz to pounds, divide 112.5 by 16 to get 7.03 lb. Three 3-lb cases of bulk potato chips will be needed.

b. 3

269. What is an appropriate kcal increase for pregnant patients in the 2ndtrimester? a. 300 additional kcals b. 340 additional kcals c. 450 additional kcals d. 452 additional kcals

b. 340 additional kcals

144. In a hospital with 300 patients it takes 14 minutes to prepare one meal. How many FTE's are needed per week? (Remember 3 meals per day) a. 12 b. 37 c. 46 d. 10

b. 37

248. For TBI patients swallowing function will typically return in ___ months if it was lost: a. 4 b. 6 c. 8 d. 2

b. 6

178. For a CVA patient to be a candidate for tissue plasminogen activator he/she needs to be transported to the hospital within what amount of time? a. 30 minutes b. 60 minutes c. 24 hours d. 6 hours

b. 60 minutes

171. If broccoli loses 21% to trim and cooking and you need to have 48 lbs of cooked broccoli, how much fresh broccoli should you buy? a. 58 lbs b. 61 lbs c. 69 lbs d. 77 lbs 100-21 = 79% 48 lb / 0.79 = 60.76

b. 61 lbs

237. A scale drawing of an area showing the path of a worker during process is: a. A flow diagram b. A process chart c. An operation chart d. A cross chart

b. A process chart

184. Studies indicate that >50% of patients with eating disorders have a past history of a. Obesity/family history of obesity b. Abuse/neglect c. Over exercising d. Dieting

b. Abuse/neglect

154. The best description of a laissez faire leadership style is the manager a. Makes most decisions b. Allows the group to make decisions c. Guides and encourages a group to make decisions d. None of the above

b. Allows the group to make decisions

199. A patient was recently put on a new antidepressant medication and has started complaining about dry mouth. What kind of medication was the patient most likely placed on? a. Statins b. Anticholinergics c. Thyroid Medication d. Antiplatelet

b. Anticholinergics

226. Chronic bronchitis and emphysema are two types of COPD. Patients with _________ are known for their cyanotic skin/nails while patients with ___________ are often known as "pink puffers" a. Emphysema-Chronic Bronchitis b. Chronic Bronchitis-Emphysema Cyan = blue (B) → Bronchitis

b. Chronic Bronchitis-Emphysema

148. What method of food service is used when one school delivers meals to another? a. Ready-prepared b. Commissary-satellite c. Assembly-serve d. Cook-chill

b. Commissary-satellite

170. Which of the following outlines the 4 parts of market segmentation a. Geographic, demographic, socioeconomic & cultural b. Demographic, geographic, psychographic, behavioristic c. Psychographic, political, socioeconomic, behavioristic d. Behavioristic, political, cultural, geographic

b. Demographic, geographic, psychographic, behavioristic

105. The most effective treatment of the acute hyperammonemic crisis that occurs in the newborn period is___________. a. Intravenous sodium benzoate and/or sodium phenylacetate b. Dialysis c. Intravenous citrulline and arginine d. Liver transplantation

b. Dialysis

188.. The BRAT diet is recommended for: a. Constipation b. Diarrhea c. Diverticulitis d. Abdominal pain

b. Diarrhea

261. What does the D in DETERMINE stand for? a. Death b. Disease c. Dementia d. Deficiency

b. Disease

193.. Vitamin B9 is also known as: a. Pantothenic acid b. Folate c. Pyridoxine d. Cobalamin

b. Folate

219. New school meal guidelines were established in 2010 which increased the daily servings of fruits and veggies specified weekly requirements for dark green, red/orange veggies, and legumes, increased required servings of grains, specifying that half must be whole, changed milk requirements to nonfat or 1% fat, and set targets for calories, sodium, and fat content. Which Act specified these guidelines? a. National School Lunch Act b. Healthy, Hunger-Free Kids Act c. Food Safety and Modernization Act d. Affordable Care Act

b. Healthy, Hunger-Free Kids Act

177. TJ is a 54yo F w/ history of heavy EtOH abuse (drinks at least 1 bottle of wine/day). She reports rarely eating food. Upon physical exam she presents with muscle weakness diminished deep tendon reflexes, shallow respirations and dysrythmia (EKG shows flat T waves, depressed ST segment). What is the most likely electrolyte imbalance causing TJ's signs/symptoms? a. Hypocalcemia b. Hypokalemia c. Hypervolemia d. Hypernatremia

b. Hypokalemia

258. ____ refers to new cases of a disease during a specified time. a. Prevalence b. Incidence

b. Incidence

260. A cohort study is an example of a. Prevalence b. Incidence

b. Incidence

113. What is the mechanism by which fever causes presentation or exacerbation of disorders of fat metabolism? a. Makes the patient more sleepy b. Increased catabolism leading to fatty acid release c. Dehydration due to excess sweating d. Decreased appetite

b. Increased catabolism leading to fatty acid release

77. Omega 3 fatty acid is known as a. Linoleic acid b. Linolenic acid

b. Linolenic acid

205. Which of the following is an example of a Healthy People 2020 goal? a. Decrease in saturated fat intake b. Maintenance of healthy body weight c. Increase in omega-3 consumption d. Increase in lean protein intake

b. Maintenance of healthy body weight

187. Malnutrition specifically related to calorie malnutrition (not protein malnutrition) is known as: a. Kawshikoir b. Marasmus

b. Marasmus

204. Which of the following regulations is false regarding the NSLP? a. No more than half of the fruit requirement may be met by 100% juice b. Must provide on average ¼ of the daily recommended levels for protein Ca, Fe, Vitamin A, and Vitamin C c. One vegetable serving is considered ¾ cup d. Must provide on average ⅓ of the daily recommended levels of protein, Ca, Fe, Vitamin A, and Vitamin C

b. Must provide on average ¼ of the daily recommended levels for protein Ca, Fe, Vitamin A, and Vitamin C

159. Which is the first document used in the purchasing process? a. Invoice b. Requisition c. Purchase order d. Inquisition

b. Requisition

256. Prevention done through early detection via early screening a. Primary b. Secondary c. Tertiary

b. Secondary

231. A foodservice employee bypassed for promotion may seek a leadership position in organizations outside the workplace. What type of behavior is this employee showing? a. Revert or regress b. Substitution c. Rationalization d. Compensation

b. Substitution

150. If you worked overtime and did not get paid which labor law would help your claim? a. The Equal Opportunity Act b. The Fair Labor Standards Act c. The Equal Pay Act d. The Civil Rights Act

b. The Fair Labor Standards Act

191. Berberi is caused by a deficiency in: a. Niacin b. Thiamin c. Riboflavin d. Pantothenic acid

b. Thiamin

103. Propionic Acidemia affects the metabolism of which amino acids? a. Valine b. Valine, isoleucine, methionine, and threonine c. Lysine & tryptophan d. Valine, isoleucine, methionine, and alanine

b. Valine, isoleucine, methionine, and threonine

192. Biotin is also known as: a. Vitamin B6 b. Vitamin B7 c. Vitamin B5 d. Vitamin B3 • B1 Thiamin. • B2 Riboflavin. • B3 Niacin. = tryptophan niacin, B6 (3 micronutrients can cause pellagra) • B5 Pantothenic Acid. • B6 Pyridoxine. • B7 Biotin. • B9 Folic Acid. • B12 Cobalamin.

b. Vitamin B7

185. What is needed to synthesize collagen during wound healing? a. Vitamin A b. Vitamin C c. Vitamin D d. Thiamine

b. Vitamin C

253. National programs allow snacks to have ___ kcals a. ≤150 kcals b. ≤200 kcals c. ≤300 kcals d. ≤350 kcals

b. ≤200 kcals

254. National programs allow meals to have ___ kcals. a. ≤300 kcals b. ≤350 kcals c. ≤400 kcals d. ≤450 kcals

b. ≤350 kcals

147. An 8 lb. roast beef cost $2.79/lb. The edible portion is 65%. What is the AP price of the roast? a. $21.19 b. $22.00 c. $22.32 d. $23.04

c. $22.32

251. Allotted maximum amount of sat. fat allowed with the School Lunch Program? a. <7% b. 7% c. 10% d. No limit

c. 10%

156. On Thursday the kitchen produced a total of 386 meals. That day, staff worked a combined total of 58 hours. What were the labor minutes per meal for that day? a. 0.15 b. 6.66 c. 9.02 d. 15.02 First convert the hours to minutes: 58 x 60 = 3,480 minutes. Then divide minutes by total number of meals to calculate the labor minutes per meal. 3,480/386 = 9.02 minutes per meal.

c. 9.02

238. If you were an employee and member of the union and were involved in initial labor dispute talks, you would be called: a. An arbitrator b. A mediator c. A shop steward d. A union agent

c. A shop steward

245. What is the recommended fiber intake for kids? a. 2 x their age b. Age +8 c. Age +5 d. 1.7 x age

c. Age +5

234. Which is an example of line authority? a. A part time consultant for WIC b. A consulting dietitian for an outpatient department c. An administrative Dietitian in a 600 bed hospital d. A consulting dietitian for a nursing home

c. An administrative Dietitian in a 600 bed hospital

189.. Which foods contain gluten? a. Rye barley, quinoa b. Malt, barley, oats c. Barley, malt, rye d. Rice, rye, malt

c. Barley, malt, rye

197. Methotrexate is a common medication provided for _______ and normally causes ________. a. Transplant patients- weight gain b. Depression- xerostomia c. Cancer-metallic taste change d. Dialysis patients-decreased PTH

c. Cancer-metallic taste change

220. Who establishes the guidelines for meals served at long-term care facilities? a. Food and Drug Administration (FDA) b. United States Department of Agriculture (USDA) c. Center for Medicare and Medicaid Services (CMS) d. US Department of Health and Human Services (DHHS)

c. Center for Medicare and Medicaid Services (CMS)

242. Indications for peripheral parenteral nutrition include all of the following except: a. Aggressive nutrition support is needed for less than 5 days b. Supplemental EN is the goal c. Central venous access is feasible d. A large volume of 3L with low osmolality and high fat is tolerated

c. Central venous access is feasible

264. What is step 3 in a community needs assessment a. Develop a data collection plan b. Set priorities c. Collect data d. Analyze and interpret data

c. Collect data

233. Work simplification studies: a. Look at the job as a whole b. Increase worker responsibility c. Decrease costs and increases productivity d. Increase worker interest in the job

c. Decrease costs and increases productivity

268. Which of the following does NOT occur in the anabolic stage (1st half) of pregnancy? a. Blood volume expansion increased CO b. Buildup of Fat, nutrient and liver glycogen stores c. Increased production and blood levels of glucose, triglycerides, and fatty acids d. Decreased exercise tolerance

c. Increased production and blood levels of glucose, triglycerides, and fatty acids

215. Broilers are an example of what form of heat transfer a. Convection b. Conduction c. Infrared waves - Radiation d. Microwaves - Radiation e. Induction

c. Infrared waves - Radiation

244. Patients with gastroparesis are likely to have decreased intake of which micronutrient? a. Folate b. Zinc c. Iron d. Vitamin B12

c. Iron

108. Vitamin-responsive metabolic disorders tend to be __________ than non-responsive disorders and usually ______ require restrictive diets. a. More common; do b. Less common; do c. Less common; do not d. More common; do not *non-responsive are more common

c. Less common; do not

230. pH 7.34-HCO3 30-pCO2 48 a. Respiratory Acidosis b. Respiratory Alkalosis c. Metabolic Acidosis d. Metabolic Alkalosis'

c. Metabolic Acidosis

224. This inborn error of metabolism is associated with microcytic anemia. a. Galactosemia b. MSUD c. PKU d. Glycogen storage disease

c. PKU

118. The hospital you were recently hired at won the Malcolm Bridge Award. The hospital was recognized due to their a. Cleanliness and safety b. Customer satisfaction c. Quality and Performance d. Organic and whole food based menu

c. Quality and Performance

262. Select the correct statement a. RR <1 the exposed group is at a greater risk of dying than the unexposed group b. RR >1 the exposed group has a smaller risk than the unexposed group c. RR > 1 the exposed group is at a greater risk of dying than the unexposed group d. RR = 1 there is an association

c. RR > 1 the exposed group is at a greater risk of dying than the unexposed group

202. Somatostatin plays what role within gastric digestion a. Signals the parietal cells to release hydrochloric acid b. Stimulates the parietal chief, and ECL cells c. Stimulatory mechanism to slow gastric secretions due to low pH d. Stimulates chief, parietal, and ECL cells to release histamine

c. Stimulatory mechanism to slow gastric secretions due to low pH

263. Select the correct definition for confounding bias a. The method by which patients or study subjects were selected for observation b. The method by which the observation or measurement was made c. The presence of another variable that accounts for the observation

c. The presence of another variable that accounts for the observation

109. Which vitamins should be supplemented in galactosemia? a. Vitamins C, D, and iron b. Vitamins C and E c. Vitamins A and D, and Ca d. Vitamins B6, B12, and folate

c. Vitamins A and D, and Ca

172. Freezing foods at _____ is the least damaging to the food's original flavor nutrient content, and texture compared to most other preservation methods. a. ≤10°F b. ≤32°F c. ≤0°F d. ≤20°

c. ≤0°F

174. What is the invoice cost to serve 85 lb of cooked sliced ham if whole, bone-in hams weigh 18 lb as purchased (AP), have an AP to edible portion waste percent of 44, and cost $1.83 per AP pound? a. $155.55 b. $223.99 c. $277.78 d. $296.46 18 lb x $1.83 = $32.94/ham 18 lb x 0.44 = 7.92 lb wasted 18 lbs - 7.92 lbs = 10.08 lbs edible portion 85 lbs / 10.08 = 8.5 hams = 9 hams 9 hams x $32.94/ham = $296.46

d. $296.46

151. What is the labor turnover rate if 6 employees in a department of 55 were terminated and replaced? a. 12% b. 10% c. 9% d. 11%

d. 11%

117. At the beginning of the month of June there was $130,000 worth of inventory. In order to meet production standards, you had to make $225,500 of food cost. At the end of June, there was only $95,000 worth of inventory remaining. What was the inventory turnover for the month of June? a. 2.4 b. 1.7 c. 1.0 d. 2.0 $130,000 + $95,000 = $225,000 $225,000 / 2 = 112.50 $225,000 / 112.50

d. 2.0

266. What is a healthy weight gain for a pregnant patient who has a prepregnancy BMI of <18.5? a. 11-20 lb b. 15-25 lb c. 25-35 lb d. 28-40 lb e. 35-50 lb

d. 28-40 lb

180. The classic ketogenic diet is typically initiated with what macronutrient ratios? a. 4 protein to 1 fat + carbohydrate b. 4 fat to 1 protein and 1 carbohydrate c. 4 fat + protein to 1 carbohydrate d. 4 fat to 1 protein + carbohydrate

d. 4 fat to 1 protein + carbohydrate

208. Mrs. Z weighs 178lb. Calculate her total body water in kilograms. a. 106 lb b. 48 kg c. 89 lb d. 40 kg Men = 60% Women = 50%

d. 40 kg

155. Four entrees are on next Friday's menu: BBQ ribs seafood platter, roast beef, and filet mignon. The number of each item sold the last time this menu was offered was 76, 118, 96, and 154, respectively, for a total of 444 entrees sold. For the past six Fridays, the following noon meal counts were recorded: 447, 423, 437, 444, and 429. For next Friday, how many portions of roast beef will be forecasted? a. 91 b. 98 c. 101 d. 95 Average # meals on Friday 96/444 = % popularity (percentage of roast beef served that friday) Popularity x avg # entrees served First add up the total entrees sold for the 6 weeks for which meal counts are available, and then divide by 6 to calculate the average. The average number of entrees sold each week is 437.3. Next, calculate the popularity index (sales of an item compared with total sales for the category) for roast beef, which is 96 divided by 444 entrees. The popularity index is 21.6%. To calculate how much roast beef should be forecasted for next Friday, multiply 0.216 by 437.3. The result is 95.

d. 95

122. How many mg of sodium can be in a product for it to be considered "sodium free?" a. 0mg b. <15mg c. <20mg d. <5mg

d. <5mg

114. What are the main MNT goals for disorders of fat metabolism? a. Prevention of fasting b. Limiting intake of fatty acids c. Providing alternate substrates for metabolism d. All of the above

d. All of the above

107. What is the main target of MNT for mitochondrial disorder? a. Target each tissue or organ system separately to minimize risk of mitochondrial disorder b. Use large dose vitamins to enhance the activity of respiratory chain complexes c. Minimize additional stress to the respiratory chain d. B and C e. All of the above

d. B and C

101. PKU: Infants and children's protein needs are calculated a. 25-30% above established protein DRI charts for age b. Based off child's own hunger cues and food preferences c. Based off weight and growth for age d. Based off weight and growth for age with protein needs calculated 25-30% higher than established DRI, with frequent blood work to monitor AA levels

d. Based off weight and growth for age with protein needs calculated 25-30% higher than established DRI, with frequent blood work to monitor AA levels

143. If a food service reconstitutes frozen food that is made on site what type of production system is it? a. Convenience b. Conventional c. Satellite d. Cook-freeze

d. Cook-freeze

186. Adult malnutrition impacts the immune system by everything BUT: a. Decreased thymus gland function b. Increased cytokines c. Decreased T cell count d. Decreased macrophage count

d. Decreased macrophage count

146. OSHA's responsibility does not include: a. Establishing minimum safety standards b. Inspecting facilities c. Examining records of occupational injuries d. Developing a better safety program for a facility

d. Developing a better safety program for a facility

232. What type of tool is used to show the causes of a specific event by grouping major categories to identify and classify factors that may be the cause of a problem? a. Failure Mode and Effects Analysis b. Pareto Analysis c. Benchmarking d. Fishbone Diagram (Cause & Effect)

d. Fishbone Diagram (Cause & Effect)

247. Most common nutrition diagnosis with HIV/AIDs is: a. Nutrient malabsorption b. Inadequate intake c. Protein calories malnutrition d. Inadequate nutrient utilization

d. Inadequate nutrient utilization

175. What are the 2 major fluid compartments and how is fluid divided between the 2 compartments? a. Interstitial fluid (2/3 TBW) and intravascular fluid (1/3 TBW) b. Intracellular fluid (1/3 TBW) and extracellular fluid (2/3) c. Interstitial fluid (1/3 TBW) and extracellular fluid (2/3 TBW) d. Intracellular fluid (2/3 TBW) and extracellular fluid (1/3 TBW)

d. Intracellular fluid (2/3 TBW) and extracellular fluid (1/3 TBW)

115. What are the affected amino acids with Maple Syrup Urine Disease? a. Leucine, Valine, Phenylalanine b. Tyrosine, Phenylalanine, Valine c. Leucine, Isoleucine, Methionine d. Leucine, Isoleucine, Valine

d. Leucine, Isoleucine, Valine

190.. What does NOT inhibit Copper absorption? a. High doses of Vitamin C b. Zinc Iron, Calcium c. Phytates and antacids d. Ligands and chelators (promote absorption)

d. Ligands and chelators (promote absorption)

229. pH 7.49-HCO3 21-pCO2 30 a. Respiratory Acidosis b. Respiratory Alkalosis c. Metabolic Acidosis d. Metabolic Alkalosis

d. Metabolic Alkalosis

198. While performing your NFPE you notice that the patient has a bright red, swollen tongue with fissuring and scaling at the corners of their mouth. Which micronutrients are the patient most likely deficient in? a. Vitamin C, Vitamin D, Calcium, Iron, Vitamin B12 b. Vitamin A, Vitamin E, Vitamin K, Vitamin D c. Zinc, Calcium, Iron, Vitamin C, Vitamin B6, Folate d. Niacin, Riboflavin, Pyridoxine, VItamin B12, Iron, Folate

d. Niacin, Riboflavin, Pyridoxine, VItamin B12, Iron, Folate

267. Which group of women tend to gain less than the recommended level of weigh during pregnancy? a. Adolescents b. Hispanics c. African Americans d. All the above e. A and C only f. B and C only

e. A and C only

223. The production development, & function of erythrocytes depends on environmental factors, such as lead poisoning, and nutritional factors, such as: a. Iron, Zinc, & Copper b. B vitamins & folate c. Vitamins A, K & E d. A & B only e. All of the above

e. All of the above

183. A patient with GERD has been taking omeprazole for the past 10 years. What nutrient deficiency is he/she at risk of developing? a. Vitamin B12 b. Iron c. Ca d. Protein e. All the above

e. All the above

214. Boiling grilling, and frying are examples of what form of heat transfer: a. Convection b. Induction c. Infrared waves d. Microwaves e. Conduction

e. Conduction

255. Medicare part A covers a. Hospital insurance b. Medical insurance c. Drugs and wellness d. Inpatient care e. Skilled nursing facility f. A D, E g. A and C

f. A D, E

225. Iron absorption can be impaired due to carrier overload when there is an excess of these minerals: a. Zinc b. Copper c. Calcium d. Manganese e. A B & C only f. All of the above

f. All of the above

52. At what temperature range should hot food be transported? (RS) A. 165-170*F B. >170*F C. >165*F D. 170-175*F

A. 165-170*F

56. What is the temperature danger zone? (RS) A. 41-135*F B. 32-135*F C. 41-155*F D. 32-155*F

A. 41-135*F

44. A person who has T2DM should consume __% of their total calories from carbohydrates? A. 45% B. 55% C. 50% D. 60%

A. 45%

46. One of the MNT goals for T2DM includes all but: A. A1c <8.5% B. Proper meal planning C. Delay onset of complications D. Achieve or maintain weight loss goals E. Blood pressure <140/80mmHg

A. A1c <8.5%

62. Differentiate between a foodborne intoxication and a foodborne illness. While a foodborne illness is caused by the ingestion of food containing live bacteria which grow & establish themselves in the human GI tract a foodborne intoxication: A. Involves the ingestion of toxins formed by bacteria on the food. B. Involves the ingestion of spoiled food containing mold spores. C. Involves the ingestion of spoilage of sugar-containing foods caused by yeast overgrowth. D. Involves the ingestion of polluted water.

A. Involves the ingestion of toxins formed by bacteria on the food.

47. What is the most common cause of accidents in foodservice operations? (RS) A. Over-exertion impact accident, falls B. Falls, improper handwashing, non-slip shoes C. Poor kitchen design, poor ventilation, falls D. Impact accidents, non-slip shoes, poor kitchen design

A. Over-exertion impact accident, falls

65. You purchase a 26- lb turkey at $0.54/lb. The raw purchase price is $14.04. After deboning and cooking the edible portion is 14.3 lbs. What is the yield? A. 18% B. 55% C. 98% D. 3.84% EP/AP = yield

B. 55%

67. The nutrition diagnostic label "involuntary weight loss" is categorized under which domain? A. Nutritional B. Clinical C. Behavioral- environmental D. Intake

B. Clinical

41. Policies are formed by which branch of the government? A. Judicial B. Executive C. Legislative Congress forms policies they are part of the executive branch

B. Executive

60. This phase of the stress response encompasses the classic signs and symptoms of metabolic stress: hypermetabolism catabolism, and altered immune and hormonal responses. A. Ebb B. Flow C. Resolution D. Recovery

B. Flow

58. In regards to a burn injury the ebb phase of metabolic stress is characterized by reduced perfusion to the tissues and: A. Hypermetabolism & hypercatabolism (Flow) B. Rapid fluid shifts and accumulation and, therefore excessive fluid loss from the wound. C. A return to anabolism and normal metabolic rate (Recovery/Resolution) D. Altered immune and hormonal responses (Flow)

B. Rapid fluid shifts and accumulation and, therefore excessive fluid loss from the wound.

49. The precursor to serotonin and niacin is what amino acid? (RS) A. Tyrosine B. Tryptophan C. Alanine D. Citrulline

B. Tryptophan

53. What can a class A fire extinguisher be used on? (RS) A. Electrical cords B. Wood paper C. Flammable liquids, gases D. All of the above

B. Wood paper

51. What temperature should cold food be held? (RS) A. 45*F B. <50*F C. <41*F D. 35*F

C. <41*F

69. Which nutrition diagnosis is most likely to be associated with a patient who has a distended belly and steatorrhea? A. Food- and knowledge- related deficit B. Impaired nutrient utilization C. Altered GI function D. Excessive CHO intake

C. Altered GI function

64. All of the following actions can prevent foodborne illness by safely handling food in the home except: A. Wash hands and surfaces often B. Cook chicken to 165 degrees F C. Chill leftovers within 3 hours and keep fridge at 45 degrees F D. Use a separate cutting board for raw chicken and raw vegetables

C. Chill leftovers within 3 hours and keep fridge at 45 degrees F

63. The FDA: I. Inspects meat poultry, fish, eggs II. Inspects factories III. Enforces the Food, Drug and Cosmetic Act IV. Monitors interstate shipping of shellfish A. I, II, III B. III, IV C. II, III, IV D. I, III

C. II, III, IV

42. In policy making a problem must be defined, then formulated, then adopted, then _______, evaluated, and terminated if needed. A. Reviewed B. Voted on C. Implemented D. Accepted

C. Implemented

40. Kussmaul respirations may result from: A. Respiratory Acidosis B. Respiratory Alkalosis C. Metabolic Acidosis D. Metabolic Alkalosis

C. Metabolic Acidosis

66. Which of the following program interventions is an example of tertiary prevention? A. Passing out condoms on a college campus B. Setting up a blood pressure machine at a grocery store C. Providing renal cookbooks at a dialysis clinic D. Free HIV screening

C. Providing renal cookbooks at a dialysis clinic

57. Following a warehouse fire Buck is admitted to the ER with severe burns covering a large portion of his body. Buck has burns to the posterior of both legs, the front of his right leg, his entire lower & upper back, the front & back of his right arm, and the back of his head/neck. Use the "Rule of Nines" to quickly estimate the total body surface area that has been burned. A. 63% B. 49.5% C. 41.5% D. 58

D. 58

45. When dosing total insulin requirements for T1DM or T2DM for new insulin patients how much total insulin should be given to a patient who weighs 280lbs? A. 40 units B. 50 units C. 60 units D. 70 units (Hint: to find total daily insulin requirement for starting dose if they are on both basal and meal time insulin, divide body weight by 4)

D. 70 units

61. The Federal Food Drug, and Cosmetic Act (FD&C Act), provides three mandatory standards: identity, quality, and fill. Standards of identity establish: A. What a given food is named and what the product contains. B. That certain ingredients must be present in a specific percentage before the standard name may be used (Ex. "mayonnaise" must contain 65% by weight of vegetable oil) C. Minimum regulatory standards for tenderness, color, and freedom from defects. (Quality) D. Both A & B

D. Both A & B

Turnover rate = Cost of food for month/average inventory for the month.

Desirable turnover is 2-4

55. What is the role of the foodservice manager to assure safety of food in regards to operational practices? (RS) A. Purchasing of safe food B. Producing safe food C. Serving safe food D. Training E. All of the above

E. All of the above

82. Trueof false: Insoluble fiber absorbs water making a larger softer stool and reduces transit time (speeds things up) Soluble fiber slows digestion, adds bulk to the stool (creating a gel)

True

11. What is the income eligibility requirement for the Medicaid Program? a. 133% above the poverty line b. 185% above the poverty line c. Anyone income below the poverty line d. 150% above the poverty line

a. 133% above the poverty line

87. What is the formula to determine number of ounces in a scoop? a. 32/scoop number b. Scoop number/32

a. 32/scoop number

36. Based on the Achievement-Power Affiliation Theory an employee who responds well to constructive feedback would have the highest degree of which need to be fulfilled? a. Achievement b. Affiliation c. Power

a. Achievement

42. What is the most common type of menu used in a hospital/school foodservice establishments? a. Cycle menus b. Static menus c. Single use menus d. A combo of cycle and static menus

a. Cycle menus

94. Biguanides such as metformin, help control Type 2 Diabetes by: a. Decreasing hepatic glucose production b. Helps insulin work better in the fat and muscle c. Controlling appetite d. Excreting excess glucose in the kidneys

a. Decreasing hepatic glucose production

80. Which stage of cancer is irreversible? a. Initiation stage b. Promotion stage c. Progression stage

a. Initiation stage

33. In regards to infant motor development: a. It develops from the top down (head first lower legs last), and from central to peripheral. b. It develops from the top down (head first, lower legs last), and from peripheral to central

a. It develops from the top down (head first lower legs last), and from central to peripheral.

3. A study that looks back in time to reconstruct exposures and the resulting health outcomes for a group of people free of the disease or condition being studied is termed a a. Retrospective cohort study b. Correlational study c. Prospective cohort study d. Prevalence study

a. Retrospective cohort study

86. Temperature _____ as pressure increases a. Rises b. Falls

a. Rises

89. Known as Regular Insulin taken 30 minutes before meals, and typically lasts 5-8 hours. a. Short acting insulin b. Fast acting insulin c. Long acting insulin d. Intermediate acting insulin

a. Short acting insulin

96. This forecasting method uses recorded patterns and trends to predict the number of people that will be served. (Ch. 6 pg. 152) a. Time series b. Causal c. Subjective

a. Time series

9. The Delphi technique is a systematic unanimous decision made by a. Food service management b. A panel of experts c. Kitchen staff d. All of the above

b. A panel of experts

88. When a person has Type 2 Diabetes which of the following does NOT happen? a. The pancreas has fewer beta cells b. An autoimmune response attacking the pancreas c. Beta cells stop working and produce less insulin d. Enough insulin is being made but, cells are insulin resistant

b. An autoimmune response attacking the pancreas

39. Which legislation category uses the Food Safety Modernization Act to ensure food is safe to eat as well as track foodborne illness rates? a. State Licensures Laws b. Bioterrorism and Food Safety c. Sustainable Food Systems and Public Health d. Functional Foods and Nutraceuticals in the Mainstream

b. Bioterrorism and Food Safety

31. A potential drawback of an unstructured interview is that: a. It is potentially difficult for the interviewer to plan the interview b. Comparison of answers across interviewees is difficult because questions asked may be quite different c. There is greater burden on the interviewer to ask appropriate questions d. It may be difficult to assess the interviewee's communication and interpersonal skills

b. Comparison of answers across interviewees is difficult because questions asked may be quite different

90. This insulin is taken right before meals and works quickly to control a rapid rise in blood glucose after meals. a. Short acting insulin b. Fast acting insulin c. Long acting insulin d. Intermediate acting insulin

b. Fast acting insulin

38. Trying to influence a political system talking to the public and political leaders to persuade them to consider information provided on problems that are believed to be important is known as: a. Building Coalition b. Lobbying c. Creating a political interest group d. An Interest Group

b. Lobbying

44. What drives kitchen layout staffing, and inventory? a. Food cost b. Menu c. Union contract d. Management style

b. Menu

47. Iron-deficiency anemia is (circle all that apply): a. Macrocytic b. Microcytic c. Hemolytic d. Hypochromic e. Megaloblastic

b. Microcytic d. Hypochromic

17. The Civil Rights Act of 1991: pg 361 a. Prohibits discrimination based on citizenship or nationality. b. Provides remedies for intentional discrimination and harassment expands protection for victims of discrimination, established Glass Ceiling Commission, broadens coverage to include government employees c. Broadens gender discrimination to include pregnancy, childbirth, or related medical conditions d. Forbids discrimination against employees between 40 and 70 years of age.

b. Provides remedies for intentional discrimination and harassment expands protection for victims of discrimination, established Glass Ceiling Commission, broadens coverage to include government employees

30. During an interview the interviewer asks the potential candidate, "If you heard another employee use a derogatory term toward a customer, what would you do?" What type of interview question is this an example of? a. Structured interview question b. Situational interview question c. Behavioral interview question d. None of the above

b. Situational interview question

7. Which quality management approach focuses on removing defects and their causes? a. Theory of constraints b. Six Sigma c. Quality assurance d. Quality function deployment

b. Six Sigma

14. Which theory involves a person's confidence (self-efficacy) and ability to perform behavior is the perception of probable outcome and influence the amount of effort they will invest? a. The Health Belief Model b. Social-Cognitive Theory c. Theory of Planned Behavior d. Cognitive-Behavioral Theory e. Transtheoretical Model

b. Social-Cognitive Theory

40. Which one involves the health care provider wanting to achieve the ability and availability to work within the cultural context of the patient? a. The Cultural Competence Continuum Model b. The Campinha-Bacote Cultural Competence Model c. The Cultural Knowledge Model d. The Cultural Awareness and Encounters Model

b. The Campinha-Bacote Cultural Competence Model

98. Which meal would a person with PKU eat? a. Half of a turkey sandwich and an apple b. A peanut butter and jelly sandwich with chips c. A cup of cereal and raspberries (low protein cereal) d. A grilled cheese sandwich with avocado

c. A cup of cereal and raspberries (low protein cereal)

79. Which medication decreases hepatic glucose production and increases insulin uptake in muscles? a. Alpha glucosidase inhibitors b. Sulfonylureas c. Biguanides (Metformin) d. Thiazolidinedione

c. Biguanides (Metformin)

100. A ______ refers to the effect of proteins that assist the non-covalent folding/unfolding and the assembly/disassembly of other structures to help to improve their normal biological functions. a. Cofactor b. Coenzyme c. Chaperoning effect d. Enzymatic block

c. Chaperoning effect

15. MNT for Respiratory Alkalosis includes: a. Don't overfeed the patient b. Monitor CHO intake c. Do nothing d. Ensure pt has adequate calorie and protein intake

c. Do nothing

16. Kussmal Respirations are a sign of: a. Respiratory acidosis b. Respiratory alkalosis c. Metabolic Acidosis d. Metabolic Alkalosis

c. Metabolic Acidosis

18. The Immigration Reform and Control Act: pg 361 a. Increased levels of immigrants especially for highly skilled professionals and executives. b. Places severe limitations on persons who remain in the U.S. longer than permitted by their visa and/or who violate their nonimmigrant status. c. Prohibits discrimination based on citizenship or nationality requires employers to verify employees are authorized to work in the U.S. d. Forbids discrimination on the basis of race color, religion, gender, or national origin.

c. Prohibits discrimination based on citizenship or nationality requires employers to verify employees are authorized to work in the U.S.

35. Which of the following is NOT true of Theory X managers.? a. Theory X relies on fear for motivating employees. b. Theory X managers maintain close surveillance of employees. c. Theory X allows employees to be self-directed and participate in management. d. Theory X is viewed as an autocratic management style.

c. Theory X allows employees to be self-directed and participate in management.

97. These managers are responsible for policy making for the organization as well as broad comprehensive planning involving goals and objectives. a. First line managers b. Middle managers c. Top managers

c. Top managers

84. This vitamin is synthesized by intestinal bacteria a. Vitamin A b. Vitamin B12 c. Vitamin K d. Vitamin E

c. Vitamin K

43. The diet office was excited about having their holiday luncheon at Dominic's a new Italian restaurant. The menu contained many interesting dishes. Unable to decide who should order which dish, they asked their server for some guidance and she replied, "Not to worry, all of the food will be served on platters for you all to share and pass around the table." The service style at Dominic's is a. Self-serve. b. French style. c. family style. d. American style.

c. family style.

10. What disher would be best used to serve 1/3 cup of steamed vegetables? a. #6 b. #8 c. #10 d. #12

d. #12

99. What is the maximum amount of time that an offending metabolic should be restricted during acute treatment if it is an essential nutrient? a. 10-25 hours b. 24 hours c. 24-48 hours d. 48 hours

d. 48 hours

93. Before meals blood glucose range for a person with diabetes should be ____mg/dL. Two hours after the start of the meal their blood glucose should be less than 180 mg/dL. a. 70-100 b. 80-125 c. 90-130 d. 80-130

d. 80-130

6. In order for a food product to be Certified Organic it must be _____% organic. a. 85% b. 98% c. 75% d. 95%

d. 95%

1. Which of the following injuries are most common in a foodservice environment? a. Strains and sprains b. Slips and falls c. Cuts and burns d. All of the above

d. All of the above

32. The 1935 Wagner Act formally called the National Labor Relations Act, has had the most significant impact on labor-management relation of any legislation. This act: a. Placed the protective power of the federal government behind employee efforts to organize and bargain collectively b. Created the National Labor Relations Board (NLRB) c. Established the right of a union to be the exclusive bargaining agent for all workers in a bargaining unit d. All of the above

d. All of the above

78. All of the following are the initial pathophysiological response in T2DM except: a. Insulin resistance b. Relative insulin deficiency c. Increased hepatic gluconeogenesis d. Decreased pancreas production of insulin

d. Decreased pancreas production of insulin

73. During a snowstorm the assistant cook (AC) can't get to work. The person working in the "floater" position is unable to take over all AC responsibilities but is somewhat confident and is willing to assist the head cook in preparing items on the daily production schedule. To be most effective, what would be the manager's approach? a. Provide specific instructions (ie, "do this") to the willing employee and closely supervise performance. b. Listen to the willing employee, share ideas, facilitate in decision making, encourage, and praise. c. Turn over responsibility for decisions and implementation to the willing employee and head cook. Provide occasional recognition. d. Define roles and tasks for the willing employee, provide opportunity for role clarification and questions, and give support.

d. Define roles and tasks for the willing employee, provide opportunity for role clarification and questions, and give support.

71. Which agency determines the safety of new pesticides and sets a tolerance level for all pesticides and their residue in food? a. Food Safety and Inspection Service (FSIS) b. US Department of Agriculture (USDA) c. Food and Drug Administration (FDA) d. Environmental Protection Agency (EPA)

d. Environmental Protection Agency (EPA)

95. SGLT2 Inhibitors help control Type 2 Diabetes by: (invokana Jardiance) a. Decreasing hepatic glucose production b. Helps insulin work better in the fat and muscle c. Controlling appetite d. Excreting excess glucose in the kidneys

d. Excreting excess glucose in the kidneys

46. The USDA does not fund this program: a. NSLP b. SNAP c. WIC d. Head Start

d. Head Start

91. Known as NPH insulin. It is taken 30 minutes before breakfast and dinner or at bedtime. It is effective for 16-24 hours. a. Short acting insulin b. Fast acting insulin c. Long acting insulin d. Intermediate acting insulin

d. Intermediate acting insulin

85. What is the role of vasopressin (ADH) on kidneys? a. Lowers blood pressure b. Increases water reabsorption from distal and collecting tubules c. All of the above d. None of the above

d. None of the above

37. In what order must needs be fulfilled according to the Need Hierarchy? a. Physiologic, Social, Esteem, Safety, Self-Actualization b. Self-Actualization, Esteem, Social, Safety, Physiologic c. Safety, Physiologic, Social, Esteem, Self-Actualization d. Physiological, Safety, Social, Esteem, Self-Actualization

d. Physiological, Safety, Social, Esteem, Self-Actualization

***12. Enrolled Medicare Medical Nutrition Therapy (MNT) providers are able to bill Medicare for MNT services provided to beneficiaries with a. CVD hypertension, cancer, and diabetes b. Alzheimer's/dementia, lymphoma, stroke c. Diabetes, ESRD on dialysis, cancer d. Type 1, type 2, and gestational diabetes, non-dialysis kidney disease and post-kidney transplants

d. Type 1, type 2, and gestational diabetes, non-dialysis kidney disease and post-kidney transplants

72. Which of the following agencies oversees voluntary inspection and grading of fish and fish products? a. Department of the Treasury b. Food and Drug Administration (FDA) c. US Department of Agriculture (USDA) d. US Department of Commerce (USDC) Inspection of fish and fish products which are not subject to mandatory grading, is overseen by the USDC's National Marine Fisheries Service (NMFS), which is part of the National Oceanic and Atmospheric Administration (NOAA). The NMFS will provide inspection of fish, fisheries, and seafood for a fee. The requirements for inspection of fish and seafood are set by the FDA but carried out by the NMFS. The FDA is responsible for all fish imports into the United States.

d. US Department of Commerce (USDC)

8. Which process improvement tool would you use to identify unnecessary activities in a complex procedure? a. Control chart b. Flowchart c. Cause and effect diagram d. Value stream map

d. Value stream map

34. These nutrients are commonly recommended for supplementation in infants: a. Vitamin D, Calcium, and Iron. b. Vitamin D, Vitamin C, and Iron. c. Vitamin D, Fluoride, and Calcium d. Vitamin D, Fluoride, and Iron.

d. Vitamin D, Fluoride, and Iron.

70. Customer and employee satisfaction are both a. functions of management. b. linking processes. c. environmental factors. d. outputs of the foodservice system.

d. outputs of the foodservice system.

74. What are the main causes of CKD? a. Uncontrolled diabetes b. Uncontrolled hypertension c. Uncontrolled heart disease d. All the above e. A and B only

e. A and B only

81. All of the following foods have phytochemicals that detoxify and remove potential carcinogens except: (Cancer lecture) a. Avocado b. Asparagus c. Spinach d. Okra e. All of the above have phytochemicals

e. All of the above have phytochemicals