ALL INMAN QUESTIONS*

Which government agency would you contact regarding food distribution? a. USDA b. FDA c. HHS d. FTC

A - USDA

What type of food would you feed to a patient who has the athetoid form of cerebral palsey? a. milk-based products b. finger foods like a hot dog in a roll c. milk-free products d. galactose-free foods

B - finger foods like a hot dog in a roll

The additive influence of foods are constituents which when eaten have a beneficial effect on health refers to: a. nutraceuticals b. food synergy c. positive corollaries d. medical foods

B - food synergy

The catecholamines released during stress cause: a. hypertension b. hyperglycemia c. diuresis d. elevated BUN

B - hyperglycemia

Research on the effects of a low sugar, low artificial flavor diet on hyperkinesis has shown that: a. it works in two out of three patients b. it has not been scientifically proven effective c. it has never been tested on humans d. it has been proven effective

B - it has not been scientifically proven effective

Following a Billroth II, steatorrhea often results. What is the likely cause? a. bacterial overgrowth in the remaining loop b. lack of pancreatic secretion due to less duodenal hormone secretion c. a diet restricting simple carbohydrates d. rapid absorption of simple carbohydrates

B - lack of pancreatic secretion due to less duodenal hormone secretion

A child is lethargic, irritable with diarrhea. The cause may be: a. zinc toxicity b. lead poisoning c. iron overload d. vitamin A toxicity

B - lead poisoning

Following a cholecystectomy, bile is produced by the: a. pancreas b. liver c. spleen d. portal vein

B - liver

The immobilized state can lead to low levels of: a. albumin and calcium b. albumin and sodium c. calcium and potassium d. potassium and zinc

A - albumin and calcium

How many calories are in 300ml of a 5% dextrose solution a. 51 b. 60 c. 15 d. 200

A - 51

A female, 5'7" tall, weighs 115 lbs. Six months ago she weighed 130 lbs. What is her percent of ideal body weight a. 85% b. 83% c. 81% d. 87%

A - 85%

Which patient has marasmus? Patient A - Male Serum albumin 3.5 Transferrin 275 Triceps skinfold 3 MAMC 15 TLC ----- Patient B - female Serum albumin 2.6 Transferrin 125 Triceps skinfold 16.8 MAMC 24.1 TLC 1000 Patient C - male Serum albumin 4.0 Transferrin 450 Triceps skinfold 17 MAMC 28.1 TLC 3500 a. A b. B c. C d. A, B

A - A

Which of the following should be included in the diet for celiac disease? I. decrease intake of eggs II. use potato and rice flour III. MVI vitamin B12 and iron IV. Low calorie, high fat, high protein a. II, III b. II, IV c. I, II, IV d. II, IV

A - II, III

The first function of the public health nutritionist is: a. assess the needs of the community b. counsel patients with special dietary needs c. write pamphlets for educational purpose d. expand the role of dietitians

A - assess the needs of the community

Gastric irritants include: a. black pepper, chili powder, caffeine, alcohol, cocoa b. seeds, nuts, chili powder, black pepper, alcohol c. caffeine, black pepper, nuts, alcohol d. orange juice, black pepper, chili powder, alcohol

A - black pepper, chili powder, caffeine, alcohol, cocoa

Which nutrient may be absorbed during peritoneal dialysis and continuous renal replacement therapy, thus requiring a modification of his diet? a. carbohydrate b. protein c. fat-soluble vitamins d. water-soluble vitamins

A - carbohydrate

Research suggests that in order to guard against cancer you should ingest: a. carotene and vitamin C b. vitamins C and B12 c. protein and vitamin A d. vitamins E and K

A - carotene and vitamin C

An acid ash would be created by ingesting: a. corn, cranberries b. milk c. vegetables d. fruits

A - corn, cranberries

Which is a quick diet assessment tool for a large group? a. food frequency lists b. diet history forms c. weighing food samples and recording intake d. food records

A - food frequency lists

A PEG feeding would be useful in a patient with: a. head or neck cancer, who will not be able to eat normally for weeks b. short bowel syndrome c. duodenal ulcers d. pancreatitis

A - head or neck cancer, who will not be able to eat normally for weeks

Nutritional therapy for hepatitis includes: a. high protein, high carbohydrate, moderate fat, high calories b. high protein, low carbohydrate, low fat, moderate calories c. low protein, high carbohydrate, low fat, high calories d. low protein, high carbohydrate, low fat, low calories

A - high protein, high carbohydrate, moderate fat, high calories

A patient with the nephrotic syndrome will likely exhibit: a. hypercholesterolemia, hypoalbuminemia, edema b. hypertension, hypocholesterolemia c. hypotension, azotemia d. malnutrition, hyperalbuminemia

A - hypercholesterolemia, hypoalbuminemia, edema

A patient is on a high protein, low carbohydrate diet. What advice should you offer? a. increase fluid intake b. decrease the intake of complex carbohydrates c. decrease fluid intake d. decrease the intake of saturated fats

A - increase fluid intake

An example of a positive nutrition care outcome is: a. increased intake of foods high in iron and vitamin C b. increase in the number of participants in a weight management class c. increase in physician referrals to the outpatient department d. decrease in the number of complaints regarding low sodium meals

A - increased intake of foods high in iron and vitamin C

Fiber, like that found in oats, beans and bran cereals, results in: a. increased water absorption from the intestine b. binding of bile acids c. decreased sodium excretion in the stool d. small, compact stools

A - increased water absorption from the intestine

A female who eats a wide variety of foods and take supplemental iron and birth control pills may be: a. marginally deficient in folic acid b. low in calcium c. low in vitamin A d. low in zinc

A - marginally deficient in folic acid

Which set of conditions is most commonly seen in American children? a. obesity, dental caries, anemia b. hypertension, dental caries, rickets c. hyperkinesis, anemia, dental caries

A - obesity, dental caries, anemia

Which is the least common symptom in the elderly? a. osteomalacia b. osteoporosis c. obesity d. hypertension

A - osteomalacia

Which of the following diets is appropriate for reactive hypoglycemia a. reduce intake of concentrated carbohydrates, 5-6 small meals b. increased complex carbohydrate, low fat, high protein c. decreased complex carbohydrate, low fat d. high protein, high fat, high carbohydrate

A - reduce intake of concentrated carbohydrates, 5-6 small meals

A single 19 year old female is 6 months pregnant. She has not gained any weight and has not seen a physician. Hemoglobin is 9. Hematocrit is 30. What is the most important recommendation for her? a. see a physician immediately b. apply for WIC immediately c. join a teenage pregnancy support group d. begin taking iron supplements

A - see a physician immediately

Which foods are most likely to cause an allergic reaction? a. shellfish, peanuts, wheat b. wheat, chocolate, rice c. citrus fruits, milk, corn d. chocolate, milk, corn

A - shellfish, peanuts, wheat

Chemically defined formulas are used for: a. short bowel syndrome b. post chemotherapy treatment c. hypermetabolism d. galactosemia

A - short bowel syndrome

Which is a part of the nutritional therapy for IDDM in a lean person? a. time meals b. decrease caloric intake c. it is not crucial to maintain consistency of calories if average intake is low

A - time meals

Muscle mass is determined using the: a. triceps skinfold and arm circumference b. skinfold caliper c. BEE d. urinary creatinine measurement

A - triceps skinfold and arm circumference

What is the diet for hypertension? a. low sodium b. low sodium, high potassium c. low sodium, high calcium d. low sodium, high potassium, high calcium

A -low sodium

Which of the following is not associated with anorexia nervosa? a. food aversions b. distorted body image c. schizophrenia d. constant concern about weight status

C - schizophrenia

According to the Diabetic Exchange Lists, when substituting 2% milk for fat-free milk, you must omit how many fat exchanges? a. 1/2 b. 1 c. 1 1/2 d. 2

B - 1

If a man normally consuming 2600 calories per day reduces his intake to 1500 calories per day, how much weight will he lost in one week a. 0.5 kg b. 1.0 kg c. 1.5 kg d. 2.0 kg

B - 1.0 kg

How many calories are in 1.5 liters of a 25% dextrose solution? a. 850 b. 1275 c. 1000 d. 1500

B - 1275

A 1500 calorie diabetic diet with 45% of the calories from carbohydrate is prescribed. One third of the carbohydrate grams is met with 1/2 cup orange juice, i cup milk, and: a. 1 slice toast b. 2 slices toast c. 2 slices toast and 1/2 cup oatmeal d. 1/2 slice toast

B - 2 slices toast

Closed enteral nutrition systems can hang for: a. 12 hours b. 24-48 hours c. 12-24 hours d. unlimited because the container is closed

B - 24-48 hours

How many grams of protein would you receive on a 1500 calorie diet which is 20% protein? a. 70 b. 75 c. 64 d. 300

B - 75

A patient with Crohn's disease needs the following diet: I. high fat, high calorie, high protein II. low fat only with steatorrhea, vitamin C, B12 III. calories according to current BMI, high protein IV. high residue, low fat, fat soluble vitamins V. low calorie, low residue, fat soluble vitamins, B12 a. I b. II, III c. III, IV d. V

B - II, III

An infant formula for lactose intolerance might include: I. whey, coconut oil II. casein hydrolysate, corn oil, glucose III. soy protein, corn syrup solids IV. sodium caseinate, hydrolyzed cornstarch a. I, II, III b. II, III c. II d. I, III

B - II, III

Symptoms of nephrosis include: a. dehydration, hypocholesterolemia b. albuminuria, hypercholesterolemia c. edema, hypochelesterolemia d. hypotension, hyperalbuminemia

B - albuminuria, hypercholesterolemia

A 6'2" male, large frame, 230lbs with type II diabetes should: a. gain 5lb to be at a desirable body weight b. lose 20lb slowly following balanced diet c. lose 20lb in 4 weeks on a 800 calorie diet d. lose 10lb slowly by following a balanced diet

B - lose 20lb slowly following balanced diet

Nutritional prescription for a patient with cardiac cachexia includes: a. <1 liter fluid, low sodium b. low sodium, low saturated fat, low cholesterol, high calorie c. restricted calorie, 0.8 protein/kg, fluid restriction d. normal protein, follow DASH

B - low sodium, low saturated fat, low cholesterol, high calorie

A fecal excretion of __grams of fat/24 hours is considered fat malabsorption a. less than 1 b. more than 7 c. 3-5 d. 2-4

B - more than 7

Esophageal varices may be caused by: a. portal hypotension b. portal hypertension c. a high fiber diet d. a high fiber, high residue diet

B - portal hypertension

The ketogenic diet is used to help treat: a. cystic fibrosis b. seizures c. chronic renal failure d. hypotension

B - seizures

Iron deficiency anemia has the following characteristics: a. large cells laden with hemoglobin, hypochromic, microcytic b. small, pale cells, hypochromic, microcytic c. large cells laden with hemoglobin, macrocytic, megaloblastic

B - small, pale cells, hypochromic, microcytic

A vegan is allergic to milk. Which nutrients would you expect might be deficient in her intake? a. protein, calories b. vitamin B12, D c. vitamin C, calcium d. vitamin A, D

B - vitamin B12, D

Hormones that control blood pressure and blood components are produced in: a. the heart b. the liver c. the kidneys d. the lungs

C - the kidneys

A nephrotic syndrome patient should receive how many grams of protein per KG? a. 0.5 - 0.6 b. 0.6 - 0.8 c. 0.8 - 1.0 d. 1.0 - 1.4

C - 0.8 - 1.0

An alcoholic patient has a low serum albumin, low hemoglobin, high ammonia, abnormal liver function tests and ascites. Why is he on a 500mg sodium diet? Which of the following should the patient in the above question have for lunch? a. 4 ounces cottage cheese b. 1 ounce cheddar cheese c. 1 ounce roast beef d. 1 ounce cold cuts

C - 1 ounce roast beef

A 60kg female receives 2700 calories on PN. The calorie to nitrogen ratio is 150:1. How many grams of nitrogen is she getting? a. 14 b. 16 c. 18 d. 20

C - 18

The elderly need how many ml per KG? a. 35 - 40 b. 45 c. 25 - 30 d. 25

C - 25 - 30

Who is most at risk for gestational diabetes? a. BMI <30 b. age <25, overweight c. BMI >30, history of GDM d. conception within 10 months of last pregnancy

C - BMI >30, history of GDM

Meats cured with whey won't be tolerated by someone with: I. lactose intolerance II. diabetes III. post-gastrectomy of 3 months IV. duodenectomy a. I, II, III b. II, III, IV c. I d. I, III, IV

C - I

A man with a peptic ulcer should consume a. milk every two hours b. a bland diet c. a balanced diet he can tolerate d. a low roughage diet

C - a balanced diet he can tolerate

Which is not a fiber in the diet? a. cellulose b. hemicellulose c. amylose d. pectin

C - amylose

Which of the following is a medium fat protein? a. peanut butter b. tuna fish packed in water c. corned beef d. chicken without skin

C - corned beef

What is a major reason for constipation in the elderly? a. a diet low in high residue foods b. a diet high in low reside foods c. decreased gastric motility d. lack of physical exercise

C - decreased gastric motility

Good advice for a patient with a hiatal hernia is to: a. increase intake of complex carbohydrates b. lower the fat content of the diet c. don't eat before bed d. avoid coffee

C - don't eat before bed

Which of the following is not a sign of marasmus? a. severe protein and calorie wasting b. weight loss c. edema d. low anthropometric measurements

C - edema

If a patient is about to be discharged when you receive the discharge diet order, you should... a. give him something to take home b. there is not enough time so forget it c. enroll him in the outpatient clinic and schedule an appointment d. teach him what you can in the time you have now

C - enroll him in the outpatient clinic and schedule an appointment

A patient suffering from bulimia may have all of the following symptoms except: a. a sore throat b. dental problems c. extreme weight loss d. rectal bleeding

C - extreme weight loss

The theory of obesity that refers to receptors in the hypothalamus is the: a. lipostatic theory b. set point theory c. glucostatic theory d. glucose-obese theory

C - glucostatic theory

Increased serum uric acid levels may lead to: a. galactosemia b. glycogen storage disease c. gout d. PKU

C - gout

The diet for hepatic coma is low in protein due to: a. low ammonia levels b. high cholesterol levels c. high ammonia levels d. high LDL

C - high ammonia levels

Compared to human milk, commercially prepared infant fomula is: a. similar in nutrient content b. equivalent to human milk in nutrient content and antibodies c. higher in protein and iron but lacks antibodies d. lower in protein and iron and lacks antibodies

C - higher in protein and iron but lacks antibodies

An elevated T4 indicates: a. galactosemia b. hypothyroidism c. hyperthyroidism d. ketonuria

C - hyperthyroidism

An alcoholic patient has a low serum albumin, low hemoglobin, high ammonia, abnormal liver function tests and ascites. Why is he on a 500mg sodium diet? a. secondary renal failure b. hypoaldosteronism c. hypoalbuminemia d. hyperammonemia

C - hypoalbuminemia

Before discontinuing a parenteral feeding, provide enteral support to prevent: a. development of fatty liver b. ketoacidosis c. hypogylcemia d. hepatic encephalopathy

C - hypogylcemia

A patient with hepatitis needs a high protein intake. Besides helping the liver to regenerate, what other purpose is served? a. it helps increase iron absorption b. it restores glycogen reserves c. it helps prevent a fatty liver d. it helps prevent necrosis of the liver

C - it helps prevent a fatty liver

Which is a measure of somatic protein? a. serum albumin b. serum transferrin c. mid-arm muscle circumference d. triceps skinfold

C - mid-arm muscle circumference

The diet for galactosemia should exclude: a. high fat foods b. high cholesterol foods c. organ meats, MSG d. simple carbohydrates

C - organ meats, MSG

What nutrients most affect the renal solute load? a. protein and carbohydrate b. sodium and carbohydrate c. protein and sodium d. sodium and fat

C - protein and sodium

Iatrogenic malnutrition is: a. vitamin and mineral malabsorption b. protein malabsorption c. protein, calorie malnutrition d. kwashiorkor

C - protein, calorie malnutrition

A patient with chronic pancreatitis should consume oral pancreatic enzymes: a. with large meals and fatty foods b. only if steatorrhea increases c. with all meals and snacks d. only if consuming a high fat, low protein diet

C - with all meals and snacks

What are the similarities between WIC and SNAP? I. regulated by USDA II. have at risk criteria III. have income criteria IV. a health exam is required a. I, II, III, IV b. I, II, III c. II, III, IV d. I, III

D - I, III

Which infant is at the greatest risk? a. 20lb, hemoglobin 10 b. 22lb, hemoglobin 10.5 c. 19lb, hemoglobin 11 d. 30lb, hemoglobin 9

D - 30lb, hemoglobin 9

The dumping syndrome: I. follows a gastrectomy II. is secondary to carbohydrate overload III. draws fluid into the intestine IV. needs a high carbohydrate diet a. I, III, IV b. II, III, IV c. I d. I, II, III

D - I, II, III

what is included in the study of demographics? I. age of individuals II. population statistics III. sex of individuals IV. socioeconomic factors a. I only b. all of the above c. II, III d. I, II, III

D - I, II, III

Which of the following may be the cause of loose stools in a tube fed patient? I. feeding was administered at too rapid a rate II. the osmolality of the feeding was too low III. the patient is constipated IV. an inadequate amount of intestinal surface area a. I b. I, II c. II, III d. I, IV

D - I, IV

the program that provides nutrition education training to teachers and food service personnel is the: a. TEFAP b. CACFP c. EFNEP d. NETP

D - NETP

Osteoporosis is most likely to occur in: a. the physically active adult b. a non-smoker c. a black female d. a white female

D - a white female

a. 20lb, hemoglobin 10 b. 22lb, hemoglobin 10.5 c. 19lb, hemoglobin 11 d. 30lb, hemoglobin 9 Which of the infants in the above question have a normal hemoglobin? a. a, b, d b. b, d c. c, d d. a, b, c

D - a, b, c

When assessing nutritional status, which would be the most beneficial? a. 24 hour recall, history of weight changes b. medical history, diet order, socioeconomic status c. clinical observation, weight status, cultural habits d. diet intake info, clinical data, laboratory data

D - diet intake info, clinical data, laboratory data

In cystic fibrosis, the most impaired nutrient is: a. protein b. disaccharides c. electrolytes d. fat

D - fat

Immediately following a severe burn, nutritional therapy should include: a. high calories b. high protein c. high calories, vitamins, minerals d. fluid and electrolyte replacement

D - fluid and electrolyte replacement

For which of the following diseases is diet therapy the primary treatment? a. peptic ulcer b. diabetes c. wilson's disease d. galactosemia

D - galactosemia

In community surveys, a frequent symptom of malnutrition is: a. scurvy b. rickets c. low serum albumin d. low hemoglobin

D - low hemoglobin

The NHANES study looks at which parameters? a. nutritional b. nutritional, biochemical c. nutritional, biochemical d. nutritional, clinical, biochemical

D - nutritional, clinical, biochemical

Which hormone moves milk through the mammary ducts? a. prolactin b. progesterone c. estrogen d. oxytocin

D - oxytocin

Which of the following best reflects protein status? a. serum albumin b. serum transferrin c. retinol-binding protein d. prealbumin

D - prealbumin

Which has the greatest effect on the renal solute load? a. potassium b. sodium c. glucose d. protein

D - protein

What is the appropriate advice for a person with anorexia nervosa? a. offer a wide variety of foods and frequent feedings b. offer liquids high in calories and protein c. offer nasogastric feedings d. regular mealtimes, and a varied moderate intake

D - regular mealtimes, and a varied moderate intake

Which anthropometric measurements are useful in assessing adults? a. triceps skinfold, head circumference, arm muscle circumference b. head circumference, arm muscle circumference, height, weight c. serum albumin, triceps skinfold d. triceps skinfold, arm muscle circumference, height, weight

D - triceps skinfold, arm muscle circumference, height, weight

Athletes should receive... a. salt pills only during the summer months b. extra protein c. carbohydrate loading two weeks prior to an event d. water during an event to replace lost fluids

D - water during an event to replace lost fluids