Question

1- Chemotherapy may cause patients to experience GI problems because:

a.The chemotherapy drug increases blood flow to the tumor

b.The chemotherapy drug causes an allergic reaction

c.The chemotherapy drug affects rapidly-dividing epithelial cells

d.The chemotherapy drug is difficult to metabolize

2- The primary goal of medical nutrition therapy for cancer patients is:

a.To ensure adequate intake of fluids

b.To ensure adequate micronutrient intake

c.To prevent cachexia

D. To increase body weight

3- Which of the following nutrient recommendations for HIV is most accurate?

a.25-30 kcal/kg; 1.0-1.2 g/kg protein

b.30-35 kcal/kg; 1.2-1.5 g/kg protein

c.35-45 kcal/kg; 2.0-2.5 g/kg protein

d.35-40 kcal/kg; 1.5-2.0 g/kg protein

4- Cancer patients that have experienced severe protein depletion would benefit from _____ g/kg/day.

a.1.5-1.8

b.1.0-1.2

c.1.8-2.5

d.1.2-1.5

5-Individuals with head and neck cancer often experience ___________, which is due to their damaged or removed salivary glands.

a.Xerostomia

b.Dysphagia

c.Mucositis

d.Dysguesia

6- Patients with cancer cachexia may experience muscle wasting due to:

a. Hypocatabolism and/or increased protein synthesis

b.Blood loss and/or hemorrhaging

c.Anorexia and/or nausea

d.Hypercatabolism and/or decreased protein synthesis

7- The signs and symptoms of cancer cachexia include:

a.Weight loss, muscle wasting, and anorexia

b.Diarrhea, vomiting, and weight loss

c.Weight gain, hypermetabolism, and delayed digestion

d.Insomnia, headaches, and vomiting

8- The offending nutrient for individuals diagnosed with PKU is:

a.Arginine

b.Phenylalanine

c.Galactose

d.Fructose

9-Luke is a paraplegic who is admitted to the hospital with a stage II pressure ulcer on his coccyx. How much protein should he be receiving (per kg) of body weight?

a.1.5-2.0

b.1.2-1.5

c.>2.0

D.1.0-1.2

10- Which of the following interventions is appropriate for someone who has had a spinal cord injury?

a.1.5 liters of fluid daily

b.Estimated energy needs at least 20% higher

c.15 grams of fiber per day

d.Increased fat calories

11- Which of the following micronutrients is most likely to be deficient in a patient with HIV?

a.Vitamin C

b.Vitamin D

c.Thiamine

d.Zinc

12- Which of the following is a risk factor for gastric cancer?

a.H. pylori

b.Obesity

c.Genetics

d.Red and processed meats

13- HIV patients with a BMI less than 20, or a weight loss of 5%-10% are:

a.Should being on TPN

b.At a decreased risk of morbidity and mortality

c.At an increased risk of morbidity and mortality

d.Should receive only one ART drug at a time

14- What byproduct builds up in the liver for individuals with urea cycle disorders?

a.Fatty acids

b.Ammonia

c.Bilirubin

d.Glycogen

15-Assessment of cachexia, specifically decreased lean body mass, can be identified accurately by the use of:

a.CT Scan

b.Percent weight change calculations

c.Body Mass Index

d.Bioelectrical Impedance

16- Which of the following macronutrient ratios explains the 4:1 requirements of the Ketogenic diet?

a.4 grams of protein for every 1 gram of fat + carbohydrate

b.4 grams of fat for every 1 gram of protein + carbohydrate

c.4 grams of carbohydrate for every 1 gram of fat + protein

d.4 grams of fat + protein for every 1 gram of carbohydrate

17-After infants are screened for metabolic disorders, their test is sent to a laboratory where it is analyzed by:

a.Fusionography

b.Hematology

c.Tandem Mass Spectrometry

d.Metabolic Assay

18- HIV patients often develop HIV-associated lipodystrophy syndrome. Which of the following statements about this syndrome is true?

a.Fat deposits are most commonly found in the dorsocervial, breast, and abdominal areas

b.Subcutaneous fat increases in the peripheral limbs and facial areas

c.During lipodystrophy, lean body tissue is maintained.

d.We know the exact cause of lipodystrophy syndrome in HIV patients

19-Barrett’s esophagus is a risk factor for _____________ adenocarcinoma:

a.Lung

b.Colorectal

c.Gastro

d.Esophageal

20- Short answer: What is the purpose of the neutropenic diet for cancer patients receiving immunotherapy? Include at least three tips to give patients who are on this diet. (4 points)

21- Which of the following treatments is not used to manage metabolic disorders?

a.Removal of accumulated toxic metabolites

b.Management of blood glucose levels

c.Acid-base balance and hydration

d.Scavenger drugs

22- Which interdisciplinary team member might you identify during assessment as necessary for Guillain-Barré Syndrome?

a.Social Workers

b.Physical Therapist

c.Speech-Language Pathologist

d.Pharmacist

23- When determining ideal body weight for tetraplegic patients, you need to subtract _____ pounds from the ideal weight.

a.5-10

b.20-25

c.15-20

d.10-15

24- Patient’s with lymphoma should take a supplement of ___________ after completing treatment.

a.Zinc

b.Iron

c.Calcium

d.Folate

25- Phase 3 of the diet intervention for Graft v Host Disease includes:

a.Minimal lactose, low fiber, low acid, and no gastric irritants

b.TPN and minimal lactose, low fiber, low fat, and low acid foods introduced slowly

c.TPN and introduces isotonic liquids

d.TPN only

26- Phenytoin cannot be taken with meals because it hinders metabolism of:

a.Folate

b.Vitamin E

c.Niacin

d.Vitamin B12

27- Many patients with HIV experience physical changes and elevated blood lipid levels. This condition is referred to as:

a. AIDS Wasting

b. HIV-Associated Lipodystrophy Syndrome

c.Obesity

d.Cachexia

28- Many factors can delay an HIV patient from progressing to AIDS. All of the factors listed below can delay progression except:

a.Inadequate nutrition

b.Following doctor’s recommendations

c. Taking ART consistently

d.Your genetic background

29- Protein requirements for a stage III or IV pressure ulcer is:

a.1.5-2.0 g/kg

b.>2.5 g/kg

c.1.2-1.5 g/kg

d.1.0-1.2 g/kg

Answer 1

1) c)

2) c)

3) b)

4) a)

5) a)

6) d)

7) a)

8) b)

9) b)

10) c)

11) d)

12 a)

13) b)

14) b)

15 c)

16) b)

17) b)

18) a)

19) d)

20) Neutropenic diets typically limit the intake of fresh fruits, fresh vegetables, raw or undercooked meats and fish, and soft cheese made from unpasteurized milk.

Neutropenic diet to ensure immunotherapy effect is not decreased. Diet ensure minimal pathogen interaction of patien through diet so that efficacy of immunotherapy is not compromised.

Tips-

• Strictly follow neutropenic diet and should be complaint to it.
• Patient should live in possible aseptic condition to boost immunotherapy further.
• Clean drinking water or boiled drinking water.
• Boiled food to be eaten.

21) d)

22) b)

23) a)

24) d)

25) b)

26) a)

27) b)

28) a)

29) a)

THANKS FOR READING.

PLEASE DON'T FORGET TO GIVE GOOD RATING FOR MY EFFORTS, AS THESE WERE LOT OF QUESTIONS.

HAVE A NICE DAY.

DR. PRADY