CDRE Nutrition Care Exam Questions With 100% Correct Answers

CDRE Nutrition Care Exam Questions With 100% Correct Answers What is cystic fibrosis? - answer- A genetic disorder - Mostly affects lungs, but can also affect pancreas, liver, kidneys, intestines - Symptoms as a result of frequent lung infections CF can cause a variety of nutrition issues, name some... - answer1. Increased energy needs 2. Fat malabsorption and steatorrhea 3. Reduced oral intake Why do those with CF experience steatorrhea or fat malabsorption? - answer- Thick excretions from the GI tract can cause the pancreatic ducts to be blocked causing a lesser excretion of Pancreatic enzymes that break down fat and to a lesser extent protein - May also have reduced bile secretion + lower GI motility - Can result in a deficiency of fat soluble vitamins How do those with CF reduce the risk of fat soluble vitamin deficiency and steatorrhea? - answerMost are taking pancreatic enzyme replacement therapy Why do those with CF have increased energy requirements? - answer- infections, inflammation, worsening lung function all contribute to higher resting energy expenditure Why would CF patients take less nutrition in by mouth? - answer-Infection related anorexia - increased mucus production, - Abdominal pain - GERD - Vomiting True or False: CF can cause diabetes? - answer-True, those with CF are at a high risk of developing CF related impaired glucose tolerance or diabetes - Those with CF should be screened annually for this How does CF related diabetes occur? - answer-The thick, mucus produced in CF may cause scarring of the pancreas causing it to produce less insulin then usual causing insulin deficiency - Pancreas still makes insulin but not enough - Body may also become insulin resistant especially if on steroids Nutritional management of CF should focus on __________ _________ intake along with possibly introducing nutrition ___________ - answerHigh kcal Supplements What strategy may be incorporated if someone with CF has a significant nutrition deficit? - answerEN or even TPN _______________ is a disease when plaque (fat, cholesterol, calcium and other substances) builds up inside the arteries - answeratherosclerosis Atherosclerosis is a form of what? - answerCoronary heart disease What is coronary heart disease? - answerA disease in which waxy plaque builds up inside the coronary arteries What is pancreatitis ? - answerWhen the pancreas becomes damaged, swollen and inflamed Name the two types of pancreatitis - answerAcute and chronic __________ __________ is when the symptoms come on suddenly. There is pain in the top part of your stomach and you may experience fever, nausea and other common symptoms - answerAcute If the acute pancreatitis attack is mild when should the symptoms usually subside? - answerWithin about a week If the acute pancreatitis attack is severe what may need to occur? - answerYou will need special nutrition feeding and medical care Chronic pancreatitis is when the pancreas has been __________ and ____________ for a long time and pain is felt in the top part of the stomach - answerSwollen and inflamed With chronic pancreatitis how long does the pain last and what can this lead to? - answerThe pain usually does not go away and over time it can increase the risk of developing diabetes and nutrient deficiencies Why does pancreatitis put people at risk for nutrient deficiencies and increase the risk for diabetes? - answer-Because the pancr