NUTRITION CASE STUDIES ACTUAL
EXAM QUESTIONS AND CORRECT
ANSWERS GRADE A+
Case Study 1A: Reducing Disease Risk
Maria Gonzales is a 57-year-old operating room nurse who works full-time at a local hospital.
She is 65 inches tall and weighs 160 pounds. She has a family history of diabetes and heart
disease, and was recently diagnosed with high blood cholesterol. Maria has declined the
cholesterol-lowering medication that her doctor prescribed, explaining that she would like to
explore other methods for lowering her cholesterol first. After reading an article on the
Internet a few weeks ago, Maria has been taking a tablespoon of coconut oil every day in the
hopes that it will lower her cholesterol. She admits that she has little time or energy to
exercise. Her diet history reveals that she often skips breakfast or buys a bagel with cream
cheese and flavoured coffee on her way to work. While at work, she drinks at least one more
cup of coffee with cream and sugar before noon. Lunch is a salad wi - >>>Answer Case
Study 1A: Reducing Disease Risk
Maria Gonzales is a 57-year-old operating room nurse who works full-time at a local hospital.
She is 65 inches tall and weighs 160 pounds. She has a family history of diabetes and heart
disease, and was recently diagnosed with high blood cholesterol. Maria has declined the
cholesterol-lowering medication that her doctor prescribed, explaining that she would like to
explore other methods for lowering her cholesterol first. After reading an article on the
Internet a few weeks ago, Maria has been taking a tablespoon of coconut oil every day in the
hopes that it will lower her cholesterol. She admits that she has little time or energy to
exercise. Her diet history reveals that she often skips breakfast or buys a bagel with cream
cheese and flavoured coffee on her way to work. While at work, she drinks at least one more
cup of coffee with cream and sugar before noon. Lunch is a salad with crackers and iced tea
with sugar in the hospital cafeteria. When Maria arrives home, she occasionally drinks one or
two glasses of wine in the evening, especially after a stressful day. She lives alone and relies
on frozen dinners or other convenience foods for dinner. An analysis of her diet reveals an
average daily intake of 200 grams carbohydrate, 50 grams protein, and 80 grams of fat.
Consider Maria's typical evening meals and the factors that may influence her food habits.
Which factor is likely to have the biggest impact on her choices? - >>>Answer convenience
Which of Maria's food habits is most influenced by her emotions? - >>>Answer Drinking
wine in the evening
Which of Maria's habits involves the use of functional food? - >>>Answer Consuming
coconut oil
,Using Table 1-2 from the text, calculate Maria's average daily kcalorie intake from
carbohydrates, protein, and fat. Adding these figures together, what is her total daily caloric
intake? - >>>Answer 1720
What percentages of Maria's daily calories are provided by carbohydrates, protein, and fat? -
>>>Answer carbohydrates: 46%; protein: 12%; and fat: 42%
Compare the composition of Maria's diet with the Acceptable Macronutrient Distribution
Ranges (AMDR). How would you characterize her intake? - >>>Answer adequate
carbohydrate, adequate protein, and high fat
Maria explains that she learned about the effects of coconut oil on the Internet, while reading
an online article about a well-known movie star who claims it helped him lower his bad
cholesterol. What are these types of testimonials called? - >>>Answer anecdotes
Case Study 1B: Cultural Differences and Nutrition
Aviva lives in New York City and works as a software developer. She is 25 years old, 5′5″
tall, and, at 160 pounds, she is overweight. Aviva's fast-paced day typically starts at 6 a.m.
when she gets up for work. She is always in a rush in the mornings, and routinely grabs a
quick breakfast of an instant drink or a breakfast bar and a cup of coffee with cream as she
walks to the subway.
Aviva works long hours at her job and has a heavy workload that keeps her tied to her desk.
Around 1 p.m. every day, she takes a short break to grab lunch at the deli next door. She is in
the habit of getting the same sandwich every day, generally a prepackaged corned beef or
pastrami hoagie with the works: lettuce, tomato, onion, mayo, mustard, and melted cheese,
accompanied by a small bag of jalapeno potato chips. Aviva usually orders a 32-oz. cola, and
when she is feeling particular - >>>Answer Case Study 1B: Cultural Differences and
Nutrition
Aviva lives in New York City and works as a software developer. She is 25 years old, 5′5″
tall, and, at 160 pounds, she is overweight. Aviva's fast-paced day typically starts at 6 a.m.
when she gets up for work. She is always in a rush in the mornings, and routinely grabs a
quick breakfast of an instant drink or a breakfast bar and a cup of coffee with cream as she
walks to the subway.
Aviva works long hours at her job and has a heavy workload that keeps her tied to her desk.
Around 1 p.m. every day, she takes a short break to grab lunch at the deli next door. She is in
the habit of getting the same sandwich every day, generally a prepackaged corned beef or
pastrami hoagie with the works: lettuce, tomato, onion, mayo, mustard, and melted cheese,
accompanied by a small bag of jalapeno potato chips. Aviva usually orders a 32-oz. cola, and
when she is feeling particularly stressed by a difficult work situation, she picks up a triple
, chocolate chunk cookie to eat at her desk. Chocolate chip cookies are Aviva's favorite
comfort food and remind her of happy times on family movie nights.
By the time Aviva leaves work, it is usually 8:00 p.m. or later. She walks to the subway
station one block from her office and heads home. Once home, she frequently heats up her
favorite frozen dinner, barbequed chicken and garlic mashed potatoes with a side of creamed
corn. She finds the mashed potatoes to be comforting after a long and tense day at work.
Most of Aviva's meals are takeout food or frozen meals from the grocery store. She is
generally too tired to cook, and she likes the taste of convenient meals. Her freezer is always
full of frozen pizzas, large-portion heat-and-serve meals, and frozen burritos. Each evening
she enjoys an hour or two of television, and reads over some pap
Which scenario best illustrates the impact of ethnic and regional influences on food choices?
- >>>Answer Anna's lunchtime meal of soup, roasted meat, boiled cabbage and dumplings
Which scenario best illustrates the role of positive associations on food preferences? -
>>>Answer Aviva's chocolate chunk cookie with lunch
Assume Aviva's breakfast consists of 31 grams of carbohydrate, 11 grams of protein, and 8
grams of fat. What is her total kcalorie intake? - >>>Answer 240 kcal
Assume Anna's breakfast has 51 grams of carbohydrate, 21 grams of protein, and 14 grams of
fat. What is her total kcalorie intake? - >>>Answer 414 kcal
While waiting in line to pick up her lunch, Aviva reads a tabloid article describing how a
famous star lost weight quickly by avoiding high fat foods between sunset and sunrise, but
eating whatever she wanted during daylight hours. What concept does scenario best
illustrate? - >>>Answer anecdote
Consider the breakfasts of Aviva (31 grams of carbohydrate, 11 grams of protein, and 8 grams
of fat) and Anna (51 grams of carbohydrate, 21 grams of protein, and 14 grams of fat) once
more. According to the Acceptable Macronutrient Distribution Ranges, what can be said of
their intakes? - >>>Answer Both breakfasts are within the recommended range for fat.
Anna accompanies her mother to an appointment with a dietician, who indicates that her
mother will begin their session with anthropometrics. What will this include? - >>>Answer
height and weight
Case Study 2A: DASH on the Menu at a Quick-Serve Restaurant
Charles C. is a 65-year-old executive who is very overweight and has recently been
diagnosed with high blood pressure. He has just completed a class on the principles of the
DASH (Dietary Approaches to Stop Hypertension) diet and has set a goal to lower his intake
of fat and sodium and to increase his intake of calcium and potassium-rich foods. Mr. C. has
met a friend for lunch at his favorite restaurant that features pizza, salads, soups, and
sandwiches. - >>>Answer Case Study 2A: DASH on the Menu at a Quick-Serve Restaurant
EXAM QUESTIONS AND CORRECT
ANSWERS GRADE A+
Case Study 1A: Reducing Disease Risk
Maria Gonzales is a 57-year-old operating room nurse who works full-time at a local hospital.
She is 65 inches tall and weighs 160 pounds. She has a family history of diabetes and heart
disease, and was recently diagnosed with high blood cholesterol. Maria has declined the
cholesterol-lowering medication that her doctor prescribed, explaining that she would like to
explore other methods for lowering her cholesterol first. After reading an article on the
Internet a few weeks ago, Maria has been taking a tablespoon of coconut oil every day in the
hopes that it will lower her cholesterol. She admits that she has little time or energy to
exercise. Her diet history reveals that she often skips breakfast or buys a bagel with cream
cheese and flavoured coffee on her way to work. While at work, she drinks at least one more
cup of coffee with cream and sugar before noon. Lunch is a salad wi - >>>Answer Case
Study 1A: Reducing Disease Risk
Maria Gonzales is a 57-year-old operating room nurse who works full-time at a local hospital.
She is 65 inches tall and weighs 160 pounds. She has a family history of diabetes and heart
disease, and was recently diagnosed with high blood cholesterol. Maria has declined the
cholesterol-lowering medication that her doctor prescribed, explaining that she would like to
explore other methods for lowering her cholesterol first. After reading an article on the
Internet a few weeks ago, Maria has been taking a tablespoon of coconut oil every day in the
hopes that it will lower her cholesterol. She admits that she has little time or energy to
exercise. Her diet history reveals that she often skips breakfast or buys a bagel with cream
cheese and flavoured coffee on her way to work. While at work, she drinks at least one more
cup of coffee with cream and sugar before noon. Lunch is a salad with crackers and iced tea
with sugar in the hospital cafeteria. When Maria arrives home, she occasionally drinks one or
two glasses of wine in the evening, especially after a stressful day. She lives alone and relies
on frozen dinners or other convenience foods for dinner. An analysis of her diet reveals an
average daily intake of 200 grams carbohydrate, 50 grams protein, and 80 grams of fat.
Consider Maria's typical evening meals and the factors that may influence her food habits.
Which factor is likely to have the biggest impact on her choices? - >>>Answer convenience
Which of Maria's food habits is most influenced by her emotions? - >>>Answer Drinking
wine in the evening
Which of Maria's habits involves the use of functional food? - >>>Answer Consuming
coconut oil
,Using Table 1-2 from the text, calculate Maria's average daily kcalorie intake from
carbohydrates, protein, and fat. Adding these figures together, what is her total daily caloric
intake? - >>>Answer 1720
What percentages of Maria's daily calories are provided by carbohydrates, protein, and fat? -
>>>Answer carbohydrates: 46%; protein: 12%; and fat: 42%
Compare the composition of Maria's diet with the Acceptable Macronutrient Distribution
Ranges (AMDR). How would you characterize her intake? - >>>Answer adequate
carbohydrate, adequate protein, and high fat
Maria explains that she learned about the effects of coconut oil on the Internet, while reading
an online article about a well-known movie star who claims it helped him lower his bad
cholesterol. What are these types of testimonials called? - >>>Answer anecdotes
Case Study 1B: Cultural Differences and Nutrition
Aviva lives in New York City and works as a software developer. She is 25 years old, 5′5″
tall, and, at 160 pounds, she is overweight. Aviva's fast-paced day typically starts at 6 a.m.
when she gets up for work. She is always in a rush in the mornings, and routinely grabs a
quick breakfast of an instant drink or a breakfast bar and a cup of coffee with cream as she
walks to the subway.
Aviva works long hours at her job and has a heavy workload that keeps her tied to her desk.
Around 1 p.m. every day, she takes a short break to grab lunch at the deli next door. She is in
the habit of getting the same sandwich every day, generally a prepackaged corned beef or
pastrami hoagie with the works: lettuce, tomato, onion, mayo, mustard, and melted cheese,
accompanied by a small bag of jalapeno potato chips. Aviva usually orders a 32-oz. cola, and
when she is feeling particular - >>>Answer Case Study 1B: Cultural Differences and
Nutrition
Aviva lives in New York City and works as a software developer. She is 25 years old, 5′5″
tall, and, at 160 pounds, she is overweight. Aviva's fast-paced day typically starts at 6 a.m.
when she gets up for work. She is always in a rush in the mornings, and routinely grabs a
quick breakfast of an instant drink or a breakfast bar and a cup of coffee with cream as she
walks to the subway.
Aviva works long hours at her job and has a heavy workload that keeps her tied to her desk.
Around 1 p.m. every day, she takes a short break to grab lunch at the deli next door. She is in
the habit of getting the same sandwich every day, generally a prepackaged corned beef or
pastrami hoagie with the works: lettuce, tomato, onion, mayo, mustard, and melted cheese,
accompanied by a small bag of jalapeno potato chips. Aviva usually orders a 32-oz. cola, and
when she is feeling particularly stressed by a difficult work situation, she picks up a triple
, chocolate chunk cookie to eat at her desk. Chocolate chip cookies are Aviva's favorite
comfort food and remind her of happy times on family movie nights.
By the time Aviva leaves work, it is usually 8:00 p.m. or later. She walks to the subway
station one block from her office and heads home. Once home, she frequently heats up her
favorite frozen dinner, barbequed chicken and garlic mashed potatoes with a side of creamed
corn. She finds the mashed potatoes to be comforting after a long and tense day at work.
Most of Aviva's meals are takeout food or frozen meals from the grocery store. She is
generally too tired to cook, and she likes the taste of convenient meals. Her freezer is always
full of frozen pizzas, large-portion heat-and-serve meals, and frozen burritos. Each evening
she enjoys an hour or two of television, and reads over some pap
Which scenario best illustrates the impact of ethnic and regional influences on food choices?
- >>>Answer Anna's lunchtime meal of soup, roasted meat, boiled cabbage and dumplings
Which scenario best illustrates the role of positive associations on food preferences? -
>>>Answer Aviva's chocolate chunk cookie with lunch
Assume Aviva's breakfast consists of 31 grams of carbohydrate, 11 grams of protein, and 8
grams of fat. What is her total kcalorie intake? - >>>Answer 240 kcal
Assume Anna's breakfast has 51 grams of carbohydrate, 21 grams of protein, and 14 grams of
fat. What is her total kcalorie intake? - >>>Answer 414 kcal
While waiting in line to pick up her lunch, Aviva reads a tabloid article describing how a
famous star lost weight quickly by avoiding high fat foods between sunset and sunrise, but
eating whatever she wanted during daylight hours. What concept does scenario best
illustrate? - >>>Answer anecdote
Consider the breakfasts of Aviva (31 grams of carbohydrate, 11 grams of protein, and 8 grams
of fat) and Anna (51 grams of carbohydrate, 21 grams of protein, and 14 grams of fat) once
more. According to the Acceptable Macronutrient Distribution Ranges, what can be said of
their intakes? - >>>Answer Both breakfasts are within the recommended range for fat.
Anna accompanies her mother to an appointment with a dietician, who indicates that her
mother will begin their session with anthropometrics. What will this include? - >>>Answer
height and weight
Case Study 2A: DASH on the Menu at a Quick-Serve Restaurant
Charles C. is a 65-year-old executive who is very overweight and has recently been
diagnosed with high blood pressure. He has just completed a class on the principles of the
DASH (Dietary Approaches to Stop Hypertension) diet and has set a goal to lower his intake
of fat and sodium and to increase his intake of calcium and potassium-rich foods. Mr. C. has
met a friend for lunch at his favorite restaurant that features pizza, salads, soups, and
sandwiches. - >>>Answer Case Study 2A: DASH on the Menu at a Quick-Serve Restaurant
