CDRE NUTRITION THERAPY: RENAL MBD
Questions With answers
what would you tell someone with diabetes to do if having alcohol ✔✔Have with food
Risk of hypoglycemia: impaired liver function > liver releases some glucose over night
What are the key points of just the basics ✔✔Eat 3 meals a day no more than 6 hours
apart
limit sugar and sweets
drink water
have high fibre food
physical activity
limit alcohol
what diabetes medication causes more sugar to be removed in the urine ✔✔SGLT2
inhibitors
What is GLP-1 ✔✔A hormone that helps the body produce more insulin and reduces
the amount of glucose produced in the liver
what is DPP-4 ✔✔An enzyme that destroys GLP-1
what do biguanides do ✔✔prevent the liver from converting fats and amino acids to
glucose and activates AMPK which helps cells respond more effectively to insulin and
take in glucose in the blood
What are people with diabetes at increased risk of
a)CAD
b)nephropathy
c) neuropathy
d)retinopathy
e) all of the above ✔✔e
what are the 3 main characteristics of anorexia ✔✔-abnormally low body weight
-intense fear of gaining weight
-distorted perception of weight gain
what indicates acute malnutrition ✔✔low Mg, P, K and normal hydration
what can low magnesium levels indicate in anorexia ✔✔Mg deficiency, protein
malnutrition, laxatives, vomiting
,what happens to cholesterol levels with extreme weight loss ✔✔elevated levels.
Resolves with weight gain
What isn't a medical symptom of anorexia:
a)low blood pressure
b)low cholesterol levels
c)osteoporosis
d) ammenorrhea ✔✔B
how does anorexia effect blood sugar ✔✔early morning hypoglycemia
ketonuria
You are treating a patient for anorexia, what is the most important thing to monitor:
a) refeeding
b)weight gain
c)psychological changes ✔✔a
What eating disorder includes negative feelings about weight and shape
a)Anorexia
b)bulimia
c)ARFID
D) binge eating
e) a and b ✔✔A
A person presenting with an eating disorder does not have any compensating
behaviours, which eating disorder could they possibly be diagnosed with?
a)anorexia
b)bulimia
c)binge eating ✔✔C
what is unique about ARFID
a) it includes weight change
b) it does not include negative feelings about body weight and shape
c) food rituals
d) GI complaints ✔✔b
What are the symptoms of bulimia ✔✔weight change
tooth pain and discoloration
swelling in cheeks or jaw
callouses/cuts on the hands
bloating
dehydration
restricting food
guilt and anxiety about eating
concern about body weight
,What do food intolerances effect ✔✔the GI system
What a nutrient of concern for those with lactose intolerance
a)calcium
b)vitamin D
C) vitamin A
d) A & B ✔✔D
What nutrition recommendation is not appropriate for some with achalasia:
a) eat soft foods or liquids
b)eat liquids chilled
c)avoid large meals
d)chew thoroughly ✔✔B
A patient is diagnosed with a condition that affects the nerves and muscles of the lower
end of the esophagus making it difficult for food to enter the stomach. What condition do
they have?
a)hiatus hernia
b)lower esophageal ring
c)achalasia
d)Mallory-Weiss Syndrome ✔✔C
What causes achalsia ✔✔nerves and muscles of the lower part of the esophagus waste
away causing an inability of the lower esophageal sphincter to relax
What condition includes an elimination diet as treatment?
a)hiatus hernia
b)eosinophilic esophagitis
c)pancreatits
d) achalasia ✔✔B
6 most common allergens are eliminated including milk, eggs, wheat, soy, nuts, fish
A patient has eosinophililc esophagitis. What is causing their symptoms ✔✔WBC
triggered by allergens accumulate and cause inflammation and injury in the esophagus
What nutrition recommendation would you provide a patient with a hiatus hernia
a) limit fluids
b) avoid highly acidic foods
c)eat large meals
d)avoid meat ✔✔B
Acidic foods weaken lower esophageal sphincter making it easier for acid to go into
esophagus
What is a risk factor for malloy weiss syndrome
, a) heavy alcohol use
b) bulimia
c) gerd
d) all of the above ✔✔D
what is a mallory weiss tear ✔✔longitudinal superficial mucosal lacerations caused by
an increase in intraabdominal pressure
What is the main risk factor of GERD for a an active pregnant woman that is at a
healthy weight and does not smoke.
a)smoking status
b)weight status
c)pregnancy
d)activity level ✔✔C
What nutrient is of concern for a patient on prolonged use of a PPI
a)vitamin D
b)vitamin C
c) vitamin B!2
d)calcium ✔✔C
What are the 2 main types of ulcers
a)gastric and esophageal
b)gastric and duodenal
c)peptic and ulcerative
d) none of the above ✔✔B
A person has pain 2 hours after eating a meal. What type of ulcer do they most likely
have?
a) gastric
b) duodenal ✔✔B
with gastric ulcers, pain is shortly after meals
How are ulcers treated?
a) stomach acid suppression
b) eliminating H. Pylori
c) avoidance of NSAIDs
d)all of the above ✔✔D
Is there a specific diet for treating ulcers? ✔✔No
Avoid foods that cause you irritation
Increase fibre to help in prevention
Probiotics may help to eliminate H. pylori along with medical treatment
What is not a symptom of IBS
Questions With answers
what would you tell someone with diabetes to do if having alcohol ✔✔Have with food
Risk of hypoglycemia: impaired liver function > liver releases some glucose over night
What are the key points of just the basics ✔✔Eat 3 meals a day no more than 6 hours
apart
limit sugar and sweets
drink water
have high fibre food
physical activity
limit alcohol
what diabetes medication causes more sugar to be removed in the urine ✔✔SGLT2
inhibitors
What is GLP-1 ✔✔A hormone that helps the body produce more insulin and reduces
the amount of glucose produced in the liver
what is DPP-4 ✔✔An enzyme that destroys GLP-1
what do biguanides do ✔✔prevent the liver from converting fats and amino acids to
glucose and activates AMPK which helps cells respond more effectively to insulin and
take in glucose in the blood
What are people with diabetes at increased risk of
a)CAD
b)nephropathy
c) neuropathy
d)retinopathy
e) all of the above ✔✔e
what are the 3 main characteristics of anorexia ✔✔-abnormally low body weight
-intense fear of gaining weight
-distorted perception of weight gain
what indicates acute malnutrition ✔✔low Mg, P, K and normal hydration
what can low magnesium levels indicate in anorexia ✔✔Mg deficiency, protein
malnutrition, laxatives, vomiting
,what happens to cholesterol levels with extreme weight loss ✔✔elevated levels.
Resolves with weight gain
What isn't a medical symptom of anorexia:
a)low blood pressure
b)low cholesterol levels
c)osteoporosis
d) ammenorrhea ✔✔B
how does anorexia effect blood sugar ✔✔early morning hypoglycemia
ketonuria
You are treating a patient for anorexia, what is the most important thing to monitor:
a) refeeding
b)weight gain
c)psychological changes ✔✔a
What eating disorder includes negative feelings about weight and shape
a)Anorexia
b)bulimia
c)ARFID
D) binge eating
e) a and b ✔✔A
A person presenting with an eating disorder does not have any compensating
behaviours, which eating disorder could they possibly be diagnosed with?
a)anorexia
b)bulimia
c)binge eating ✔✔C
what is unique about ARFID
a) it includes weight change
b) it does not include negative feelings about body weight and shape
c) food rituals
d) GI complaints ✔✔b
What are the symptoms of bulimia ✔✔weight change
tooth pain and discoloration
swelling in cheeks or jaw
callouses/cuts on the hands
bloating
dehydration
restricting food
guilt and anxiety about eating
concern about body weight
,What do food intolerances effect ✔✔the GI system
What a nutrient of concern for those with lactose intolerance
a)calcium
b)vitamin D
C) vitamin A
d) A & B ✔✔D
What nutrition recommendation is not appropriate for some with achalasia:
a) eat soft foods or liquids
b)eat liquids chilled
c)avoid large meals
d)chew thoroughly ✔✔B
A patient is diagnosed with a condition that affects the nerves and muscles of the lower
end of the esophagus making it difficult for food to enter the stomach. What condition do
they have?
a)hiatus hernia
b)lower esophageal ring
c)achalasia
d)Mallory-Weiss Syndrome ✔✔C
What causes achalsia ✔✔nerves and muscles of the lower part of the esophagus waste
away causing an inability of the lower esophageal sphincter to relax
What condition includes an elimination diet as treatment?
a)hiatus hernia
b)eosinophilic esophagitis
c)pancreatits
d) achalasia ✔✔B
6 most common allergens are eliminated including milk, eggs, wheat, soy, nuts, fish
A patient has eosinophililc esophagitis. What is causing their symptoms ✔✔WBC
triggered by allergens accumulate and cause inflammation and injury in the esophagus
What nutrition recommendation would you provide a patient with a hiatus hernia
a) limit fluids
b) avoid highly acidic foods
c)eat large meals
d)avoid meat ✔✔B
Acidic foods weaken lower esophageal sphincter making it easier for acid to go into
esophagus
What is a risk factor for malloy weiss syndrome
, a) heavy alcohol use
b) bulimia
c) gerd
d) all of the above ✔✔D
what is a mallory weiss tear ✔✔longitudinal superficial mucosal lacerations caused by
an increase in intraabdominal pressure
What is the main risk factor of GERD for a an active pregnant woman that is at a
healthy weight and does not smoke.
a)smoking status
b)weight status
c)pregnancy
d)activity level ✔✔C
What nutrient is of concern for a patient on prolonged use of a PPI
a)vitamin D
b)vitamin C
c) vitamin B!2
d)calcium ✔✔C
What are the 2 main types of ulcers
a)gastric and esophageal
b)gastric and duodenal
c)peptic and ulcerative
d) none of the above ✔✔B
A person has pain 2 hours after eating a meal. What type of ulcer do they most likely
have?
a) gastric
b) duodenal ✔✔B
with gastric ulcers, pain is shortly after meals
How are ulcers treated?
a) stomach acid suppression
b) eliminating H. Pylori
c) avoidance of NSAIDs
d)all of the above ✔✔D
Is there a specific diet for treating ulcers? ✔✔No
Avoid foods that cause you irritation
Increase fibre to help in prevention
Probiotics may help to eliminate H. pylori along with medical treatment
What is not a symptom of IBS
