RD EXAM: Domain II, Medical Nutrition Therapy | 264 Questions and Answers 2023 Solved Correctly

What are the drugs Cimetidine and Ranitidine used for? - h2 blocker; preventings binding of histamine to receptor, decreases acid secretion What food items should be omitted with a GI ulcer? - cayenne and black pepper, large amounts of chili powder, excessive caffeine and alcohol MNT for hiatal hernias - small, bland feedings; avoid late night snacks What does dumping syndrome follow? - gastrectomy (Billroth I, II) symptoms of dumping syndrome - cramps, rapid pulse, weakness, perspiration, dizziness Billroth I - gastroduodenostomy. attaches stomach to the duodenum Billroth II - gastrojejunostomy. Attaches it to the jejunum. The absorption of which two nutrients is greatly impacted by a Billroth II procedure (gastrojejunostomy)? - Calcium ( most rapid absorption in duodenum), and iron absorption (requires acid) Which two hormones that are secreted by the pancreas, are reduced during a gastrojejunostomy? - secretin and pancreozymin What can B12 deficiency result from? - a lack of intrinsic factor and bacterial overgrowth in loop of intestine being bypassedWhat can folate deficiency result from? - needs b12 for transport inside cell; also from poor folate intake and low serum iron (cofactor in folate metabolism)