Clinical Nutrition Questions with
Accurate Answers
Blood test for Celiac disease can't be done for who? correct answer Kids under
the age of 5
Can goitrogens be consumed by hyper or hypothyroid patients? correct answer It
is not recommended.
Can the Mediterranean diet decrease the risk of Alzhemier's? correct answer
Some research shows that it does but it must be combined with physical activity
to benefit
For a post bariatric surgery patient, how often should their nutrient levels be
monitored? correct answer Every 3 months
How are peptic ulcers caused by H pylori infection treated? correct answer 1. 7-14
days of 2 antibiotics
2. Bismuth subsalicylate
3. Proton pump inhibitor (PPI)
How are peptic ulcers not caused by H pylori infection treated? correct answer 1.
Antacids
2. PPI
3. Histamine blockers
4. Mucosal protectors
,How can sphincter tone in GERD cases be improved? correct answer 1. Lose
weight if necessary
2. Stop smoking
3. Determine is medicine may be the cause
4. Remain upright after eating
5. Wear loose fitting clothes
6. Sleep with head slightly elevated
How is adrenal insufficiency diagnosed? correct answer Must give a dose of ACTH
& measure blood concentrations of cortisol (most accurate)
How is adrenal insufficiency treated? correct answer 1. Intravenous fluids
2. Intravenous steroid (Solu-Cortef/injectable hydrocortisone) later
hydrocortisone, prednisone or methylpredisolone tablets
3. Rest
How is B12 absorbed? correct answer 1. Broken off of protein by HCl & pepsin in
in the stomach.
2. R protein binds to B12 in the stomach
3. Proteases in SI remove R protein from B12
4. Intrinsic Factor binds to B12.
5. If receptor in ileum binds B12-IF complex, then B12 is absorbed by pinocytosis.
6. B12 is then released in the enterocyte
How is carb malabsorption treated? correct answer Lactose free diet or
supplement with lactase enzymes
, How is Celiac disease diagnosed? correct answer 1. Gold standard - SI biopsy
2. More common - Anti-tissue translutaminase (anti-tTG) antibody or Endomysial
IgA (EmA) antibody
How is chronic fatigue diagnosed? correct answer Low (unstimulated) saliva
cortisol levels CAN be used to diagnose chronic fatigue syndrome
How is chronic fatigue treated? correct answer Cognitive behavioral therapy
seems to be very beneficial in all CFS patients.
How is constipation defined? correct answer 1. Average 1 or less bowel
movements (BM)/week for at least 12 months.
2. Have at least 2 of the following for 12 weeks in the last year:
2 or less BM/week
Straining during at least 25% of BM
Hard stools during at least 25% of BM
Sensation that not all fecal material is eliminated during at least 25% of BM
How is diverticulitis treated? correct answer Antibiotics, bed rest, & liquid diet
How is diverticulosis treated? correct answer High fiber diet (25-30 g/day + 6-10 g
extra) & fluids
How is GERD treated in infants? correct answer 1. H2 receptor antagonists or PPI
2. If allergy present, remove antigen (cow's milk is most common)
Accurate Answers
Blood test for Celiac disease can't be done for who? correct answer Kids under
the age of 5
Can goitrogens be consumed by hyper or hypothyroid patients? correct answer It
is not recommended.
Can the Mediterranean diet decrease the risk of Alzhemier's? correct answer
Some research shows that it does but it must be combined with physical activity
to benefit
For a post bariatric surgery patient, how often should their nutrient levels be
monitored? correct answer Every 3 months
How are peptic ulcers caused by H pylori infection treated? correct answer 1. 7-14
days of 2 antibiotics
2. Bismuth subsalicylate
3. Proton pump inhibitor (PPI)
How are peptic ulcers not caused by H pylori infection treated? correct answer 1.
Antacids
2. PPI
3. Histamine blockers
4. Mucosal protectors
,How can sphincter tone in GERD cases be improved? correct answer 1. Lose
weight if necessary
2. Stop smoking
3. Determine is medicine may be the cause
4. Remain upright after eating
5. Wear loose fitting clothes
6. Sleep with head slightly elevated
How is adrenal insufficiency diagnosed? correct answer Must give a dose of ACTH
& measure blood concentrations of cortisol (most accurate)
How is adrenal insufficiency treated? correct answer 1. Intravenous fluids
2. Intravenous steroid (Solu-Cortef/injectable hydrocortisone) later
hydrocortisone, prednisone or methylpredisolone tablets
3. Rest
How is B12 absorbed? correct answer 1. Broken off of protein by HCl & pepsin in
in the stomach.
2. R protein binds to B12 in the stomach
3. Proteases in SI remove R protein from B12
4. Intrinsic Factor binds to B12.
5. If receptor in ileum binds B12-IF complex, then B12 is absorbed by pinocytosis.
6. B12 is then released in the enterocyte
How is carb malabsorption treated? correct answer Lactose free diet or
supplement with lactase enzymes
, How is Celiac disease diagnosed? correct answer 1. Gold standard - SI biopsy
2. More common - Anti-tissue translutaminase (anti-tTG) antibody or Endomysial
IgA (EmA) antibody
How is chronic fatigue diagnosed? correct answer Low (unstimulated) saliva
cortisol levels CAN be used to diagnose chronic fatigue syndrome
How is chronic fatigue treated? correct answer Cognitive behavioral therapy
seems to be very beneficial in all CFS patients.
How is constipation defined? correct answer 1. Average 1 or less bowel
movements (BM)/week for at least 12 months.
2. Have at least 2 of the following for 12 weeks in the last year:
2 or less BM/week
Straining during at least 25% of BM
Hard stools during at least 25% of BM
Sensation that not all fecal material is eliminated during at least 25% of BM
How is diverticulitis treated? correct answer Antibiotics, bed rest, & liquid diet
How is diverticulosis treated? correct answer High fiber diet (25-30 g/day + 6-10 g
extra) & fluids
How is GERD treated in infants? correct answer 1. H2 receptor antagonists or PPI
2. If allergy present, remove antigen (cow's milk is most common)
