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Clinical Nutrition Exam 1 Questions with Accurate Answers

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A healthy eating pattern includes? correct answer Variety of veg from all subgroups fruits grains (half from whole grains) fat free or low dairy- milk, yogurt, cheese, fortified non-dairy milk (almond, oat, soy) -variety of protein sources -oils (vegetable) A healthy eating pattern limits? correct answer saturated and trans fats: less than 10% of daily cals Added sugars: less than 10% of daily cals Na: less than 2300 mg alcohol: women 1 drink and men 2 Acceptable Macronutrient Distribution Range (AMDR) correct answer Body requires all macronutrients Expressed as % total caloric intake Fat: 20-35% Carb: 45-65% Protein: 10-35% Adequate intake? correct answer Average daily consumption of healthy people

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Clinical Nutrition Questions with
Accurate Answers
bacteremia correct answer bacterial infection of the blood that patients on TPN
have a higher risk of contracting


Cancer Cachexia correct answer -loss of appetite and accelerated muscle
breakdown
-this condition and the effects of treatment influence food intake
-2/3 of people with advanced cancer develop this condition


Clinical nutrition correct answer application of nutritional science in the
treatment of those who are sick/hospitalized
involves:
-registered dietitian
-nutritional care process: standardized approach that a registered dietician takes
to take care of sick patient


Effect if illness on nutritional status: change in absorption & metabolism of
nutrients correct answer Change in absorption & metabolism of nutrients:
-malabsorption
-drug effects
-dairrhea: lose too much fluid and can cause dehydration
-vomiting

, Effect if illness on nutritional status: change need for nutrients correct answer -
some illness cause a hyper-metabolic state: which requires higher energy
requirements because foods are being metabolized more quickly
-higher protein requirements are also needed for sick people
-they also need more CHO but not much of an increase in fat requirements
-when there is not enough CHO consumed to be metabolized, the body then
metabolizes fat, when there isn't much of that it moves onto protein which
causes people to become emaciated


Effect of illness on nutritional status: decreased food intake correct answer
decreased food intake due to:
-poor appetites
-dysphagia: difficulty swallowing associated with some illnesses, difficulty
swallowing could cause some food to get into the lungs which is really bad
-nausea/vomiting
-altered taste sensations: when people don't taste things very well they typically
won't eat as much
-Dry mouth: makes it difficult to form a bolus to digest food and swallow due to
lack of saliva
-Gi discomfort
-surgery


energy and protein requirements of healthy people versus hospitalized patients
correct answer healthy: 25-30 kcal/kg/day and 0.8-1.0 g protein/kg/day


sick:
45-55 kcal/kg/day and 2.0-2.5 g protein/kg/day

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