Dental Hygienists Guide to Nutritional Care 4th Edition
Updated 2025|All Chapters Included|Q&A With Best
Answers
_____________________________________________________________________________________
Sunshine was rushed to the hospital due to gastric ulcer. Blood tests were taken and results showed
that the pH was at 7.25. What is the effect of this result to the enzymatic activity?
a. enzyme activities remain normal as pH was normal
b. enzymes can't optimally function due to acidity
c. enzymes can't optimally function due to alkalinity
d. enzymes are not sensitive to acidity and alkalinity
b
A patient was diagnosed with Fabry disease. As a nurse who will be taking care of this patient, you are
aware that this type of disease lacks what particular enzyme?
a. alpha-galactosidase A c. galactosylceramidase
b. glucose 6 phosphate dehydrogenase d. lactase
a
The main problem with Fabry disease is that it doesn't have an enzyme that breaks down lipids or
fats. Which of the following is a dangerous complication of this absence?
a. diabetes c. obesity
b. heart attack d. anemia
b
To avoid the life threatening risks of Fabry disease, which of the following interventions is expected
for the patient to undergo?
a. weight reduction c. radiation therapy
b. surgery d. enzyme replacement
d
An 8-month child was brought by her mother to the hospital due to seizure. It was found out that the
child has an enzyme deficiency needed for the protective covering of the nerve cell. This is typical to
what disease?
a. Fabry disease c. Krabbe disease
b. Maple syrup urine disease d. Chron's disease
c
Along with seizure, which of the following symptoms may be experienced by the 8-month old child?
a. heart defects c. blindness
b. kidney failure d. excellent cognitive ability
, c
MSUD (maple syrup urine disease) is a rare but serious condition among infants that affects the
kidney. Children with this disease cannot process certain amino acids EXCEPT:
a. leucine c. isoleucine
b. phenylalanine d. valine
b
Which of the following is the hallmark sign of MSUD?
a. currant jelly stool c. sweet-smelling urine
b. pink frothy sputum d. hematuria
c
Megan, a pregnant mother, is concern about the delivery of her child few weeks from now. She asks
you how is MSUD diagnosed. Your best response should be through what testing?
a. urine test c. newborn screening test
b. pregnancy test d. ultrasound
c
Few months after Megan's delivery, her child was diagnosed with MSUD. As a nurse, what advice can
you give to Megan to prevent further complications?
a. Breast milk should be avoided.
b. Protein-rich food should be omitted in the child's diet.
c. The child should be seen by a dietician for further diagnostic testing.
d. Complementary milk feeding should be encouraged.
b
After the Biochemistry bingo game, a first year nursing student of ACT was rushed to Chong Hua
Hospital due to stress. He was seen by an internal medicine specialist and was later diagnosed with
exocrine pancreatic insufficiency (EPI). What is the main cause of this disease?
a. The pancreas overproduces digestive enzymes.
b. The pancreas doesn't produce enough digestive enzymes.
c. There is an imbalance of bacteria in the gut.
d. Stress brought about by the bingo game.
b
The following are clinical manifestations of EPI EXCEPT:
a. steatorrhea c. biochemical alterations related to lipids
weight loss d. obesity
d
People with EPI have problems with breaking down food or absorbing nutrients. As a result, their
body weight becomes:
, a. normal c. above normal
b. below normal d. either b and c
d
Which of the following is the MOST accurate information regarding lactose intolerance?
a. Lactose intolerance causes fever and body malaise.
b. Lactose intolerance results in favorable weight gain.
c. Lactose intolerance lacks amylase needed to digest sugars in milk.
d. Lactose intolerance lacks lactase needed to digest sugars in dairy products.
d
Lactose intolerance is the inability to digest the sugar lactose found in milk and other dairy products.
Which of the following symptoms of lactose intolerance is common?
a. abdominal bloating c. poor weight gain
b. diarrhea d. all of the above
d
Which of the following is the most common method of confirming a diagnosis of lactose intolerance?
a. Eliminate dairy from the diet to see if the symptoms improve
b. Measure blood glucose levels
c. Perform a hydrogen breath test
d. Perform a lactose tolerance test
a
Hydrogen breath test is considered the most accurate test for lactose intolerance. How is this done?
a. After drinking lactose, the patient's blood sugar is measured.
b. After drinking lactose, the patient's blood pressure is measured.
c. After drinking lactose, the patient breathes into a machine for one time in one hour.
d. After drinking lactose, the patient breathes into a machine several times over a couple of hours.
d
John ate two boiled eggs for breakfast. After a couple of hours, he began to experience digestive
symptoms. He went right away to a hospital for a check-up. The doctor ordered lactose tolerance test.
What is expected from this test?
a. After drinking lactose, John's blood sugar is measured.
b. After drinking lactose, John's blood pressure is measured.
c. After drinking lactose, John breathes into a machine once in one hour.
d. After drinking lactose, John breathes into a machine several times over a couple of hours.
a
John was diagnosed with lactose intolerance. He was advised by his doctor to prevent lactose
intolerance symptoms. Which of the following food should he avoid to prevent such symptoms?
a. milk c. yogurt
b. cheese d. all of the above
Updated 2025|All Chapters Included|Q&A With Best
Answers
_____________________________________________________________________________________
Sunshine was rushed to the hospital due to gastric ulcer. Blood tests were taken and results showed
that the pH was at 7.25. What is the effect of this result to the enzymatic activity?
a. enzyme activities remain normal as pH was normal
b. enzymes can't optimally function due to acidity
c. enzymes can't optimally function due to alkalinity
d. enzymes are not sensitive to acidity and alkalinity
b
A patient was diagnosed with Fabry disease. As a nurse who will be taking care of this patient, you are
aware that this type of disease lacks what particular enzyme?
a. alpha-galactosidase A c. galactosylceramidase
b. glucose 6 phosphate dehydrogenase d. lactase
a
The main problem with Fabry disease is that it doesn't have an enzyme that breaks down lipids or
fats. Which of the following is a dangerous complication of this absence?
a. diabetes c. obesity
b. heart attack d. anemia
b
To avoid the life threatening risks of Fabry disease, which of the following interventions is expected
for the patient to undergo?
a. weight reduction c. radiation therapy
b. surgery d. enzyme replacement
d
An 8-month child was brought by her mother to the hospital due to seizure. It was found out that the
child has an enzyme deficiency needed for the protective covering of the nerve cell. This is typical to
what disease?
a. Fabry disease c. Krabbe disease
b. Maple syrup urine disease d. Chron's disease
c
Along with seizure, which of the following symptoms may be experienced by the 8-month old child?
a. heart defects c. blindness
b. kidney failure d. excellent cognitive ability
, c
MSUD (maple syrup urine disease) is a rare but serious condition among infants that affects the
kidney. Children with this disease cannot process certain amino acids EXCEPT:
a. leucine c. isoleucine
b. phenylalanine d. valine
b
Which of the following is the hallmark sign of MSUD?
a. currant jelly stool c. sweet-smelling urine
b. pink frothy sputum d. hematuria
c
Megan, a pregnant mother, is concern about the delivery of her child few weeks from now. She asks
you how is MSUD diagnosed. Your best response should be through what testing?
a. urine test c. newborn screening test
b. pregnancy test d. ultrasound
c
Few months after Megan's delivery, her child was diagnosed with MSUD. As a nurse, what advice can
you give to Megan to prevent further complications?
a. Breast milk should be avoided.
b. Protein-rich food should be omitted in the child's diet.
c. The child should be seen by a dietician for further diagnostic testing.
d. Complementary milk feeding should be encouraged.
b
After the Biochemistry bingo game, a first year nursing student of ACT was rushed to Chong Hua
Hospital due to stress. He was seen by an internal medicine specialist and was later diagnosed with
exocrine pancreatic insufficiency (EPI). What is the main cause of this disease?
a. The pancreas overproduces digestive enzymes.
b. The pancreas doesn't produce enough digestive enzymes.
c. There is an imbalance of bacteria in the gut.
d. Stress brought about by the bingo game.
b
The following are clinical manifestations of EPI EXCEPT:
a. steatorrhea c. biochemical alterations related to lipids
weight loss d. obesity
d
People with EPI have problems with breaking down food or absorbing nutrients. As a result, their
body weight becomes:
, a. normal c. above normal
b. below normal d. either b and c
d
Which of the following is the MOST accurate information regarding lactose intolerance?
a. Lactose intolerance causes fever and body malaise.
b. Lactose intolerance results in favorable weight gain.
c. Lactose intolerance lacks amylase needed to digest sugars in milk.
d. Lactose intolerance lacks lactase needed to digest sugars in dairy products.
d
Lactose intolerance is the inability to digest the sugar lactose found in milk and other dairy products.
Which of the following symptoms of lactose intolerance is common?
a. abdominal bloating c. poor weight gain
b. diarrhea d. all of the above
d
Which of the following is the most common method of confirming a diagnosis of lactose intolerance?
a. Eliminate dairy from the diet to see if the symptoms improve
b. Measure blood glucose levels
c. Perform a hydrogen breath test
d. Perform a lactose tolerance test
a
Hydrogen breath test is considered the most accurate test for lactose intolerance. How is this done?
a. After drinking lactose, the patient's blood sugar is measured.
b. After drinking lactose, the patient's blood pressure is measured.
c. After drinking lactose, the patient breathes into a machine for one time in one hour.
d. After drinking lactose, the patient breathes into a machine several times over a couple of hours.
d
John ate two boiled eggs for breakfast. After a couple of hours, he began to experience digestive
symptoms. He went right away to a hospital for a check-up. The doctor ordered lactose tolerance test.
What is expected from this test?
a. After drinking lactose, John's blood sugar is measured.
b. After drinking lactose, John's blood pressure is measured.
c. After drinking lactose, John breathes into a machine once in one hour.
d. After drinking lactose, John breathes into a machine several times over a couple of hours.
a
John was diagnosed with lactose intolerance. He was advised by his doctor to prevent lactose
intolerance symptoms. Which of the following food should he avoid to prevent such symptoms?
a. milk c. yogurt
b. cheese d. all of the above
