NUTRITION CARE FOR INDIVIDUALS
AND GROUPS QUESTIONS AND
CORRECT ANSWERS
Describe symptoms of marasmus - ANS --Muscle and fat wasting
-TSF of 10% or less
-Slightly low albumin
-No edema
-Decrease in kcal intake
Describe symptoms of kwashiorkor - ANS --Mild muscle and fat wasting
-Very low albumin
-Edema
-Decrease in protein intake
Name the onset of *Regular*, *NPH*, and *Glargine* insulin - ANS --*Regular*: 0.5-1 hour
-*NPH*: 2-4 hours
-*Glargine*: 1 hour
What should be supplemented when taking Isoniazid (INH)? - ANS -Vitamin B6
Name the normal values for albumin, its half-life and reasons for a decreased albumin in
patients - ANS -*Normal* = 3.5 and greater
*Half-life* = 15-19 days
,*Decreased*:
-post-operative
-overhydration
-protein malnutrition
-chronic loss (nephrotic syndrome)
Name the half-life of transferrin and the normal storage capacity - ANS --*Half-life* = 8-10 days
-*Normally saturated* 30-40% with iron
Name normal hemoglobin and hematocrit values. - ANS -Hemoglobin:
-Men: ≥ 14.0
-Women: ≥ 12.0
Hematocrit:
-Men: > 44%
-Women: > 33%
What does mean corpuscular volume (MCV) measure? - ANS -Measures the size of the red
blood cell
Describe the effect temperature has on basal metabolic rate (BMR) - ANS --BMR rises *7%* for
each degree above 98.6 degrees *F*
-BMR rises *13%* for each degree above 37 degrees *C*
Which nutrients are absorbed in the duodenum? - ANS -Iron, calcium, magnesium and chloride
,How does the body compensate during metabolic acidosis? - ANS -The lungs excrete more CO2
to raise the pH of the blood
What lab is used to evaluate hypo- or hyperthyroidism? - ANS -T3 and T4
What is the normal value of the renal solute load (RSL) and what value determines renal failure?
- ANS --Normal RSL = > 55 mL/min
-Renal failure = 12.5 - 30 mL/min
Protein requirements during renal insufficiency are 0.6-0.8 grams per kg body weight
How much water does the average adult per day excrete? - ANS -2 liters
If a pt did not know how to follow a 2 gram sodium diet, what would you chart as the nutrition
diagnosis? - ANS -Food, nutrtion and nutrition-related knowledge deficit NB-1.1
As the Outpatient Dietitian, you have a follow-up appointment with a diabetic pt and educate
him on carbohydrate counting. What would you chart as the intervention? - ANS -
Comprehensive Nutrition Education (E-2)
Pt was educated on carbohydrate counting and demonstrated understanding of the topic.
Since this is a follow-up visit the basics of a Diabetic diet should have already been reviewed.
Carbohydrate counting would be considered an *advanced topic*
Name the food restrictions in Judaism - ANS --No pork products
, -Fish must have fins/scales such as cod or halibut. (No shellfish, squid, etc.)
-No Meat/poultry or dairy combined in the same meal (i.e. Pepperoni Pizza).
-No foods containing blood.
*Note that gelatin contains pork product.*
Describe the food practices that Roman Catholics may follow - ANS --No meat on Fridays, Ash
Wednesday, and Good Friday.
-No eating between meals on Ash Wednesday and Good Friday.
*These food restrictions do not apply for those who are on therapeutic diets or the elderly.*
Compare the fat, protein, and carbohydrate content in 1 liter of human breast mlk to that of
formula - ANS -*Human milk contains MORE FAT but LESS PROTEIN and LESS CHO compared to
formula*
*Human milk contains*: 45 gms of fat, 9-11 gms of protein, & 70 gms of carbohydrate in 1 liter
*Formula contains*: 33-36 gms of fat, 15 gms of protein, & 74-96 gms of carbohydrate in 1 liter
What is the least amount of weight a woman should gain during pregnancy? - ANS -15 pounds
*If a woman is obese (BMI >30.0) prior to pregnancy, she should gain between 11-20 pounds
during pregnancy.*
AND GROUPS QUESTIONS AND
CORRECT ANSWERS
Describe symptoms of marasmus - ANS --Muscle and fat wasting
-TSF of 10% or less
-Slightly low albumin
-No edema
-Decrease in kcal intake
Describe symptoms of kwashiorkor - ANS --Mild muscle and fat wasting
-Very low albumin
-Edema
-Decrease in protein intake
Name the onset of *Regular*, *NPH*, and *Glargine* insulin - ANS --*Regular*: 0.5-1 hour
-*NPH*: 2-4 hours
-*Glargine*: 1 hour
What should be supplemented when taking Isoniazid (INH)? - ANS -Vitamin B6
Name the normal values for albumin, its half-life and reasons for a decreased albumin in
patients - ANS -*Normal* = 3.5 and greater
*Half-life* = 15-19 days
,*Decreased*:
-post-operative
-overhydration
-protein malnutrition
-chronic loss (nephrotic syndrome)
Name the half-life of transferrin and the normal storage capacity - ANS --*Half-life* = 8-10 days
-*Normally saturated* 30-40% with iron
Name normal hemoglobin and hematocrit values. - ANS -Hemoglobin:
-Men: ≥ 14.0
-Women: ≥ 12.0
Hematocrit:
-Men: > 44%
-Women: > 33%
What does mean corpuscular volume (MCV) measure? - ANS -Measures the size of the red
blood cell
Describe the effect temperature has on basal metabolic rate (BMR) - ANS --BMR rises *7%* for
each degree above 98.6 degrees *F*
-BMR rises *13%* for each degree above 37 degrees *C*
Which nutrients are absorbed in the duodenum? - ANS -Iron, calcium, magnesium and chloride
,How does the body compensate during metabolic acidosis? - ANS -The lungs excrete more CO2
to raise the pH of the blood
What lab is used to evaluate hypo- or hyperthyroidism? - ANS -T3 and T4
What is the normal value of the renal solute load (RSL) and what value determines renal failure?
- ANS --Normal RSL = > 55 mL/min
-Renal failure = 12.5 - 30 mL/min
Protein requirements during renal insufficiency are 0.6-0.8 grams per kg body weight
How much water does the average adult per day excrete? - ANS -2 liters
If a pt did not know how to follow a 2 gram sodium diet, what would you chart as the nutrition
diagnosis? - ANS -Food, nutrtion and nutrition-related knowledge deficit NB-1.1
As the Outpatient Dietitian, you have a follow-up appointment with a diabetic pt and educate
him on carbohydrate counting. What would you chart as the intervention? - ANS -
Comprehensive Nutrition Education (E-2)
Pt was educated on carbohydrate counting and demonstrated understanding of the topic.
Since this is a follow-up visit the basics of a Diabetic diet should have already been reviewed.
Carbohydrate counting would be considered an *advanced topic*
Name the food restrictions in Judaism - ANS --No pork products
, -Fish must have fins/scales such as cod or halibut. (No shellfish, squid, etc.)
-No Meat/poultry or dairy combined in the same meal (i.e. Pepperoni Pizza).
-No foods containing blood.
*Note that gelatin contains pork product.*
Describe the food practices that Roman Catholics may follow - ANS --No meat on Fridays, Ash
Wednesday, and Good Friday.
-No eating between meals on Ash Wednesday and Good Friday.
*These food restrictions do not apply for those who are on therapeutic diets or the elderly.*
Compare the fat, protein, and carbohydrate content in 1 liter of human breast mlk to that of
formula - ANS -*Human milk contains MORE FAT but LESS PROTEIN and LESS CHO compared to
formula*
*Human milk contains*: 45 gms of fat, 9-11 gms of protein, & 70 gms of carbohydrate in 1 liter
*Formula contains*: 33-36 gms of fat, 15 gms of protein, & 74-96 gms of carbohydrate in 1 liter
What is the least amount of weight a woman should gain during pregnancy? - ANS -15 pounds
*If a woman is obese (BMI >30.0) prior to pregnancy, she should gain between 11-20 pounds
during pregnancy.*
