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To treat hyperlipidemia, which fat source should be recommended and why?
a) canola oil because it inhibits VLDL synthesis
b) none, because fat sources will exacerbate the hyperlipidemia
c) safflower oil because it decreases hepatic production of TGS
d) linoleic acid because it can replace CHO to decrease HDL
a) canola oil because it inhibits VLDL synthesis
VLDL is the major vehicle in the plasma which carries triacylglycerol synthesized in
the liver to peripheral tissues for utilization. To treat hyperlipidemia, alpha-linoleic
(omega 3) sources should be recommended because they can inhibit VLDL
synthesis by decreasing hepatic production of TGs. Flax seeds, walnuts, and canola
oil inhibit VLDL synthesis.
What advice would you give to a person complaining of symptoms of GERD?
a) use pepper instead of salt for seasoning
,b) avoid eating before bed
c) chewing spearmint gum will help
d) increase intake of dairy products
b) avoid eating before bed
GERD is a digestive disease where the stomach acid or bile irritates the food
pipeline, causing a feeling of heartburn or pain. Eating close to bedtime can
trigger heartburn and potentially GERD. To reduce nighttime heartburn risk and
GERD, eating meals 2-3 hours before sleep should be recommended.
Which of the following decision-making approaches should enable the separate
and shared knowledge and skills of care providers to synergistical influence the
client care provided?
a) practical
b) experience based
c) knowledge based
d) evidence informed
d) evidence informed
Dietitians are encouraged to work in a participatory and coordinated approach
when providing collaborative care. This includes evidence informed decision
making through the use of best practices and resources to support the safe
delivery of collaborative care. An evidence informed decision making approach
should enable the separate and shared knowledge and skills of care providers to
synergistically influence the client care provided.
,Which of the following steps of the nutrition care process should the RD evaluate
a patient's risk to becoming malnourished against a specific criterion?
a) assessment
b) screening
c) diagnosis
d) intervention
b) screening
During the screening, the RD uses preliminary nutritional parameters to identify
patients who are malnourished or the potential to become malnourished. The RD
should evaluate the patient's status against a specific criterion on a one-time
basis.
A 28yo female client provides you with a 7-day food diary. Her daily caloric intake
average is 1534calories. The avg is composed of 155g of CHO, 120g of PRO, and
53g of fat. Which of her macronutrients are within the AMDR's recommended
ranges?
a) CHO, PRO, and fat
b) CHO and fat
c) PRO and fat
d) CHO and PRO
c) PRO and fat
, The AMDR (acceptable macronutrient distribution ranges) recommend that 45-
65% of your daily calories come from CHO, 10-35% from PRO, and 20-35% from
fat. In this scenario:
Fat 52g x 9kcal/g= 468/1534=30%
PRO 120g x 4kcal/g=480/1534=31%
CHO 155g x 4kcal/g=620/1534=40%
A RD is working with a 3yo female patient with cystic fibrosis (CF). During her
consultation, you notice that your patient's hair is dry, dull, and lacks shine. What
is the possible nutritional-related cause of this?
a) vit A deficiency
b) essential fatty acid deficiency (EFA)
c) hyperlipidemia
d) vit C deficiency
b) essential fatty acid deficiency (EFA)
EFAD is a sign of protein-energy deficiency. EFAD has been known to occur in CF
patients. This deficiency is evident if the patient's hair is dry, dull, lacks shine and
can easily be plucked.