Essentials of Nutrition: Malnutrition, Calorie Calculation, and Dietary Planning
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Questions and Answers

Which of the following is a risk factor for overnutrition?

  • Cystic fibrosis
  • Diet high in carbohydrates (correct)
  • Anorexia nervosa
  • Major depression

What is the primary cause of malnutrition?

  • Inadequate absorption
  • Anorexia nervosa
  • Inadequate intake (correct)
  • Inadequate utilization

Which condition is associated with undernutrition?

  • Hypothyroidism
  • Binge eating
  • Cystic fibrosis (correct)
  • Type 2 Diabetes

What is the primary aim of calculating Adjusted Body Weight (AdjBW)?

<p>To calculate medication dosages (D)</p> Signup and view all the answers

Which disease is NOT listed as a chronic disease associated with overnutrition?

<p>Hypothyroidism (B)</p> Signup and view all the answers

What is the purpose of assessing detailed patient history in relation to nutrition status?

<p>To identify potential sources of malnutrition (A)</p> Signup and view all the answers

Which measure is used to compare individuals' size, weight, and proportions?

<p>Body mass index (BMI) (C)</p> Signup and view all the answers

Which option is NOT a risk factor for overnutrition?

<p>Anorexia nervosa (D)</p> Signup and view all the answers

What does the Harris Benedict equation calculate?

<p>Caloric requirement (C)</p> Signup and view all the answers

Which condition is NOT a risk factor for undernutrition?

<p>Type 2 Diabetes (C)</p> Signup and view all the answers

Which equation is used to calculate the Body Mass Index (BMI)?

<p>BMI = weight in kilograms / height in meters (B)</p> Signup and view all the answers

Which measure is used to assess abdominal (visceral) fat?

<p>Waist Circumference (B)</p> Signup and view all the answers

What is the ideal body weight (IBW) equation for males?

<p>IBW = 50 kg + (2.3 x inches over 5 feet) (B)</p> Signup and view all the answers

What is the Adjusted Body Weight (AdjBW) equation?

<p>AdjBW = IBW + 0.4 x (TBW − IBW) (B)</p> Signup and view all the answers

Which equation is used to calculate Resting Energy Expenditure (REE) for females?

<p>$REE = 655.1 + 9.6 \times \text{(weight in kg)} + 1.85 \times \text{(height in cm)} - 4.68 \times \text{(age in years)}$ (B)</p> Signup and view all the answers

What does NFPE stand for in the context of Lab Values Assessment?

<p>Nutrition Focused Physical Examination (A)</p> Signup and view all the answers

What does REE stand for when calculating Total Daily Energy Expenditure?

<p>Resting Energy Expenditure (C)</p> Signup and view all the answers

What are the recommended daily alcohol limits for females and males?

<p>Females ≤1 drink/day, Males ≤2 drinks/day (A)</p> Signup and view all the answers

What is the macronutrient distribution for a diet comprised of 45% carbohydrates, 15% protein, and 40% fat?

<p>45% carbohydrates, 15% protein, 40% fat (C)</p> Signup and view all the answers

What is the formula to calculate grams of protein based on the daily energy expenditure?

<p>Grams of protein = Kcal of protein / 4 calories (A)</p> Signup and view all the answers

What are the energy sources for macronutrients?

<p>Carbohydrates, Proteins, Fats (B)</p> Signup and view all the answers

How is Total Daily Energy Expenditure calculated?

<p>Total Daily Energy Expenditure = REE x activity factor x stress factor (C)</p> Signup and view all the answers

What type of carbohydrates are digested quickly and lead to rapid blood glucose changes?

<p>Simple carbohydrates (D)</p> Signup and view all the answers

Which type of fats have one or more double bonds and can be subclassified as trans, monounsaturated, or polyunsaturated?

<p>Monounsaturated fats (C)</p> Signup and view all the answers

According to general dietary goals, which type of carbohydrates are preferred over simple carbohydrates?

<p>Complex carbohydrates (B)</p> Signup and view all the answers

What is the primary focus of the dietary goals related to protein intake?

<p>Lean meats low in fat (C)</p> Signup and view all the answers

In chronic disease management, what is the recommended fat preference over other types of fats?

<p>Unsaturated fats (D)</p> Signup and view all the answers

Which type of fats have single bonds between all carbons and are solid at room temperature?

<p>Saturated fats (A)</p> Signup and view all the answers

What is the recommended weekly goal for moderate-intensity exercise?

<p>150 minutes (C)</p> Signup and view all the answers

Which of the following activities is considered a sedentary behavior?

<p>Sitting and watching TV (D)</p> Signup and view all the answers

What is the primary role of unsaturated fats in relation to common chronic diseases?

<p>Protect against chronic diseases (C)</p> Signup and view all the answers

What is the maximum recommended sodium intake for a DASH Diet?

<p>2300 mg/day (A)</p> Signup and view all the answers

Which dietary factor has a direct, positive relationship with blood pressure?

<p>Sodium intake (D)</p> Signup and view all the answers

What is the goal of fluid restriction for patients with heart failure?

<p>No more than 2 liters/day (B)</p> Signup and view all the answers

Which supplement derived from vitamin B3 can reduce LDL-C and triglycerides while increasing HDL-C?

<p>Niacin (A)</p> Signup and view all the answers

Which exercise type is associated with an average reduction of 5-8 mmHg in blood pressure?

<p>Aerobic exercise (A)</p> Signup and view all the answers

What is the recommended weight loss percentage for overweight or obese patients with chronic kidney disease (CKD)?

<p>≥5% (D)</p> Signup and view all the answers

What is the maximum recommended daily sodium intake for patients with chronic kidney disease (CKD)?

<p>No specific recommendation (B)</p> Signup and view all the answers

What is the goal of weighing every day for patients with heart failure?

<p>To record daily weight fluctuations (D)</p> Signup and view all the answers

What is the primary source of omega-3 fatty acids?

<p>Fatty fish (B)</p> Signup and view all the answers

What is the recommended maximum daily intake for nutritive sweeteners in terms of total daily calories for individuals with diabetes?

<p>Less than 5% of total daily calories (B)</p> Signup and view all the answers

Which dietary technique is considered best for Type 1 Diabetes Mellitus (T1DM) and individuals using insulin?

<p>Basic Carbohydrate Counting Method (D)</p> Signup and view all the answers

What possible effect does lack of food consumption have on individuals with diabetes who are on insulin?

<p>Blood glucose (BG) may decrease (D)</p> Signup and view all the answers

What measure should individuals on sulfonylureas or insulins take before exercise if their blood glucose (BG) is less than 90 mg/dL?

<p>Measure BG and eat a light, healthy snack (D)</p> Signup and view all the answers

Which dietary recommendation should individuals with gout follow to prevent gout flares?

<p>Avoid red meats and alcohol (B)</p> Signup and view all the answers

What is the potential consequence of consuming excessive amounts of nutritive sweeteners in individuals with diabetes?

<p>Increased risk of dental carries (D)</p> Signup and view all the answers

'Rule of 15' is used for the treatment of which condition?

<p>Hypoglycemia (D)</p> Signup and view all the answers

'Sick Day Management' is recommended for individuals with which condition?

<p>Diabetes (D)</p> Signup and view all the answers

What is the potential consequence of vitamin K-containing foods on individuals taking warfarin?

<p>Increases risk of blood clots (B)</p> Signup and view all the answers

Which dietary recommendation should individuals on warfarin follow to maintain INR consistency?

<p>Avoid leafy green vegetables and multivitamins (A)</p> Signup and view all the answers

What is the primary focus of dietary recommendations for patients with chronic kidney disease (CKD)?

<p>Limit dietary protein and sodium intake (B)</p> Signup and view all the answers

What dietary decision may trigger certain diseases or worsen medication side effects according to the text?

<p>Consuming excessive nutritive sweeteners (B)</p> Signup and view all the answers

What is the main difference between simple and complex carbohydrates?

<p>Simple carbohydrates lead to rapid blood glucose changes, while complex carbohydrates lead to steady blood glucose changes (D)</p> Signup and view all the answers

What is the characteristic of saturated fats?

<p>They are solid at room temperature (B)</p> Signup and view all the answers

What is the primary dietary goal for protein intake?

<p>Prefer lean meats low in fat over fatty meats (D)</p> Signup and view all the answers

What is the main purpose of coordinating Type 2 Diabetes Mellitus (T2DM) medications with food?

<p>To avoid hypoglycemia (C)</p> Signup and view all the answers

What is recommended as the primary source of protein?

<p>Lean meats low in fat (B)</p> Signup and view all the answers

How should patients with chronic kidney disease (CKD) manage their protein intake?

<p>Limit protein intake (D)</p> Signup and view all the answers

What is the recommended weekly goal for moderate-intensity exercise?

<p>150 minutes (B)</p> Signup and view all the answers

What is the maximum recommended sodium intake for a DASH Diet?

<p>2300 mg/day (D)</p> Signup and view all the answers

Which supplement derived from vitamin B3 can reduce LDL-C and triglycerides while increasing HDL-C?

<p>Niacin (C)</p> Signup and view all the answers

What measure should individuals on sulfonylureas or insulins take before exercise if their blood glucose (BG) is less than 90 mg/dL?

<p>Consume a high-carbohydrate snack (C)</p> Signup and view all the answers

What is the goal of fluid restriction for patients with heart failure?

<p>Maximum 2 liters/day (C)</p> Signup and view all the answers

What is ASCVD in the context of cardiovascular disease?

<p>Atherosclerotic Cardiovascular Disease (A)</p> Signup and view all the answers

What does the DASH Diet acronym stand for?

<p>Dietary Approach to Stopping Hypertension (C)</p> Signup and view all the answers

What is Chronic Kidney Disease (CKD)?

<p>A progressive condition involving loss of kidney function over time (A)</p> Signup and view all the answers

What is the purpose of assessing detailed patient history in relation to nutrition status?

<p>To identify conditions or factors affecting the patient's nutrition status (B)</p> Signup and view all the answers

What is unsaturated fats' primary role in relation to common chronic diseases?

<p>They protect against common chronic diseases (D)</p> Signup and view all the answers

What is the primary focus of dietary recommendations for patients with chronic kidney disease (CKD)?

<p>Limit dietary protein and sodium (D)</p> Signup and view all the answers

What is the recommended maximum daily intake for nutritive sweeteners in terms of total daily calories for individuals with diabetes?

<p>≤25% (D)</p> Signup and view all the answers

Which dietary technique is considered best for Type 1 Diabetes Mellitus (T1DM) and individuals using insulin?

<p>Basic Carbohydrate Counting Method (D)</p> Signup and view all the answers

What is the potential consequence of consuming excessive amounts of nutritive sweeteners in individuals with diabetes?

<p>Increased risk of dental carries (C)</p> Signup and view all the answers

'Rule of 15' is used for the treatment of which condition?

<p>Diabetes (C)</p> Signup and view all the answers

What is the primary focus of dietary goals related to protein intake?

<p>Limit dietary protein for specific conditions (C)</p> Signup and view all the answers

What are the energy sources for macronutrients?

<p>Carbohydrates, fats, proteins (D)</p> Signup and view all the answers

What does NFPE stand for in the context of Lab Values Assessment?

<p>Nutrition-Focused Physical Examination (D)</p> Signup and view all the answers

What is the primary cause of malnutrition?

<p>Low caloric intake (C)</p> Signup and view all the answers

What is the current percentage of adult obesity in the United States?

<p>41.9% (A)</p> Signup and view all the answers

Which population group in the United States is expected to have the highest percentage of obesity by 2030?

<p>Black (D)</p> Signup and view all the answers

Which population group in the United States currently has the highest percentage of obesity?

<p>Black (B)</p> Signup and view all the answers

What is the expected percentage of adult obesity in the United States by 2030?

<p>50.0% (B)</p> Signup and view all the answers

What is the additional annual cost attributed to adult obesity in the United States?

<p>$1,861/year (A)</p> Signup and view all the answers

Which age group currently has the highest percentage of obesity in the United States?

<p>60+ years old (A)</p> Signup and view all the answers

Which medication requires storage in the refrigerator when unopened?

<p>Saxenda (liraglutide) (A)</p> Signup and view all the answers

What is the evaluation strategy for discontinuing Wegovy (semaglutide)?

<p>Discontinue if 5% weight loss not achieved within 3 months (C)</p> Signup and view all the answers

What is the potential consequence of consuming excessive amounts of nutritive sweeteners in individuals with diabetes?

<p>Hypoglycemia (A)</p> Signup and view all the answers

What weight percentage loss is a criterion for discontinuing Liraglutide (Saxenda)?

<p>5% at 12 weeks of max tolerated dose (C)</p> Signup and view all the answers

Which drug class has numerous agents that may cause weight gain?

<p>Antipsychotics (A)</p> Signup and view all the answers

What is the primary focus of dietary goals related to protein intake?

<p>Supporting muscle growth and repair (C)</p> Signup and view all the answers

Which surgery type bypasses a portion of the intestine to limit nutrient absorption?

<p>Biliopancreatic Diversion + Duodenal Switch Bypass (D)</p> Signup and view all the answers

What is the primary determinant of weight gain according to the text?

<p>Inadequate food supply (B)</p> Signup and view all the answers

Which hormone is mentioned as a common appetite stimulator in the text?

<p>Ghrelin (in the gut) (D)</p> Signup and view all the answers

Which type of diabetes is specifically linked to weight loss benefits according to the text?

<p>Type 2 Diabetes Mellitus (D)</p> Signup and view all the answers

What is the potential annual additional cost associated with metabolic syndrome according to the text?

<p>$2,200/year (A)</p> Signup and view all the answers

What is the approximate reduction in triglycerides associated with a 3 kg (6.6 lbs) weight loss according to the text?

<p>15 mg/dL (A)</p> Signup and view all the answers

Which guideline focuses on treatment based on BMI according to the text?

<p>2013 AHA/ACC/TOS NHLBI (D)</p> Signup and view all the answers

Which diet style is recommended by trained practitioners in a medical care setting due to its potential for complications according to the text?

<p>Very Low Calorie (D)</p> Signup and view all the answers

What is the primary danger of low-carb diet in patients with diabetes, as stated in the text?

<p>Hypoglycemia (C)</p> Signup and view all the answers

"Very low calorie" diet style is associated with which potential complication as per the text?

<p>&quot;Nutrient deficiencies&quot; (A)</p> Signup and view all the answers

What dietary style is considered dangerous in patients with chronic kidney disease according to the text?

<p>High Protein Diet (D)</p> Signup and view all the answers

What does an increase in adipose tissue cause in obesity according to the text?

<p>Increase in plasma proteins (D)</p> Signup and view all the answers

What is the recommended daily calorie intake generally for men to achieve weight loss?

<p>1500-1800 kcal/day (B)</p> Signup and view all the answers

Which of the following drugs is associated with an increased risk of colorectal, pancreatic, and lung cancers?

<p>Belviq (B)</p> Signup and view all the answers

What is the primary mechanism of action (MOA) of sympathomimetics for weight loss?

<p>Reduces appetite by increasing release of NE in the CNS (D)</p> Signup and view all the answers

Which drug combination has a boxed warning for not being approved to treat depression and may increase the risk of suicidality in kids & young adults <24 years-old?

<p>Contrave (bupropion/naltrexone) (C)</p> Signup and view all the answers

What is the primary function of lipase inhibitors like Orlistat (Alli, Xenical) for weight loss?

<p>Inhibits dietary fat absorption by inhibiting digestive enzymes (B)</p> Signup and view all the answers

Which drug combination requires caution due to its potential to lower seizure threshold and unmask tics?

<p>Qsymia (phentermine/topiramate) (A)</p> Signup and view all the answers

What is the primary adverse effect associated with Incretin Mimetics for weight loss?

<p>Nausea, vomiting, constipation (A)</p> Signup and view all the answers

What is the primary concern associated with consuming excessive amounts of nutritive sweeteners in individuals with diabetes?

<p>Hyperglycemia (D)</p> Signup and view all the answers

Which of the following dietary factors has a direct, positive relationship with blood pressure?

<p>High cholesterol intake (A)</p> Signup and view all the answers

What is the primary concern for individuals with diabetes consuming excessive amounts of nutritive sweeteners?

<p>Hyperglycemia (A)</p> Signup and view all the answers

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