Oral Health and Nutrition Impact Quiz

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Questions and Answers

How does impaired oral health affect nutrition?

  • It may lead to difficulty in eating. (correct)
  • It enhances taste perception.
  • It improves nutrient absorption.
  • It increases appetite.

What is a common side effect of medications that affects nutrition?

  • Weight gain.
  • Dry mouth (xerostomia). (correct)
  • Nausea and vomiting.
  • Increased hunger.

Which vitamin is essential for collagen formation and oral health?

  • Vitamin B12
  • Vitamin C (correct)
  • Vitamin D
  • Vitamin A

What nutritional issue can arise from malnutrition that affects oral health?

<p>Oral infections and inflammation. (B)</p> Signup and view all the answers

What is one effect of xerostomia on the eating experience?

<p>Reduces the enjoyment of food due to discomfort. (B)</p> Signup and view all the answers

Which historical issue related to oral health was associated with British sailors?

<p>Deficiency in Vitamin C leading to scurvy. (D)</p> Signup and view all the answers

Which of the following describes the impact of drugs on nutrition?

<p>They can result in side effects like dry mouth. (D)</p> Signup and view all the answers

What is the main purpose of using gravies, oils, and butter for patients who have a lack of saliva?

<p>To lubricate foods and help them form a bolus (A)</p> Signup and view all the answers

Why are bland foods recommended for patients with dry mouth?

<p>They are less likely to irritate mouth sores (C)</p> Signup and view all the answers

What types of foods should be avoided for patients with severe mouth sores?

<p>Foods with coarse edges and acidic foods (A)</p> Signup and view all the answers

What is the role of capsaicin candies for patients before meals?

<p>To numb the nerves in the mouth (A), To enhance the taste of food (C)</p> Signup and view all the answers

What is dysphagia primarily associated with?

<p>Nervous or muscular issues affecting swallowing (B)</p> Signup and view all the answers

What can happen if food passes into the trachea during swallowing?

<p>It can cause pneumonia due to aspiration (C)</p> Signup and view all the answers

How do Speech & Language Pathology professionals contribute to managing patients with dysphagia?

<p>By determining which foods can be safely swallowed (B)</p> Signup and view all the answers

In patients with dry mouth, what is an effect of reduced saliva on food intake?

<p>Change in taste perception leading to food aversion (C)</p> Signup and view all the answers

What is the primary function of the esophagus in the digestive system?

<p>Transporting food from the mouth to the stomach (B)</p> Signup and view all the answers

What is the primary method for treating peptic ulcer disease caused by H.pylori?

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

Which of the following can result from excessive vomiting?

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

What is a potential treatment for gastroparesis?

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

What is a common recommendation for managing constipation?

<p>Increased daily fiber intake (C)</p> Signup and view all the answers

What is a less invasive alternative for relieving issues associated with the LES?

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

Which is a common symptom of gastric issues mentioned in the content?

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

What can an excessive intake of high-fat foods lead to in individuals with stomach issues?

<p>Worsened gastroparesis symptoms (B)</p> Signup and view all the answers

Which electrolyte is primarily lost due to vomiting, contributing to hyponatremia?

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

What dietary approach may be taken initially in cases of gastroparesis?

<p>Full liquid diet (B)</p> Signup and view all the answers

What complication can arise if peptic ulcers go untreated?

<p>Perforation of the stomach (D)</p> Signup and view all the answers

What is the primary purpose of using a combination of long-acting and short-acting insulin in Type I diabetics?

<p>To maintain glycemia control and manage post-meal increases (D)</p> Signup and view all the answers

Which class of drugs acts by suppressing pancreatic glucagon secretion?

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

How does physical activity benefit Type II diabetics specifically?

<p>It increases insulin sensitivity and reduces plasma glucose (A)</p> Signup and view all the answers

Which of the following statements about cardiovascular disease (CVD) is true?

<p>Atherosclerosis involves fatty deposits that can block blood vessels (A)</p> Signup and view all the answers

What potential complication arises when atherosclerotic lesions weaken blood vessel walls?

<p>Development of aneurysms due to wall rupture (C)</p> Signup and view all the answers

What is the primary cause of secretory diarrhea?

<p>Bacterial infection resulting in fluid secretion (C)</p> Signup and view all the answers

Osmotic diarrhea occurs due to which of the following conditions?

<p>Insufficient absorption of glucose and amino acids (B)</p> Signup and view all the answers

What can excessive diarrhea potentially lead to if not managed properly?

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

Which treatment is often recommended for pancreatitis management?

<p>Hydrolyzed enteral formulas and fat restrictions (B)</p> Signup and view all the answers

Cystic fibrosis primarily impacts which system in addition to the digestive system?

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

What is lactose intolerance primarily caused by?

<p>Insufficient lactase enzyme activity (C)</p> Signup and view all the answers

Motility diarrhea is characterized by which of the following?

<p>Fluids moving too quickly through the intestine (B)</p> Signup and view all the answers

What is a common consequence of sloughing off intestinal cells in conditions like celiac disease and tropical sprue?

<p>Decreased absorptive surface area (B)</p> Signup and view all the answers

What is a crucial step in correcting diarrhea?

<p>Identify the underlying cause (A)</p> Signup and view all the answers

How does an oncotic pull in the intestines affect diarrhea?

<p>It causes excessive water to enter the lumen. (C)</p> Signup and view all the answers

Flashcards

Oral health and nutrition

Oral health problems can hinder food intake, impacting nutritional status. Conversely, malnutrition can worsen oral health, creating a vicious cycle.

Gingivitis

Inflammation of the gums, often caused by poor oral hygiene.

Glossitis

Inflammation of the tongue.

Xerostomia

Dry mouth, a common side effect of some medications.

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Scurvy

A disease caused by vitamin C deficiency, characterized by bleeding gums and loose teeth.

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Collagen's role in oral health

Vitamin C is essential for collagen formation, which plays a crucial role in holding teeth in place.

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Saliva substitutes

Products used to counteract dry mouth.

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Dry Mouth

A condition where the mouth produces insufficient saliva, leading to discomfort, difficulty swallowing, and altered taste.

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Mouth Sores

Painful sores or ulcers in the mouth, often caused by irritation, infection, or underlying medical conditions.

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Dysphagia

Difficulty swallowing, caused by problems with the muscles or nerves involved in the swallowing process.

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Bolus

A rounded mass of food formed in the mouth during chewing, ready for swallowing.

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Epiglottis

A small flap of cartilage that covers the trachea (windpipe) during swallowing, preventing food from entering the lungs.

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Trachea

The windpipe, a tube that carries air to and from the lungs.

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Pneumonia

An infection of the lungs, often caused by bacteria or viruses, leading to inflammation and fluid buildup.

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Capsaicin

A chemical compound found in hot peppers, responsible for their spiciness and ability to numb nerves.

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Bland Foods

Foods with little or no flavor, often recommended for patients with mouth sores or taste alterations.

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What is gastroparesis?

A condition where the stomach empties slowly due to delayed muscle contractions, impairing digestion.

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What are the common causes of nausea and vomiting?

Nausea and vomiting can be triggered by infections, medications, and certain foods.

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Why can excessive vomiting lead to dehydration?

Vomiting expels fluids from the body, leading to dehydration.

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How does excessive vomiting cause hypokalemia?

Vomiting eliminates potassium, leading to low potassium levels (hypokalemia).

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What is H. pylori?

A bacterium that can infect the stomach lining, causing peptic ulcers.

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What is the key to managing peptic ulcer disease?

Eradicating the H. pylori bacteria through antibiotics.

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What is the role of antacids in peptic ulcer disease?

Antacids provide relief by neutralizing stomach acid, but they don't eliminate the H. pylori bacteria.

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What is constipation?

A condition where bowel movements are infrequent and difficult to pass.

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What is the role of fiber in constipation management?

Fiber absorbs water, increasing stool bulk and aiding in easier passage.

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How does increased water intake help with constipation?

Water is essential for proper stool formation and smooth passage.

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Type I Diabetes

A condition where the body's immune system attacks and destroys insulin-producing cells in the pancreas, leading to a lack of insulin and inability to regulate blood sugar.

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Type II Diabetes

A condition characterized by insulin resistance, where the body's cells do not respond properly to insulin, resulting in high blood sugar levels.

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Insulin Therapy for Type I Diabetes

The use of insulin injections or pumps to regulate blood sugar levels in individuals with Type I diabetes.

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Atherosclerosis

The buildup of fatty deposits (plaque) inside the walls of arteries, narrowing the passageway for blood flow and increasing the risk of heart attacks and strokes.

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Aneurysm

A ballooning or weakening of a blood vessel wall, putting it at risk of rupture.

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What are the 3 types of diarrhea?

There are three main types of diarrhea: secretory, osmotic, and motility. Secretory diarrhea is caused by bacteria that make the intestines secrete more fluid. Osmotic diarrhea occurs when the gut doesn't absorb all nutrients, causing excess fluid to be drawn into the intestines. Motility diarrhea happens when food moves too quickly through the gut.

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What causes secretory diarrhea?

Secretory diarrhea is often caused by bacterial infections that trigger the intestines to release excessive fluids, leading to faster bowel movements.

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What causes osmotic diarrhea?

Osmotic diarrhea occurs when the gut can't absorb all the nutrients, like glucose and amino acids, which then draw water into the intestines, speeding up bowel movements.

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What are the symptoms of motility diarrhea?

Motility diarrhea is characterized by fast transit of food through the intestines, leading to watery stools because water doesn't have enough time to be absorbed.

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What is the treatment for diarrhea?

Treating diarrhea involves rehydration, electrolyte balance correction, and addressing the underlying cause. This could be addressing a bacterial infection, improving nutrient absorption, or managing medications that might be causing the diarrhea.

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What is lactose intolerance?

Lactose intolerance is a condition where the body doesn't produce enough lactase, an enzyme that breaks down lactose. This leads to undigested lactose in the intestines, resulting in osmotic diarrhea.

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What are the symptoms of pancreatitis?

Pancreatitis, often caused by gallstones, can lead to pancreatic enzymes becoming active within the pancreas, damaging the organ. Symptoms include abdominal pain, nausea, and vomiting.

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How is pancreatitis treated?

Treatment for pancreatitis includes: NPO (nothing by mouth), hydrolyzed enteral formulas, fat restriction, and oral pancreatic enzyme replacement therapy (PERT). The specific treatment depends on the individual.

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What is cystic fibrosis?

Cystic fibrosis is a genetic disease characterized by thick mucus secretions that can block the pancreatic duct, leading to similar issues and treatment as pancreatitis.

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What happens in Celiac disease and tropical sprue?

Celiac disease and tropical sprue both involve damage to the intestinal lining, leading to a loss of absorptive surface area which can cause malabsorption and diarrhea.

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Study Notes

DTC203 Final Exam Review

  • Exam Format: 5 True/False (1 pt each), 40 Multiple Choice (1.5 pts each), 10 Matching (1.5 pts each), choose 2 of 3 short answer questions (10 pts each). Focus is on material since exam #3. Matching includes basic nutrition concepts.

Upper GI Disorders

  • Relationship between Oral Health and Nutrition: Oral health impairment impacts overall nutrition. Pain and discomfort from gingivitis, glossitis, or mouth sores limit food intake. Malnutrition can also harm oral health.
  • Vitamin C and Oral Health: Vitamin C is needed for collagen formation and tooth integrity. Citrus fruits are a good source. Historical explorers' scurvy highlights this importance.
  • Drug Side Effects: Dry mouth (xerostomia) is a common side effect that significantly alters the taste and mouthfeel of foods. Saliva substitutes can help. Patients may benefit from gravies, oils, and butter to lubricate food and ease swallowing. Bland foods are better tolerated when saliva is absent.

Lower GI Disorders

  • Constipation and Diarrhea: Treatment focuses on managing the cause of diarrhea. Secretory diarrhea is often associated with bacterial infections, osmotic diarrhea results from malabsorption, while motility diarrhea is related to rapid transit through the intestines.
  • Malabsorption Issues: Lactose intolerance is due to insufficient lactase, resulting in osmotic diarrhea. Pancreatitis is a cause of pancreatic enzyme issues; gallstones can block the pancreatic duct. Cystic fibrosis, celiac disease, and tropical sprue involve sloughing of intestinal cells, impeding absorption.
  • Crohn's and Ulcerative Colitis: These inflammatory bowel diseases (IBDs) cause malabsorption issues during flare-ups. They may necessitate long term TPN.
  • Kidney Stones: Calcium oxalate stones are the most common type, often due to elevated urine calcium levels. Thiazide diuretics, moderate protein intake, and avoiding vitamin C supplements can help manage hypercalciuria. Uric acid stones are related to high purine intake. Cystine stones result from a metabolic disorder.

Diabetes

  • Diagnosis: Type 1 diabetes is an autoimmune disease destroying pancreatic beta cells (insulin production). Type 2 diabetes results from insulin resistance.
  • Symptoms: Excessive thirst (polydipsia), hunger (polyphagia), and frequent urination (polyuria) are common symptoms of uncontrolled diabetes.
  • Complications: Long-term hyperglycemia can cause complications like neuropathy, retinopathy, and nephropathy. Increased risk of cardiovascular damage (CVD).

Cardiovascular Disease

  • Mechanism: Atherosclerosis is the buildup of fatty deposits in the blood vessels, which impacts blood flow and can lead to problems like heart attacks and stroke.
  • Risk Factors: The risk factors include age, gender, family history, high cholesterol, hypertension, diabetes, obesity, inactivity, smoking, and diet including high fat and sugar intake.

Renal Disorders

  • Kidney Stones: Fluid intake is important to prevent the formation of kidney stones. Common type of stone is calcium oxalate, which can be decreased by limiting calcium intake, or by taking diuretics.
  • Acute Renal Failure: This occurs when the kidneys suddenly stop working, which may result from conditions like severe dehydration or bleeding. It leads to symptoms like oliguria, edema, and uremia.
  • Chronic Renal Failure: Chronic renal failure is a gradual loss of kidney function often related to diabetes and hypertension. It leads to functional impairment of the 5 major functions, and can lead to edema and electrolyte imbalances

Other Notes

  • Cancer: Lifestyle choices such as eating fruits and vegetables and reducing exposure to carcinogens are important cancer prevention factors. Cancer is caused by unregulated cell growth due to cellular damage.
  • Hypermetabolic States: Individuals undergoing certain treatments or conditions (e.g., cancer or transplant recovery) may have a hypermetabolic state that requires individualized nutritional needs.

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