(NBCD) MNT 1
1. The prevalence of malnutrition among hospitalized patient worldwide is:*
A. 20 to 48 %
2. Case Scenario: JD, a 59 year old, female, Chief Executive Officer of a telecommunications office whose height is 5’5” and weight of 93 kg has a BMI (Body mass Index) was admitted in the hospital due to a TIA which stands for*
B. Transient Ischemic Attack
4. JD’s BMI is classified as* 34.19
B. Obese Class 1 (WHO)
5. Using the NDAP formula, JD’s Recommended Body Weight is* (answer: 59.9)
d. None of the above
6. This nutrition screening tool is validated and used for Elderly patients:*
C. Mini Nutrition Assessment (MNA)
7. How can medications affect the nutritional status of older adults?*
D. all of the above
8. In writing prescriptions, t.i.d means*
A. Three times a day
9. LR, a 67 year old man who has had depression was prescribed a MAOI (Monoamine Oxidase Inhibitor) the following foods are avoided except:*
A. Avocado
10. Patients taking COUMADIN(warfarin) are advised not to increase or decrease their usual consumption of the following foods except:*
B. Bologna
11. Fluoroquinolones (Ciprofloxacin, levofloxacin) must not be taken with the following foods except:*
A. Papaya
12. JCAHO targeted the following drugs for specific monitoring for in and out patients except*
D. Allopurinol
13. Patients on anti-tuberculosis (anti-tubercolosix*) treatment are at risk of Vitamin deficiency:*
C. Vitamin B 6
14. EK, is a 27 year old woman, admitted to the hospital with severe Crohn’s disease and an unintentional weight loss of 20 pounds over the past two months despite a good appetite. Assuming that EK has steatorrhea, what is the most likely cause of his weight loss?*
B. Malabsorption
15. PR, a 50 year old woman with chronic pancreatitis, is hospitalized for surgical evaluation. PR was given pancreatic enzymes and can tolerate food, what diet order should be prescribed at this time? (Only 1 answer)*
C. low fat diet
16. Patients on long term use of steroids are recommended to take supplements:*
a. Calcium
17. HYPERSENSITIVITY REACTION involving the skin and mucous membrane*
C. Stevens Johnson Syndrome
18. The following drugs are known to interact with grapefruit juice except:*
a. Metformin (diabetes pt.)
19. The following are anthropometric measurements for determining nutritional status except;*
d. Creatinine Height Index
20. The following food groups may be allowed on the KETOGENIC DIET for Epilepsy:*
a. Angel cake, peanut butter, Lapid’s Chicaron (high fat)
21. Serum Creatinine below this level for female (0.6 – 1.0 mg/dl) may be an indication of the following:*
a. Decrease muscle dystrophy (decrease)
22. Chronic Malnutrition is a deficiency in*
a. Calories (answer key)
23. A retrospective method of obtaining nutrient intake data, low level of respondent burden, can be self-administered, applicable to use for Pediatric patients 8 years old and above:*
C. food frequency questionnaire
24. This specific enteral formula is ideal for this patient – 45 year old female, admitted to the Intensive Care Unit for CVD Infarct with left sided hemiparesis, GCS of 7, with abdominal distention and for possible tube feeding:*
a. Semi – elemental (partially digested proteins and are easier to absorb)
25. A disease specific enteral formula indicated for patients with liver disease is*
D. Aminoleban E
26. The types of Ketogenic Diet for Epilepsy in Children are the following except:*
D. South Beach Diet
27. A high fiber diet contains:*
B. 30 grams of fiber per day
28. QA is placed on long term prednisone treatment. What two complications of high dose prednisone. Therapy require nutritional intervention?*
a. weight gain that may lead to obesity
29. BF is a 61 year female diagnosed with Cancer of the Stomach and has been bedridden for the past one month. Height 5’6’’ Weight :50 kg, with a history of 10% weight loss for the past 3 months ,has been consuming mostly liquid and semi Foods amounting to 700 Calories per day. The Attending Physician decided to her Parenteral Nutrition prior to a contemplated procedure, which of the following TNA is best for this patient*
a. Nutriflex 1000 in 1250 ml
30. If patient BF in question 29 will transition to an oral diet with oral nutrition supplementation, What enteral feeding formula can be recommended for BF*
d. Prosure (cancer)
31. The following are Polymeric formula containing except:*
d. Nutrican
32. Which of the following diet history method reduces error due to reliance on “recall”*
B. Food Diary / record
33. Anticipated need for tube feeding will require < 6-8 weeks*
A. nasogastric
38. For ATONIC CONSTIPATION (high fiber), the following are the Medical Nutrition Therapy required except:*
(Spastic constipation: low fiber)
b. Low Fiber, agar – agar
39. Hemoglobin Normal Values FEMALE 13.5 – 15 g/L Male 14-16 g/L, if patient Ms CB, 40 years old female, whose hemoglobin level is 17.0 g/L, this may be considered as*
a. Dehydration
40. PL a 35 year old male , drinks occasionally 5 bottles of beer two to three times a week , had an Executive check-up. Uric acid level showed 6.5 mg/dL (high), had complained of pain in the lower knees, which medical condition could this be*
b. Gout
41. FODMAPS is indicated for Nutrition Management of IBD, the following examples of FOD MAPS except:*(fermentable oligosaccharides, disaccharides, monosaccharides and polyols)
d. Inulin
42. Which of the following is an IMMUNE ENHANCING formula*
c. Peptamen
43. Dietary Modification for Diverticulitis is a LOW RESIDUE Diet for the acute phase, which of the following set of foods can be given to the patient*
c. Papaya and Siopao
44. Documentation is an important aspect in the Nutrition Care Process, when writing in the patient’s Chart about the patient’s actual intake, the acceptable ink color should be*
b. Black ink
45. The SOAP format is needed in writing the PROGRESS NOTES of Dietitians, the following data can Be written in the O format except*
c. Subjective Global Assessment rating = Severely Malnourished
46. Which of the following parameters are indicators of a patient’s nutritional status except:*
c. Food Diary
47. Total Lymphocyte count is obtained from the results of the CBC and calculated using this formula WBC x Lymphocytes divided by 100 If WBC – 9.00 (normal value 5X 109/L) Lymphocytes 07% (normal values 0.25 – 0.40 %) Compute for the Total Lymphocyte count (TLC)*
a. 630
48. Adding this component to the Parenteral Solution can help prevent clotting in the subclavian catheter*
a. Vitamin K
49. PROSURE is an enteral formula for the following disease condition except*
a. Decubitus Ulcers
50. The following are complications related to Parenteral Nutrition except*
c. Diarrhea
51. Monitoring of Metabolic parameters in patients on Parenteral Nutrition is done daily except*
d. Blood Pressure
52. Absorbs water and electrolytes to form feces*
B. colon
53. Nutrition Therapy for COLONIC DIVERTICULITIS includes*
B. General Liquid Diet to Soft Diet
54. Nutrition Therapy for Irritable Bowel Disease*
A. High Calorie, High Protein, small frequent feeding, low fiber
55. Nutrition Therapy for Appendicitis plays a supportive role when patient is on NPO, before and after surgery. If patient will resume diet, Liquid diets are prescribed*
A. Tea , juice , hard candy, jello
56. Nutrition Therapy for Hemorrhoids includes the following except*
D. Use of Kankunis
57. EF, 90 year old female, admitted at the hospital with a Diagnosis of Irritable Bowel Syndrome, with a history of 5 episodes of loose bowel movement, Height 5’ 2” Weight 49.9 kg Serum Albumin 2.8 g/dL (Normal level 3.5 – 5.0 g/dL). Compute for the patient’s BMI, choose the best answer*
C. BMI 20
58. Related to Case study on # 47, Patient EF latest CBC shows that Hemoglobin - 121 g/L Hematocrit 0.41 White Blood cells (WBC) 12.6 Lymphocytes 0.16 % compute for her Total Lymphocyte Count*
A. 2016
59. Which of the following Nutrition Focused Physical Examination (NFPE) describes subcutaneous fat examination in determining the nutrition status of patients*
A. Triceps, Orbital pads, buccal pads
60. In NFPE, the following determines fluid accumulation in the body except*
C. Skin
61. In NFPE, the following are not included in determining MICRONUTRIENT Deficiency*
C. Triceps, Deltoid, Pectoralis
62. When writing in the patient’s chart, we use the Progress Notes structured according to the SOAP format, which of the following statements can be written in the S (Subjective) format*
C. “ Lahat ng kinakain ko parang – walang lasa”
63. In the Nutrition Care process, which of the following is not Nutrition intervention, except*
D. Did not inform the Attending Physician of the patient’s intake of MX3
64. Which of the following is a GLUTEN FREE DIET*
D. Camote pudding , puto, Sago Gulaman
65. The following foods contain tartrazine except*(yelow artificial food color)
C. Coconut jam
66. In a common bacteria inhabiting the gastrointestinal area around the pyloric valve and is a major determinant of chronic acute gastritis is*
C. Helicobactor Pylori
67. In the Nutrition Management of Peptic Ulcer, gastric stimulants should be limited except*
A. Evaporated Milk
68. For eradication of H. Pylori in the gastrointestinal area, in how many weeks of treatment with an acid suppressing drug and antibiotics will it be*
A. Two weeks
69. The following are Histamine H2 Blockers – which are part of the common drugs for Peptic Ulcer except*
B. Cetirizine
70. In Nutrition Management of Radiation Enteritis, we provide the following interventions includes the following but not *
C. Folate supplementation
71. Cathartics are substances that accelerate defecation, while LAXATIVES loosen stools and increase bowel movements, which does not belong to this group of CATHARTICS*
A. Methyl Cellulose
72. Which of the following is not true in a LOW RESIDUE DIET?*
D. Rolled Oats, Soft Boiled Egg, gelatin
73. Which of the following is TRUE in a SOFT DIET:*
D. Chicken Nilaga with Asparagus tips and Potato, Cathedral Windows
74. The semi liquid, partially digested food that travels through the intestinal tract is called:*
C. Chyme
75. The muscular contractions that move food through the GI tract are called:*
C. peristalsis
76. The main function of the bile is:*
A. emulsify fats
77. All blood leaving the GI tract travels first to the:*
B. Liver
78. Which nutrients leave the gastrointestinal tract by way of the lymphatic system:*
D. fats and fat soluble vitamins
79. Digestion and absorption are coordinated by the:*
C. hormonal system and the nervous system
80. Let us trace the Digestion of a Peanut Butter and banana sandwich on whole wheat bread sesame bread through the GI tract , in the mouth there is chewing and swallowing but little digestion takes place, what nutrients are Involved in this process;*
C. Carbohydrates and fiber
81. Related to the digestion of a Peanut Butter and Banana sandwich, the next process is in the stomach (collecting and churning with some digestion), what nutrients are involved in this process*
C. Carbohydrates, protein and fats
82. From the stomach, the digestion of Peanut Butter and Banana sandwich will now proceed to the Small Intestines, the following nutrients that are involved in this process are:*
C. Sugars from Banana, Starch, fats, vitamins and minerals
83. Finally, in the Large Intestine, the Peanut Butter and Banana sandwich will be re – absorbed and eliminated, the following are absorbed except :*
D. Insoluble fiber
84. For Radiation Enteritis, this diet is best indicated for this condition*
C. Lactose free, Low Fat, Low Fiber
85. The following are examples of the Low Fiber Diet except*
A. Oatmeal, Soft Boiled Egg, Gelatin
86. Insoluble Fiber is indicated for the following conditions except*
A. Gastric Ulcer
87. Which of the following foods contain the highest amount of lactose*
B. Yogurt
88. Treatment of Lactose intolerance requires limiting milk intake, the following nutrients must be included in the diet except*
B. Zinc
90. The International Dysphagia Diet Standardization Initiative (IDDSI) framework provides a common Terminology to describe food textures and drink thickness has how many levels of standards*
D. 7 levels
91. The IDDSI framework describes LEVEL 5 as*
D. Minced and moist
92. Foods that may increase intestinal gases includes the following but not*
C. Peanuts
93. The following foods may worsen diarrhea but not*
C. Banana
94. People at risk of dumping syndrome should generally avoid*
B. Sweets and sugars
95. The Dietitian assessing a patient who had undergone gastrectomy several years ago should be alert to signs of :*( nutrient absorption)
C. Anemia
96. Symptoms of irritable bowel syndrome most often include*
D. Constipation, Diarrhea and flatulence
97. After an ileostomy, the most serious concern is that*
D. incompletely digested foods may cause obstructions
98. Foods discouraged for patients with gastritis or active ulcers include those that*
B. irritate the gastric mucosa