Lower GI tract
Which of the following is a primary goal of Medical Nutrition Therapy (MNT) in Lower GI disorders?
A) To replace all medications with dietary changes
B) To improve overall health and manage chronic conditions
C) To eliminate the need for physical activity
D) To increase caloric intake regardless of health statu
B. To improve overall health and manage chronic conditions
What is the primary dietary recommendation for patients with non-alcoholic fatty liver disease (NAFLD)?
A) High-fat diet
B) Low-carbohydrate diet
C) Balanced diet with reduced calorie intake
D) High-protein diet
C. Balanced diet with reduced calorie intake
(usually weight loss is recommended to prevent further complications)
Which of the following is the most common cause of acute pancreatitis?
A. Alcohol abuse
B. Gallstones
C. High triglyceride levels
D. Pancreatic tumors
A. Alcohol abuse
In patients with cholecystitis, which dietary modification is typically recommended?
A. High-fat diet
B. Low-fat diet
C. High-protein diet
D. Low-carbohydrate diet
B. Low-fat diet
What is the primary goal of nutrition therapy in acute pancreatitis?
A) Increase protein intake
B) Reduce inflammation
C) Promote weight gain
D) Manage blood glucose levels
B. reduce inflammation
Which of the following conditions may be managed with a low-FODMAP diet?
A) Hypertension
B) Irritable Bowel Syndrome (IBS)
C) Osteoporosis
D) Hyperthyroidism
B. Irritable Bowel Syndrome
In patients with hepatic encephalopathy, which dietary modification is often recommended?
A) High-protein diet
B) Low-protein diet
C) High-fat diet
D) Low-carbohydrate diet
B. Low protein diet
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What is the primary goal of nutrition therapy in chronic pancreatitis?
A. Weight loss
B. reducing inflammation
C. managing malabsorption
D. Increasing pancreatic enzyme production
C. Managing malabsorption ( and thereby preventing malnutrition and nutritional deficiencies)
Which of the following foods should be limited in a patient with gallbladder disease?
A. Whole grains
B. Leafy greens
C. Fried foods
D. Lean meats
C. Fried foods
A patient with chronic pancreatitis is experiencing steatorrhea. Which of the following dietary modifications is most appropriate?
A) Increase dietary fiber
B) Increase protein intake
C) Reduce fat intake
D) Reduce carbohydrate intake
C. Reduce fat intake
Which condition is characterized by the presence of small pouches in the walls of the colon?
A) Crohn's disease
B) Ulcerative colitis
C) Diverticulosis
D) Celiac disease
C. Diverticulosis
(inflamed condition is diverticulitis; MNT is clear liquids x 24 hrs, then soft bland food, then high fiber)
Describe the impact of malnutrition on patients with chronic liver disease.
Malnutrition in chronic liver disease can lead to muscle wasting, decreased immune function, increased risk of infections, and poor wound healing. It can also exacerbate liver dysfunction and increase morbidity and mortality.
https://med.virginia.edu/ginutrition/wp-content/uploads/sites/199/2015/11
Which nutrient is most likely to be malabsorbed in patients with chronic pancreatitis?
A. Carbohydrates
B. Proteins
C. Fats
D. Vitamins
C. Fats
(maldigestion and malabsorption of CHO, Protein, and fats may occur with fat malabsorption being more common and more clinically evident, and may result in the malabsorption of fat-soluble vitamins)
Which vitamin deficiency is most likely in patients with chronic biliary obstruction?
A. Vitamin C
B. Vitamin D
C. Vitamin B6
D. Vitamin K
B. Vitamin D
Which of the following is a potential complication of untreated celiac disease?
A) Hyperglycemia
B) Hypertension
C) Hyperlipidemia
D) Osteoporosis
D. Osteoporosis
Which condition involves chronic inflammation of the gastrointestinal tract, often affecting the ileum and colon?
A) Irritable Bowel Syndrome (IBS)
B) Crohn's disease
C) Ulcerative colitis
D) Diverticulitis
B. Crohn's disease
In patients with cirrhosis, which dietary modification is often recommended to manage ascites?
A) High protein diet
B) Low sodium diet
C) High carbohydrate diet
D) Low fat diet
B. Low sodium diet
(it is also important to provide adequate protein)
What is the primary dietary recommendation for patients with exocrine pancreatic insufficiency?
A. High-fat diet
B. Low-protein diet
C. Low-fat diet
D. High-carbohydrate diet
C. Low fat diet
(it is also recommended to get adequate protein - lean, and avoid too much fiber)
What is the primary dietary recommendation for patients with bile acid malabsorption?
A. High-fiber diet
B. Low-fat diet
C. High-protein diet
D. Low-carbohydrate diet
B. Low-fat diet
What is the primary goal of nutrition therapy in diverticulitis?
A) Increase fiber intake
B) Manage blood glucose levels
C) Reduce inflammation
D) Promote weight gain
C. Reduce inflammation
Which of the following is a common symptom of irritable bowel syndrome (IBS)?
A) Persistent vomiting
B) Chronic diarrhea or constipation
C) Severe weight loss
D) Jaundice
B. Chronic diarrhea or constipation
(subtypes of IBS: 1. IBS with constipation 2. IBS with diarrhea 3. IBS mixed bowel habits 4. Unclassified IBS)
Which of the following is a potential consequence of long-term cholestasis?
A. Hyponatremia
B. Hyperglycemia
C. Osteomalacia
D. Hypoglycemia
A patient with exocrine pancreatic insufficiency (EPI) is prescribed pancreatic enzyme replacement therapy (PERT). When should the patient take these enzymes?
A) Before meals
B) During meals
C) After meals
D) On an empty stomach
A. Before meals
In patients with primary biliary cholangitis, which nutrient supplementation is often necessary? (primary biliary cholangitis is an autoimmune disease in which the bile ducts are inflamed and slowly destroyed)
A. Iron
B. Vitamin A
C. Vitamin E
D. Calcium
D. Calcium
Which of the following is a common complication of untreated cholecystitis?
A) Pancreatitis
B) Hepatitis
C) Cirrhosis
D) Diabetes
A. Pancreatitis