BIOCHEMICAL
LAB VALUES & FACTS
NFPE
MALNUTRITION
MYSTERY
100

The _____ is a basic test used to evaluate the type and percentage of normal components in the blood.
a. arterial blood gases
b. metabolic panel
c. complete blood count
d. white blood count

What is a "complete blood count"?

100

Where is most of the body’s phosphorus stored?

What is "in the bones"?

100

Loss of subcutaneous fat is assessed in what three areas of the body? 

What is "1. the orbital region (temporal), 2. upper arm (triceps/biceps), and 3. thoracic & lumbar region (ribs, mid-axillary)"?

100

On average in a hospital setting, how many patients will suffer from malnutrition?

What is "1 in 3 patients are malnourished while approximately 1/3 of patients who are not malnourished upon admission may become malnourished while hospitalized"?

100

_____ is the first line process of identifying patients, clients, or groups that are at nutritional risk. 

What is "nutrition screening"?

200

__________ has/have important functions in the blood-clotting mechanism, including clot retraction and activation of coagulation factor.
a. platelets
b. hemoglobin
c. RBCs
d. WBCs

What are "platelets"?

200

A fasting glucose of 85 md/dL is indicative of what?

What is "a normal fasting glucose"?

200

____ is the abnormal retention of fluid in interstitial spaces and cavities, most commonly found in the ankles, feet, and sacrum. 

What is "edema"?

200

What are the three etiologies to malnutrition?

What are " 1. starvation-related (without inflammation) 2. chronic disease-related (mild to moderate inflammation) and 3. acute disease-related (severe inflammation)"?

200

A standardized-model tool utilized by nutrition and dietetics professionals to improve the consistency and quality of individualized care for patients/clients or group. 

What is the "nutrition care process"?

300

_____ is/are the oxygen-carrying protein attached to red blood cells.
a. platelets
b. hematocrit
c. leukocytes
d. hemoglobin

What is "hemoglobin"?

300

When reviewing the serum calcium level, what other lab value must be evaluated in light of a depleted serum calcium?

What is "albumin"?

300

____ is the bony extension on the scapula that stabilizes the shoulder joint and is prominent in severe malnutrition.  

What is the "acromion process"?

300

What characteristic is not included in the diagnosis of adult malnutrition?

a. Loss of subcutaneous fat

b. Insufficient protein intake

c. Diminished functional status

d. Insufficient energy intake

What is "b. Insufficient protein intake"?

300

____ is a waste product of protein metabolism. 

What is "urea"?

400

The Complete Blood Count is a "snapshot" that can diagnose, monitor or screen for what? Name three.

What are "infection, anemia, bleeding disorder and/or inflammation"?

400

_____ is used to assess kidney function, to help
diagnose kidney injury and to monitor the
effectiveness of dialysis and other treatment. 

What is "BUN"?

400

If the patient is unable to stand, name two of the three ways height can be measured. 

What are "1. Demispan, 2. Knee Height, and 3. Ulna Length"?

400

Malnutrition in the context of social or environmental circumstances may be present in patients with:

a. Major infection

b. Cancer

c. Rheumatoid arthritis

d. Anorexia nervosa

What is "d. Anorexia nervosa"?

400

**DAILY DOUBLE**

Calculate the corrected calcium. 

Albumin- 2.5 g/dL

Calcium- 8.3 mg/dL

What is "9.5 mg/dL"?

Formula

Correct Ca= Serum Ca + 0.8* (4- Serum Alb)

500

_______ is necessary for the transmission of nerve impulses to skeletal, smooth and cardiac muscle.
a. sodium
b. potassium
c. calcium
d. magnesium

What is "potassium"?

500

Causes of a decreased ____ level include: diarrhea, vomiting, profuse sweating, kidney injury and Addison’s disease.

What is "sodium"?

500

______ is a measure of upper body strength, a biomarker for sarcopenia, and is a strong marker of nutritional status and frailty, particularly in the elderly. 

What is "hand grip strength"?

500

What are the six characteristics used to diagnose malnutrition?

What are "1. insufficient energy intake, 2. unintentional weight loss, 3. loss of body fat, 4. loss of muscle mass, 5. fluid accumulation, and 6. diminished functional capacity (hand grip strength)"?

500

All of the following are limitations to the food diary method except:

a. Timing of data collection may not be convenient for subject

b. A high literacy level is needed

c. This method may alter an individual's diet

d. It is quick

What is "d. It is quick"?