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Nut assess
CM1-Fall 2011
| Question | Answer |
|---|---|
| What amount of cal/day should come from proteins? | ~10-15% |
| A high biological value protein contains all essential and non-ess aa's, what are some good sources? | *EGGS=highest! -meat -soy -legumes, grains, roots |
| What is an essential aa? | Ones the body cannot make |
| Minimal glucose needs/day to support brain? | 100gm |
| What amt of kcals/day should come from carbs? From fat? | -55% -<30% (<7% sat fat) |
| How many kcal/kg for maintenance? repletion? | M=25-30 R=30-35 |
| RDAs vs AIs? | RDAs=amt to prevent defic in healthy ppl AIs=used for nutrients where less info is avail |
| Vitamin A AKA? | Retinol |
| Vitamin B1, B2? | Thiamine, Riboflavin |
| Vit B6? | Pyridoxine |
| Vit B12? | Cobalamin |
| What are the ABCD's of nutrition? | Anthropometric, Biochemical, Clinical, Dietary |
| Vit B3? | Niacin |
| When should you be concerned about wt loss in a pt? | -5% in one month -7.5% over 3 months -10% over 6 months >10#s in 6 mo |
| Further pt eval @ which BMI levels? | >27 or <22 |
| What is the gold std for body fat percentage? | Underwater weighing |
| Low K+ and Mg2+ seen with? | Vom and Diarrhea and high fistula losses |
| Thiamine deficiency is assoc w/? | Alcoholism |
| Which water-soluble vitamin is substantially stored over ~12 mo pd instd of being excreted in urine? | Vit B12 - that's why it is supplemented q1 mo if needed, instead of qday |
| What should be checked in pts w/ suspect anemia? | Hct, Hgb, MCV (If MCV NL, then anemia is probably not nutrition-related) |
| What does ^ MCV mean? and what should be checked in these pts? | =Macrocytosis -Check folic acid and B12 |
| People w/ pernicious anemia are deficient in? | Intrinsic fx (therefore, cannot absorb B12) |
| T or F: Serum Ca2+ parallels dietary Ca2+? | FALSE: Serum Ca2+ is controlled by PTH, vitD, Calcitonin |
| What is the storage form of Iron? | Ferritin |
| Iron-deficiency anemia involves? | Low hgb, hct, MCV = microcytosis |
| Which deficiency can lead to severe and non-reversible neuro damage if not detected early? | B12 deficiency (also think this-if numbness or tingling of feet) |
| Which vitamin deficiency involves structural abnormalities in growing bones, esp bowed-legs? | Vitamin D = Rickets |
| What is the deficiency syndrome of Vit C? | Scurvy; Bleeding gums is the beginning sign |
| Vitamin A deficiency involves what kind of problems? | Ophthalmic |
| Condition assoc w/niacin defic is called? | Pellagra |
| What condition involves the "4 D's"? | Niacin Defic/Pellagra: -Diarrhea -Dermatitis -Dementia -Death |
| Kasal's necklace may be seen in which deficiency? | Niacin |
| What is the name of the condition assoc w/ thiamine deficiency? what usually causes this? what are some of the symptoms? | "BeriBeri" -Alcoholism -Anorexia, memory loss, muscle wasting, heaviness/wkness of legs.. |
| Which defic involves magenta tongue and cheilosis? | Riboflavin defic |
| Iodine defic is assoc w/ which condition? | Cretinism (assoc w/ severe MR and Growth Retardation) -"Neonatal/congenital hypothyroidism" -Women that are iodine def and give birth |
| What is the condition assoc w/ severe protein energy malnutrition? | Kwashiorkor (low oncotic pressure, so fluid moves out into interstitial spaces = edema) |
| What is the transition diet used bw a liquid and general diet? | Soft diet (similar to regular diet, just less fiber/residue) |
| A problem w/ a full liquid diet is that it is very high in? | Fat, dairy, lactose (lactose intol??) |
Created by:
ferrier.kath
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