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FBI
CM1-Fall 2011
Question | Answer |
---|---|
70% of the food recalls in 2010 were d/t? | Salmonella |
Which dz pathogen results from a toxin produced when contaminated food is stored at room temp? | Staph aureus (RAPID ONSET) |
Which dz pathogen is known as the "cafeteria germ"? | Clostridium perfringens -Foods prepared in large quantities, stored at rm temp, not cooled fast enough, kept on steam table too long |
Which pathogen dz is known as the "24 hour flu"? | Clostridium perfringens |
Which dz pathogen is a risk with food canning? | Clostridium botulinum |
What is important to know about clostridium botulinum? | -Neuro symptoms including progressive paralysis of the resp system -CAN BE FATAL |
Which pathogen can be in raw meat, fish, eggs, milk and is commonly d/t cross contamination w/ utensils and raw meat, etc | Salmonella (multiplies rapidly @ room temp) CAN BE FATAL-elderly and young |
E.coli can be transferred person-to-person, what are some characs? | -Bloody, watery diarrhea, kidney failure CAN BE FATAL |
Which dzs can be fatal? | -Clostridium botulinum -Salmonella -E.coli -Listeria |
Which pathogen is found in wide game and causes muscle wkness bc it gets into muscles? | Trichinosis parasite |
Bacteria that survives cold temperatures | Listeria monocytogenes, difficult to kill (raw milk, cheese, soil, leafy vegatlbes, food processing environments |
Onset 7-30days, HA, Vomiting, fever, Cantaloupe outbreak | Listeria |
Recommendtaions for pregnancy | Avoid raw chees, no unpaerurized milk, no raw/undercooked meat, fish, pultry |
Passed by food handlers, self limiting | Shigella (human fecal matter) |
Shigella sxs | diarrhea, bloody stools, abdp pain, fever, 1-3 days onset |
raw seafood, oysters | Vibrio vunificus |
human, water food, hehydration -> death | Vibrio cholera |
water, ice, human -> human, poor hygene, fruits veggies | Hep A Virus, fecal-oral, oral, anal sex |
Danger zone temps for bacteria | Cold <40 F hot at least >140 F |
Time left at room temp max | 2 hrs |
Large amounts of Folic acid (>1000mcg/day) | Can mask sxs of B12 defiency |
Constapation diet changes | HIGH FIBER!, increase water |
Standards for manlnutrition | 85-90%: mild, 75-85%: mod, <75% sever of ideal body wt |
IBS Diet | Soluble fibers may help both C/D, oats, legumes, apples, bananas, berries |
Lactose amount to trigger sxs | 12g or 1c milk |
Lactose intolerance MNT | Lactase enzyme replacments, Ca++ SUPPLEMENTS!! |
Evaluation for Lactose intolerance | Elimination in diet, hydrogen breath test, lactose tolerance test |
Steatorrhea diet | Low fat diet (25-40g), MCT oil supplements (med, chain Tg's-absorbed like glucose |
Celiac dz Diet | NO wheat, rye, barley, and oats, often presents when whole foods are introduced |
UC MNT | oral fluids/lytes, low fiber/residue, add soluble bulking agent to prevent C/D |
Monitoring w/UC | Zinc: chronic diarrhea, Hgb, HCT |
Crohn's Dz diet | Lowfiber/residue, highprotein/calorie, low fat, Vit/min replament, May require TPN during bowel rest |
Diverticular dz diet | CL initially, High fiber, low fat (controversial) |