Submitted nutrition questions
1. Ms. Jones is a 52 yr old secretary, whose diet consists of fast food for every meal and has a sedentary
lifestyle. She has a BMI of 31 and is 5 foot and weighs 160 pounds. Her doctor told her at this weight she
is at the highest risk for obesity –related diseases. Which type of excess body fat distribution does Ms.
Jones most likely have?
A. Excess thigh fat
B. Intra-abdominal fat
C. Intra-mediastinal fat
D. Subclavicular fat
E. Subcutaneous fat
2. A 37 year old obese male is seeing his primary care physician for an annual physical. The physician
describes the patients increased risk for developing certain conditions due to his increased upper abdominal
or central obesity. Which of the following conditions is the patient at an increased risk of developing due to
his central obesity?
A. Cardiovascular disease
B. Hepatomegally
C. Hypothyroidism
D. Peripheral neuropathy
E. Steatorrhea
3. A 55-year-old man with a known history of chronic alcoholism comes in to your office for his annual
physical. He admits to heavy daily drinking and only eating one meal per day. His wife tells you that over
the past year he has become very forgetful at remembering simple household tasks and he "sleeps half the
day away". You have counseled this patient many times on the effects of alcoholism, but now you are very
worried about his lack of appetite and possible nutritional deficiencies that are a result of alcohol abuse.
Which water-soluble vitamin deficiency is most seen in chronic alcoholics and can cause major neural
deficits?
A. Vitamin A
B. Pantothenic Acid (Vitamin B5)
C. Iron
D. Ascorbic Acid (Vitamin C)
E. Thiamine (Vitamin B1)
4. A 58 year old male with a history of alcoholism and associated liver disease
presents to your office for a routine check up. He is there to have his LFTs
checked, but he also wants to know more about a herbal supplement that -
according to one of his drinking buddies - supposedly slows the progression
of liver disease. He is likely referring to which supplement:
A. Black Cohosh
B. Milk Thistle
C. Saw Palmetto
D. Chamomile
E. Creatine
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,5. Lester, a 65 year retired banker, comes to visit you at your office 4 weeks after a myocardial infarction.
He claims he has a new view on life. He has started on a cardiac rehabilitation program, is taking walks
with his wife and dog more often, and is eating a healthier diet after meeting with a dietician. His only
problem is that he hates green vegetables. You explain to Lester that green leafy vegetables are high in
folate which is of particular importance to him because folate will help reduce endothelial damage, platelet
adhesion and aggregation, and thrombosis caused by this compound.
A. HDL Cholesterol
B. Homocysteine
C. LDL Cholesterol
D. Methionine
E. Nitric Oxide
6. Jill is a 60 year old woman that has a family history of breast cancer. She has heard that certain nutrients
can help prevent cancer. She wants to know if she can get the same effects by taking a supplement, instead
of eating the food. From the case modules, which of the following is true?
A. Nutrients should be from pills, since they won’t cause toxicity.
B. There may be anti-carcinogenic compounds that are yet undiscovered and are only found in natural
substances (ex: fungi, plants, animals).
C. Nutrients from food can be overdosed, and therefore pills are safer.
D. All supplements are regulated, so are proven safe, and should be used instead of natural food.
E. Many compounds in pills work in a synergistic relationship not found in food.
7. A 23 year old female medical student is a self-admitted, “germ-a-phobe” after finishing a Microbiology
course and now is supplementing her diet with various vitamins, minerals and herbal supplements to avoid
getting sick. She presents to your office with nausea, abdominal cramps, diarrhea, headache, fatigue, hot
flashes and rashes. What vitamin, mineral or herbal supplement is causing these toxic side effects?
A. Echinacea
B.Vitamin C
C.Vitamin D
D. Vitamin E
E. Vitamin K (from a natural source, not synthetic source)
8. A 24 year old male comes to you for a physical. He admits to fairly heavy consumption of alcohol for
the past 5 years. He is otherwise healthy. He tells you he is concerned about his family history of prostate
cancer and wants to start “eating better”. What else can you tell him that will decrease his chances for
cancer development?
A. Drinking heavy amounts of alcohol will slightly decrease his cancer risk.
B. He should eat lots of fruits and vegetables and can continue his drinking habit.
C. Since he is healthy at this time, he does not need to do anything differently.
D. He should cut down his alcohol intake to 2 drinks/day.
E. Advise him to increase his intake of red meat, processed grains, and vegetables.
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,9. Nora is a 75 year old Caucasian female who lives alone and does her best to maintain a healthy diet.
When she visited the doctor for a check-up one month ago, he stated that she had lost nearly 2 centimeters
of her height in the last year and half. Nora has noticed minor height loss since going through menopause
at 55. She spends most of her time indoors and does not leave her home often. She wants to continue
living independently, but last week she fell and sustained a minor fracture to her left hip. In addition to her
doctor-prescribed bisphosphonate, what foods could BEST help Nora prevent further complications caused
by her current condition?
A Lean Beef, Oysters and Tea
B Strawberries, Kiwis and Apples
C Low Fat Milk , Fish and Broccoli
D Leafy Vegetables, Eggs and Meat
E Tomatoes, Beans and Asparagus
10. An 18-year-old college student, who habitually drinks to the point of vomiting, begins to experience
confusion, impaired vision, hypothermia, hypotension and ataxia. What vitamin is he most likely deficient
in?
A. Niacin
B. Riboflavin
C. Thiamine
D. Folate
E. Pyridoxine
11. A 30 year of female comes in for a check-up during the 12 th week of her first pregnancy. Upon
questioning, she admits to eating dirt and clay. Which of the following is the term used to describe this
type of craving during pregnancy?
A. amylophagia
B. geophagia
C. dysphagia
D. stachtophagia
E. pagophagia
12. ANOREXIA: Anorexia, especially in girls, can increase _______________ .
A. duration of sports performance
B. quality of sports performance
C. likelihood of cancer
D. likelihood of bone injury
E. ability to jump
13. Lifestyle modifications can reduce excessive LDL concentration by ____________.
A. 0-5%
B. 5-10%
C. 20-40%
D. 70-80%
E. Lifestyle modifications are not helpful in LDL lowering
14. Glucagon is a pancreatic hormone that:
3
, A. Activates hormone sensitive lipase
B. Decreases glycogenolysis in the liver
C. Increases protein synthesis in skeletal muscle
D Inhibits hormone sensitive lipase
E Inhibits glycogen phosporylase in the adipose tissue
15. A 57 year old male comes to you for his annual physical. You have known this patient for several years
and have seen a gradual decline in his overall health. His blood pressure and serum lipids are high as well
as his body weight. You measure his BMI and it now classifies the man as obese. Which of the following
might be this patient's measured BMI?
A >20
B >25
C >27
D >29
E >30
16. A 92 year old white woman has advanced Alzheimer’s disease and dies. At autopsy, which of the
following would be found on histological examination of the brain?
A. Psammoma bodies
B. Gross atrophy with amyloid deposits
C. Coagulative necrosis
D. Spongiform encephalopathy
E. Pheochromocytoma
17. A 25 year old woman with severe scoliosis comes in for her annual check up. Her weight at this visit is
170 pounds (77 kg), and her height is 5'7 (1.7 meters). What is her BMI and is she normal, overweight, or
obese?
A. 27; obese
B. 27; overweight
C. 24; normal
D. 24;overweight
E. BMI should not be applied to this patient due to her scoliosis.
18. In their largest dementia study ever, NCCAM is currently studying which of the following to
investigate it's potential to prevent the onset of dementia and more specifically Alzheimer's Disease?
A - St John's Wort
B - Cranberry Juice
C - Garlic
D - Ginko Biloba
E - Copper
19. Which of the following statements about nutrient storage is true?
A A balance of energy in and energy out is not necessary to maintain weight.
B Fat is the only macronutrient that the body can store in large quantities.
C Protein loss does not have severe long term consequences.
D Carbohydrates supplies are not depleted until 5 days of fasting.
E As energy intake decreases, fat storage is increased.
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