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MNT EXAM 1 QUESTIONS WITH COMPLETE SOLUTIONS

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MNT EXAM 1 QUESTIONS WITH COMPLETE SOLUTIONS

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  • November 10, 2024
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  • 2024/2025
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MNT EXAM 1 QUESTIONS WITH COMPLETE
SOLUTIONS

1 fat Correct Answer 1 cup milk

1 fruit Correct Answer 1/2 fruit juice, canned or cut-up fruit

1 starch Correct Answer 1/3 cup pasta or 1 slice bread

1 vegetable Correct Answer 1 cup raw vegetables including
lettuce or 1/2 cup of cooked vegetable

Causes and consequences of malnutrition Correct Answer
*inadequate intake
- fatigue, pain, inability to eat by mouth, etc.
*inadequate absorption
- gut dysbiosis, medication use, GI bleeding, etc.
*increased requirements
- injury, trauma, infection
*inadequate utilization
- diabetes (taking in enough, but not using it correctly)
*increased loses
- wounds, fistulas, chronic diarrhea, etc.

characteristics of enteral formulas Correct Answer - lactose
free
- amino acid composition - enhanced BCAAs: hepatic; EAA +
histidine: renal; Extra Gin, Arg, BCAAS: trauma, surgery
- degree of hydrolysis of carb/protein
- fiber content and possibly FOS
- volume needed to meet DRIs for vit/min

,- fat content and source - medium chain triglycerides (MCT) - 6-
12 C units: 8.4 kcal/g; no essential fatty acids - absorbed directly
into portal system

cyclic feeding Correct Answer - administered by infusion
pump over 8-16 h, usually at night
- requires high infusion rate and/or more concentrated formulas
- potential GI intolerance
- useful for transition TF to oral diet

Elemental or hydrolyzed formula Correct Answer Formula that
contains free amino acids and hydrolyzed cornstarch, and would
be indicated for severe GI dysfunction/malabsorption

enteral nutrition support Correct Answer Using the GI tract
*The provision of specifically formulated nutrients vix enteral
route:
- tube/catheter to access to GI tract
- can feed to different ares of the GI tract (bypassing the mouth)
- could be stomach, small intestine, etc.
- will be able to make use of digestion/absorption

Examples of different ways that foods/nutrients and medications
interact Correct Answer - medications can affect nutrition-
related factors
- malnutrition can alter drug disposition
- medications can provide calories
- foods/nutrients can alter medication utilization
- medications can induce nutritional deficiencies

, furosemide (lasix) Correct Answer - as you waste fluid, you
waste different electrolytes, vitamins/minerals
- urinary wasting of potassium and thiamin, and magnesium and
zinc

hepatic formula Correct Answer Formula that contains higher
amounts of branched chain amino acids and lower amounts of
aromatic amino acids

How can nutrition support benefit the metabolically stressed
patient? Correct Answer *NS can help the patient through
critical illness injury
- Provide plenty of protein, but don't overfeed energy
- Monitor electrolytes; fluid and electrolyte balance can be
challenging to monitor
- Start enteral feeding as early as possible after injury, but not
too early - feeding should not be initiated until after fluid
resuscitation is complete

How do TJC, the Academy of Nutrition and Dietetics, ASPEN,
and other professional societies ensure the quality of nutrition
care? Correct Answer The Joint Commission
- accredits, evaluates, and sets standards
The Academy of Nutrition and Dietetics
- Core Knowledge for the RD
- Standards of practice in nutrition care
ASPEN
- Clinical practice guidelines, algorithms, and pathways
- Specialized certifications

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