Exam 19: Carbohydrate- and Fat-Modified Diets for Malabsorption Disorders

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Case Study Child with Cystic Fibrosis: Julia Franklin is a 6-year-old child who was diagnosed with cystic fibrosis at age 2. She has a poor appetite, and her height and weight are below normal for her age. Her parents have been instructed to feed her a high-calorie, high-protein, high-fat diet with extra salt and to provide snacks between all meals. She takes supplemental enzymes each time she eats. She experiences frequent respiratory infections and has had numerous hospitalizations for cystic fibrosis exacerbation since her diagnosis. -Why were her parents instructed to feed Julia a high-calorie, high-protein, high-fat diet? Why does she need extra salt?

(Essay)
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Why are young people with cystic fibrosis short and very lean for their age?

(Essay)
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Which organ senses low oxygen content and releases chemicals that stimulate RBC production?

(Multiple Choice)
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Thirty to fifty percent of patients with long-term chronic pancreatitis will develop:

(Multiple Choice)
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Celiac disease is characterized by an abnormal immune response to certain amino acids. ​

(True/False)
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Case Study Questions ​ Use the following case study to answer questions. Kati is a 27-year-old Caucasian who works as a bank teller. She is 5'3" tall and weighs 102 pounds. She began experiencing recurrent gastrointestinal disturbances, such as diarrhea, steatorrhea, and flatulence, several months ago. She made an appointment with her physician after noticing that she was losing weight. Laboratory tests confirmed a diagnosis of celiac disease. -If Kati does not eliminate gluten from her diet, she could likely experience all of these conditions EXCEPT:

(Multiple Choice)
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Match each nutrition term with the appropriate definition.
Premises:
soaps
Responses:
an inherited disease characterized by the production of abnormally viscous exocrine secretions
used to test whether small intestine is able to absorb nutrients
excessive fat in the stools resulting from fat malabsorption; characterized by stools that are loose, frothy, and foul smelling due to a high fat content
Correct Answer:
Verified
Premises:
Responses:
soaps
an inherited disease characterized by the production of abnormally viscous exocrine secretions
(Matching)
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Vitamin B12 is absorbed through the:

(Multiple Choice)
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Match each nutrition term with the appropriate definition.
Premises:
megaloblastic anemia
Responses:
production of RBCs
results from iron deficiency
blocks the release of iron from storage and thereby renders iron unavailable for red blood cell production
Correct Answer:
Verified
Premises:
Responses:
megaloblastic anemia
production of RBCs
(Matching)
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Anemia caused by an illness rather than a nutrient deficiency is known as:

(Multiple Choice)
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The type of anemia associated with vitamin B12 and folate deficiency is called:

(Multiple Choice)
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Medium-chain triglyceride (MCT)oil does not require bile for digestion and absorption. ​

(True/False)
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Match each nutrition term with the appropriate definition.
Premises:
celiac disease
Responses:
chemical compounds formed from fatty acids and positively charged minerals
an inherited disease characterized by the production of abnormally viscous exocrine secretions
a gluten-sensitive disorder characterized by a severe skin rash
Correct Answer:
Verified
Premises:
Responses:
celiac disease
chemical compounds formed from fatty acids and positively charged minerals
(Matching)
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Match each nutrition term with the appropriate definition.
Premises:
bacterial overgrowth
Responses:
NONE
a malabsorption syndrome that follows resection of the small intestine due to insufficient absorptive capacity in the remaining intestine
refers to medications or enzyme preparations that are coated to withstand gastric acidity and dissolve only at the higher pH of the small intestine
Correct Answer:
Verified
Premises:
Responses:
bacterial overgrowth
NONE
(Matching)
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Match each nutrition term with the appropriate definition.
Premises:
hemolytic anemia
Responses:
stimulates RBC production in bone marrow
blocks the release of iron from storage and thereby renders iron unavailable for red blood cell production
failure of stem cells to develop into RBCs
Correct Answer:
Verified
Premises:
Responses:
hemolytic anemia
stimulates RBC production in bone marrow
(Matching)
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Case Study Questions ​ Use the following case study to answer questions. Kati is a 27-year-old Caucasian who works as a bank teller. She is 5'3" tall and weighs 102 pounds. She began experiencing recurrent gastrointestinal disturbances, such as diarrhea, steatorrhea, and flatulence, several months ago. She made an appointment with her physician after noticing that she was losing weight. Laboratory tests confirmed a diagnosis of celiac disease. -What does Kati need to understand about the role of oats in her diet? ​

(Multiple Choice)
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The target for the hormone erythropoietin is the:

(Multiple Choice)
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An individual who is experiencing flatulence and diarrhea due to malabsorption problems may benefit from avoiding:

(Multiple Choice)
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Which type of diet would most benefit a patient with cystic fibrosis?

(Multiple Choice)
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Malabsorption of _____ often occurs as a consequence of fat malabsorption. ​

(Multiple Choice)
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