Nokea
Amy is a 68-year-old patient who has rheumatoid arthritis affecting her hands and feet. Which substance has been shown to reduce joint tenderness and improve mobility in some people with this type of arthritis?
- A. Alfalfa Tea
- B. Cod Liver Oil
- C. Lecithin
- D. Fish Oil
Correct Answer: D
Rationale: Fish oil has been identified as a substance that can help reduce joint tenderness and improve mobility in individuals with rheumatoid arthritis, as it is rich in omega-3 fatty acids. Omega-3 fatty acids have anti-inflammatory properties that can help alleviate the symptoms of rheumatoid arthritis. On the other hand, while Alfalfa Tea, Cod Liver Oil, and Lecithin have various health benefits, there isn't substantial evidence to suggest that they can improve conditions associated with rheumatoid arthritis.
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What is the term for a barrier that prevents the normal emptying of stomach contents into the duodenum?
- A. Dumping syndrome
- B. Gastritis
- C. Gastric outlet obstruction
- D. Hypochlorhydria
Correct Answer: C
Rationale: Gastric outlet obstruction refers to a condition where the opening between the stomach and the duodenum is blocked, preventing the normal passage of food. This is why choice 'C' is correct. 'A: Dumping syndrome' is incorrect because it is a condition where stomach contents move too quickly through the small intestine, not a barrier preventing emptying. 'B: Gastritis' is inflammation of the stomach lining, not a blockage of the outlet. 'D: Hypochlorhydria' refers to low stomach acid, which may affect digestion but does not create a physical barrier blocking the outlet of the stomach.
What would you do to increase the amount of iron absorbed from a meal?
- A. Drink plenty of coffee before each meal
- B. Avoid eating foods rich in vitamin C with the meal
- C. Eat a calcium-rich food with the meal
- D. Consume orange juice as a beverage with a meal
Correct Answer: D
Rationale: The correct answer is D: 'Consume orange juice as a beverage with a meal'. This is because Vitamin C significantly enhances the absorption of non-heme iron, a form of iron found in plant-based foods. Therefore, consuming orange juice, which is rich in vitamin C, with a meal can effectively increase iron absorption. On the contrary, choices A, B, and C are incorrect. Coffee (Choice A) contains polyphenols that can inhibit iron absorption. Avoiding vitamin C-rich foods (Choice B) would decrease iron absorption, not increase it. While calcium (Choice C) is essential for many bodily processes, it can actually inhibit iron absorption when consumed together.
What level of sodium restriction would be included as part of nutrition therapy for heart failure?
- A. Less than 500 mg per day
- B. 1000 mg to 1500 mg per day
- C. 1500 mg to 3000 mg per day
- D. 3000 to 3500 mg per day
Correct Answer: C
Rationale: The correct answer is 1500 mg to 3000 mg per day. This is the level of sodium restriction typically recommended for heart failure patients. It helps manage fluid retention and reduce blood pressure, which are both crucial in treating heart failure. A sodium intake of less than 500 mg per day (Choice A) might be too restrictive and is not typically recommended. Similarly, an intake of 1000 mg to 1500 mg per day (Choice B) falls short of the recommended range. Lastly, an intake of 3000 to 3500 mg per day (Choice D) exceeds the recommended upper limit, potentially exacerbating fluid retention and high blood pressure.
When counseling a teenager about fast food, a dental hygienist could correctly cite which of the following facts, with one exception. Which is the exception?
- A. Most fast food menus lack a rich source of vitamin A
- B. Consumer demands have driven the establishment of salads and other healthy menu items
- C. Shortages of biotin, folate, pantothenic acid, and copper are reported in fast foods
- D. Studies reveal that protein is lacking in most menu items
Correct Answer: D
Rationale: The correct answer is 'D'. Fast food is generally not deficient in protein since it often contains meat, a significant source of protein. On the other hand, fast food is known to lack essential nutrients like Vitamin A and certain minerals, as mentioned in choices 'A' and 'C'. Choice 'B' is also accurate as many fast food establishments have started offering healthier options such as salads due to customer demands. Therefore, all options are true except 'D', which makes it the exception.
What are the manifestations of nephrotic syndrome?
- A. Dehydration
- B. Uremia
- C. Infection
- D. Low blood lipids
Correct Answer: C
Rationale: Infection is a common manifestation of nephrotic syndrome. This is due to the loss of immunoglobulins in the urine, which weakens the body's immune defenses. Dehydration (Choice A) and uremia (Choice B) can be symptoms of kidney dysfunction but are not specific manifestations of nephrotic syndrome. Low blood lipids (Choice D) is incorrect as nephrotic syndrome typically results in high, not low, blood lipid levels due to the body's attempt to replace lost proteins.