Nokea
Patients with kidney stones should increase their intake of:
- A. fluids
- B. vitamin C
- C. oxalates
- D. protein
Correct Answer: A
Rationale: Patients with kidney stones should increase their intake of fluids. Increasing fluid intake helps to dilute the urine and reduce the risk of kidney stones forming by flushing out minerals that can crystallize. This promotes the passage of small stones and helps prevent the formation of new ones. Vitamin C and protein intake should be moderated as excessive consumption may lead to the formation of certain types of kidney stones. Oxalates should be limited in the diet as they can contribute to the formation of calcium oxalate stones, a common type of kidney stone.
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Cariogenic foods and beverages, which are fermentable carbohydrates that can be metabolized by oral bacteria, reduce salivary pH to what critical level?
- A. 5
- B. 5.5
- C. 6
- D. 6.5
Correct Answer: B
Rationale: Cariogenic foods and beverages lower the pH level in the mouth to below 5.5. This is a critical threshold, as it is the point at which enamel begins to demineralize, increasing the risk of dental caries. Therefore, options 'A', 'C', and 'D' are incorrect. Although a pH level of 5, as suggested by option 'A', would indeed lead to demineralization, it's not the threshold value. The pH levels suggested by options 'C' and 'D' (6 and 6.5, respectively) are higher than the critical value of 5.5, which means they would not initiate enamel demineralization and the subsequent risk of dental caries.
What is the most common nutritional disorder for the older adult?
- A. Obesity
- B. Underweight
- C. Vitamin deficiency
- D. Dehydration
Correct Answer: A
Rationale: The correct answer is A: Obesity. Among older adults, obesity is the most common nutritional disorder. This is often attributed to reduced physical activity levels and changes in metabolism that occur with aging. Choice B (Underweight) is less common among older adults as compared to obesity. While choices C (Vitamin deficiency) and D (Dehydration) are important nutritional issues, they are generally not as prevalent as obesity in the older adult population.
Cancers that arise from epithelial tissues are known as:
- A. Leukemias
- B. Myelomas
- C. Carcinomas
- D. Sarcomas
Correct Answer: C
Rationale: The correct answer is C: Carcinomas. Carcinomas are cancers that originate from epithelial tissues, which are the tissues lining the surfaces of organs and structures in the body. Leukemias (choice A) are cancers of the blood-forming cells, not epithelial tissues. Myelomas (choice B) are cancers that develop in plasma cells in the bone marrow, not epithelial tissues. Sarcomas (choice D) are cancers that arise from connective tissues like bone, cartilage, or muscle, not epithelial tissues. Therefore, choices A, B, and D are incorrect in the context of cancers originating from epithelial tissues.
Onset frequently occurs after the age of 40.
- A. Type 1 Diabetes
- B. Type 2 Diabetes
Correct Answer: B
Rationale: The correct answer is B, Type 2 Diabetes. Type 2 Diabetes commonly presents with an onset after the age of 40, although it is now also seen in younger individuals due to lifestyle factors such as poor diet and lack of exercise. Type 1 Diabetes, on the other hand, typically develops in childhood or adolescence and is not associated with age over 40. Choices C and D are left blank as they are not relevant to the question.
What information should a working mother who wants to continue breastfeeding her infant by occasionally pumping milk ahead of time be given to help her successfully maintain breastfeeding?
- A. Breast milk can be refrigerated for up to 4 days
- B. Breast milk stored in a deep freezer can be kept for up to 12 months
- C. Heating breast milk in the microwave can degrade its nutritional quality
- D. Breast milk can be expressed either by hand or with an electric pump
Correct Answer: D
Rationale: The correct answer is D. This information is crucial as it informs the mother of her options for expressing milk, which is the first step in being able to store and later feed it to her child while she's away at work. Choice A has been corrected to state that breast milk can be refrigerated for up to 4 days, providing a more accurate storage timeframe. Choice B has been revised to indicate that breast milk stored in a deep freezer can be kept for up to 12 months, aligning with the recommended storage duration. Choice C now highlights that heating breast milk in the microwave can degrade its nutritional quality, emphasizing the importance of using proper methods for warming breast milk and avoiding potential harm to the baby's health and well-being.