Which dietary recommendation is most appropriate for a patient with gout?
- A. Increase protein intake
- B. Reduce carbohydrate intake
- C. Avoid purine-rich foods
- D. Increase calcium intake
Correct Answer: C
Rationale: The most appropriate dietary recommendation for a patient with gout is to avoid purine-rich foods. Purine-rich foods such as red meat and shellfish can lead to increased uric acid levels in the body, triggering gout flare-ups. Increasing protein intake (Choice A) is not recommended as some high-protein foods are also high in purines. Reducing carbohydrate intake (Choice B) and increasing calcium intake (Choice D) are not directly related to managing gout symptoms.
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To raise HDL levels, what is Mrs. Smith advised to do?
- A. quit smoking
- B. increase dietary sodium
- C. take iron supplements
- D. avoid dairy products
Correct Answer: A
Rationale: The correct answer is A: quit smoking. Smoking lowers HDL levels, so quitting smoking is crucial to raising HDL levels. Increasing dietary sodium (choice B) is not linked to raising HDL levels and can have negative effects on cardiovascular health. Taking iron supplements (choice C) is not directly related to increasing HDL levels. Avoiding dairy products (choice D) is not necessary to raise HDL levels; in fact, some dairy products like low-fat options can be part of a heart-healthy diet.
Which of the following nutrients deficiency may lead to a diabetes-like condition?
- A. chromium
- B. iron
- C. molybdenum
- D. selenium
Correct Answer: A
Rationale: Chromium is essential for proper glucose metabolism. A deficiency in chromium can result in insulin resistance, which shares similarities with diabetes. Iron, molybdenum, and selenium deficiencies do not directly lead to a diabetes-like condition. Iron deficiency causes anemia, molybdenum deficiency is rare and can lead to specific metabolic issues, and selenium deficiency may result in thyroid problems but not a diabetes-like condition.
A patient on a low-sodium diet should avoid which of the following foods?
- A. Fresh fruits
- B. Unsalted nuts
- C. Canned soup
- D. Plain rice
Correct Answer: C
Rationale: Canned soup is the correct answer. Canned soups are often high in sodium due to added salt and should be avoided on a low-sodium diet. Fresh fruits (Choice A) are typically low in sodium and a good choice for a low-sodium diet. Unsalted nuts (Choice B) are also low in sodium and can be included in a low-sodium diet. Plain rice (Choice D) is a low-sodium food and can be part of a low-sodium diet.
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.
Approximately 70 to 80 percent of acute pancreatitis cases are caused by gallstones or _____.
- A. infection
- B. alcohol abuse
- C. diabetes
- D. obesity
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.