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3. An example of an short acting insulin or the type used in a sliding scale is:
A. regular
B. ultralente
C. lantus
D. NPH
6. The appropriate diabetic diet for an individual with Type I includes all EXCEPT:
A. low glycemic index foods
B. emphasis on complex carbohydrates
C. low carbohydrate diet
D. limited sugar
10. Components that must be coordinated in the treatment of Type I include all of the following EXCEPT:
A. sleep
B. insulin
C. diet
D. exercise
13. The major cause of death for someone with diabetes is:
A. infections
B. atherosclerosis
C. gangrene
D. neuropathy
14. Diabetic diets high in have been shown to help control blood glucose by enabling the body to
handle glucose more efficiently.
A. fiber
B. zinc
C. Vitamin A
D. protein
Identify the dietary approaches on the left which are appropriate for the types of diabetes listed on the right.
A 16. eat regular snacks A. Type I diabetes
B. Type II diabetes
B 17. reduction in calories
Identify whether the symptoms listed on the left are characteristic of hypoglycemia or hyperglycemia, as
indicated on the right.
A 23. headache
26. A lab test which indicates average blood sugar control over a 2-4 month time period is:
A. glucose tolerance test
B. glycolated hemoglobin (hgb A1c)
C. fasting blood sugar test
D. urine testing
28. Which of the following best describes clients with Type II?
A. usually lean
B. rapid onset of symptoms
C. weight loss needed
D. ketosis resistant
E. both C and D
30. When NPH insulin is administered once daily, before breakfast, hypoglycemic reactions are most likely
to occur:
A. 2 hours after the drug is injected.
B. at midday (before lunch).
C. In the afternoon before the third meal of the day (supper).
D. at bedtime.
31. Which of the following represents an appropriate snack at the beginning of an episode of
hypoglycemia?
A. potato chips
B. 1/2 cup orange juice
C. 10 saltine crackers
D. 1 piece of chewing gum
A. 1 is true, 2 is false
B. 1 is false, 2 is true
C. both 1 and 2 are true
D. both 1 and 2 are false
37. Type 2 diabetics can be given on oral medication to help control their blood sugar.
A. True B. False
39. Which of the following receives a high priority in the treatment of Type II because of its beneficial
effects in reversing insulin resistance, improving blood lipids and reducing blood pressure?
A. physical activity
B. a low-fat diet
C. weight loss
D. a sodium-restricted diet
E. all the above
42. In hepatic coma, diets high in branched-chain amino acids are indicated.
A. True B. False
43. Dietary management of cirrhosis may include all of the following except:
A. protein restriction
B. calorie restriction
C. vitamin and mineral supplement
D. sodium restriction
44. Portal vein hypertension is caused by obstructed blood flow through the liver.
A. True B. False
45. The most common cause of cirrhosis in the U.S. is:
A. the use of drugs C. malnutrition
B. obesity D. chronic alcohol abuse
48. When signs and symptoms of hepatic encephalopathy appear you should anticipate:
A. an increase in dietary protein.
B. a restriction of protein intake.
C. the use of agents to slow peristalsis.
D. a reduction of dietary branch chain amino acids.
50. For a diabetic diet, a croissant containing 15 grams of carbohydrate and 30 grams of fat
should be counted as:
A. 1 bread and 4 fats
B. 1 fruit and 6 fats
C. 1 bread and 6 fats
D. 1 fruit and 4 fats
51. Which of the following foods is not found in the vegetable exchange group?
A. potatoes D. tomatoes
B. green beans E. all are in the vegetable group
C. broccoli
53. Which of the following groups of foods are most appropriate for a Type II diabetic:
A. turkey breast, mashed potatoes with gravy, green beans and coconut pie
B. scrambled eggs, toast with jelly, orange juice, and whole milk
C. beef tenderloin, wild rice, green beans, and skim milk
D. cheeseburger with lettuce and tomato, apple, and chocolate milkshake
54. How many choices from the carbohydrate counting list is in C above assuming the rice is 1 cup and the
milk is 1 cup?
A. 1
B. 2
C. 3
D. 4
55. How many exchanges are in the following dinner: 3ozs. baked chicken, ½ cup mashed potatoes, 1
apple, 1 tsp. margarine, 1 roll?
A. 1 meat, 1 starch, 2 fruits, 1 fat
B. 1 meat, 1 starch, 1 fruits, 1 fat
C. 3 meat, 2 starch, 1 fruit, 1 fat
D. 3 meat, 1 starch, 2 fruits, 1 fat
56. Which of the following receives a high priority in the treatment of Type II because of its beneficial
effects in reversing insulin resistance, improving blood lipids and reducing blood pressure?
A. snacks between meals
B. a low-fat diet
C. weight loss
D. a sodium-restricted diet
57. A person with liver disease that involves ascites is usually on a ___________ restricted diet.
A. sodium
B. fluid
C. fat
D. both A and B
E. all of the above
58. A type 1 diabetic has a hemoglobin A1c of 9.0%. The client should:
A. continue her current level of diabetes management
B. decrease her carbohydrate intake to prevent hyperglycemia
C. be assessed to determine where changes are needed in insulin, diet, and/or exercise patterns
D. begin a daily, intensive exercise regimen
59. A 25-year old man with Type 1 diabetes eats 2 meals a day between 9 a.m. and 5p.m. (he skips lunch).
He takes regular and NPH insulin twice daily at 7 a.m. and 4 p.m. Which best indicates how he will feel?
A. hyperglycemic before 9 a.m. and hypoglycemic after 7 p.m.
B. hypoglycemic before 9 a.m. and hyperglycemic after 7 p.m.
C. hyperglycemic before 9 a.m. and hyperglycemic in mid-afternoon
D. hypoglycemic before 9 a.m. and hypoglycemic in mid-afternoon
60. The dietitian has been consulted to instruct a newly diagnosed Type 1 diabetes patient.
During the nutrition assessment, the RD discovers that the patient cannot read. What should the RD focus
on?
A. demonstrating the exchange lists through pictures
B. avoidance of simple CHO
C. consistency in day-to-day meal CHO content
D. reviewing the exchange lists slowly
61. From the list of foods that follow, determine the number of starch exchanges: 1 slice bread, ½ cup
potatoes, ½ cup cooked carrots, and 1 cup skim milk
A. 3
B. 2
C. 5
D. 4
62. A patient is being seen at an outpatient clinic for diabetes management. His insulin regimen has
recently been adjusted, due to a medical diagnosis related to the dawn phenomenon. Which of the following
describes the dawn phenomenon?
A. late evening hypoglycemia
B. late evening hyperglycemia
C. early morning hypoglycemia
D. early morning hyperglycemia
63. A person diagnosed with hypoglycemia would need to follow which of the following:
A. eat frequently, include sugar at each meal
B. eat frequently, include protein at each meal
C. eat only 3 meals per day, avoid sugar
D. eat only 3 meals per day, include protein at each meal
65. A patient has the following symptoms: severe abdominal pain, nausea, vomiting, and
elevated lipase and amylase. What is the most likely diagnosis?
A. Irritable bowel syndrome
B. Diverticulosis.
C. Acute pancreatitis
D. None of the above
67. A genetic disorder that causes the over production of mucus that affects digestive function
is:
A. Pancreatitis.
B. Crohn’s disease
C. Celiac disease
D. Cystic fibrosis
68. The most appropriate diet restriction for someone with ball bladder disease is:
A. High fiber C. Low sodium
B. Low fat D. Fluid restricted