Term
How many kcal/g in carbohydrates? |
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Definition
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|
Term
How many kcal/g in protein? |
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Definition
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|
Term
|
Definition
|
|
Term
Define Estimated Average Requirement (EAR) |
|
Definition
amt of a nutrient needed to the meet the needs of 50% of the population |
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|
Term
|
Definition
|
|
Term
|
Definition
level of a nutrient intake sufficient to meet the needs of 98% of the healthy population |
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|
Term
Define Adequate Intake (AI)` |
|
Definition
used when there in insufficient eveidence to establish an EAR/RDA |
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|
Term
Define Tolerable Upper Intake Level (UL) |
|
Definition
the highest intake level that can be tolerated without the possibility of causing ill effects (toxicity) |
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|
Term
What percent of calories should be from carbs? |
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Definition
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|
Term
What percent of calories should be from fat? |
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Definition
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|
Term
What % of calories should be from protein? |
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Definition
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|
Term
What contents in food decrease bacterial growth? |
|
Definition
high sugar, high salt, high acidity |
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Term
If food is in the danger zone does it increase or decrease bacterial growth? |
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Definition
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|
Term
What is the maximum time a food can be in the danger zone? |
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Definition
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|
Term
How do oxygen and moisture affect bacterial growth on food? |
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Definition
both increase bacterial growth |
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Term
|
Definition
high fever, bloody stool, V/D lasting more than 2 days |
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|
Term
Stool cultures can test for FBI's caused by what types of bacteria? |
|
Definition
campylobacter, salmonella, e. coli |
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|
Term
|
Definition
fluid/electrolyte replacement, bismuth salicylate |
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|
Term
Bismuth salicylate cannot be given if |
|
Definition
the pt has a high fever or diarrhea |
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|
Term
Are antibiotics commonly given to treat FBI's? |
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Definition
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|
Term
What is the source of salmonella? |
|
Definition
raw/undercooked eggs, poultry, meat, fruits, veggies. unpasteurized dairy products |
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|
Term
What is the source of campylobacter? |
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Definition
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|
Term
What is the source of e. coli? |
|
Definition
undercooked/raw beef, unpasteurized juices/ciders, fecal contamination of foods, cross contamination |
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|
Term
What is the source of staph aureus? |
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Definition
humans (food handlers!!), often present on skin, nose or throat (cuts) |
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Term
What is the source of listeria? |
|
Definition
unpasteurized dairy products, sliced deli meats, hot dogs, smoked fish, deli prepared salads |
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Term
What is the source of botulism? |
|
Definition
improperly prepared canned foods |
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Term
Honey should not be fed to infants less than |
|
Definition
12 mos --> may cause botulism!! |
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|
Term
What groups are at risk for FBI's? |
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Definition
-immunocomprimised -elderly -pregnant/nursing women -bottle fed infants -those with liver disease |
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Term
Bottle fed infants are specifically at risk for |
|
Definition
salmonella (warm milk left at room temp for hours) |
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Term
Those with liver disease are specifically at risk for |
|
Definition
vibrio vulnificus (from oysters) |
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|
Term
True or false: foods should be stored 6 inches above the floor |
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Definition
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|
Term
Where should food be thawed? |
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Definition
-fridge, not counter -cool water bath -microwave |
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Term
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Definition
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|
Term
Cooking temp for ground beef |
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Definition
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|
Term
Cooking temp for chicken breast |
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Definition
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Term
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Definition
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|
Term
Where should raw meat be stored in the fridge? |
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Definition
|
|
Term
|
Definition
-monosaccharides -disaccharides **Think -ose (glucose, fructose, sucrose, etc.) |
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|
Term
|
Definition
-polysaccharides (think "amy") -glycogen |
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|
Term
What is the function of carbs? |
|
Definition
-to provide energy (brain/nerve tissue) -provide fiber -protein sparing effect |
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Term
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Definition
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|
Term
Where is glycogen stored? |
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Definition
|
|
Term
|
Definition
liver/muscle glycogen is converted to glucose |
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|
Term
|
Definition
fat/protein are converted to glucose |
|
|
Term
what happens if you don't consume enough carbs? |
|
Definition
fat is metabolized causing ketones |
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Term
|
Definition
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|
Term
What happens if you eat too many carbs? |
|
Definition
extra glucose is converted to triglycerides |
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|
Term
Where are triglycerides stored? |
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Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
convert liver glycogen to glucose |
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Term
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Definition
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|
Term
What is the sweetest of all sugars? |
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Definition
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|
Term
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Definition
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Term
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Definition
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|
Term
What happens when maltose ferments? |
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Definition
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|
Term
|
Definition
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|
Term
the average american consumes how many lbs of of sugar per day? |
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Definition
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|
Term
Recommended amount of sugar for men per day |
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Definition
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|
Term
Recommended sugar for women per day |
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Definition
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|
Term
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Definition
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|
Term
What is the only part left in refined grains? |
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Definition
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|
Term
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Definition
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Term
|
Definition
bran, wheat germ, endosperm |
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Term
What does insoluble fiber do? |
|
Definition
helps with regularity, adds bulk to the stool |
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Term
|
Definition
whole grains, brown rice, seeds, popcorn, oatmeal, nuts, wheat bran, leafy green beggies, broccoli |
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Term
What does soluble fiber do? |
|
Definition
helps with cholesterol reduction |
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|
Term
What are some soluble fiber sources? |
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Definition
legumes, oatmeal, apples, grapes, citrus fruits, pears, banana |
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Term
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Definition
|
|
Term
What are the functions of fat? |
|
Definition
-energy -structure -insulation |
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Term
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Definition
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Term
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Definition
meats, shortening, butterfat, vegetable oils, eggs, dairy, tropical oils |
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Term
Unsatured fats are made up by |
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Definition
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|
Term
|
Definition
olive/canola oil, nuts, avocado |
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Term
|
Definition
corn, safflower, canola, sesame, and sunflower oils, fish and margarine |
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|
Term
What do MUFA's and PUFA's do to blood cholesterol? |
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Definition
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|
Term
What does saturated fat do to the blood cholesterol? |
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Definition
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|
Term
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Definition
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|
Term
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Definition
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|
Term
Trans fat does what to cholesterol? |
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Definition
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Term
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Definition
vegetable oils, salad dressings, prepared foods |
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Term
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Definition
tuna, salmon, mackerel, sardines, rainbow trout, flaxseed and walnuts |
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Term
Do americans consume adequate amounts of Omega-3's and omega-6's? |
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Definition
the consume adequate omega-6's, not enough omega-3's |
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Term
Partially hydrogenated means the same thing as |
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Definition
|
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Term
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Definition
emulsifier (holds fat and water in suspension) |
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Term
|
Definition
salad dressings, sauces, gravies, cheeses |
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Term
Cholesterol is the basis for |
|
Definition
-steroid derivatives -vitamin D |
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Term
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Definition
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|
Term
What 4 things transport lipoproteins? |
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Definition
-chylomicrons -VLDL -HDL -LDL |
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Term
High fat intakes can be associated with |
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Definition
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|
Term
How many servings of fatty fish should you eat per week? |
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Definition
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|
Term
What percent of kcal should be from saturated fats? |
|
Definition
less than 10%(less than 7% if at risk for CAD) |
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|
Term
How many mg of cholesterol per day? |
|
Definition
less than 300 (less than 200 if at risk for CAD) |
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|
Term
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Definition
|
|
Term
|
Definition
must be obtained from diet (9) |
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|
Term
What causes protein denaturation? |
|
Definition
-heat -light -acid -alcohol -enzymes -mechanical action |
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Term
|
Definition
-growth/maintenence -enzymes -hormones -blood clotting -immune response -fluid/electrolyte replacement -acid/base balance -transportation -energy |
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Term
|
Definition
Meat, poultry, fish, eggs, dairy products, and soy |
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|
Term
Highest quality protein sources |
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Definition
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|
Term
Vegans may need to take which supplements? |
|
Definition
Vitamin B12, vitamin D, Fe, Zn, Ca |
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|
Term
Average protein needed for a healthy adult |
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Definition
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|
Term
Too much protein can cause |
|
Definition
-Obesity -Heart disease -Cancer -Osteoporosis |
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|
Term
Do Americans eat enough protein? |
|
Definition
Most eat too much protein |
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|
Term
Do vitamins provide energy? |
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Definition
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|
Term
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Definition
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|
Term
What type of vitamins produced deficiencies that take longer to develop? |
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Definition
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Term
|
Definition
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|
Term
Water soluble vitamin deficiencies occur |
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Definition
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Term
|
Definition
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Term
|
Definition
Whole or enriched grains and flours, lean pork, legumes, seeds, and nuts |
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Term
|
Definition
|
|
Term
|
Definition
mainly milk/milk products |
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|
Term
Symptoms of thiamin deficiency |
|
Definition
Beriberi (Wet, Dry, Wernicke-Korsakoff syndrome) |
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|
Term
Riboflavin is very sensitive to |
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Definition
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|
Term
Symptoms of riboflavin deficiency |
|
Definition
Cheilosis, inflammation of mouth and tongue, dermatitis, sensitivity to sun |
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Term
|
Definition
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|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
What is a precursor to niacin? |
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Definition
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|
Term
Niacin deficiency symptoms |
|
Definition
Pellagra 3 Ds (diarrhea, dermatitis, dementia) and eventually death |
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|
Term
Who is at risk for niacin deficiency? |
|
Definition
-those who overconsume alcohol -malabsorption |
|
|
Term
What is the UL for niacin? |
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Definition
|
|
Term
|
Definition
whole grains and cereals, legumes, chicken, fish, pork, and eggs |
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|
Term
Recommended intake for B6 |
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Definition
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|
Term
|
Definition
9 cups per day women 13 cups per day men |
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Term
Do minerals yield energy? |
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Definition
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|
Term
Do minerals remain stable when cooked? |
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Definition
|
|
Term
What minerals are at suboptimal levels in the US? |
|
Definition
-calcium -iron -magnesium -zinc |
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Term
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Definition
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Term
|
Definition
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|
Term
|
Definition
-dairy products -green leafy veggies |
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|
Term
Recommended intake for phosphorus |
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Definition
|
|
Term
|
Definition
-meat, poultry, fish, eggs -milk/milk products, nuts, legumes, cereal, grains -convenience foods, soft drinks |
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|
Term
High phosphorus can cause decreased absorption of |
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Definition
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|
Term
Symptoms of Mg deficiency |
|
Definition
muscle twitching and weakness, convulsion |
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|
Term
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Definition
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|
Term
|
Definition
excessive vomiting and diarrhea, GI disorder, kidney disease, alcoholism, malnutrition |
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Term
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Definition
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|
Term
|
Definition
|
|
Term
Is it possible too little/too much sulfur? |
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Definition
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|
Term
|
Definition
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|
Term
What is the average intake of sodium per day? |
|
Definition
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|
Term
|
Definition
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|
Term
Symptoms of sodium deficiency |
|
Definition
headache, muscle cramps, weakness, reduced ability to concentrate, memory and appetite loss |
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|
Term
|
Definition
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|
Term
|
Definition
Fruits, vegetables, fresh meat and dairy |
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Term
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Definition
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|
Term
|
Definition
Table salt (sodium chloride), foods with sodium |
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Term
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Definition
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|
Term
|
Definition
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|
Term
RDA for iron during pregnancy |
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Definition
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|
Term
What helps aid the absorption of heme iron? |
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Definition
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|
Term
|
Definition
|
|
Term
|
Definition
-Dried beans -Vegetables -Whole grain and enriched breads -Cereal -Dried fruits |
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Term
|
Definition
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|
Term
|
Definition
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|
Term
zinc RDA during pregnancy/lactation |
|
Definition
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|
Term
|
Definition
Meat, fish, poultry, fortified cereals, whole grains, nuts, dried beans |
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|
Term
Symptoms of zinc deficiency |
|
Definition
-Impaired growth and wound healing -Reduced appetite, taste and smell -Depressed immune response |
|
|
Term
|
Definition
Vomiting and diarrhea, fever, exhaustion |
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|
Term
|
Definition
Salt fortified with iodine, seafood sea salt is a poor source |
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|
Term
Average intake of iodine exceeds |
|
Definition
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|
Term
Iodine deficiency symptoms |
|
Definition
|
|
Term
|
Definition
whole grains and cereals, legumes, chicken, fish, pork, and eggs |
|
|
Term
Folate recommended intake for adults |
|
Definition
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|
Term
Folate recommended intake in pregnancy |
|
Definition
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|
Term
folate recommended intake during lactation |
|
Definition
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|
Term
|
Definition
Leafy green vegetables, legumes, orange juice, fortified cereal grains |
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Term
|
Definition
|
|
Term
|
Definition
only animal derived foods |
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|
Term
What does the absorption of B12 require? |
|
Definition
intrinsic factor, stomach acid |
|
|
Term
Does the average intake of B12 exceed the RDA? |
|
Definition
|
|
Term
|
Definition
-pernicious anemia -nerve degeneration -paralysis |
|
|
Term
|
Definition
Liver, peanuts, egg yolks and a few vegetables |
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Term
|
Definition
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|
Term
|
Definition
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|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
Vitamin C RDA for smokers |
|
Definition
|
|
Term
|
Definition
Fruits and vegetables (citrus fruits are excellent) |
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|
Term
Recommended intake for vitamin A |
|
Definition
|
|
Term
Recommended intake for vitamin D |
|
Definition
|
|
Term
Rickets and osteomalacia are both caused by? |
|
Definition
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|
Term
Short-term, high intensity exercise involves mostly |
|
Definition
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|
Term
low to moderate exercise uses both |
|
Definition
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|
Term
moderate intensity, long duration exercise uses |
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Definition
|
|
Term
What are the three components of total energy expenditure? |
|
Definition
-Resting energy expenditure -thermic effect of food -physical activity |
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|
Term
What is resting energy expenditure? |
|
Definition
the energy a person expends at rest, 60-75% |
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|
Term
What percent of the energy needs does physical activity require? |
|
Definition
|
|
Term
What percent of total energy does thermic effect of food require? |
|
Definition
|
|
Term
|
Definition
-age -gender -body size -body composition -hormonal status |
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|
Term
What is the most major determinant of RMR? |
|
Definition
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|
Term
The 2008 physical activity guidelines for adults suggest muscle strengthening how many times per week? |
|
Definition
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|
Term
The 2008 physical activity guidelines for adults suggest working out how many muscle groups in one set? |
|
Definition
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|
Term
The 2008 physical activity guidelines for adults suggest how many minutes of moderate intensity exercise? |
|
Definition
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|
Term
The 2008 physical activity guidelines for adults suggest how many minutes of vigorous intensity activity? |
|
Definition
|
|
Term
How often should PA be done? |
|
Definition
3 days per week, at least 10 min bouts |
|
|
Term
|
Definition
-pear shape -less chronic disease risk |
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|
Term
|
Definition
-apple shaped -indicator or morbidity |
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|
Term
Waist circumference is an asessment of |
|
Definition
-abdominal obesity -disease risk |
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|
Term
Where is waist circumference measured? |
|
Definition
|
|
Term
High risk waist circumference for men |
|
Definition
greater than 102 cm (40 inches) |
|
|
Term
High risk waist circumference for women |
|
Definition
greater than 88cm (35 inches) |
|
|
Term
What medical conditions are associated with obesity? |
|
Definition
-CAD -type 2 dm -osteoarthritis -gallbladder -cancers of breast, colon, prostate, endometrium -PCOS -sleep apnea, resp problems -fatty liver |
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|
Term
What defines metabolic syndrome? |
|
Definition
-abd obesity -high FPG -impaired glucose tolerance -elevated TG's -low HDL -HTN |
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|
Term
What amount of weight loss can decrease the severity of obesity associated disease risks? |
|
Definition
|
|
Term
A 5-10% weight loss has what positive effects? |
|
Definition
-improved glycemic control -reduced BP -improved lipid profile |
|
|
Term
|
Definition
-78% eat bfast daily -75% weigh themselves at least once a week -62% watch less than 10 hrs of tv per week -90% exercise 1 hour per day |
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|
Term
What are some modifiable factors to reduce low birth weight? |
|
Definition
-underweight prioir to pregnancy -low pregnancy weight gain -smoking during pregnancy -certain maternal infections -iron deficiency anemia early in pregnancy |
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|
Term
What vitamin in given to manage N/V in pregnant women? |
|
Definition
|
|
Term
Are laxatives recommended to treat constipation in pregnant women? |
|
Definition
|
|
Term
How grams of fiber should a pregnant woman consume per day to control constipation? |
|
Definition
|
|
Term
Recommended weight gain for a pregnant woman with a normal BMI (18.5-24.9)? |
|
Definition
|
|
Term
What is the normal weight gain for a pregnant woman with an underweight BMI? (less than 18.5) |
|
Definition
|
|
Term
What is the normal weight gain for a pregnant woman with an overweight BMI (25-29.9)? |
|
Definition
|
|
Term
What is the normal weight gain for a pregnant woman with an obese BMI (greater than 30)? |
|
Definition
|
|
Term
How much should calorie needs be increased during pregnancy? |
|
Definition
|
|
Term
How much should calorie needs be increased during lactation? |
|
Definition
|
|
Term
What type of fat is important during pregnancy? |
|
Definition
|
|
Term
What foods/minerals help to treat preeclampsia? |
|
Definition
-4 or more servings of fruits/veggies per day -increase whole grain intake -adequate intake of calcium, folic acid |
|
|
Term
What happens to the birth weight in 6 mos.? |
|
Definition
|
|
Term
What happens to birth weight in 1 year? |
|
Definition
|
|
Term
What happens to a baby's length/height in the first year? |
|
Definition
|
|
Term
All breastfed infants need a supplement of |
|
Definition
|
|
Term
What needs to be monitored in formula-fed babies but is usually not supplemented? |
|
Definition
|
|
Term
Why is vitamin K given at birth? |
|
Definition
newborns lack the intestinal bacteria that synthesizes vitamin K |
|
|
Term
Total cholesterol should be less than |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
less than 7% of total energy intake |
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|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
What type of protein lowers LDL? |
|
Definition
|
|
Term
|
Definition
-lower sat fat -lower sodium -no caffeine |
|
|
Term
|
Definition
|
|
Term
CHF pts are usually on what type of restriction in addition to sodium restriction |
|
Definition
|
|
Term
cardiac cachexia is due to |
|
Definition
|
|
Term
less than 1500mg/day of sodium is usually only needed for severe |
|
Definition
|
|
Term
|
Definition
|
|
Term
How much protein per day should pts with ARF expected to resolve in a few days consume? |
|
Definition
|
|
Term
How much protein should ARF pt's on HD consume? |
|
Definition
|
|
Term
How many kcals for ARF pts? |
|
Definition
|
|
Term
|
Definition
|
|
Term
What electrolytes are usually elevated in pts with ARF? |
|
Definition
|
|
Term
|
Definition
|
|
Term
ESRD causes decreased kidney clearance of |
|
Definition
|
|
Term
ESRD causes impaired synthesis of |
|
Definition
|
|
Term
True or False: ESRD also causes fluid overload and anemia |
|
Definition
|
|
Term
How many kcals for ESRD MNT? |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
Potassium for ESRD MNT depends on |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
Potassium for HD patients |
|
Definition
|
|
Term
|
Definition
|
|
Term
Phosphorus for HD patients |
|
Definition
|
|
Term
What vitamin do patients on HD need to take? |
|
Definition
|
|
Term
|
Definition
|
|
Term
Protein for patients on CAPD |
|
Definition
|
|
Term
Sodium for patients on CAPD |
|
Definition
|
|
Term
Potassium for patients on CAPD |
|
Definition
|
|
Term
Phosphorus for CAPD patients |
|
Definition
|
|
Term
Calcium for patients on CAPD |
|
Definition
|
|
Term
Phosphorus binders should be given at every |
|
Definition
|
|
Term
Calcium/Aluminum free phosphorus binders |
|
Definition
|
|
Term
Calcium containing phosphorus binders |
|
Definition
-calcium carbonate -calcium acetate (PhosLo) |
|
|
Term
Water for patients with renal calculi? |
|
Definition
|
|
Term
Is there a calcium restriction for patients with renal calculi? |
|
Definition
|
|
Term
What should be moderately restricted for patients renal calculi? |
|
Definition
|
|
Term
|
Definition
spinach, rhubarb, beets, nuts, chocolate, tea, wheat bran, strawberries |
|
|
Term
Why do patients with renal calculi need to make sure that they do not exceed the vitamin C DRI? |
|
Definition
because vitamin C increases urinary oxalate excretion |
|
|
Term
Protein for renal calculi |
|
Definition
|
|
Term
|
Definition
|
|
Term
Potassium for renal calculi |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
dysphagia advanced,regular w no hard, crunchy or sticky foods |
|
|
Term
|
Definition
|
|
Term
|
Definition
-thin -nectar-thick -honey-thick -spoon thick (like pudding) |
|
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Term
For patients with gastric surgery, liquids and meals should be consumed |
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Definition
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Term
What should the patient do if dumping occurs? |
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Definition
lie down 15-30 minutes after the meal |
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Term
What delays gastric emptying? |
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Definition
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Term
True or False: post gastric surgery patients should avoid simple carbs |
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Definition
true, they should only consume complex carbs |
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Term
Lactose intolerance is a common problem for what patients? |
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Definition
post-gastrectomy patients |
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Term
Post-gastrectomy patients may need what supplements? |
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Definition
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Term
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Definition
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Term
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Definition
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Term
In an IBD flare up, what type of diet |
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Definition
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Term
What type of diet for IBD in remission? |
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Definition
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Term
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Definition
Pancreatitis Cholecystitis (pre-op and shortly post-op) IBD--based on tolerance Radiation enteritis Short Bowel Syndrome GERD |
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Term
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Definition
IBD, radiation enteritis, acute diverticulitis |
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Term
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Definition
low fat, high cholesterol/protein |
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Term
What type of feeding for pancreatitis? |
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Definition
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