Chomping Down Dietetic Exam- Part 1 Flashcards Preview

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1
Q

Which of the following would be least likely to require a large cooking area and a tilting skillet?

A

Assembly Serve- is the only one that is not involved in food production

2
Q

Which of the following verbs would be the best choice for writing an objective?

A

List- you can point to tangible, visceral proof that indeed something was listed (should be measurable)

3
Q

How many meals were served per labor minute if 20 FTE produced 4,000 meals in one 40-hour week?

A

20 x 40 hrs = 800 hrs
4,000 meals/800 hrs = 5 meals per labor hr
5 meals per labor hour/ 60 minutes

0.083 meals

4
Q

The staff in one unit includes 1 dietitian at 40 hours/week, 1 nurse at 40 hours/week, 1 doctor at 40 hours/week, 1 diet aide at 20 hours/week, 1 secretary at 10 hours/week, and 1 clerk at 10 hours/week. How many full time equivalents are there in this unit?

A

First add up all of the hours
= 160 total hours
160 total hours/40 hours per FTE

4 FTE

5
Q

In the context of systems theory, consider that a food truck called happy belly exists. Raw food ingredients are purchased one day for the food service workers to cook and serve at lunch time. The cooked food items were then sold to customers. Which of the following terms best describes the purchased raw food ingredients?

A

Input- are the resources and information that go into the system to produce the outputs

6
Q

How many meals were produced per labor hour if 26 FTE’s produced 3,000 meals throughout the week?

A

26 FTE x 40 hours= 1,040 hours
3,000/1040 hours=

2.88 meals

7
Q

You are asked to determine the calorie total in 500 mL of a 5% dextrose solution?

A

dextrose has 3.4 kcal per gram
ml of fluid x 3.4 kcal/g x dextrose %
500 mL x 3.4 x .05 =

85 calories

8
Q

What is the selling price of a hot chicken sandwich if the food cost is 50% and raw food cost is $1.50?

A

100% ÷ food cost = mark up factor
100% ÷ 50%= 2.0
1.50 x 2.0=

$3.00

9
Q

How many full-time employees (FTE’s) can you staff if your weekly budget is $15,000 and the salary paid is $20.00 per hour?

A

$20 per hr x 40 hrs= $800 per week for one FTE
$15,000 allotted budget for the week/ $800 per week per FTE =

18.75 FTE

10
Q

You are following an 1,800 kcal plan. 15% of the diet consists of protein. How many grams of protein would be included in the plan?

A

1,800 kcal x .15 = 270 calories from protein
270 ÷ 4 =

67.5g protein

11
Q

Which of the following is a food intoxication?

A

Clostridium botulinum

*food intoxication, a toxin is already formed on a substance prior to eating. Symptoms include nausea, vomiting, and diarrhea

12
Q

You hear a food service manager say the following: “My employees do everything they can to avoid work, they’re so unmotivated.” Which of the following theories best represents this statement?

A

Theory X- managers assume their workers avoid work as much as possible, need active intervention, and are unmotivated unless there is a punishment or reward

13
Q

Which of the following is most likely characterized by Hypoalbuminemia and Proteinuria?

A

Nephrotic syndrome- this condition presents with compromised permeability of kidney glomerular membranes and albumin to leak into urine.

14
Q

You are asked to determine the amount of servings in 5 gallons of quadruple chocolate ice-cream. You are using a #10 scoop. How many servings will you have?

A

32 oz/10 servings = 3.2 ounces per serving
128 oz in 1 gallon
5 gallons x 128 ounces= 640 oz
640 oz/ 3.2 oz per serving

200 servings

15
Q

You have spent $25,000 in food purchases. You decided to remove $1,000 worth of food from the inventory. You served 5,000 meals. What is the cost per meal?

A

$25,000 ÷ $1,000 = $26,000
$26,000/ 5000=

$5.20

16
Q

A client’s food log shows he consumed 2,000 calories. 120g were from carbs, 550 calories were from protein. How many calories from fat did the client eat?

A

120 g carb x 4 = 480 carb calories
2,000 total calories-480 carb calories - 550 protein calories=

970 calories from fat

17
Q

Which of the following is most often associated with systems theory?

A

Equifinality- refers to the notion that you can achieve the same end result through multiple modalities

18
Q

Which of the following can be stated for quasi-experimental design?

A

Quasi-experimental design: (time-series, pretest posttest, & nonequivalent groups) - it is a type of analytical research, not descriptive or qualitative

19
Q

Which of the following does not typically present with re-feeding syndrome?

A

“Hypofibrinogenemia”- genetic bleeding disorder

*Re-feeding syndrome causes a significant shift in electrolyte and fluid balance when feeding is administered. (Ex. malnourished patients who are fed too aggressively)

20
Q

Per serving, a food product has 75 calories, 50 mgs sodium, and 2 grams fat. Which of the following may the product have written on its label?

A

low fat, low sodium

21
Q

Per serving, a food product has 75 calories, 50 mgs sodium, and 2 grams fat. Which of the following may the product have written on its label?

A

low calories: no more than 40 cals
low sodium: no more than 140 mgs
very low sodium: no more than 35 mgs
low fat: no more than 3 grams

low fat, low sodium

22
Q

Which of the following can be broken down normally by the body in maple syrup urine disease?

A

Tyrosine

*Maple Syrup Urine Disease (MSUD), a genetic defect results in the deficiency of the branched-chain alpha-keto acid dehydrogenase enzyme (BCAAs)

23
Q

Which of the following terms is most indicative of one type of cell being replaced by another type of cell?

A

Metaplasia

24
Q

Which of the following statements is true regarding ACE inhibitors?

A

Their continued use may trigger hyperkalemia due to decrease in aldosterone levels

25
Q

Which of the following is true regarding foodservice equipment?

A

The higher the polish on the surface of a metal, the more likely it will be scratched. (Aluminum suitable for baking/cooking since it withstands high temperatures)

26
Q

Which of the following would be the recommended weight gain range for a woman with a BMI of 28.9 before being pregnant with one baby?

A

15-25 lbs

BMI:
Underweight: (less than 18.5) 28-40 pounds
Normal Weight: (18.5 - 24.9)
Overweight: (25.0-29.9)
15-25 pounds
Obese BMI:  (greater than 30.0)
27
Q

An acute care hospital has 52 FTE’s on staff that distribute meals during service time. How many meals are served per labor hour if they produced 5,000 meals in a 40 hour week?

A

52 x 40= 2080 total hours
5,000/2080 =

2.40 meals

28
Q

Which of the following would be the best cooking method if one is planning to cook tenderloin?

A

Broiling “dry heat method”

29
Q

Which of the following amounts for a fecal fat test (with a test period of 24 hours) may be indicative of steatorrhea?

A

Normal range (2-5 grams), sometimes up to 7 grams.

“steatorrhea” is characterized by excess fat in the stool

30
Q

Which of the following is not an official U.S. beef quality grade?

A

Non- Commercial

8 official U.S beef quality grades:
Prime
Choice
Select
Standard
Commercial 
Utility
Cutter
Canner
31
Q

Which of the following is characterized as having the shortest half-life?

A

Retinol-binding protein at just 12 hours.

32
Q

Which of the following is NOT a principle of HACCP? (7 principles)

A

Establish a scalar principle based on critical hazards

33
Q

You identify a process that you want to improve and will be doing so using the FOCUS PDCA cycle. At which step would you implement an intervention?

A

“D” do the changes

F= Find a process to improve
O= Organize a team
C= Clarify current knowledge
U= Understand causes of process variation
S= Select the process improvement
P= Plan to improve
D= Do the changes
C= Check the results
A= Act to maintain and continue
34
Q

Para-aminobenzoic acid (PABA) is a precursor for which of the following?

A

Folate

*PABA is best known as the active ingredient in sunscreens and cosmetics.

35
Q

Eligibility for this act requires that a participant be 60 years of age or older. Which of the following acts have this eligibility requirement?

A

NSIP (Nutrition Services Incentive Program)

36
Q

An electrolyte has an atomic weight of 39 and a valence of 1. Which of the following electrolytes is being referred to?

A

Potassium

37
Q

Which of the following decribes a nutrient intake value that is estimated to meet the requirement of half of the healthy individuals in a group?

A

EAR (Estimated Average Requirement)

38
Q

You are consulting the parents of a fourteen month old boy on what would be appropriate for him to consume at his age. Which of the following would not be considered appropriate to introduce at fourteen months?

A

Low-fat milk

small finger foods: 9-12 months
Whole cow’s milk: 12 months
Low-fat milk: 24 months

39
Q

Which of the following is used to define shortness/tallness?

A

Stature/length for age describes linear growth relative to age

40
Q

Problems related to food safety are covered in which of the following Nutrition Diagnostic Labels?

A

NB (Behavioral-Environmental) issues that are specifically related to knowledge, beliefs, physical activity, food safety, and access. (Ex. intake of unsafe food or impaired ability to prepare food/meals)

41
Q

Which of the following requires you to join the union after being hired?

A

Union Shop

42
Q

Which of the following amended the Wagner Act?

A

Labor Management Relations Act aka “Taft Hartley Act” and restricted some of the powers of labor unions.

43
Q

Which of the following is most associated with measuring somatic protein?

A

Serum creatinine is associated with muscle mass

44
Q

Which of the following is an appetite stimulant?

A

Marinol- often used to treat nausea and vomiting

45
Q

Which of the following menus would a long term care facility most likely implement?

A

3 week cycle

*A cycle menu involves repetition on menus in a planned sequence

46
Q

Slices of cake were sold generating an income of $300. The cost of food was $120. What is the food cost percentage?

A

Cost of food ÷ by income
$120/ $300 = 0.4
Convert to %
0.4 x 100

40%

47
Q

A patient was receiving PPN. You notice that he now has phlebitis at the infusion site. What is the most likely reason this happened?

A

PPN refers to peripheral parenteral nutrition. Considering that 1,700 mOsm/L is much higher than the recommended upper limit, the patient most likely experienced phlebitis as a result of receiving the 1,700 mOsm/L formula.

48
Q

A 5 year old patient presents non-spastic athetoid form of cerebral palsy. Which of the following would not be recommended for the patient?

A

Typically a high calorie, high protein diet, with finger foods is recommended. Thus, the low calorie diet choice is NOT recommended.

49
Q

Which of the following is considered to be an oil that is highest in polyunsaturated fat?

A

Olive oil and peanut oil= MONOunsaturated

Coconut oil = SATurated

Soybean oil= POLYunsaturated

50
Q

Which of the following is not an entitlement program?

A

The Nutrition Education Training Program (NETP) is not an entitlement program.

51
Q

Which of the following is included in the acronym SWOT?

A

S.W.O.T

Srengths, Weaknesses, Opportunities, Threats

52
Q

Which of the following allows for casual relationships to be determined?

A

A randomized clinical trial study (RCT) is an experimental model that does allow for casual relationships to be determined.

53
Q

Which of the following is considered to be an elemental formula?

A

Peptamen

54
Q

Which of the following organs excretes cholesterol as bile?

A

Liver

55
Q

In the following ratios, the first number represents concern for production and the second number represents concern for people. Country club management is represented by which of the following ratios?

A

The leadership grid has 5 categories with regards to leaders’ concern for production and concern for people. Highest level for both is 9, lowest level for both is 1.

1, 9

56
Q

A study is being conducted at a research facility examining the effect of a medication on reducing anxiety. Participants are given different amounts of medication A and are then evaluated for their anxiety. Which of the following would be the independent variable in this study?

A

Independent variables are what are manipulated in a study and are the reason for change in the dependent variable. The dependent variable is the outcome that is being tested for, it is affected by changes in the independent variable.

Thus, medication A is the Independent Variable.

57
Q

Which of the following is considered to be the sweetest?

A

Fructose, Sucrose, Glucose

58
Q

A patient has a BMI of 38.9. Which class of obesity would the patient be classified as?

A

BMI I: 30-34.9
BMI II: 35-39.9
BMI III: ≥ 40

59
Q

Which of the following is primarily known to move milk through the ducts?

A

Prolactin: stimulates milk production

Colustrum: nutrient dense secretion; initial days of birth

Oxytocin: muscles around milk-making glands in breasts to contract, allowing milk to move through the ducts.

60
Q

Which of the following mainly moves triglycerides from the liver to cells?

A

HDL: cholesterol from cells to liver
LDL: cholesterol from liver to cells
VLDL: triglycerides from liver to cells

61
Q

What is the percent of ideal body weight if a medium frame 5’3 female weighed 116 pounds (5 months ago) and now weighs 108 pouds?

A

IBW for females= 100 lbs per 5ft, + 5 lbs for each inch

Percent of IBW:
current weight/ideal body weight x 100

108 lbs/115 lbs x 100 = 94%

62
Q

Which of the following is low in both methionine and lysine?

A

Gelatin

63
Q

What would be the amount of kcal from 800 ml of 7.5% amino acids?

A

800 ml x 0.075 = 60 g
60 g x 4 (amino acids)=

240 kcal from amino acids

64
Q

Which of the following are the 5 categories in the Diffusion of Innovation Theory?

A

Innovators, Early Adopters, Early Majority, Late Majority, and Laggards

65
Q

A person has an allergic reaction after eating. Which of the following most likely caused the reaction?

A

90% of all food allergies are caused by milk, eggs, peanuts, tree nuts, fish, shellfish, soy or wheat

66
Q

Which of the following types of non-verbal communication refers to personal space?

A

Proxemics - refer to personal space can include moving away, moving closer, or sitting behind an object.

67
Q

Which of the following refers to the most frequently occuring number in a data set?

A

Mean : average

Median: number at the midpoint of a data set

Mode: most frequently occuring number in a data set

68
Q

Which of the following is not a type of medical records documentation?

A

FFVP: Fresh Fruit and Vegetable Program which is a USDA program designed to introduce children to fresh fruits and vegetables.

69
Q

Which of the following belongs to the drug class Thiazolidinedione?

A

Actos, which improves insulin sensitivity, belongs to the drug class Thiazolidinedione.

70
Q

Candling is used in grading which of the following?

A

Eggs (Candling is a process that utilizes a bright light source behind an egg to show details of what’s inside the shell)

71
Q

You buy a 22 pound raw fish at $.46 per pound. Once the fish is cooked, you end up with 9 pounds EP. What is the EP cost per pound?

A

22 pounds x $.46= $10.12 AP price

$10.12/9 lbs= $1.12 EP cost per pound

72
Q

Which of the following is the recommended temperature range for pre-washing in a mechanical dishwasher?

A

110-140° F

73
Q

What percent of sodium chloride consists of just sodium?

A

40%

74
Q

Which of the following is not a risk factor for metabolic syndrome?

A

Triglycerides greater than or equal to 150 mg/dl

75
Q

Which of the following sections of a research report should include interpretation of the study’s results?

A

The discussion along with a comparison with other studies.

76
Q

Which of the following flours is considered to have the least and weakest gluten?

A

Cake Flour

77
Q

A baby is born with a birth weight of 1,232 grams. Which of the following categories does the baby’s birth weight fall under?

A

Normal Birth Weight = 5.5 - 8.8 pounds

< 5.4 pounds= LBW
< 3.3 pounds= VLBW
< 2.2 pounds = ELBW

78
Q

The primary use of which of the following is to serve as an antiemetic?

A

licorice root= ulcers

kava= anxiety

ephedra= weight loss

ginger= antiemetic (vomiting and nausea)

79
Q

Which of the following is most required for proline to convert into hydroxyproline?

A

Vitamin C and eventually leading up to collagen which can strengthen intercellular substances.

80
Q

With regards to HACCP, which of the following hazard categories would salmonella belong to?

A
H-azard
A-nalysis
C-ritical
C-ontrol
P-oints
Biological= pathogen
Chemical= pesticide/cleaning residue
Physical= bone/plastic
81
Q

A patient presents with thin, sparse hair and red, swollen gums. Which of the following is he most likely deficient in?

A

Deficiences:
calcium- teeth & tetany
biotin- muscle pain, dermatitis & glossitis
pantothenic acid- paresthesia in feet
vitamin C- thin, sparse hair, and red swollen gums

82
Q

Which of the following is primarily concerned with maintaining acid base balance?

A

Distal Tubule

83
Q

Which of the following theories consists of everyone in the company who is affected by a potential decision to be involved in making the decision?

A

Theory Z

84
Q

A patient with a GFR of 67 would be classified at which stage of CKD?

A

CKD= Chronic Kidney Disease

Stage 2: GFR (60-89)

85
Q

A study has been proposed to be conducted that will involve human subjects. What is the name of the committee that will review this proposed study?

A

IRB stands for Institutional Review Board

86
Q

Which of the following protein ranges is most recommended?

A

RDA for protein is 0.8

87
Q

Which of the following is considered to be the most abundant mineral in the body?

A

The most abundant mineral in the body is Calcium and the second most abundant is Phosphorous.

88
Q

Which of the following is depicted by an organizational chart?

A

An organizational chart shows where the employee fits into the grand scheme of the organization.

89
Q

Which of the following spatial zones would most likely include an interaction in which instructions are being given?

A

Intimate Zone - < 1.5 feet
Personal Zone- 1.5- 4 ft
Social Zone- 4- 12 ft
Public Zone- > 12 ft

90
Q

A patient presents with COPD. Which of the following protein intake ranges would the dietitian most likely place him on?

A

Chronic Obstructive Pulmonary Disease (COPD) patients are generally placed on high protein to prevent muscle atrophy and maintain lung strength

1.0-1.5 g/kg

91
Q

According to the NSI (Nutrition Screening Initiative), which of the following is a factor for malnutrition among older adults on the DETERMINE checklist?

A
D-isease
E-ating Poorly
T-ooth Loss
E-conomic Hardship
R-educed Social Contact
M-ultiple Medicines
I-nvoluntary Weight Loss/Gain
N-eeds Assistance in Self-Care
E-lder Years Above Age 80
92
Q

Which of the following requires a health exam in order to participate?

A

Women, Infants, and Children (WIC)

93
Q

Which of the following types of purchasing uses only one vendor for the majority of purchases?

A

Prime Vending

94
Q

At which of the following age ranges does the pincer grasp begin to be used?

A

Pincer grasp: 9-12 months
Extrusion reflex: decrease by 4-6 months
Palmar grasp: 6-8 months

95
Q

A patient is undergoing a Billroth II procedure. Which of the following vitamins is he most at risk for becoming deficient in?

A

Billroth II involves the attachment of the remaining stomach after a partial gastrectomy to be connected to the jejunum. Stomach has been resected and thus smaller, since there is less intrinsic factor this may cause a B12 deficiency.

96
Q

A study found a R value of 0.6, Which of the following would this value be classified as?

A

R value refers to a correlation coefficient which shows the strength of the relationship between two variables.

0.6 = moderate range

97
Q

A cake has a dry crumb. What is the most likely reason?

A

Reasons for a dry crumb include putting in too little sugar or fat in the cake mixture, putting too much flour or egg into the cake mixture, baking for too long, and mixing too much.

98
Q

A manager is great at his job. Two months later, he has been promoted to a director. As a director, this person is considered incompetent. Which of the following is representative of this scenario?

A

“Peter Principle” refers to promoting someone to a level of incompetence

99
Q

Which of the following oils is not typically winterized?

A

A winterized oil (corn, cottonseed, soy) is chilled to 45° and won’t crystalize when cold.
Olive oil is NOT winterized

100
Q

Which of the following is primarily known for treating enlarged prostate?

A

Saw palmetto