Question : Use the following information to answer questions 39-44. Mr. K a : 1350978

 

 

Use the following information to answer questions 39-44.

Mr. K is a 66-year-old African American. He was admitted to the emergency room of Twin Peaks Hospital after passing out unexpectedly at work. He is having difficulty talking and does not know what happened to him. His wife provides the dietitian on staff the following information about his diet. Breakfast: eggs fried in butter, toast, and black coffee; Lunch: ham sandwich, canned soup, potato chips, diet soda, and a candy bar; Dinner: beef or other type of meat, potato with butter, broccoli with mayonnaise, ice cream, and black coffee.

 

Other related information:

Blood pressure: 160 mm Hg/85 mm HgLDL cholesterol: 140 mg/dL

Occupation: Air Traffic Controller at LAXHours of work: 60+/wk

 

Family history: mother died from heart disease at 69 years of age

 

Smoker: yes; 30 years, 2 pack/dayFasting blood sugar: 120 mg/dL

Ht = 67”Wt = 210 lbs

 

39.What is Mr. K’s BMI?

a.14.8

b.27

c.33

d.36

e.41

 

40.Mr. K is:

a.obese.

b.overweight.

c.normal weight.

d.underweight.

 

41.What do you suspect is wrong with Mr. K?

a.He had a heart attack

b.He had a stroke

c.He had a hypoglycemic episode due to diabetes

d.He has brain cancer

e.He has GERD

 

42.What information about Mr. K. indicates you have the correct diagnosis in question #41?

a.He has high blood sugar

b.He is a long-term cigarette smoker

c.He has high blood pressure

d.All of the above

e.b and c only

 

43.What other risk factors does Mr. K have?

a.He is obese

b.He is African American

c.He eats a high-sodium diet

d.All of the above

e.a and b only

 

44.What should the dietitian ask his wife to better help him with treatment after his discharge?

a.How motivated do you think your husband is to change his habits?

b.How often does your husband eat meals out?

c.Who does the cooking and how willing is he/she to try new cooking methods?

d.All of the above

e.a and c only

 

Use the following information to answer questions 45-48.

A 75-year-old female reports having lost 20 pounds in the last 3 months and now weighs 100 pounds; she is 5’3”. She is complaining that food has lost its taste, and when she does eat, she develops severe heartburn. She is now in your office for assessment. Her daily intake is ~1000 Calories with 35 g of protein.

 

1 cup non-fat milk

1 medium apple

1 slice bread + 3 t. butter

1 cup black coffee + 3 t. sugar

1/3 cup cooked rice

1/2 cup cooked zucchini

2 oz. ground beef

1 cup orange juice

1 oz. Cheddar cheese

Black coffee

2 martinis before dinner

 

45.How does her current weight compare to her usual weight?

a.She is 77% of her usual body weight

b.She is 83% of her usual body weight

c.She is 94% of her usual body weight

d.She is 120% of her usual body weight

 

46.How does her intake compare to her estimated protein needs?

a.It is low; based on her current weight, she should be consuming at least 100 g per day.

b.It is high; based on her current weight, she should be consuming at least 25 g per day.

c.It is low; based on her current weight, she should be consuming between 45 and 70 g per day.

d.It is adequate to meet her needs based on her current weight and Calorie intake.

 

47.What dietary changes might help with her heartburn?

a.Skipping the martinis before dinner

b.Avoiding coffee

c.Changing her milk to whole vs. non-fat

d.All of the above

e.a and b only

 

48.What other suggestions could you give her to help prevent weight loss and increase protein in her diet?

a.Eat more calories throughout day

b.Exercise to help build muscle mass

c.Try a protein and energy supplement

d.Avoid foods that irritate you

e.All of the above