Question : Use the following case study to answer questions 40-43. Mrs. Brown : 1350971

 

Use the following case study to answer questions 40-43.

Mrs. Brown is 55 years old and 5 ft. 3 in. tall, with a medium frame. She reports having lost 20 pounds in the last 6 months and now weighs 130 pounds. She eats 2 meals a day and is complaining that food has lost its taste, and when she eats, she feels something sticking in her throat, pain, and discomfort; she has ill-fitting dentures that she does not wear very often.

 

40.What is Mrs. Brown’s BMI?

a.17

b.23

c.26

d.31

e.34

 

41.According to the previous answer, Mrs. Brown’s BMI means she is:

a.very underweight.

b.underweight.

c.normal weight.

d.overweight.

e.obese.

 

42.Mrs. Brown is at risk of nutritional deficiency due to:

a.her current BMI.

b.involuntary weight loss.

c.problems with dentures.

d.All of the above

e.b and c only

 

43.What would be an appropriate amount of protein to recommend to Mrs. Brown if she is eating 1,000 Calories per day?

a.55 grams/day

b.77 grams/day

c.95 grams/day

d.100 grams/day

e.>100 grams/day

 

44.Which of the following statements is NOT true regarding theories of aging?

a.Free radical damage is known to promote chronic conditions including heart disease, cataracts, and some cancers.

b.Scientists postulate that if they could shorten the telomeres of chromosomes more slowly than happens naturally, cell senescence could be delayed.

c.Protein cross-links form because of exposure to high glucose levels, resulting in adverse changes in tissue and organ function.

d.Cells from long-lived species (such as humans) have higher Hayflick limits than cells from shorter-lived species (such as mice or rats).

 

45.For someone wishing to increase her vitamin B12 intake through food alone, what foods could you suggest that are leading sources of this vitamin?

a.Beef

b.Milk

c.Fish

d.Fortified cereals

e.All of the above

 

46.When height and weight cannot be measured, alternative calculations using the ulna, knee height, and _____ are suggested.

a.thigh circumference

b.mid-upper-arm circumference

c.waist circumference

d.waist–to-hip ratio

e.body mass index

 

47.Which of the following is NOT one of the  DETERMINE warning signs of poor nutritional health?

a.Disease

b.Early detection

c.Economic hardship

d.Elder years above 80

e.Involuntary weight loss/gain

 

48.What is the most common reason that vitamin B12 deficiency, or at least compromised B12 status, occurs in older adults?

a.Diets are frequently low in vitamin B12, since oral problems and financial difficulties limit meat intake and meats are the best dietary sources of B12.

b.Pernicious anemia is common in the elderly.

c.Their diets provide primarily synthetic forms of vitamin B12, which are less absorbable than the protein-bound form found naturally in foods.

d.The elderly have a higher incidence of bacterial overgrowth, which decreases secretion of hydrochloric acid.

e.None of the above

 

49.Caloric restriction in animals has been shown to:

a.promote age-related diseases.

b.shorten lifespan.

c.increase longevity.

d.accelerate muscle loss.

e.b and d

 

50.Which of the following warning signs would NOT be part of the nutrition checklist used to identify risk factors in the elderly?

a.Reduced social contact

b.Multiple medications

c.Elder years above age 70

d.Economic hardship

e.Tooth loss