1. When nutrition advocates became concerned that recommendations did not do enough to address prevention of chronic diet related diseases, what policy change were made? - Correct Answer -RDA's (Recommended Daily Allowances) expanded into several DRI (Daily Reference Intakes) 2. What is true of dietary reference intake? - Correct Answer -Food labeling must include information about them. They differ depending on age and gender 3. What is always found on a nutrition label in the US? - Correct Answer -Serving size 4. A healthful diet contains nutrient intake near what amount? - Correct Answer -Recommended daily allowance 5. What is an appropriate use of AMDR (Acceptable Macronutrient Dietary Range) when evaluating the appropriateness of a snack food? - Correct Answer -50?lories from fat is too much. 6. What is meant by Tolerable Upper Intake Level? - Correct Answer -The highest level of daily consumption that current data has shown to cause no side effects in humans; ensures people do not take harmful amounts. 7. How is estimated average requirement commonly used? - Correct Answer -To guide recommendations and menu planning for communities in combinations with upper intake levels. 8. What is true of choose my plate .gov recommendations as presented by their setting place graphic? - Correct Answer -Half of the plate should be fruits and vegetables. 9. What is the nutritional benefit of fruits and vegetables? - Correct Answer -They provide nutrients that reduce the risk some type of cancer. 10. What is false regarding fruits and vegetables in the diet? - Correct Answer -Fruits and vegetables are rich in vitamin B12 11. What strategy might be avoided due to expense for patients looking to eat more healthfully on a budget? - Correct Answer -Buying frozen meals A+ 12. Which statement is true about planning a balanced meal? - Correct Answer -Skim milk has roughly the same amount of calcium and protein as whole milk. 13. What is true about dietary recommendation for whole grain intake? - Correct Answer -Half of all whole grains consumed should be whole grain products. 14. Fritz is hosting a brunch and prepares for each of his friends Omelet with cheese Toasted English muffin 1t all fruit preserves ½ large grapefruit 1c whole milk How can his menu be improved to follow the dietary guidelines for Americans? - Correct Answer -Use egg whites for the omelets Replace cheese with vegetables in the omelets Replace English muffin with whole wheat English muffin Replace whole milk with fat free milk 15. What is true of recommendations concerning trans fat and added sugar intake? - Correct Answer -Trans fat and added sugar intake should be minimized. There is no DRI value. What is recommended daily amount of protein intake? - Correct Answer -60g/ day. 17. Which list contains all examples of protein? - Correct Answer -Garbanzo beans (Chickpeas), egg, chicken breast, yogurt, cheese, ground beef, peanut butter, tofu 18. What is the best choice for a combination of plant-based foods to maximize healthy diet in a vegetarian diet? - Correct Answer -Legume+ whole grain 19. There is a current initiative for more transparent labeling of sugars on nutrition fact labels. In the coming years, which of these might be more obviously labeled sugars? - Correct Answer -Anything ending in-ose, honey 20. Which carbohydrate will cause a quick return to hunger? - Correct Answer -One with a higher glycemic index 21. Which is the reason that seafood can be considered a healthful diet? - Correct Answer -Some seafood is high in healthy omega 3 oils A+ 22. What are generally considered sources of healthy fat? - Correct Answer -Fish, nuts, olive oil 23. What is not a common source of high levels of sodium? - Correct Answer -Spices and herbs 24. Which foods are relatively rich in iron? - Correct Answer -Dark leafy greens, legumes, red meat, nuts 25. What is the best vegetarian source of iron from the options provided? - Correct Answer -Beans 26. Which of these are protective against heart disease? - Correct Answer -Fiber, HDL cholesterol 27. Which are linked to increase heart disease risk? - Correct Answer -LDL, trans fat, saturated fats 28. Reducing heart disease/ stroke - Correct Answer -LDL levels below 120mg/dl Limit cholesterol intake to less than 30mg per day Saturated fats-less than 7% of total daily calories At least 30 minutes of activity in daily routine Sodium levels-below 1600mg per day Increase intake of fiber, especially insoluble fiber, although most will be soluble. Limit alcohol to 1-2 drinks per day. What is an appropriate dietary intervention to address a patient's low albumin level? - Correct Answer -High protein diet. 30. Select foods that would be inappropriate for a patient with kidney disease? - Correct Answer -Fried eggs, hot dogs, steak 31. What is the dash diet designed to address? - Correct Answer -Hypertension 32. Which factors are important in controlling hypertension? - Correct Answer -Sodium below 1600mg daily Daily exercise such as a half hour walk Maintaining a healthy weight-BMI below 25 33. Because obesity affects many organ systems and hormones impairing body functions, which is true - Correct Answer -It is now considered a disease by AMA A+ 34. What BMI is considered obese, requiring counseling about a weight loss dietary plan? - Correct Answer -BMI> 30 BMI>25 is overweight, >40 is morbidly obese 35. What is the BMI calculation for a patient that measures 5'4" in height and 175lbs in weight? - Correct Answer -30 BMI is square the height in inches (64*64=4096) then divide the weight in lbs by that number (175/4096= 0.043) then multiply by 703 to change to metric units 36. What describes a diet least likely to result in obesity? - Correct Answer -A diet with a variety of fruits, whole grains and vegetables. 37. Identify which heart disease risk factors are modifiable? - Correct Answer -Sedentary lifestyle BMI 32kg/m2 Diet high in trans fat 38. Which statement is true? - Correct Answer -Obese children and teenagers are at increased risk of coronary heart disease 39. You are working in a family medicine clinic with a 22 yr old patient. You note a BMI of 17. What counseling might you give this patient? - Correct Answer -"At this BMI you are at an increased risk of infertility, osteoporosis and premature death. Let's find solutions." 40. What health risks clearly increase along with BMI? Select all that apply. - Correct Answer -Heart Disease Type 2 diabetes, Premature death Osteoarthritis Sleep apnea 41. What is true regarding genetic influence on body weight? - Correct Answer -Body weights of parents are often predictive of children even when they do not raise him. 42. To maintain weight in the long term, patients should: - Correct Answer -Balance energy expenditure with energy intake; eat just enough calories for activity level. 43. You can only draft five pieces of advice for weight loss. Which do you choose? - Correct Answer -Reduce processed foods Increase activity When you want food, ask yourself, "am I hungry?"