Domain II MNT for Individuals

  1. What is an ulcer?
    An eroded mucosal lesion
  2. Treatment & drug therapy for ulcers
    • Treatment:
    • Antacids & Antibiotics to kill H pylori
    • Drug Therapy:
    • Cimetidine, Rantidine (H2 blocker; prevent binding of histamine to receptor; decreases acid secretion)
  3. Diet (recommend and avoid) for Ulcers
    • Recommendations:
    • Depends on individual tolerance, well-balanced, avoid late night snacks
    • Avoid:
    • Cayenne, black pepper, chili powder, caffeine, alcohol
  4. Recommended diet for Hiatal Hernia
    • Small, bland feedings
    • Avoid late night snacks
    • Avoid caffeine
    • Chili powder
    • Black Pepper
  5. What causes Dumping Syndrome?
    • Gastrectomy
    • Bilroth I (gastroduodenostomy)
    • Billlroth II (gastrojejunostomy)
  6. Symptoms of Dumping Syndrome
    Cramps, Rapid Pulse, Weakness, Perspiration, Dizziness
  7. Billroth I
    gastroduodenostomy: attaches the remaining stomach to the duodenum
  8. Billroth II
    • gastrojejunostomy: attaches the remaining stomach to the jejunum.
    • Very little pancreatic secretion because food bypasses the duodenum causing reduced secretion of pancreatic hormones
  9. What types of anemia result from Dumping Syndrome?
    • 1. Iron Deficiency: bleeding, loss of acid leads to impaired absorption 
    • 2. B12 Deficiency: Lacking intrinsic factor, bacterial overgrowth in loop of intestine interfering with B12 absorption
    • 3. Folate Deficiency: Lack of B12 leads reduced folate absorption, low folate intake, and low serum iron
  10. MNT for Dumping Syndrome
    • Frequent small, dry feedings
    • Recommend fluids only before or after meals (NOT DURING) 
    • Restrict concentrated sweets
    • 50-60% Complex Carbs
    • Protein with each meal
    • Moderate Fat
    • Possibly B12 injections
    • Possibly limit lactose
  11. What may cause Gastroparesis?
    • Surgery
    • Diabetes (moderate/severe hyperglycemia can damage stomach nerves)
    • Viral Infections
    • Obstructions
  12. Drug therapy for Gastroparesis
    • Prokinetics
    • Erythomycin, metoclopramide
    • Increase stomach motility
  13. MNT for Gastroparesis
    • Small frequent meals
    • Pureed foods
    • Avoid high fiber foods
    • Liquid fat may be tolerated
  14. Tropical sprue is caused by ___
    Bacterial, viral, parasitic infection
  15. Long term affects of Tropical Sprue
    • Chronic GI disease
    • Intestinal lesions
    • Can affect stomach
  16. Symptoms of Tropical Sprue
    • Diarrhea
    • Malnutrition
    • B12 and Folate deficiency (due to decreased HCL and activated intrinsic factor)
  17. What is gluten? Give specific examples for wheat, rye, barley, and oats. (Celiac Dz)
    • Storage proteins aka prolamins
    • Gliadin: Wheat
    • Secalin: Rye
    • Hordein: Barley
    • Avenin: Oats
  18. What part of the intestinal tract does Gliadin target (Celiac Dz)? Where is gliadin found?
    Jejunum and Ileum
  19. Malabsorption due to Celiac Dz leads to what symptoms?
    • Loss of fat soluble vitamins
    • Macrocytic Anemia (B12/folate deficiency)
    • Weight Loss
    • Diarrhea
    • Steatorrhea
    • Iron def anemia
  20. Diet for Celiac
    • Gluten free (NO wheat, rye, oats, barley, bran, graham, malt, bulgur, couscous, durum, orzo, thickening agents)
    • OK: corn, potato, rice, soybean, tapioca, arrowroot, carob bean, guar gum, flax
  21. Diverticulosis vs. Diverticulitis
Card Set
Domain II MNT for Individuals
RD Exam Questions