1. In order to get loose of the risk of degenerative disease, patient with obesity has to reduce his/her weight eventually. With BMI value 26 and blood pressure 140/80 mmHg, such patient should be approach with prescribing fiber. Foodstuff below contained the richest fiber: …
A. apple*
B. banana
C. orange
D. watermelon
2. Central obesity has a chance of higher risk than general obesity. This high risk caused by blood stream in stomach area is much bigger than other part of body, besides …
A. fewer of cortisol receptor in that part,
B. higer of `androgen receptor in that part*,
C. fewer of catecolamin receptor in that part,
D. fewer of testosteron receptor in that part.
3. An obese patient having medical nutrition therapy wants to have lunch containing fried tuna. The best type of oil that can be used to fry this fish, in order to increase his/her omega-3 intake, is …
A. corn oil.
B. flaxseedoil*
C. olive oil.
D. peanut oil.
4. An obese patient medically nutrition treatment accidentally had drink a glass of coke out of her lunch menu. To make the calorie of the egg not increase the counted energy, the patient must have physical activity such as …
A. walking for 20 minutes, or
B. biking for 10 minutes, or
C. biking 5 minutes, or
D. fast running for 4 minutes*.
5. A very low calorie diet should never give to an obese patient who, concomitantly, has history of …
A. diabetes mellitus type 1*.
B. diabetes mellitus type 2.
C. dyslipedemia.
D. None of the above.
6. The principle of obesity treatment are prevention the increase of body weight, promote the decrease of body weight, manage comorbid factor and risk factors as well. Those included in risk factor is…
A. sleep apnea,
B. dyslipidemia,
C. bulimia nervosa*,
D. gastroesophageal reflux.
7. Diabetes mellitus management principally based on reaching ideal body weight, consuming a special diet for diabetic, and exercising regularly. The principle of foodstuff selection in medical nutrition therapy is, at least, selecting foodstuff with the lowest glycemic index, that is …
A. honey.
B. Jam.
C. sucrose.
D. chocolate*
8. There are some way to lowest glycemic index , that is, …
A. by cooking starch and keeping them hot
B. by cooking starch and cooling them down.*
C. by cooking starch and adding some alkaline substance
D. by cooking starch and reducing organic acid content.
9. In diabetic patient, a high glucose level ≥ 280 mg/dl for a long periode will lead to glucose toxicity. In such condition, most of trace element are becoming deficient. One of this trace element classified as very important element to sensitize insulin receptor is chromium. One of foodstuff below is the best source of chromium: …
A. Brocolli.
B. Raw onion.*
C. greenbeans
D. raw tomatoes
10. Magnesium and insulin are depending each other. Pancreas is unable to produce insulin adequately without existency of magnesium, while kidney loose its ability to restrain magnesium in case of severely hypoglycemia. Choose one of food below which has the highest magnesium concentration.
A. Yogurt.
B. Brown rice.
C. Almond.*
D. Avocado.
11. In case of insulin-induced hypoglycemia, patient has to be ordered to stop exercising and consuming carbohydrate-containing food as much as 15 mg in hurry. A kind of food containing 15 gram carbohydrate is …
A. a half cup of orange juice,*
B. a half slice of white bread,
C. a half cup of rice,
D. a half potato puree.
12. A woman was diagnosed as suffering from obesity, because of her BMI already reach the number > 30. However, to make the diagnostic of getting into metabolic syndrome herself, she must be also fulfill these criteria (based on WHO criteria): …
A. HDL = 39
B. Albuminuria ≤ 20 mg
C. Triglyceride ≤ 149
D. Ratio of albumin to creatinin ≥ 30 mg/g.*
13. The term dyslipidemia, hypercholesterolemia, or hyperlipoproteinemia is not rarely used interchangeable. A person can be stated as suffering from dyslipidemia if his/her total cholesterol to HDL ratio is…
A. 4,5*
B. 4,7
C. 4,9
D. 5,1
14. Medical nutrition therapy (MNT) is the core concept of dyslipidemia therapy through the changes of lifestyle, while drugs are introduced if MNT approach give no improvement during 6 months therapy. The magnitude of dietary fiber contribution to MNT, based on National Cancer Institute is …
A. at least 10 gram a day.
B. at least 15 gram a day.
C. at least 20 gram a day.
D. at least 25 gram a day.*
15. A dyslipidemic patient is being suggested to ingest soluble fiber, at least, in minimum dosage. Foodstuff that containing the most soluble fiber is as follow: …
A. Lentils
B. Peas
C. Dried bean.
D. Beta-glucans.*
16. A dyslipidemic patient showing evidence of high cholesterol was suggested to lower he/her cholesterol intake. Foodstuff he/she has to choose is …
A. palm kernel oil instead of safflower.
B. creamer instead of cottage cheese.
C. dressing made of sour cream instead of mayonnaise.
D. mayonnaise instead of dressing made of sour cream*.
17. A dyslipidemic patient showing evidence of hyperlipidemia was suggested to consume foodstuff low in saturate fat, that is …
A. palm kernel oil instead of safflower.
B. creamer instead of cottage cheese.
C. dressing made of sour cream instead of mayonnaise.
D. mayonnaise instead of dressing made of sour cream*.
18. NCEP/ATP III reported six components of metabolic syndrome that relate to CVD:
A. Abdominal obesity.
B. Insulin resistance with glucose intolerance.
C. Insulin resistance without glucose intolerance.
D. All of the above.*
19. Using metformin as a drug of choice to reduce blood sugar, one will experience in several vitamines and minerals depletion, that is …
A. Vitamine B1
B. Vitamine B6*
C. Vitamine B12
D. None of the above
20. Foodstuff those have to be consumed concomitanly with oral anti-diabetic such as metformin is ….
A. Chicken breast bone
B. Chicken red meat
C. Chicken liver*
D. Cow red meat
21. Using sulfonylurea as a drug of choice to reduce blood sugar, one will experience in several vitamines and minerals depletion, that is …
A. Vitamin B6
B. CoQ10*
C. Vitamine B12
D. Folic acid
22. Foodstuff those have to be consumed concomitanly with oral anti-diabetic such as sulfonylurea is ….
A. Chicken breast bone
B. Chicken red meat
C. Chicken liver*
D. Cow red meat
23. Strategies recommended for the prevention of CHD is …
A. decrease Ω-3 from plant sources,
B. increase Ω-3 from fish sources,*
C. increase trans fatty acid,
D. consume a diet high in refined grains
