Question 1

Noel was prescribed a corticosteroid to help with the inflammation associated with Crohn's disease. What is a possible side effect of this medication?

Accepted Answer

Corticosteroids can cause fluid retention, which may lead to swelling in different parts of the body, including the feet, legs, and face. Other possible side effects include changes in mood, increased appetite and weight gain, hypertension, and increased risk of infection. However, diarrhea, dehydration, loss of appetite, and low blood pressure are not common side effects of corticosteroids.

Question 2

Noel will need to monitored for _____, due to the increased risk that accompanies Crohn's disease.​

Accepted Answer

People with Crohn's disease are at an increased risk of developing intestinal cancer, so Noel will need to be monitored for this.

Question 3

Noel's Crohn's disease has most likely resulted in inflammation of her _____.

Accepted Answer

Crohn's Disease is known to commonly cause inflammation in the ileum and/or colon, and can also affect other parts of the gastrointestinal tract. It is unlikely to affect the gallbladder, duodenum, jejunum, pancreas, or liver specifically.

Question 4

Diverticular disease often occurs with _____.

Accepted Answer

The answer of Diverticular disease often occurs with _____.
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Question 5

Which foods will provide sufficient probiotic bacteria to influence the bacterial population in the large intestine?

Accepted Answer

Yogurt is the best choice as it contains live probiotic bacteria, specifically strains like Lactobacillus and Bifidobacterium, that can survive the acidic environment of the stomach and colonize the large intestine, influencing the bacterial population. Margarine and honey do not contain significant amounts of probiotics, while cottage cheese may contain some but it is not necessarily guaranteed. Chicory, on the other hand, contains prebiotic fiber that can help support the growth of probiotic bacteria but does not contain live bacteria itself.

Question 6

Removal of all or a portion of the colon is referred to as a(n) _____.

Accepted Answer

Colectomy specifically refers to the removal of all or part of the colon. A colostomy refers to the creation of an opening in the abdominal wall for elimination of waste after a portion of the colon has been removed. An ileostomy refers to the creation of an opening in the abdominal wall for elimination of waste after the removal of the entire colon and rectum. A gastrectomy refers to the removal of all or part of the stomach. Ostomy refers to any surgical procedure that creates an opening in the body for the elimination of waste.

Question 7

Mary has been diagnosed with irritable bowel syndrome. Although clinical studies suggest that it may not be beneficial, which dietary modification might her dietitian recommend?

Accepted Answer

A high-fiber diet is often recommended for individuals with irritable bowel syndrome (IBS) as it can help regulate bowel movements. However, the effectiveness can vary from person to person, and some individuals might find that a high-fiber diet exacerbates their symptoms.

Question 8

Noel requires aggressive dietary management of her disease, otherwise _____ could result.

Accepted Answer

Aggressive dietary management is necessary for Noel's disease to prevent nutrient deficiencies and protein-energy malnutrition. This is because the disease affects the pancreas, which produces digestive enzymes necessary for the breakdown and absorption of nutrients in the intestines. Without proper management, Noel may not be able to properly digest and absorb nutrients from her food, leading to deficiencies and malnutrition.

Question 9

The primary purpose of a low-fiber diet for ostomy patients is to _____.​

Accepted Answer

The primary purpose of a low-fiber diet for ostomy patients is to decrease stool output. This is because fiber adds bulk to the stool, which can be difficult for an ostomy patient to manage. A low-fiber diet helps to reduce the amount of stool that is produced, making it easier for the patient to manage their ostomy bag.

Question 10

During a flare-up of her disease, Noel should follow a ______ diet.

Accepted Answer

During a flare-up of Crohn's disease, it is recommended to follow a low-fiber, low-fat diet to reduce the risk of exacerbating symptoms. High-fiber foods can be difficult to digest and may cause further irritation to the already inflamed intestinal lining. Similarly, high-fat foods can also take longer to digest and can worsen diarrhea.

Question 11

The most common complication of diverticulosis is _____.

Accepted Answer

Diverticulosis can lead to inflammation and infection of the diverticula, resulting in diverticulitis, which is the most common complication of the condition.

Question 12

The incidence of diverticulosis may be reduced by diets _____.

Accepted Answer

High dietary fiber intake is associated with a decreased risk of diverticulosis. Low fiber diets can cause constipation, leading to increased pressure in the colon and potentially the formation of diverticula. Dietary fat and protein have not been shown to have a significant impact on the incidence of diverticulosis, and low sodium intake is more relevant in the management of diverticulitis rather than prevention of diverticulosis.

Question 13

If Noel's Crohn's disease worsens, it could place her at risk for malnutrition due to all of these reasons except _____.

Accepted Answer

Ulceration in the esophagus does not directly affect nutrient absorption in the small intestine, while reduced food intake, surgery that shortens the small intestine, malabsorption of nutrients, and mucosal scarring can all lead to malnutrition in individuals with Crohn's disease.

Question 14

All of these foods may cause difficulty for ostomy patients except ______.

Accepted Answer

Bananas are a safe food for ostomy patients as they are easily digestible and unlikely to cause blockages or gastrointestinal issues. Popcorn, coconut, raisins, and nuts, on the other hand, can all pose a risk of blockages or discomfort for ostomy patients due to their high fiber content or tough texture.

Question 15

Which dietary adjustment is not recommended for individuals with irritable bowel syndrome?

Accepted Answer

Individuals with irritable bowel syndrome often have difficulty digesting lactose, which is found in milk products. Therefore, increasing consumption of milk products is not recommended.

Question 16

Nondigestible substances in foods that stimulate the growth of nonpathogenic bacteria within the large intestine are called _____.

Accepted Answer

Nondigestible substances in foods that stimulate the growth of nonpathogenic bacteria within the large intestine are called prebiotics. Probiotics are live microorganisms that can provide health benefits when consumed. Intestinal flora refers to the microorganisms that naturally reside in the digestive tract, while pathogenic bacteria are harmful bacteria that can cause illness. Bacterial translocation refers to the movement of bacteria from the gut into other organs or tissues, which can lead to infection.

Question 17

The patient with a colostomy or ileostomy is usually concerned about foods that cause _____.​

Accepted Answer

Patients with a colostomy or ileostomy may experience increased gas and odor due to the change in the digestive tract. Therefore, they are usually concerned about foods that can cause these symptoms.

Question 18

Much of the research investigating probiotics and intestinal illness has focused on the prevention and treatment of _____.

Accepted Answer

Most of the research on probiotics and intestinal illness has been on their effectiveness in preventing and treating infectious diarrhea, particularly that caused by rotavirus and Clostridium difficile. Probiotics have shown promising results in reducing the duration and severity of these types of infections.

Question 19

To help control diarrhea, people with ostomies should consume _____.

Accepted Answer

Applesauce is a good choice to help control diarrhea because it is a binding food that can help thicken stool.

Question 20

Nonpathogenic bacteria in the intestinal tract perform all of these functions except _____.

Accepted Answer

Nonpathogenic bacteria in the intestinal tract do not stimulate the production of proteins. They perform the other functions listed.

Quiz 18: Fiber-Modified Diets for Lower Gastrointestinal Tract Disorders