When an HIV-infected patient's immune system is weakened by the virus and the person is more prone to infection, what is the most likely scenario?
a. The person's antigen receptors are weakened.
b. CD4 activity is impaired.
c. The body is not producing enough WBC.
d. The bone marrow is unable to differentiate lymphocytes.
Q. 2Your patient is experiencing flu-like symptoms and has been engaging in risky sexual behaviors. What is his likely diagnosis?
a. primary HIV infection
b. HIV encephalopathy
c. AIDS
d. Clinical Stage 2
Q. 3HIV is a(n) _____ and thus contains RNA that is transcribed into the host.
a. CD4 virus
b. immunosuppressive agent
c. retrovirus
d. B cell killer
Q. 4Because HIV attacks a person's immune system, which specific cells are the most affected?
a. WBC
b. B cells
c. T cells
d. RBC
Q. 5Which of the following is not a way of transmitting HIV?
a. shared needles
b. mother to fetus
c. transfusion
d. kissing
Q. 6The heaviest concentration of HIV-infected persons is found among which of the following?
a. gay American males
b. European sexually active females
c. children born to infected mothers
d. residents of African countries
Q. 7AS is a 54 yo business man who has a family history of lung cancer. AS started smoking at 15; years later, he got what he thought was a very bad cold that lasted for a week, started experiencing pain in his tongue, and was given ibuprofen for pain. He then noticed white sores that were getting bigger in his oral cavity near the tongue. He started feeling generally lousy and was unable to eat due to severe pain, and lost 30 lbs in a month. AS went to the clinic, where they did a biopsy that revealed squamous cell cancer of the oral tongue. AS has undergone RT and surgery to remove the cancer and a restorative surgery was scheduled. Due to RT, AS has developed mucositis and xerostomia in his oral cavity. All his nodes that were sent to the laboratory tested negative for metastasis, and no further RT was needed. The surgeons felt confident that they had removed all the cancer. HT: 59 UBW: 165 lbs WT: 135 lbs Meds: Corticosteroids; antineoplastic (dexamethasone) to reduce inflammation, K depletion, Na retention; and morphine for pain. All of the following might be of potential benefit in stabilizing AS's weight except:
a. oxandrolone
b. omega-3 fatty acids
c. enteral nutrition support
d. high-dose vitamins and minerals
Q. 8AS is a 54 yo business man who has a family history of lung cancer. AS started smoking at 15; years later, he got what he thought was a very bad cold that lasted for a week, started experiencing pain in his tongue, and was given ibuprofen for pain. He then noticed white sores that were getting bigger in his oral cavity near the tongue. He started feeling generally lousy and was unable to eat due to severe pain, and lost 30 lbs in a month. AS went to the clinic, where they did a biopsy that revealed squamous cell cancer of the oral tongue. AS has undergone RT and surgery to remove the cancer and a restorative surgery was scheduled. Due to RT, AS has developed mucositis and xerostomia in his oral cavity. All his nodes that were sent to the laboratory tested negative for metastasis, and no further RT was needed. The surgeons felt confident that they had removed all the cancer. HT: 59 UBW: 165 lbs WT: 135 lbs Meds: Corticosteroids; antineoplastic (dexamethasone) to reduce inflammation, K depletion, Na retention; and morphine for pain. How would the registered dietitian calculate AS's protein needs?
a. 0.8-1.0 g/kg
b. 1.0-1.5 g/kg
c. 1.5-2.5 g/kg
d. 0.5-0.8 g/kg
Q. 9AS is a 54 yo business man who has a family history of lung cancer. AS started smoking at 15; years later, he got what he thought was a very bad cold that lasted for a week, started experiencing pain in his tongue, and was given ibuprofen for pain. He then noticed white sores that were getting bigger in his oral cavity near the tongue. He started feeling generally lousy and was unable to eat due to severe pain, and lost 30 lbs in a month. AS went to the clinic, where they did a biopsy that revealed squamous cell cancer of the oral tongue. AS has undergone RT and surgery to remove the cancer and a restorative surgery was scheduled. Due to RT, AS has developed mucositis and xerostomia in his oral cavity. All his nodes that were sent to the laboratory tested negative for metastasis, and no further RT was needed. The surgeons felt confident that they had removed all the cancer. HT: 59 UBW: 165 lbs WT: 135 lbs Meds: Corticosteroids; antineoplastic (dexamethasone) to reduce inflammation, K depletion, Na retention; and morphine for pain. The registered dietitian performs a nutrition assessment on AS. He/She will use which of the following parameters to estimate AS's caloric requirements?
a. 20-25 kcal/kg IBW
b. 25-30 kcal/kg current body weight
c. 30-35 kcal/kg current body weight
d. 35-40 kcal/kg IBW
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