With which condition would you see a negative phosphorus balance with normal phosphorus intakes?
Calcium stones
Idiopathic hypercalciuria
Enteric hyperoxaluria
Cystine stones
How much calcium per day is recommended for a person with oxalate stones?
1500-2500mg
900-1300mg
500-1200mg
800-1200 mg
Which of the following foods is NOT low in oxalate?
Spinach
Legumes
Nuts
Rhubarb
Which of the following is NOT an acidic food?
Wheat bread
Gelatin desserts
Coffee
Cheese
With which stones do we recommend a diet high in alkaline foods?
Oxalate stones
Uric acid stones
Struvite stones
When a patient has uric acid stones, we would recommend that they avoid _____ foods?
alkaline
citrate
acidic
purine containing
Each kidney contains about how many nephrons?
100,000
1,000,000
10,000
10,000,000
From the ureter, urine goes to the
bladder
loop of Henle
nephron
glomerulus
Sodium is regulated by the kidneys at the expense of all other substances in an effort to maintain
urine concentration
glomerulus filtration rate
urine volume
blood volume
Water excretion is regulated by
erythropoietin
antidiuretic hormone
calcitonin
parathyroid hormone
Nephritic syndrome is characterized by
hemoturia
proteinuria
azotemia
oliguria
Nephrotic syndrome is characterized by
hematuria
During acute renal failure, daily energy needs (for adults) are estimated to be _____ kcal/kg IBW.
10 to 20
20 to 30
30 to 40
40 to 50
Chronic interstitial nephritis is treated mainly by
potassium restriction
sodium restriction
adequate fluid administration
protein restriction
A juice used in the treatment of chronic urinary tract infections is _____ juice.
apple
prune
orange
cranberry
Which of the following is an acid-producing food?
Meat
Broccoli
Carrots
Milk
In hemodialysis, daily dietary protein needs are about _____ g/kg.
0.8
1.2
1.5
0.6
In peritoneal dialysis, daily dietary protein needs are about _____ g/kg.
1 to 1.2
1.2 to 1.5
In hemodialysis, the usual sodium restriction is _____ g/day.
1 to 2
2 to 3
4 to 6
6 to 8
Which of these should be supplemented in a patient who is undergoing dialysis?
Vitamin B12
Vitamin K
Vitamin A
Vitamin B6
In ESRD, which of these is optimal?
High calcium and phosphorus intake
Low calcium and phosphorus intake
Low calcium intake and high phosphorus intake
High calcium intake and low phosphorus intake
Which of these is typically elevated in ESRD?
Triglyceride level
LDL cholesterol level
Cholesterol level
HDL cholesterol level
Postdialysis hypoglycemia results from the abrupt ending of
hemodialysis
peritoneal dialysis
glucose supply in intradialytic parenteral nutrition
none of the above
Hypertrophy of the parathyroid gland results in over secretion of PTH and
hyperglycemia
bone demineralization
hyponatremia
oxalate stone formation
The major nutritional concern in children with ESRD is
vitamin status
promotion of normal growth and development
hypercholesterolemia
hypophosphatemia
Anemia in patients with ESRD is most often treated with
folate and vitamin B12 supplements
blood transfusions
oral iron supplements
recombinant human erythropoietin and IV or intramuscular iron
For patients with kidney stones, the most important aspect of medical nutrition therapy is
avoiding high intakes of animal protein
high fluid intake to produce 2 to 2.5 L urine daily
reducing intake of dietary oxalate and vitamin C
decreasing sodium intake and increasing potassium intake
In patients receiving hemodialysis, fluid restrictions are related to
urine output
sodium intake
phosphorus intake
risk of kidney stones
Which types of stones are amenable to dissolution therapy in the form of ECSWL?
Melamine and Indinavir stones