DTR Study Buddy Practice Questions – Flashcards

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When there is inadequate info to set an EAR
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An AI is set:
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Muscularity
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Somatic protein refers to the protein associated with:
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Follow corrective actions as established for this CCP
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A cook prepares chicken according to a recipe. The recipe includes a CCP with a minimum end point temp of 165F for 15 seconds. At the end of the specified baking time, the product temp is 160F. Following principles of HACCP, the next thing the cook should do is:
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Time span from prep to service
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When selecting a food delivery system, which of the following factors is most important in relation to the microbial quality of delivered food?
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Assess the needs of the community
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The main function of a public health nutritionist is:
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Informal relationships
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An organization chart does not show which of the following?
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Use the scramble system
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The best way to increase the number of patrons served in the cafeteria is to:
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See a physician immediately
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A single 19 year old is 6 months pregnant. She has not gained any weight and has not seen a physician. Hemoglobin is 9. Hematocrit is 30. What is the most important recommendation for her?
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Stable long-term care resident
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Albumin would be a good indicator in which patient?
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Lactose
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The carbohydrate found in milk is known as:
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1 cup milk
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Which of the following contains the most protein? (1 oz lean turkey, 1 cup milk, 1 medium egg, 1 oz beef)
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Iron and folic acid
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A normal pregnancy requires supplementation of:
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Vitamin B12
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Pernicious anemia is associated with a lack of:
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2 slices toast
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A 1500 kcal diabetic diet with 50% of the kcal from CHO is prescribed. The goal is to consume 60 g of CHO at each meal. In addition to 1/2 cup of orange juice and 1 cup of milk, what other items should be consumed at breakfast?
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Stainless steel and aluminum
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The non-toxic metals most commonly used for making kitchen utensils are:
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Small intestine
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Where is lactose absorbed?
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Blood type
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Which of the following is not considered a limitation of biochemical testing?
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Increased complex CHO, low fat
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Which of the following diets is appropriate for reactive hypoglycemia?
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Fat
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In cystic fibrosis, the most metabolism of which nutrient is most impaired?
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Number of meals served
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Which of the following best represents a volume indicator for a Child Nutrition Program in a public school?
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Galactosemia
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MNT is the primary therapy for which of the following?
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27
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If 8 oz of Coke contains 106 kcal, how many grams of CHO are in the Coke?
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Food frequency questionnaire
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What is the most practical diet assessment tool for large groups?
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Gastric bypass
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Pernicious anemia is likely to occur following a:
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1/2
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According to the diabetic exchange list, when substituting 2% milk for skim milk, how many fat exchanges must be omitted?
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Standards of identity
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Composition of individual food products is defined through federal:
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Fluid
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A weight gain of 7# in two days is likely due to:
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Normal levels
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A prealbumin of 25 with a CRP in the normal range indicates:
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Transportation for the participants
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When planning a program for the rural elderly, which is the most important thing to consider?
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Bile is not stored
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Following a cholecystectomy, bile is stored in:
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140F
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The lowest acceptable temp for food on a serving line is:
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EFNEP
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Which program can a pregnant teen learn to cook?
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Purchase order
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It is not uncommon for vendors to "mis-pick" an item when filling a food order for a foodservice operation. The best document to use during receiving to catch this type of error is:
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Contraction of the gallbladder
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Cholecystokinin causes:
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Thiamin, riboflavin, niacin
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Carbohydrate metabolism involves which of the following?
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"You said, 'You want to lose weight?'"
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Which of the following responses by a counselor indicates "reflection"?
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Degree of processing of purchased foods
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Which of the following is the key difference between ready prepared and conventional systems?
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Have the nurses refer to you only those patients who require the technical skills of a DTR
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You are the only DTR in a community of 100,000 low income residents. There are many public health nurses serving the same population. The best use of your time is to:
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Monitor time and temp throughout the process
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The best method to assure that poultry has been adequately cooked to reduce harmful microorganisms is to:
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8.3
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A source recipe for Spanish rice states a yield of 6 portions. The recipe needs to be expanded to 50 portions. What yield factor should be used?
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Cheddar cheese, Swiss cheese, wine
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Which of the following is excluded for patients on MAO inhibitors?
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Receiving adequate nutrition
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A patient with an albumin of 2.8 and a prealbumin of 25 is thought to be:
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Guide decision making
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The primary function of an organization's mission statement is to:
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204 mg/dL
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John Doe has the following labs: LDL 150, TG 120, HDL 20. What is his total cholesterol?
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I. Under USDA
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What are the similarities between WIC and Food Stamps? I. Under USDA II. Have an income criteria III. Have a health risk criteria
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Impersonal and consistent
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Discipline should always be:
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100
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How many grams of protein are contained in a 2000 kcal diet that contains 20% protein?
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5-8 months
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Infants should begin solid foods at age:
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Infants
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Protein needs are highest per kg of body weight in which of the following?
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Anticoagulants
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Vitamin K is of concern to patients who are being treated with:
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Muscle mass
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Densitometry is a reflective measure of:
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Quarry tiles
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The preferred flooring in most institutional kitchens today is:
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Braising, not broiling
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Which type of cookery involves the use of liquids?
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Use of diuretics, vomiting/diarrhea, elevated glucose
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Which of the following should be considered a warning sign of potential dehydration?
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Spinach
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Taking Coumadin would mean you should moderate intakes of:
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Consider milk consumption of Dec, Jan, Feb
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The DTR uses a 3-month moveable average to determine how many gallons of milk are needed for Feb based on the number consumed in the previous 3 months. How would the DTR determine the need in March?
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Increase fluids
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What would be the appropriate response to a patient with a BUN of 39 and a creatinine within the normal range?
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Folate
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Which nutrient is added in the enrichment of flour to combat neural tube birth defects?
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51
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A patient received 300 mL of a 5% dextrose solution. How many kcal did he receive?
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Methods of wage payments and hours of work for any industry involved in interstate commerce
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The Fair Labor Standards Act regulates:
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Reduction of labor costs
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Advantages of utilizing a ready prepared foodservice system include:
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Prealbumin is affected by both kcal and protein intake
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Prealbumin is not considered a good end point in protein repletion therapy because:
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Hyperglycemia
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The catecholamines released during stress cause:
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Hamburger has a larger surface area
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Hamburger meat will spoil at a faster rate than a beef roast because:
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20
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How many FTEs are required to produce meals for 150 patients in a week if each meal requires 15 minutes to prepare?
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The RDA is designed to set goals for population groups
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Which of the following statements about the DRIs is not true?
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Orange juice
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If a patient wished to reduce the potassium in their diet, which of the following should be limited?
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Plate waste
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The most effective means to evaluate the actual acceptance of a new menu item in an elementary school is to analyze:
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Milk
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Children's diets are found to be low in iron due to increased emphasis on:
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The children selecting more vegetables at meals
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The best indication that a nutrition education program about vegetable consumption is effective would be:
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Sales data
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Which of the following is the most effective way to collect data on the popularity of specific menu items for an employee cafeteria?
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Hamburgers
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In order to reduce phosphorus in the diet, patients should avoid:
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A sign of malnutrition
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A total cholesterol of <160 mg/dL in the elderly is considered:
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Pernicious
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Anemia caused by poor absorption of vitamin B12 is known as:
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50-70F
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The recommended ambient temperature range for a dry storage area is:
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Cholesterol
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Bile is produced from:
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Prealbumin
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What would be the most effective way to monitor visceral proteins in wasting disease?
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0.5 kg
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A reduction of 500 kcals per day should result in how much weight loss in a week?
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Muscle mass
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Circumference measurements are used to estimate:
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Hemolytic anemia
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Which of the following is not considered a nutritional anemia?
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Employee safety
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Why should a manager not allow long jewelry in a kitchen?
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8-10 hours
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What is the half-life of RBP?
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Enzymes, transport proteins, acid/base buffering
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Which of the following protein functions is most likely to suffer during protein malnutrition?
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Sweet potato
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According to the dietetic exchange list, which of the following is not considered a vegetable?
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Protein, inflammation, excess kcal
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Prealbumin levels will be affected by:
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0.8-1.0
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Which demonstrates a definite positive correlation?
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A kosher item
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The U symbol on a food label indicates:
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Increased homocysteine levels, macrocytic anemia, impaired DNA synthesis
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A deficiency of folate may lead to:
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Cost control
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The primary reason for portion control in foodservice is:
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#8
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A 1/2 cup serving of ice cream would require what scoop size?
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I. Feeding was administered at too rapid a rate
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Which of the following would be the cause of loose stools in a patient receiving a tube feeding? I. Feeding was administered at too rapid a rate II. The osmolality of the feeding was too low III. An inadequate amount of intestinal surface area
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Microbial
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In foodservice operations, HACCP is most appropriate for the control of which type of hazard?
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325F and check doneness at 25 minutes
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A recipe obtained from a purchased file of quantity recipes calls for the product to be baked at 350F for 30 minutes in a conventional oven. In your foodservice, all the baking is done in a convection oven. What direction would you recommend for test baking? Baking at:
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1 cup of whole milk
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Which of the following contains the most protein?
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Rickets
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Poor intakes of vitamin D among children may result in:
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Incremental
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Based on market reports, overall food costs tend to increase by 4% on an annual basis. Given this trend, which of the following would be best to use to determine projected budget amounts during budget planning exercise?
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More infants die in rural areas
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The mortality rate in infants is higher in rural areas than the mortality rate in urban areas. This means that:
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II, III
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Which of the following is not a guideline for Medicaid? I. Low income II. Nutritional need III. Over the age of 60 only
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36-40F
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Milk should be stored at what temp?
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Binding of bile acids and subsequent lowering of cholesterol
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Soluble fiber in the diet provides which of the following?
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Baked chicken, brown rice, green peas
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An appropriate meal for a patient with Celiac Disease is:
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The lymphatic system
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Triglycerides are transported to the liver through:
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43 lbs
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You need to prepare 150 4 oz portions of cauliflower with an 88% yield. What is the AP quantity needed?
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168
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You have 48 lbs of cauliflower with an 88% yield. How many 4 oz portions will this produce?
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The menu
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Decisions about equipment purchases should be based on:
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FDA
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Food labels are primarily under the jurisdiction of the:
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Cooks are able to improve skill in the preparation due to repetition
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Which of the following is characteristic of choosing a cyclic menu?
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Cyclic
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Which of the following types of menus may be recommended for a long-term care facility?
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It is related to health risk
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BMI is considered a more useful guide to weight status because:
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Commissary
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A foodservice utilizes a centralized production and food is then transported to satellite areas for service. Which type of production system is being utilized?
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Adjustment factors
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Which of the following aids in modifying standardized recipes to different yields?
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A1c
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One way to determine dietary compliance in diabetes for the past 2-3 months is to use:
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Evaluate departmental security
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Food costs continue to increase although the census has not changed. The DTR should:
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Potassium
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Tomatoes, oranges, bananas, and legumes are all rich sources of:
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Stew - 8 oz ladle Potatoes - #8 scoop Broccoli - #12 scoop
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A menu included 1 cup beef strew, 1/2 cup mashed potatoes, and 1/3 steamed broccoli. Which of the following serving utensils should be used to ensure portion control?
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Purchase order
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The form used in accepting delivery of food products is:
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Supervise the preparation of the recipe
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The quality of a standardized recipe varies each time it is prepared. The DTR supervisor should:
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5.75
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You need to increase the yield of a recipe to 575 portions from the original yield of 100 portions. What is the adjustment factor?
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27.4
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Your female patient is 44 years old, 5'2", and weights 149#. What is her BMI?
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Weight gain in the population
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The increase in weights in the 1983 Metropolitan Height and Weight tables from the 1957 edition is reflective of:
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Convection
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Which of the following involves a circular motion of currents which aid in uniformity of heat?
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Table D'hote
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Which of the following type of menu is characterized with offering a complete meal including several courses at a fixed price?
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Orange juice
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A food best avoided on a renal diabetic diet is:
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Preselect
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Which of the following offers food choices that are made prior to mealtime?
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Decrease serum cholesterol
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Soluble fiber can:
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Appropriate temp
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For quality assurance, the DTR would consider which of the following regarding food deliveries received at the loading dock the most important?
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110#
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What is the IBW of a female patient 5'2" and 149#?
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Spaghetti with meatballs, steamed broccoli, wheat roll, milk, marionberry pie
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Which of the following meals would be most aesthetically pleasing and nutrient dense?
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Experiences employees involved in training
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New knowledge and skills are more likely to be applied if the new DTR has:
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1 starch and 4 fats
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For a diabetic diet, a bagel containing 16 g of CHO and 19 g of fat should be counted as:
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Supervise the preparation of the recipe
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The quality of a standardized recipe varies each time it is prepared. The foodservice supervisor should:
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90 days
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In long term care, how often must patients be reevaluated?
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1 bread and 6 fats
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For a diabetic diet, a croissant containing 17 g of CHO and 30 g of fat should be counted as:
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1 cup orange juice
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Which of the following contains the most CHO?
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16
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How many cups are in 4 quarts?
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2 oz
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A foodservice worker is plating mashed potatoes and gravy. The gravy is to be portioned at 1/4 cup per plate. What size ladle should be used?
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Height
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In children, the best indicator of long term nutritional sufficiency would be:
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The mode
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A researcher observes children's ability to complete a specified task in a given time frame. Half of the children can perform more than 5 tasks and half of the children performed less than 5 tasks. The number five is:
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1 lb per month in the 1st trimester and 1 lb per week thereafter
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How much weight should be gained in pregnancy?
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Plate waste study, food sales, questionnaire
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Which of the following would be a good indicator of food acceptability?
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Mid-arm muscle mass
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Which of the following values best represents somatic protein?
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Tray
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Which of the following service styles involves food trayed in the kitchen and served to patient?
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The menu
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Which of the following is the main control of foodservice operations?
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8
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How many tablespoons are in 4 oz?
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0.5
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Foods with a water activity of ______ or more will support no microbial growth.
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Observe the training to ensure that correct instructions are given
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A new employee has been training for 30 days with an established employee. The new employee is still unable to perform tasks at the expected level. The DTR manager should:
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2 lb
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If a man maintaining his weight normally consumes 2500 kcal per day and then reduces his intake to 1500 kcal which maintaining the same activity level, how much weight will he lose in a week?
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Promoting a soft crumb in bread and cakes
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Which is not a role of liquids in baking?
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80-95%
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Leafy green veg would do best in which humidity range?
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Milk
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Good dietary sources of folate include all except:
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EFNEP/ENP
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Which program might assist low income individuals learning to prepare meals?
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Hot/cold cart
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Which of the following types of delivery systems would have separate compartments for hot and cold foods?
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Basal energy expenditure
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Which of the following has the greatest effect on the basal metabolic rate?
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Weight trends are more informative than absolute weights
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Which of the following statements about body weight is true?
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Protein
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Which of the following is most closely associated with wound healing?
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Family
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Which of the following service styles involves food brought to the table in bowls or serving dishes?
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7.5 lbs
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An original recipe calls for 3 lbs of flour. You calculate your adjustment factor to equal 2.5. How much flour does you new recipe require?
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Ready prepared
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A foodservice prepares meals which are frozen and reheated for service. Which types of production system is being utilized?
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Utilizing proper equipment, following standardized recipe, weight ingredients
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To ensure portion control, which of the following is important?
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Establish and quantify the relationship between the change in nutrition services and any change in health status
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To calculate the benefit in a cost-benefit analysis of a nutrition program, it is necessary to:
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Variation of foods offered
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When planning a menu for a long term care facility, which of the following is the most important factor to consider?
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Dextrin
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Which of the following ingredients listed on food labels would be acceptable to a person who is highly intolerant to lactose in the diet?
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Tomato products
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Which of the following is included in an anti-reflux diet?
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Either, the cost is the same
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Which is the most economical source of turkey? Raw at $1.50/lb (75% yield) or precooked turkey at $1.80/lb (90% yield).
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Microwave
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Which oven is the most efficient per cubic feet of space?
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Advanced inoperable cancer
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Total parenteral nutrition would not indicated in which of the following?
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Class A
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The type of fire extinguisher used for ordinary combustibles (wood, paper, cloth) is:
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Preselect
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A patient is asked which of the following dinner entrees he would prefer in order to avoid dislikes. Which type of menu is being used?
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Build on current practices and reinforce positive practices
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Which of the following guidelines should be employed in counseling patients?
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Consistency of menus and recipes
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A benefit of a conventional production system includes:
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Breakage of RBC membranes
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The only symptom of vitamin E deficiency that has been seen in humans is:
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1.75 qt
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An original recipe calls for 1 quart of milk. You calculate your adjustment factor to equal 1.75. How much milk does your new recipe require?
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8
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How many quarts are in 2 gallons?
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248 g CHO, 90 g protein, 450 kcal from fat
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A diet of 1800 kcal with 20% protein and 25% fat contains:
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Capital
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The purchase of expensive equipment in a facility falls under the _____ budget.
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2000 mg
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One teaspoon of salt contains about how much sodium?
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Expand the menu to provide more choices
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There are too many write-ins on the select menu at the hospital. Which of the following provides the best strategy for resolving the problem?
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Height for age
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Which of the following is the least useful in evaluating recent overnutrition or undernutrition?
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High calcium foods
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Which of the following interferes with iron absorption?
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CHF
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Low sodium would be an appropriate diet order for which condition?
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74%
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A female, 5'7", 110 lbs. One year ago, she weighted 140 lbs. What is her percent of ideal body weight, assuming large frame size?
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Decentralized meal assembly
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A foodservice prepares the foods and transports in volume to areas closer to patients where it is then plates. Which type of distribution is being utilized?
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112 lbs
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You need to prepare 275 5 oz portions of pork tenderloin with a 77% yield. What is the AP quantity needed?
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Client age, religion, culture
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Which of the following is important to consider when planning a meal?
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Overnutrition
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A child that moves form the 15th to 85th percentile of weight for height should be screened for:
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MSG and nitrites
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Oxidation may be prevented by adding all of the following except:
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Protein intake, muscle mass
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BUN reflects ______ while creantinine reflects ______.
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72 g
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The patient is receiving a continuous full-strength tube feeding at 50 cc per hour. The protein content of the formula is 60 g per liter. How much protein per day will be delivered?
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Pressure ulcers
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Zinc deficiency may especially occur in patients with:
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Increased food cost
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A disadvantage of assembly serve production systems include:
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#12
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A foodservice worker is plating cole slaw into 1/3 cup portions. Which size scoop should she use?
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Restaurant
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Which of the following types of menus is characterized with offering the same items everyday?
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36%
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Your records indicate your food costs for November was $3754, while your food sales for November was $10535. What was your food cost percentage for November?
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16 cups
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How many cups are in 1 gallon?
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Seizures
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Ketogenic diets are used to treat:
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Prader-Willi syndrome
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Extreme hyperphagia with abnormal, bizarre eating habits is a concern in:
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45
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One fat exchange contains how many kcals?
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Nonselective
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A patient is given the standard dinner meal without any choices. Which type of menu is being used?
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Cheddar cheese, Swiss cheese, smoked fish
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When instructing a patient on diet therapy needed during intake of a MAOI, which would not be included in the recommended diet?
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Empathy
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Which term refers to establishing rapport with a counseling client?
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