You can see the answers by hovering your mouse over the link that says 'Answer' - but if you're preparing for an exam or something, we recommend you write down all your answers somewhere before trying that. You can print out the quiz and the answers as pdfs, see above. One point for each answer for Qs 1-12; 13 and 14 as indicated.
1. What is the average daily intake of NaCl in the UK?
- 6g
- 8g
- 7g
- 9g
And what is this in mmol of sodium? Clue (hover).
Answer (hover).
2. What is the Department of Health’s recommendation for NaCl intake for the general population in the UK?
- 4g/day
- 6g/day
- 5g/day
- 8g/day
And what is this in mmol of sodium? Clue (hover).
Answer (hover) The physiological requirement is 3-20mmol/day!
3. Renal patients are advised to follow a “No added salt” (NAS) diet. This is equivalent to:
- 22mmol
- 60-80mmol
- 40mmol
- 80-100mmol
Answer (hover)
4. How much sodium is there in 1g sodium bicarbonate ?
- 9mmol
- 13mmol
- 11mmol
- 15mmol
Answer (hover) Renal patients may be prescribed 3 g per day!
5. True or false? Salt substitutes (eg. Lo Salt) are suitable for use by renal patients? Explain your answer. Answer (hover)
6. By reducing intake of which nutrient can help control itching?
- Potassium
- Salt
- Fat
- Phosphate
Answer (hover)
7. When should phosphate binders be taken?
- 30 minutes before food
- With food
- 15 minutes before food
- After food
Answer (hover)
8. By reducing which nutrient can help prevent thirst?
- Sugar
- Fibre
- Salt
- Fat
- Potassium
Answer (hover)
9. True or False? All renal patients must take a phosphate binder with every meal. Answer (hover)
10. Acidosis can be a contributing factor in:
- hypokalaemia
- hyperkalaemia
- hyperphosphataemia
Answer (hover)
11. Calcium Resonium is used to treat:
- hyperphosphataemia
- hyperkalaemia
- acidosis
Answer (hover)
12. True or False? Dietary potassium restrictions are usually less strict for patients on peritoneal dialysis than haemodialysis. Answer (hover)
13. List 5 causes of malnutrition in the renal patient. Answer (hover - 0.5 points per answer up to max 2.5)
14. Case study: A 52 year old woman has renal failure secondary to APCKD and has been on haemodialysis for 4 years. Here is her diet diary:
Breakfast: Fruit and Fibre cereal with semi skimmed milk
Coffee with semi skimmed milk
Glass of fresh orange juice
Mid Morning: Coffee with semi skimmed milk
Banana
Lunch: Cheddar cheese/ham and tomato sandwich
Cup-a-soup
Yoghurt
Mid-afternoon: Packet of crisps
Small glass orange squash
Apple
Dinner: Chicken and mushroom casserole
Boiled potatoes
Steamed carrots and broccoli
Tinned fruit with cream
Evening: Cup of black tea
2 x chocolate digestivesSalt: Adds small amount in cooking and at the table.
Milk: Approx 1/3 pint /day.
Fluid restriction: 1L per day.
Relevant medications: Takes one calcium carbonate tablet per day with evening meal
Questions…
- She has a pre-dialysis potassium of 6.5mmol/l. What changes could be made to reduce the potassium content of this diet?
Answer (hover - up to 2 marks for the perfect answer) - She is gaining approximately 3kg of fluid between HD sessions. On going through their current intake in detail, they realise that they are tending to exceed their fluid restriction, and are therefore given advice on this. Is there another aspect of their diet that could help? Could you suggest some changes?
Answer (hover - up to 2 marks for the perfect answer) - A few weeks later, her phosphate level is 2.2mmol/l. What could you suggest to decrease their dietary phosphate intake? Is their any alterations to their medications that may help?
Answer (hover - up to 2 marks for the perfect answer)
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What was your score? <10 read the diet info and patient diet info pages again, this time carefully! 10-15 check what you got wrong and go over those sections, then test again >15 good for a beginner >18 expected for a dietitian >21 check your maths |
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