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Risk Assessment & Management Flashcards

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  1. Which biomarker is most useful for assessing long-term cardiovascular risk related to dietary fat intake?

    Answer: LDL particle number (LDL-P)

    LDL particle number (LDL-P) is a stronger predictor of cardiovascular events than LDL-C because small, dense LDL particles penetrate arterial walls more readily.

  2. A client with chronic kidney disease (CKD) stage 3 presents for nutrition counseling. Which nutrient requires the most careful risk assessment?

    Answer: Phosphorus

    Phosphorus accumulates in CKD due to reduced renal clearance, increasing risk of hyperphosphatemia and cardiovascular calcification.

  3. When assessing nutritional risk in a hospitalized patient, which screening tool is specifically validated for acute care settings?

    Answer: NRS-2002 (Nutritional Risk Screening)

    NRS-2002 is validated for hospital inpatients and accounts for both nutritional status and disease severity.

  4. A 65-year-old woman on warfarin asks about increasing her intake of leafy greens. What is the primary risk management concern?

    Answer: Vitamin K antagonizing warfarin's anticoagulant effect

    Vitamin K is a cofactor for clotting factor synthesis and directly opposes warfarin's mechanism of action, potentially reducing anticoagulation efficacy.

  5. Which dietary pattern is associated with the highest risk of incident type 2 diabetes according to large prospective studies?

    Answer: Western diet high in processed meats and refined grains

    The Western dietary pattern—characterized by processed meats, refined carbohydrates, and added sugars—consistently predicts higher T2DM incidence in prospective cohort studies.

  6. In food allergy risk management, what is the correct priority order for emergency response to anaphylaxis?

    Answer: Epinephrine → call 911 → antihistamine as secondary

    Epinephrine is the first-line treatment for anaphylaxis; emergency services should be activated immediately after, with antihistamines only as adjuncts.

  7. Which population has the highest nutritional risk for iron deficiency anemia based on physiological demand?

    Answer: Adolescent females

    Adolescent females face elevated risk due to the combination of rapid growth demands, menstrual losses, and frequently inadequate dietary iron intake.