A patient has an ileum

that is not functioning.

Which nutrient may not be
absorbed?
a. iron
b. water
c. vitamin B12
d. calcium
The correct answer is C.
Vitamin B12
♦ In the ileum, the last portion of the small
intestine, nutrients including fat soluble
vitamins (vitamin A, D, E, K), protein, fat,
and vitamin B12 are absorbed. B12 requires
intrinsic factor for absorption.
♦ In the duodenum, the first portion of the
small intestine, nutrients including iron,
calcium and magnesium are absorbed.
♦ In the jejunum, the second portion of the
small intestine, nutrients including glucose
is absorbed. In the colon, a portion of the
large intestine, water is absorbed.
When taking a MAO(monoamine
oxidase) inhibitor, which of the
following is an acceptable
meal?

♦ a. baked chicken breast, tossed salad,

orange juice
♦ b. reuben sandwich, apple, milk
♦ c. smoked salmon, asparagus, wine
♦ d. grilled cheese sandwich, tossed
salad, coffee
The correct answer is A

♦ When taking MAO inhibitors, foods containing

tyramine should be limited. Foods
containing tyramine include: cheese,
smoked, processed or dried meats,
fermented soy products, sauerkraut, and
alcoholic beverages including beer and wine.
♦ All incorrect answers contain some type of
food that should be limited. The reuben
sandwich would contain sauerkraut and
possibly processed or smoked meats. The
salmon is smoked and the menu includes
wine. Finally, cheese is included in the final
answer.
You have calculated that a
tube fed patient requires
1800 calories. If using a
continuous drip, calculate
required cc/hr to provide
1800 kcal when using a 1.5
cal/cc formula at full
strength.
♦ a. 75 cc/hr
♦ b. 40 cc/hr
♦ c. 50 cc/hr
♦ d. 112 cc/hr
The correct answer is c, 50
cc/hr.
♦ To calculate cc per hour required
to provide 1800 kcal: 1800 kcal
divided by 1.5 kcal/cc formula =
1200 cc of 1.5 kcal formula
required. 1200 cc divided by 24
hours per day = 50 cc/hour is
required to provide 1800 kcals.
A patient has recently been
diagnosed with celiac disease
and is referred to you for a
diet consultation. Which of the
following flours do you
recommend this patient use for
baking?
♦ a. rye flour
♦ b. barley flour
♦ c. rice flour
♦ d. oat flour
The correct answer is C.
rice flour
♦ Celiac disease is due to a reaction to
gliadin, a component of gluten. A
gluten restricted, gliadin free diet is
recommended for this disorder. Rice
flour does not contain gliadin.
♦ Oat flour, barley flour, and rye flour
contain gliadin and should be
avoided in this case.
You have purchased 35 pounds
of green beans with a 23%
waste. How many 4 oz.
portions will be prepared?

♦ a. 204-4 oz. portions

♦ b. 108-4 oz. portions
♦ c. 150-4 oz. Portions
♦ d. 132-4 oz. portions
The correct answer is B.
108-4 oz.

♦ Asking for the edible portion. To

calculate determine yield (100 -
23% = 77% yield); multiply 35 lbs
(AP) by 77% (yield) = 26.95 lbs;
26.95 lbs × 16 oz/lb = 431 oz
divided by 4 oz. serving = 108-4
oz. servings.
A school foodservice expects to
serve 31,250 meals to students and
an additional 7,500 meals to staff
and visitors during the month of
September. It has been established
that this foodservice produces 14
meals per hour of labor. Calculate
the number of FTEs required to
serve the expected number of
meals for the month of September.
♦ a. 16 ,
♦ b. 20,
♦ c. 14 ,
♦ d. 10
The correct answer is A.
16 FTE
♦ To calculate FTEs required for the month of
September: add the number of total meals
(31,250 + 7,500 = 38,750); divide total
meals by meals produced per hour of labor
38,750 divided by 14 meals per hour = 2,768
hours; divide labor hours by the number of
hours a FTE works each month (2080 hours
per year divided by 12 months per year =
173) 2,768 hours divided by 173 hours per
month = 16 FTEs
You are teaching a cooking
class on how to add flavor to
foods without adding salt.
When cooking green beans, you
add lemon juice which turns
the vegetable olive green. The
chlorophyll pigment has come
into contact with an acid and
as a result the pigment has
chemically
♦ changed to:
a. chlorophyllin
♦ b. anthocyanin
♦ c. pheophytin
♦ d. none of these, it remains the same
The correct answer is C.
pheophytin
♦ When chlorophyll (concentrated in green plants)
comes in contact with an acid (lemon juice), the
chlorophyll chemically changes to pheophytin
(gives an appearance of a dull olive green color).
♦ Chlorophyllin results when an alkali (baking soda)
is added to a chlorophyll containing vegetable. This
pigment gives a bright green appearance.
Anthocyanin is the red, blue pigment normally
found in produce such as red cabbage.
A patient has an elevated MCV and
is diagnosed with megaloblastic
anemia. You suspect _________
deficiency and recommend
________ as good food sources of
this nutrient.
♦ a. folic acid; cheese and raisins
♦ b. iron; green leafy vegetables
and red meats
♦ c. folic acid; beans and spinach
♦ d. iron; dried figs and liver
The Answer is C. Folic Acid, beans and
spinach

♦ Megaloblastic anemia is a result of abnormally

large, immature red blood cells. MCV is elevated
with this type of anemia. The vitamin deficiency
for this type of anemia is either folate or vitamin
B12. Good sources of folate include beans,
vegetables, and some fruits.
♦ Iron deficiency anemia is characterized by
abnormally small (microcytic) and hypochromic
red blood cells. MCV is lower than normal with
this type of anemia. Good sources of iron include
liver, meats, dried fruits.
 A patient is experiencing
ketosis due to diabetes
complications and a
reduced pCO2. You
suspect:
♦ a. metabolic acidosis
♦ b. metabolic alkalosis
♦ c. respiratory acidosis
♦ d. respiratory alkalosis
The correct answer is A. Metabolic
Acidosis
♦ Metabolic acidosis is characterized by a reduced pCO2
and/or pH. Causes may include starvation, low
carbohydrate diet, or diabetic ketosis.
♦ Metabolic alkalosis is characterized by an increased pH
and causes may include diuretic use or persistent
vomiting. Respiratory acidosis is characterized by
reduced pH and is generally due to reduced breathing
(hypoventilation) secondary to COPD, emphysema, or
asthma. Respiratory alkalosis is characterized by
increased pH and generally due to increased breathing
(hyperventilation).
Which of the following is used
as a coenzyme to aid in
transamination?

♦ a. vitamin B6
♦ b. vitamin B12
♦ c. vitamin B1
♦ d. none of these
The correct answer is A . Vitamin
B6

♦ Vitamin B6 aids in the transfer of an amino

group (nitrogen containing group) from one
amino acid to another. Pyridoxal phosphate
is the B6 coenzyme needed for
transamination to occur.
♦ Various functions of the incorrect choices
include: Vitamin B1 aids in carbohydrate
metabolism while vitamin B12 aids in fat and
carbohydrate metabolism as well as DNA and
RNA synthesis.
Senior management has requested
foodservice, "get control of costs."
Sales to date are $33,500.
Inventory on hand is $17,800.
Monthly building insurance is
$175.00. Meals sold in January:
3,245. Meals sold in February:
2,985. What are the fixed costs
for February considering the given
♦
information?
a. $175.00 ,
♦ b. $51,300 ,
♦ c. $30,815 ,
♦ d. none of these
The correct answer is A.
$175.00
♦ The only fixed cost, for February, given in the
problem is monthly building insurance. Fixed
costs remain constant regardless of the level of
production. The problem states monthly building
insurance is $175.00.
♦ None of the other information is relevant
considering the actual question, "What are fixed
costs for February?" Sales to date represents
total sales to date for the year, but has nothing to
do with this question. The other information,
although important for financial analysis, is not
needed to answer this question.
You are conducting a study to
evaluate the effects of a high
fat diet on blood triglyceride
levels of obese women. Which
of the following is the
independent variable?
♦ a. triglyceride levels
♦ b. obese women
♦ c. high fat diet
♦ d. none of these
The correct answer is C. high fat
diet
♦ The independent variable is the
manipulated variable which influences
other variables. The high fat diet is thought
to influence blood triglyceride levels.
♦ The dependent variable has a variable
outcome determined by presence of other
variables. Triglycerides have a variable
outcome due to the amount of fat in the
diet. Obese women are the study group.
Which type of flour is best
used when preparing
muffins?
♦ a. bread flour
♦ b. cake flour
♦ c. all-purpose flour
♦ d. pastry flour
The correct answer is C.
All-purpose flour
♦ All-purpose flour is used for optimal structure in
quick bread products > such as muffins. The
gluten found in all-purpose flour is less strong
and elastic compared to bread flours.
♦ Bread flour is higher in protein and would
produce a more elastic product. Pastry flour is
lower in protein than all-purpose flour and
usually used in cookies and pastries. Cake flour
is low in protein compared to others and is
used for delicate baked goods.
You need to prepare 350-4 oz.
portions of broccoli with an
81% yield. How much do you
need to purchase considering
this yield?
♦ a. 88 lbs
♦ b. 108 lbs
♦ c. 120 lbs
♦ d. 135 lbs
The correct answer is B.
108 lbs
♦ This question is asking you to calculate the
AP (As Purchased) amount needed to
produce this yield. The AP amount is the
amount of product needed including
unusable items. To calculate: 350 portions
× 4 oz = 1400 oz; 1400 divided by0.81 =
1728; 1728 oz divided by 16 oz/lb = 108
lbs.
information for ABC Foodservice.
Current Assets are $95,000.
Sandwich sales last month totaled
$67,500. Fixed costs last month
were $12,000. Variable cost per
sandwich was $3.00 and each
sandwich sells for $5.00 a piece.
What was the total variable cost of
sandwiches
♦ a. $40,500 sold last month?
♦ b. $67,500
♦ c. $79,500
♦ d. $107,000
The correct answer is A.
$40,500
♦ Total variable cost of sandwiches
sold last month is $40,500.
*13,500 sandwiches sold
multiplied by $3.00 variable cost =
$40,500. *To determine number
of sandwiches sold: Sales $67,500
divided by $5.00 per sandwich
sold = 13,500.
The evening cook discovers your
holding oven to be malfunctioning
and as a result, the beef entree
temperature is 120 degrees F.
After further examination, you
decide to throw away the meat
fearing food borne illness due to
which of the following?
♦ a. Listeriosis
♦ b. clostridium perfringens
♦ c. giardiasis
♦ d. E. coli
The correct answer is B.
Clostridium perfringens

♦ Clostridium perfringens is frequently

associated with meats stored at 120-130
degrees F or meats held at too low of a
temperature for serving. The general
cause is improper storage or holding of
meats. Onset is generally 12 hours
following eating the contaminated food.
Symptoms include abdominal pain,
diarrhea, and vomiting.
Incorrect Answers
Explanation
♦ Listeriosis is generally associated raw meats,
seafood, or milk. The general cause is not cooking
foods thoroughly or not using pasteurized milk.
Onset varies from about 7-30 days. Symptoms are
flu like.
♦ Giardiasis is generally associated with
contaminated water or undercooked foods. Onset
is generally 5-25 days. Symptoms may include
diarrhea, vomiting, nausea, and anorexia.
♦ E. coli is generally associated with undercooked
meats or unpasteurized milk. Onset is usually 12-
72 hours. Symptoms may include abdominal
cramps, bloody diarrhea, or kidney failure.
When cooking red cabbage,
you add baking soda causing
the color pigment
anthocyanin to turn:
♦ a. olive green
♦ b. blue
♦ c. yellow
♦ d. none of these, it stays red
The correct answer is B.
Blue
♦ Correct Answer Explanation:
Anthocyanins are red or purple
pigments found in fruits and
vegetables. When an alkali is
added (in this case baking soda),
the pigment color changes to a
blue or purple. If an acid were
added the red cabbage would
generally remain red.
Incorrect Answers
Explanation:
♦ Olive green color change occurs when
a chlorophyll containing vegetable
(green vegetable such as asparagus) is
prepared with the addition of an acid
such as lemon juice. Yellow color
change occurs when an anthoxanthin
containing vegetable (white vegetable
such as cauliflower) is prepared with
the addition of an alkali.
When taking a MAO
inhibitor, which of the
following is an
acceptable meal?
♦ a. baked chicken breast, tossed salad,
orange juice
♦ b. reuben sandwich, apple, milk
♦ c. smoked salmon, asparagus, wine >
♦ d. grilled cheese sandwich, tossed salad,
coffee
The correct answer is A
♦ Correct Answer Explanation: When
taking MAO inhibitors, foods containing
tyramine should be limited. Foods
containing tyramine include: cheese,
smoked, processed or dried meats,
fermented soy products, sauerkraut,
and alcoholic beverages including
beer and wine.
Incorrect Answers
Explanation:
♦ All incorrect answers contain some
type of food that should be
limited. The reuben sandwich
would contain sauerkraut and
possibly processed or smoked
meats. The salmon is smoked and
the menu includes wine. Finally,
cheese is included in the final
answer.
You have calculated that a tube
fed patient requires 1800
calories. If using a continuous
drip, calculate required cc/hr to
provide 1800 kcal when using a
1.5 cal/cc formula at full
strength.
♦ a. 75 cc/hr
♦ b. 40 cc/hr
♦ c. 50 cc/hr
♦ d. 112 cc/hr
The correct answer is c, 50
cc/hr.
♦ Correct Answer Explanation: To
calculate cc per hour required to
provide 1800 kcal: 1800 kcal divided
by 1.5 kcal/cc formula = 1200 cc of 1.5
kcal formula required. 1200 cc divided
by 24 hours per day = 50 cc/hour is
required to provide 1800 kcals.
♦ Incorrect Answers Explanation: All
other answers are incorrect using the
given rationale.