A 55-year-old patient with newly diagnosed Type II Diabetes Mellitus is being educated on lifestyle modifications to manage their condition. Which of the following dietary recommendations would be most effective in controlling their blood glucose levels?

Drink fruit juices instead of whole fruits to avoid fiber.

Eliminate all carbohydrates from the diet.

Increase intake of high-per foods such as vegetables and whole grains.

Consume high-protein, high-fat meals to maintain satiety.

Answer and Explanation

The Correct Answer is C

A.   Drinking fruit juices instead of whole fruits may increase blood sugar levels due to the lack of fiber in juices. Whole fruits are better for blood glucose control.
B.   Eliminating all carbohydrates is not advisable, as carbohydrates are necessary for energy. A balanced diet with controlled carbohydrates is recommended.
C.   Increasing the intake of high-fiber foods like vegetables and whole grains helps regulate blood glucose levels by slowing digestion and improving insulin sensitivity.
D.   Consuming high-protein, high-fat meals could negatively affect blood sugar levels and cardiovascular health, which is a concern for diabetics.

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Correct Answer is ["D","E"]

Explanation

A. Discoloration of the fingers is not typically associated with carpal tunnel syndrome, which mainly involves nerve compression.
B. Swelling of the entire hand is not a common finding in carpal tunnel syndrome, though localized swelling at the wrist may occur.
C. Pain in the forearm without hand involvement is not typical of carpal tunnel syndrome, which primarily affects the wrist and hand.
D. A positive Phalen's test is indicative of carpal tunnel syndrome, as it reproduces symptoms when the wrist is flexed.
E. A positive Tinel's sign, which involves tapping the median nerve at the wrist to elicit symptoms, is a classic test for carpal tunnel syndrome.
F. Pain relief with wrist extension is common in carpal tunnel syndrome, as extending the wrist relieves pressure on the median nerve.

A. Peptic ulcer disease B. Acute gastritis due to NSAID use C. Functional dyspepsia D. Chronic gastritis due to Helicobacter pylori infection

Correct Answer is D

Explanation

A. Peptic ulcer disease is possible, but the patient's NSAID use and positive H. pylori antibodies suggest a more specific cause related to gastritis.
B. Acute gastritis due to NSAID use is likely since NSAIDs can irritate the stomach lining and increase the risk of ulcers.
C. Functional dyspepsia is less likely given the presence of H. pylori antibodies, which typically indicate an active infection.
D. Chronic gastritis due to Helicobacter pylori infection is the most likely diagnosis, especially with the combination of NSAID use and positive H. pylori antibodies.

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A 55-year-old patient with newly diagnosed Type II Diabetes Mellitus is being educated on lifestyle modifications to manage their condition. Which of the following dietary recommendations would be most effective in controlling their blood glucose levels?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a patient who reports numbness and tingling in the fingers, especially at night. The patient works as a data entry clerk. Which findings support a diagnosis of carpal tunnel syndrome? (Select All that Apply.)

Correct Answer is ["D","E"]

Explanation

Correct Answer is D

Explanation

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