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ML Is a 34-Year-Old Male Computer Programmer with a BMI

question 8

Multiple Choice

M.L. is a 34-year-old male computer programmer with a BMI of 26 who is seeking dietary counseling. His dose of Prilosec was recently increased, and although he now suffers less often from heartburn symptoms, he is also leery of medical side effects and would like any and all suggestions to manage his GERD "naturally." Having had GERD for the past eight years and been on some form of antacid or antisecretory medication continuously during that time, M.L. knows what foods or factors cause symptoms, and is able to generally avoid them; hence, he has not had reflux esophagitis in over a year. A 24-hour diet history reveals M.L. ate these foods yesterday:
Breakfast: Skipped
Snack: Fresh pear; instant oatmeal made with water, eaten with brown sugar and two non-dairy creamers; skim milk
Lunch: Lean turkey lunch meat on whole-grain bread with lettuce, tomato, and mustard; 100% grape juice diluted with water; snack pack of carrots, no dressing
Snack: Sugar cookies; skim milk
Dinner: Tempura (deep-fried, breaded) salmon; buttered rice; salad with lettuce and tomato; vinegar and oil dressing; water
Snack, at bedtime: Ginger ale and ginger snap cookies

-The medication M.L. takes is a proton-pump inhibitor medication that works by _____.

Definitions:

Zooxanthellae

Endosymbiotic, photosynthetic dinoflagellates found in certain marine invertebrates; their mutualistic relationship with corals enhances the corals’ reef-building ability.

Peptidoglycan

A polymer consisting of sugars and amino acids that forms a mesh-like layer outside the plasma membrane of most bacteria, providing structural strength.

Chitin

A nitrogen-containing structural polysaccharide that forms the exoskeleton of insects and the cell walls of many fungi.

Cellulose

A complex carbohydrate that constitutes the primary cell wall of green plants, providing structural support.