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

question 66

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
​
-What outcome is M.L. at highest risk for because of his GERD?​

• A) ​Pernicious anemia
• B) ​Atrophic gastritis
• C) ​Bleeding in the small intestine
• D) ​Barrett's esophagus
• E) ​Osteomalacia

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Definitions:

Parents' Permission

The approval or consent given by a parent or guardian allowing their child to engage in certain activities or decisions.

Machismo

A concept of masculinity that stresses attributes such as dominance, assertiveness, pride, and sexual prowess.

Sexual Prowess

An individual's skill or expertise in matters of sexual activity and intimacy.

Assertiveness

The quality of being self-assured and confident without being aggressive.