January/February 2007 • Expiration Date February 28, 2008 • Self-Test #1: 2 CECs; Self-Test #2: 2 CECs
To participate in this program, you must read the designated feature articles carefully, answer the test questions, obtain a passing grade (a minimum score of 60%), and complete the credit evaluation form. After answering the questions, turn to the bottom of Table of Contents to score your exam. To receive credit verification, fill out and sign the form on page 43, confirming that you have read the materials and obtained a minimum passing score. Select the best answer for each of the following by placing an "x" in one box for each question.
CEC Self-Test #1: "Preventing Osteoporosis the Bone Estrogen Strength Training Way"
by Linda B. Houtkooper, Ph.D., R.D., FACSM; Vanessa A. Stanford, M.S., R.D., CSCS; Lauve L. Metcalfe, M.S., FAWHP; Timothy G. Lohman, Ph.D., and Scott B. Going, Ph.D., page 21.
1. Prevention strategies for osteoporosis include all of the following except:
A. adequate resistance exercise.
B. adequate weight-bearing exercise.
C. adequate calcium intake.
D. adequate stretching.
2. The four groups in the BEST study included postmenopausal women who:
A. took hormone-replacement therapy and calcium supplements and exercised.
B. took hormone-replacement therapy and calcium supplements and did not exercise.
C. did not take hormone-replacement therapy but took calcium supplements and exercised.
D. did not take hormone-replacement therapy but took calcium supplements and did not exercise.
E. All of the above.
3. Osteoporosis is characterized by:
A. consuming more than 2,500 mg of calcium per day.
B. having a low bone mineral density.
C. consuming more than 45 mg of iron per day.
D. performing weight-bearing exercise.
4. The frequency and duration of the BEST exercise sessions in the first year of the study were:
A. 60 to 75 minutes, three times a week.
B. 45 minutes, two times a week.
C. 20 minutes, four times a week.
D. 30 minutes, five times a week.
5. The BEST study strength training resistance exercises included seated leg press, lat pull down, weighted march, seated row, back extension, one-arm military press, rotary torso machine, and ________?
B. chest press
C. triceps pushdown
D. dumbbell fly
6. The skeletal site that had the most significant increase in bone mineral density with exercise in the first year of the BEST study was the:
7. Which statement is true?
A. Osteoporosis cannot be cured, but it can be prevented.
B. Osteoporosis can be cured and prevented.
C. Osteoporosis cannot be cured or prevented.
D. Osteoporosis develops rapidly and is painful.
8. To maintain and increase bone mineral density, it is important for postmenopausal women not taking hormone-replacement therapy to have adequate:
A. water intake throughout the day.
B. exercise, calcium, and iron.
C. dual x-ray absorptiometry scans every month.
D. access to a gym.
9. Bone mineral density was maintained or increased after 4 years in those women in the BEST study who, on average, attended what percentage of prescribed exercise sessions?
10. The BEST study demonstrated that over 4 years, postmenopausal women maintained or increased their hip and lumbar spine bone mineral density by:
A. participating in a program of weight-bearing and strength training resistance exercise for a minimum of 2 days a week.
B. consuming an average of 1,700 mg of calcium per day.
C. consuming dietary iron intake at levels that met or exceeded the current recommended dietary allowance.
D. all of the above
CEC Self-Test #2: "Prevent It: Using Grocery Store Tours as an Educational Tool to Promote Heart Health"
by Sue Baic, M.Sc., R.D., R.Nutr, and Janice L. Thompson, Ph.D., FACSM, page 15.
1. What are some advantages of using a facilitated group discussion format for nutrition education?
A. Participants get an opportunity to share ideas and solve problems with others.
B. This format can be more cost-effective than one-on-one nutrition sessions.
C. Participants get hands-on experience in making healthier food choices at their regular point of purchase.
D. All of the above.
2. Why is it useful to take a pre-prepared shopping cart on a grocery store tour?
A. to carry only foods that support a heart-healthy diet
B. to carry only foods that are not supportive of a heart-healthy diet
C. to carry client information leaflets
D. to carry examples of various foods from store areas not visited and to reduce walking distance and optimize the time available for the tour
3. In the study that followed up with participants 1 month after a grocery store tour, what percentage of the participants felt that it was easier to follow a healthy diet after attending the tour?
4. In this same study, what happened to the level of consumer awareness of a heart-health support organization after the tour?
A. It stayed the same.
B. It increased slightly.
C. It doubled.
D. It decreased.
5. In this same study, what was the most commonly gained new information from the tour?
A. how to read and understand food labels
B. the availability of low-fat cookie choices
C. the benefits of monounsaturated fats
D. the health properties of tea
6. In this same study, what was the most popular dietary change reported 1 month after the tour?
A. choosing leaner meats
B. eating more oily fish
C. changing the type of spreads and cooking oils used
D. reducing fatty snacks and convenience foods
7. A successful facilitation technique that can be used during grocery store tours is:
A. asking open-ended questions to draw on the experiences of the group.
B. encouraging active participation by all group members.
C. listening to and respecting the views of group members.
D. All of the above.
8. What is the optimal number of clients who can participate in a grocery store tour?
A. 4 to 6
B. 8 to 10
C. 10 to 12
D. 12 to 15
9. What is the ideal length of time needed to conduct a grocery store tour?
A. 20 to 30 minutes
B. 30 to 45 minutes
C. 45 to 60 minutes
D. 60 to 90 minutes
10. What would be a useful method of evaluating individual dietary change after the completion of a grocery store tour?
A. Ask clients if they plan to change their diet immediately after the tour.
B. Ask clients to complete a food frequency questionnaire pre-tour and post-tour.
C. Ask clients 1 month after the tour if they have changed their diet.
D. Look at the sales of marker foods on customer loyalty cards.
(Answers can be found at the bottom of the Table of Contents.)
*Note: Individuals requesting NATA self-test credits will receive 1 CEU.