Case Study Questions
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Betsy Winslow is a 62-year-old retired school teacher.She is 5'3" tall and weighs 155 pounds.Mrs.Winslow is a member of a walking group that meets three mornings a week.She walks two miles each morning.After experiencing episodes of chest pain and shortness of breath when walking, she made an appointment to see her physician.Her laboratory results are as follows:
Total cholesterol 251 mg/dL HDL cholesterol 47 mg/dL
LDL cholesterol 146 mg/dL Triglycerides 203 mg/dL
Mrs.Winslow's 24-hour recall reveals the following intake:
Breakfast: Scrambled eggs Dinner: Fried chicken
Bacon Mashed potatoes and gravy
Toast with butter and jelly Buttered corn on the cob
2% milk Sweet tea
Coconut cake
Lunch: Hamburger pizza
Salad with Italian dressing Snack: Ice cream
Coke
Snack: 3 chocolate cookies
2% milk
-Based on her 24-hour recall, which of the following dietary recommendations is appropriate for Mrs.Winslow if she is to lower her blood lipids with diet alone?
A)Eat more whole grains, legumes, fruits, and vegetables.
B)Drink less milk and eat less ice cream.
C)Choose foods high in insoluble fibers.
D)Eat fewer carbohydrates and choose more high-protein foods.

Question

Case Study Questions
Use the following case study to answer questions 
Betsy Winslow is a 62-year-old retired school teacher.She is 5'3" tall and weighs 155 pounds.Mrs.Winslow is a member of a walking group that meets three mornings a week.She walks two miles each morning.After experiencing episodes of chest pain and shortness of breath when walking, she made an appointment to see her physician.Her laboratory results are as follows:
Total cholesterol 251 mg/dL HDL cholesterol 47 mg/dL
LDL cholesterol 146 mg/dL Triglycerides 203 mg/dL
Mrs.Winslow's 24-hour recall reveals the following intake:
Breakfast: Scrambled eggs Dinner: Fried chicken
Bacon Mashed potatoes and gravy
Toast with butter and jelly Buttered corn on the cob
2% milk Sweet tea
Coconut cake
Lunch: Hamburger pizza
Salad with Italian dressing Snack: Ice cream
Coke
Snack: 3 chocolate cookies
2% milk
-Based on her 24-hour recall, which of the following dietary recommendations is appropriate for Mrs.Winslow if she is to lower her blood lipids with diet alone?
A)Eat more whole grains, legumes, fruits, and vegetables.
B)Drink less milk and eat less ice cream.
C)Choose foods high in insoluble fibers.
D)Eat fewer carbohydrates and choose more high-protein foods.

Quizplus · Accepted Answer

Mrs. Winslow's current diet is high in saturated and trans fats, which has contributed to her elevated blood lipid levels. A diet that is higher in whole grains, legumes, fruits, and vegetables and lower in saturated and trans fats has been shown to help lower blood lipids. Choice B is also a good recommendation as milk and ice cream are high in saturated fat. However, the emphasis should be on consuming more healthy foods rather than just reducing intake of these two items. Choice C is not the best recommendation as while insoluble fiber can be helpful, any type of fiber can contribute to lower blood lipids. Choice D is not the best recommendation as a diet too low in carbohydrates can be unhealthy and high-protein foods can still be high in saturated fat. Mrs. Winslow's diet is high in saturated fat, which can contribute to high blood lipids. Therefore, the best recommendation would be to increase the intake of whole grains, legumes, fruits, and vegetables, which are high in fiber and can help to lower blood lipids. Choosing foods high in insoluble fibers or eating fewer carbohydrates are not the most appropriate recommendations in this case. Drinking less milk and eating less ice cream may also be helpful, but the focus should be on increasing the intake of heart-healthy foods.

Case Study Questions Use the Following Case Study to Answer Questions