American Board of Internal Medicine (ABIM) Certification Practice Exam

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What dietary recommendation should be given to patients to manage gastroparesis?

Increased intake of soluble fiber
Frequent consumption of carbonated beverages
High-fat meals
Avoidance of insoluble fiber, favoring small, low-fat meals

The correct answer is: Avoidance of insoluble fiber, favoring small, low-fat meals

For patients managing gastroparesis, the dietary recommendation to avoid insoluble fiber while favoring small, low-fat meals is crucial. Gastroparesis, a condition characterized by delayed gastric emptying, can cause symptoms such as nausea, vomiting, and early satiety. Consuming small, low-fat meals can help mitigate these symptoms as they facilitate easier digestion and quicker emptying of the stomach. Insoluble fiber, found in whole grains and some vegetables, can be difficult to digest and may exacerbate symptoms of gastroparesis. By opting for low-fat meals, patients can also reduce the burden on the stomach, as high-fat meals tend to delay gastric emptying and can worsen the condition. This dietary strategy aligns with managing symptoms effectively, as it emphasizes nutrient absorption while minimizing discomfort, allowing patients to maintain better nutritional status despite their condition.