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Dhsc 103:Nutrition And Health Question Paper

Dhsc 103:Nutrition And Health

Course:Diploma In Clinical Medicine & Surgery

Institution: Kenya Methodist University question papers

Exam Year:2011

KENYA METHODIST UNIVERSITY

END OF 3''RD ''TRIMESTER 2011 EXAMINATIONS
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : CLINICAL MEDICINE & SURGERY
UNIT CODE : DHSC 103
UNIT TITLE : NUTRITION AND HEALTH
TIME : 3 HOURS

Instructions:

This paper has Three sections. Answer all Questions in the Three Sections

SECTION ONE

Answer all questions by indicating T(True) against the correct response and F(False) against the incorrect response. Each correct answer earns 1 Mark and each wrong answer attracts 1 (negative) Mark

Question One

Breast feeding and breast milk

Provides all nutrients for the first 6 Months
Protects against gastrointestinal infections
Should be encouraged only for low income families
Should not be started until 24 hours after delivery
Is best stopped after the baby is 1 year old.

Question Two

The following are correct as regards the definition of health

Health is care of the terminally ill
Health is treatment of injuries
Health is a state of complete wellbeing
Health is the absence of a disease and infirmity
Health is not just the absence of disease

Question Three

The following biological and environmental factors negatively affect health and nutrition status of a child

Prolonged breastfeeding (beyond 1 year) in addition to adequate supplementation
Young age of the mother (below 18 years)
Measles infection
Sudden weaning
Multiple siblings with close spacing

Question Four

Weaning foods needed for adequate growth should be

Low in energy density
Low in bulk
Comprise of at least 50% protein
Given at least 3 times a day
Primarily of animal origin

Question Five

The earliest manifestation of protein energy malnutrition (PEM) is

Weight loss
Failure to gain weight
Muscle wasting
Oedema of the feet
Anorexia

Question Six

Models of health and illness include

Adaptive model
Occupational model
Clinical model
Role performance model
Spiritual model

Question Seven

Symptoms of Bulimia include the following except

Fasting and strict dieting
Vomiting
Purging
Eating uncontrollably
None of the above

Question Eight

Vulnerable groups of nutritional anemia include

Children
Adolescents
Pregnant and lactating women
Premature infants
None of the above

Question Nine

Vitamin A deficiency is associated with;

Measles illness and deaths
Blindness
Lower respiratory tract infections
Hydrocephalus
All of the above

Question Ten

The criteria for choosing nutrition interventions include:

Relevance
Cost effectiveness
Feasibility
Long term prospect
Integrability

Question Twelve

During pregnancy and pre-conception period.

Sufficient energy intake is critical
Food rich in folate should be avoided
Caffein containing food should be reduced
Vitamin A supplementation should be encouraged
All physical activities should be discouraged

Question Thirteen

Components of nutritional assessment include.

Nutritional surveillance
Nutritional screening
Nutritional surveys
Nutritional Interventions
All the above

Question Fourteen

The following are anthropometric measurements used in evaluations of nutritional status except.

Weight
Height
Age
Length
Mid upper arm circumference

Question Fifteen

Vitamin A deficiency may cause.

Increased risk of measles
Lowered immunity
Increased child mortality
Increased incidences of skin conditions
Blindness

Question Sixteen

Sources of dietary iron includes the following except

Green vegetables
Fruits
Organ meats
Starchy roots
Fish

Question Seventeen

Interventions for iron deficiency control include

Iron supplements
Dietary diversification
Control of malaria and helmitts
Prevention of adolescent pregnancies
Fortification of foods

Question Eighteen

Dietary sources of folic acid include

Leafy vegetables
Liver and kidneys
Beans
Bananas
Lettuce

Question Nineteen

Iodine deficiency can cause

Hypothyroidism
Cretinism
Goitre
Reproductive failure
Anemia

Question Twenty

Effects of infections on nutrition status include the following except.

Reduction of food intake
Decreased food utilization by the body
Increased nutritional requirements
Diminished wound healing
All of the above

SECTION II (30 MARKS)

Answer ALL the Questions.

Question One
Distinguish between nutrition security and food security. (3 Mark)

Question Two

With examples, describe THREE levels of prevention in nutrition and health.
(6 Marks)

Question Three
List FOUR factors that influence individual’s food choices. (2 Marks)

Question Four
State the pillars in which food security is built on. (3 Marks)

Question Five

List any THREE interventions for prevention and control of iodine deficiency.
(3 Marks)

Question Six
Why is good diet critical during lactation period. (2 Marks)

Question Seven
What is food justice?. (2 Marks)

Question Eight
Give 5 causes of vitamin A deficiency. (5 Marks)

Question Nine
What is nutritional survey (2 Marks)

Question Ten
List any FOUR host-specific factors that influence the nutrition and health status of an individual. (2 Marks)

SECTION III (20 MARKS)

Question One

Discuss how malnutrition and infections interact to affect the grow and health of children in Kenya.

Question Two

Discuss ways in which a country can ensure food security and good nutrition of its citizens.

Dhsc 103:Nutrition And Health Question Paper

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