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Medb 213:Human Nutrition And Dietetics Question Paper

Medb 213:Human Nutrition And Dietetics 

Course:Nutrition And Dietetics

Institution: Kenya Methodist University question papers

Exam Year:2013



KENYA METHODIST UNIVERSITY
SCHOOL : MEDICINE AND HEALTH SCIENCES
DEPARMENT : HUMAN NUTRITION AND DIETETICS


COURSE CODE:MEDB 213
COURSE TITLE:HUMAN NUTRITION AND DIETETICS
TIME:3 HOURS

PAPER 1


SECTION A (20 MARKS)

Question One

Which of the following nutrients does not provide energy?

Lipids
Vitamins
Carbohydrates
Proteins

Question Two

Complete protein include

Beans
Green grams
Soy
Cow peas

Question Three

Which of the following is not a micro nutrient?

Chromium
Iodine
Iron
Magnesium

Question Four

Which of the following anthropometric measurements can be used in infants?

BMI
Waist- Hip ratio
Head and chest circumference
Waist circumference

Question Five

Vitamin B12 is useful in the prevention and treatment of

Pernicious anaemia
Scurvy
Night blindness
Beri Beri

Question Six

A patient has been on antibiotics over a long period of time. Which of the following vitamin is he likely to suffer from avitaminous

Folic acid
Vitamin D
Biotin
B3

Question Seven

Tom had 50g of a certain nutrient. From this he obtained 450Kcal of energy. Assuming that what he consumed is made up of a single nutrient, what nutrient would this be?

Mineral
Carbohydrate
Lipid
Protein

Question Eight

The functions of lipids are

Body building
Enzyme production
Provision of energy
Prevention of infection

Question Nine

A high dietary protein intake causes

An increase in urea secretion
Amino acid oxidation
Decrease in the incidence of bacterial translocation
An increase in amino acid excretion

Question Ten

The constituency of water in the body is

45 – 75% of the total body weight
90% of the total body weight
75 – 80% of the total body weight
65% of the total body weight

Question Eleven

Food security entails

Accessibility only
Accessibility, availability and utilization
Food production
Intense farming

Question Twelve

One gram of carbohydrates has

4 kcas
9 kcals
7 kcals
6 kcals

Question Thirteen

Complex carbohydrates comprise of

Glucose, fructose
Maltose, sucrose and fructose
Maltose, sucrose, lactose
Sucrose, fructose and fructose

Question Fourteen

One of the following is an underlying cause of malnutrition

Insufficient household food security
Inadequate dietary intake
Disease
Political ideology

Question Fifteen

Exclusive breast feeding means

Breast feeding but gives water at birth only
Breast feeding for 4 months
Breast feeding without giving anything else for six months
Breast feeding up to 24 months

Question Sixteen

Gestational diabetes mellitus (GDM) means

Diabetes diagnosed during pregnancy
Pregnant women without previous known diabetes
Diabetes occurring during the first 24 months of the gestation period
Diabetes in a first pregnancy

Question Seventeen

Non modifiable cholesterol risk factors are

Diet, age and heredity
Heredity, age and sex
Overweight, physical activity and heredity
Heredity, overweight and age

Question Eighteen

The limiting amino acid in soy beans is

Tryptophan
Arginine
Histidine
Methionine

Question Nineteen

Which of the following nutrient functions as an emulsifier?

Triglycerides
Phospholipid
Protein
Carbohydrates

Question Twenty

Selenium reduces the chances of one developing cancer by

Activating glutathione peroxidase thus breaking down peroxides
Neutralizing the already formed free radicals
Inhibiting co-factors involved in free radical formation
Activating proline hydroxylase that plays a role in free radical neutralization

SECTION B (40 MARKS)

Answer all questions

Question One

A sixteen year old boy weighs 60 kgs and is 5ft tall. Calculate his resting metabolic rate (RMR) in kilocalories

( 5 Marks)

What is his BMI

(3 Marks)

Question Two
What is the function of dietary fibre? (8 Marks)

Question Three
Outline the differences between kwashiorkor and marasmus. (8 Marks)

Question Four

Differentiate between food/drug interaction and drug/nutrient interactions.

(4 Marks)

A patient on warfarin was advised to avoid spinach during the period of medication. Explain why?

(4 Marks)

Question Five
Explain how peptic ulcer can be managed by diet. (5 Marks)

Question Six
How does vitamin E and selenium reduce the probability of one developing cancer (3 Marks)

SECTION C (40 MARKS)

Answer two questions

Question One
Discuss methods of nutritional assessment (20 Marks)

Question Two
’Too much of anything is poisonous.’ By using the following nutrients justify this statement. (20 Marks)

Carbohydrates
Potassium
Calcium
Iron
Vitamin A

Question Three
Discuss factors influencing the nutrition of an individual. (20 Marks)






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