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Hfn 511: Advanced Therapeutic Nutrition Question Paper
Hfn 511: Advanced Therapeutic Nutrition
Course:Master Of Food Nutrition And Dietetics
Institution: Kenyatta University question papers
Exam Year:2009
KENYATTA UNIVERSITY
UNIVERSITY EXAMINATIONS 2009/2010
FIRST SEMESTER EXAMINATION FOR THE DEGREE OF MASTER OF
FOODS NUTRITION AND DIETETICS
HFN 511:
ADVANCED THERAPEUTIC NUTRITION
DATE: Thursday, 26th November, 2009
TIME: 9.00 a.m. – 12.00 p.m.
------------------------------------------------------------------------------------------------------------
INSTRUCTIONS:
Answer question ONE and any other TWO questions.
QUESTION ONE
Mr. Smith just found out that he has diabetes Mellitus (NIDDM). He is sedentary, 40
years old man who is 170cm tall and weighs 94kgs. No medications were prescribed to
Mr. Smith.
a)
What is Mr. Smith’s ideal body weight range”
(1 mark)
b)
A 1,900 kilocalories diet was prescribed. How many grams of carbohydrate,
protein and fat should he consume?
(6 marks)
c)
What exchanges of Carbohydrates, protein and fat should be planned in his diet in
a day?
(6 marks)
d)
What are the goals and aims of nutritional advice for Mr. Smith’s medical
condition?
(5
marks)
e)
Briefly explain the classification of Diabetes Mellitus (DM)
(2 marks)
Page 1 of 2
QUESTION TWO
Discuss the three main types of Renal Replacement Therapy (RRT)
(20 marks)
QUESTION THREE
JK is a 48-year old man referred for treatment of obesity. His primary care provider
recently told him that he now has borderline hypertension, which he states has motivated
him to seek help. He is 170cm and weighs 111 kg. JK states that when he was 18 years
old he weighed 85 kg, maintained a weight of about 90 kg until age 30, after which he
has been gradually gaining. He has tried to reduce his intake on his own several
occasions and bought a popular diet book ot which he read 15 pages. He has thus far
been unable to reduce his weight by more than 2 kg, after which he regains. JK works as
a computer programmer and spends most of the day sitting at a computer. He states that
he usually skips breakfast, eats a small lunch, but consumes a very larger dinner in the
evening followed by sweets. He drives to work and has little recreational activity. His
physical exam is remarkable for blood pressure of 154/92 mmHg and a waist
circumference of 43 inches. Lab tests are remarkable for total cholesterol of 232 mg/dL
and low density lipoprotein cholesterol of 161 mg/dL, but are otherwise normal.
a)
What levels of energy and protein are appropriate for JK, and what is the
appropriate
medical
monitoring?
(8
marks)
b)
What advice could be given regarding successful maintenance of lost weight?
(6 marks)
c)
Define the current classification of overweight and obesity
(6 marks)
QUESTION FOUR
Discuss the effects of alcohol abuse in nutritional status and the prevalence of
malnutrition
in
liver
cirrhosis
(20
marks)
Page 2 of 2
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