Clinical Assessment of Nutri Status

Question 1

Which is false?
A. Clinical assessment is most useful during the early stages of nutritional depletion.
B. Clinical assessment cannot stand alone.
C. Dietary history is a part of clinical assessment.
D. Medical history may be obtained by viewing records or via interview.

Answer 1

A

advanced, not early

Question 2

Which is not part of dietary history?
A. vitamin and mineral supplements
B. taste change and aversion
C. appetite
D. ability to purchase and prepare food
E. none of the above

Answer 2

E

Question 3

Enumerate 5 mechanisms of nutrient deficiency

Answer 3

inadequate intake
inadeq absorption
decreased utilisation
increased losses
increased reqts

Question 4

Which may be lacking in people who avoid only meat, eggs and dairy?
A. vitB12
B. niacin
C. vitC
D. all of the above

Answer 4

A

Question 5

history of alcoholism may lead to lack in the ff except
A. protein
B. energy
C. magnesium
D. none of the above

Answer 5

D

Question 6

history of constipation/hemorrhoids may lead one to suspect deficiency of
A. energy
B. magnesium
C. fiber
D. zinc

Answer 6

C

Question 7

parasitic infection may directly lead to loss of this/these nutrient(s)
A. protein
B. iron
C. vitB12
D. energy

Answer 7

B and C

Question 8

two causes of decreased utilisation of nutrients

Answer 8

drugs

inborn error of metabolism

Question 9

The ff may lead to increased loss of protein and zinc except
A. diarrhea
B. draining abscess/wound
C. nephrotic syndrome & hemodialysis
D. cigarette smoking

Answer 9

D

D leads to increased need for vitC and folic acid

Question 10

the ff may lead to increased need of energy except
A. fever
B. hyperthyroidism
C. both A and B
D. neither A nor B

Answer 10

D

Question 11

Corkscrew hair is indicative of inadequate 
A. vitamin A
B. vitamin B
C. vitamin C
D. vitamin D

Answer 11

C

Question 12

scaling of skin at nasolabial area is indicative of inadequate 
A. vitamin A
B. vitamin B
C. vitamin C
D. vitamin D

Answer 12

B

Question 13

Bitot's spot is indicative of inadequate 
A. vitamin A
B. vitamin B
C. vitamin C
D. vitamin D

Answer 13

A

Question 14

pitted enamel is indicative of inadequate 
A. vitamin A
B. vitamin B
C. vitamin C
D. vitamin D

Answer 14

D

Question 15

cheilosis is indicative of inadequate 
A. vitamin A
B. vitamin B
C. vitamin C
D. vitamin D

Answer 15

B

Question 16

pallor is indicative of inadequate
A. Fe
B. Mg
C. Zn
D. Se

Answer 16

A

Question 17

lack of sense of taste and smell is indicative of inadequate
A. Fe
B. Mg
C. Zn
D. Se

Answer 17

C

Question 18

grey or black spots in teeth is indicative of inadequate
A. F
B. Mg
C. Zn
D. Se

Answer 18

A

Question 19

gum recession is indicative of inadequate 
A. vitamin A
B. vitamin B
C. vitamin C
D. vitamin D

Answer 19

A and C

Question 20

swollen thyroid/parotid glands is indicative of inadequate
A. protein
B. energy
C. iodine
D. all of the above

Answer 20

A and C

Question 21

spoon-shaped, brittle and ridged nails are indicative of inadequate
A. protein
B. Fe
C. iodine
D. all of the above

Answer 21

A and B

Question 22

pot belly is indicative of inadequate
A. protein
B. energy
C. iodine
D. all of the above

Answer 22

A

Question 23

weakness and tenderness of muscles is indicative of inadequate
A. vit D
B. cobalamin
C. vit E
D. thiamin

Answer 23

B C D

Question 24

pellagrous dermatosis is indicative of inadeq
A. vitamin A
B. vitamin B
C. vitamin C
D. vitamin D

Answer 24

B

Question 25

Flaky dermatitis indicative of inadequate
A. protein
B. energy
C. iodine
D. all of the above

Answer 25

A

Question 26

follicular hyperkeratosis is indicative of inadeq
A. vitamin A
B. vitamin B
C. vitamin C
D. vitamin D

Answer 26

A and C

Question 27

Which is not a sign of marasmus?
A. Significant loss of skeletal muscle
B. Significant loss of serum protein
C. Significant loss of adipose tissue
D. Significant loss of body fat

Answer 27

B

Question 28

Which is not a sign of kwashiorkor?
A. Significant loss of skeletal muscle
B. Significant loss of serum protein
C. Relatively notmal body weight
D. Pitting edema

Answer 28

A

Question 29

Which is not a sign of marasmus?
A. Significant loss of skeletal muscle
B. No Significant loss of serum protein
C. Relatively normal body weight
D. No edema

Answer 29

C

Question 30

which combo gives high risk for protein-energy malnutrition (in 0-5 y/o)
A. Bilateral edema
B. Major weight deficit
C. Minor weight deficit
D. Hair easily plucked

Answer 30

A and B

Question 31

which letter/combo gives moderate risk for protein-energy malnutrition (in 0-5 y/o)
A. Bilateral edema
B. Major weight deficit
C. Minor weight deficit
D. Hair easily plucked

Answer 31

C or C&D

Question 32

which letter gives low risk for protein-energy malnutrition (in 0-5 y/o)
A. Bilateral edema
B. Major weight deficit
C. Minor weight deficit
D. Hair easily plucked

Answer 32

D

Question 33

__rosary can be seen in Vitamin C deficiency
A. Scorbutic
B. Rachitic
C. Both

Answer 33

A

Question 34

which letter or combo gives moderate risk for vit C def (in all ages)
A. Scorbutic rosary
B. Diffuse gum bleeding
C. Purpura, petechiae, follicular hyperkeratosis

Answer 34

B or C

Question 35

which letter or combo gives high risk for vit C def (in 6+ y/o)
A. Scorbutic rosary
B. Diffuse gum bleeding
C. Purpura, petechiae, follicular hyperkeratosis

Answer 35

B&C

Question 36

All are basis for subjective global assessment except
A. Recent gain of body weight
B. Changes in usual diet
C. Presence of GI symptoms
D. Patient's functional capacity

Answer 36

A

Question 37

Enumerate 3 elements of physical examination

Answer 37

Loss of subCT fat
Muscle wasting
Presence of edema or ascites