Clinical Assessment of Nutri Status Flashcards
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.
A
advanced, not early
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
E
Enumerate 5 mechanisms of nutrient deficiency
inadequate intake inadeq absorption decreased utilisation increased losses increased reqts
Which may be lacking in people who avoid only meat, eggs and dairy? A. vitB12 B. niacin C. vitC D. all of the above
A
history of alcoholism may lead to lack in the ff except A. protein B. energy C. magnesium D. none of the above
D
history of constipation/hemorrhoids may lead one to suspect deficiency of A. energy B. magnesium C. fiber D. zinc
C
parasitic infection may directly lead to loss of this/these nutrient(s) A. protein B. iron C. vitB12 D. energy
B and C
two causes of decreased utilisation of nutrients
drugs
inborn error of metabolism
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
D
D leads to increased need for vitC and folic acid
the ff may lead to increased need of energy except A. fever B. hyperthyroidism C. both A and B D. neither A nor B
D
Corkscrew hair is indicative of inadequate A. vitamin A B. vitamin B C. vitamin C D. vitamin D
C
scaling of skin at nasolabial area is indicative of inadequate A. vitamin A B. vitamin B C. vitamin C D. vitamin D
B
Bitot's spot is indicative of inadequate A. vitamin A B. vitamin B C. vitamin C D. vitamin D
A
pitted enamel is indicative of inadequate A. vitamin A B. vitamin B C. vitamin C D. vitamin D
D
cheilosis is indicative of inadequate A. vitamin A B. vitamin B C. vitamin C D. vitamin D
B
pallor is indicative of inadequate A. Fe B. Mg C. Zn D. Se
A
lack of sense of taste and smell is indicative of inadequate A. Fe B. Mg C. Zn D. Se
C
grey or black spots in teeth is indicative of inadequate A. F B. Mg C. Zn D. Se
A
gum recession is indicative of inadequate A. vitamin A B. vitamin B C. vitamin C D. vitamin D
A and C
swollen thyroid/parotid glands is indicative of inadequate A. protein B. energy C. iodine D. all of the above
A and C
spoon-shaped, brittle and ridged nails are indicative of inadequate A. protein B. Fe C. iodine D. all of the above
A and B
pot belly is indicative of inadequate A. protein B. energy C. iodine D. all of the above
A
weakness and tenderness of muscles is indicative of inadequate A. vit D B. cobalamin C. vit E D. thiamin
B C D
pellagrous dermatosis is indicative of inadeq A. vitamin A B. vitamin B C. vitamin C D. vitamin D
B
Flaky dermatitis indicative of inadequate A. protein B. energy C. iodine D. all of the above
A
follicular hyperkeratosis is indicative of inadeq A. vitamin A B. vitamin B C. vitamin C D. vitamin D
A and C
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
B
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
A
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
C
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
A and B
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
C or C&D
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
D
__rosary can be seen in Vitamin C deficiency
A. Scorbutic
B. Rachitic
C. Both
A
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
B or C
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
B&C
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
A
Enumerate 3 elements of physical examination
Loss of subCT fat
Muscle wasting
Presence of edema or ascites
