Nutrition

Question 0

Which reflects cumulative effects of malnutrition?

a. Weight for age
b. Height for age
c. BMI
d. Weight for height

Answer 0

look for answer

Question 1

Best reflects acute undernutrition

a. Low Weight for Height
b. Poor weight gain
c. Abnormal Weight for Height curves
c. Height

Answer 1

a. Low Weight for Height

a. Low Weight for Height – index for recent nutritional experiences
b. Poor weight gain
c. Abnormal Weight for Height curves
c. Height – cumulative effects of undernutrition during the life of a child

Question 2

Patient with painful lower extremities, with bead-like masses on rib cage. (May additional description pa to that pertains to Vit C deficiency…)

a. Vitamin C deficiency
b. Vitamin D deficiency

Answer 2

a. Vitamin C deficiency

Question 3

34.Anemia was noted in a malnourished px ( kwashiorkor or maramus, can’t remember which one). He is taking vitamins. What else could be lacking?

Answer 3

FOLIC acid
Iron – not part of the choices

Folic acid deficiency may accompany kwashiorkor, marasmus, sprue p.1611

Question 4

35.A patient was anemic and noted to have 3 kinds of worms in the stool. He is stunted and wasted. What else could the patient have?

Answer 4

Iron deficiency anemia p.1614

Question 5

Goat milk leads to what type of anemia?

a. macrocytic anemia
b. hypochromic normocytic
c. hypochromic microcytic

Answer 5

a. macrocytic anemia – due to folic acid deficiency

Question 6

What remains as the single best growth chart indicator of acute undernutrition:
​a.  weight for height
​b.  weight for age
​c. height for age
​d.  body mass index

Answer 6

A. (p. 59, Nelson’s)

Question 7

This measurement gives the best estimate of adiposity:
​a.  body mass index
​b.  subscapular skin fold thickness
​c.  weight
​d.  weight for height

Answer 7

B. (p. 61, Nelson’s). BMI doesn’t provide an accurate index of adiposity since it doesn’t differentiate between lean tissue and bone from fat. Skin fold thickness in the scapula and the triceps are better estimates.

Question 8

A 7-year old child has diplopia, papilledema and vomiting.  What is he suffering from?
​a. Vitamin A excess
​b.  Vitamin B1 deficiency
​c.  Vitamin C deficiency
​d.  Vitamin D excess

Answer 8

A. (p.180, Nelson’s). Hypervitaminosis A presents as pseudotumor cerebri – diplopia, papilledema, cranial nerve palsies, increased ICP, tender swelling of the bones, alopecia, subQ lesions, hyperostosis of the bones are just among the presenting signs and symptoms.

Question 9

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Answer 9

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