Nutritional Assessment

Question 1

What are the 5 rights of laboratory testing?

Answer 1

Right Patient
Right Test
Right Time
Right Diagnosis
Right indicators

Question 2

Fill in the blanks. “ Community nutrition surveys to detect subclinical micronutrient deficiency example ________ & ________.”

Answer 2

Iodine & Iron

Question 3

What estimates body cell mass?

Answer 3

Total body potassium

Question 4

What is the function of the functional biochemical test?

Answer 4

It measures the extent of functional consequences of a specific nutrient deficiency and hence has a greater biological significance.

Question 5

What is measured during skeletal muscle function test?

Answer 5

It generally measures the function of the adductor policies muscle after electrical stimulation of the ulnar nerve.

Question 6

Which nerve and muscle is normally assessed during the skeletal muscle function test?

Answer 6

Adductor pollicis muscle and Ulnar nerve

Question 7

What is an example of the Skeletal muscle function test?

Answer 7

Hand Grip strength

Question 8

What factors may affect an Immune function?

Answer 8

Emotional Stress
Surgery
Anesthesia
Major Burns
Neoplasia
Viral Infections

Question 9

What are two examples of Immunological Tests?

Answer 9

Lymphocyte count - reduced in malnutrition
IgA antibodies levels in saliva

Question 10

Which functional physiological test is used to assess cognitive function of an infant?

Answer 10

Bayley Scales of Infant Development

Question 11

Which functional physiological test is used to assess cognitive function of an Older school child?

Answer 11

IQ Test Performance

Question 12

Which functional physiological test is used to assess cognitive function of the Elderly ?

Answer 12

Mini Mental State Examination

Question 13

What are the ‘ cons’ associated with Functional physiological tests?

Answer 13

1. Not suitable for large scale nutrition surveys - too invasive , elaborate equipment
2. Results difficult to interpret because of lack to cut off points.
3. Less responsive than bicochemical tests to small changes in nutrient status.
4. Many other non- nutritional factors may influence their performance reducing their specificity .

Question 14

What are the risk factors for Malnutrition ?

Answer 14

Stresss/ Hypermetabolism
Weight loss > 10% of usual body weight
BMI <22 kg/m3
Albumin < 35g/l
NPO > 7 days
Absence of - ability to swallow /functional GOT , poor oral intake

Question 15

True or False? Nutrition Screening are static processes.

Answer 15

FALSE!! They are NOT static processes

Question 16

True or False? Serum proteins are neither Specific , nor Sensitive indicators of nutrition factors.

Answer 16

TRUE!!

Question 17

Who are the persons that should be prioritized for nutritional screening/ assessment ?

Answer 17

1. Children under 2 years of age
2. Women who are pregnant or up to 6 months postpartum
3. People who report unintentional weight loss
4. Hospitalised patients
5. People with HIV , Tuberculosis (Tb) or other chronic diseases.

Question 18

What are the different methods for Dietary assessment of nutritional intake?

Answer 18

 Food consumption data
 Observed food consumption
 Weighed food record
 24-hour dietary recall
 Food frequency questionnaire
 Dietary history
 Food diary technique

Question 19

At what age is normally the low - point in BMI?

Answer 19

5-6 years