Protein Energy Malnutrition

Question 1

Most critical period of a child’s growth & devt is __

Answer 1

Pregnancy of mom until 18 months after birth

Question 2

False about stunting
A. Normally prop but is shorter than normal for his/her age
B. Starts before birth
C. Reversible regardless of age
D. Occurs over time

Answer 2

C

Irreversible after a certain age

Question 3

Diagnosis of SAM can be missed in children in Kwashiorkor because of __.

Answer 3

edema

Question 4

National prevalence of wasting in the PHL is __%

Answer 4

6

Question 5

Sum of prevalence of SAM and MAM at a population level

Answer 5

Global acute malnutrition

Question 6

Emaciated arms and protruding ribs
A.kwashiorkor
B.marasmus
C.both

Answer 6

B

Question 7

Easily plucked hair, shiny feet
A.kwashiorkor
B.marasmus
C.both

Answer 7

A

Question 8

May occur in infants who were weaned early fr breast milk
A.kwashiorkor
B.marasmus
C.both

Answer 8

C

Question 9

More likely to get dermatosis
A.kwashiorkor
B.marasmus
C.both

Answer 9

A

Question 10

Bilateral edema. Excess fluid at body tissue
A.kwashiorkor
B.marasmus
C.both

Answer 10

A

Question 11

Severe emaciation or wasting of muscles and fat
A.marasmus
B.kwashiorkor
C.both

Answer 11

A

Question 12

Differentiate primary PEM cause fr secondary PEM cause

Answer 12

primary: inadequate food/immediate illness
secondary: low birth weight,failure/stopping of breast feeding

Question 13

biologic factors of PEM:enumerate

Answer 13

Maternal malnutrition
Infectious disease
Diet with low conc of protein and energy

Question 14

envt factors of PEM:enum

Answer 14

overcrowding
lack of santitation
agri patterns
postharvest losses

Question 15

In PEM: Which is not a consequence of adaptive response to energy expenditure?
A. decreased energy expenditure (due to less intake)
B. increase in weight (due to less utilization)
C. muscular wasting (due to more protein catab)
D. less physical work or play

Answer 15

B

weight loss dapat

Question 16

True or false: Not all essential amino acids are needed for protein synthesis.

Answer 16

false. pag kulang ang isa, hindi makakagawa ng protein ang katawan.

lack of albumin is c/o lack of AA for it –> edema

Question 17

functional consequences of PEM: enum

Answer 17

growth impairment
decreased immune response
disruption in cognitive ability

Question 18

Which is false?
A.66% of adult brain wt is achieved before 1 year of age
B. 90% of adult brain wt is achieved before 4 yrs of age
C.Prolonged severe malnutrition affects brain function rather than brain size.
D.Prolonged severe malnutrition affects growth and biochemical maturity of the brain.

Answer 18

C

size. not function

Question 19

False about soluble fiber
A. reduces cholesterol
B. prevents constipation
C. decreases blood glucose

Answer 19

B = for insoluble fiber

Question 20

False about insoluble fiber
A. gives feeling of fullness
B. prevents constipation
C. decreases blood glucose

Answer 20

C: for soluble fiber