Medb 213:Human Nutrition And Dietetics Question Paper
Medb 213:Human Nutrition And Dietetics
Course:Nutrition And Dietetics
Institution: Kenya Methodist University question papers
Exam Year:2013
KENYA METHODIST UNIVERSITY
SCHOOL : MEDICINE AND HEALTH SCIENCES
DEPARMENT : HUMAN NUTRITION AND DIETETICS
COURSE CODE:MEDB 213
COURSE TITLE:HUMAN NUTRITION AND DIETETICS
TIME:3 HOURS
PAPER 1
SECTION A (20 MARKS)
Question One
Which of the following nutrients does not provide energy?
Lipids
Vitamins
Carbohydrates
Proteins
Question Two
Complete protein include
Beans
Green grams
Soy
Cow peas
Question Three
Which of the following is not a micro nutrient?
Chromium
Iodine
Iron
Magnesium
Question Four
Which of the following anthropometric measurements can be used in infants?
BMI
Waist- Hip ratio
Head and chest circumference
Waist circumference
Question Five
Vitamin B12 is useful in the prevention and treatment of
Pernicious anaemia
Scurvy
Night blindness
Beri Beri
Question Six
A patient has been on antibiotics over a long period of time. Which of the following vitamin is he likely to suffer from avitaminous
Folic acid
Vitamin D
Biotin
B3
Question Seven
Tom had 50g of a certain nutrient. From this he obtained 450Kcal of energy. Assuming that what he consumed is made up of a single nutrient, what nutrient would this be?
Mineral
Carbohydrate
Lipid
Protein
Question Eight
The functions of lipids are
Body building
Enzyme production
Provision of energy
Prevention of infection
Question Nine
A high dietary protein intake causes
An increase in urea secretion
Amino acid oxidation
Decrease in the incidence of bacterial translocation
An increase in amino acid excretion
Question Ten
The constituency of water in the body is
45 – 75% of the total body weight
90% of the total body weight
75 – 80% of the total body weight
65% of the total body weight
Question Eleven
Food security entails
Accessibility only
Accessibility, availability and utilization
Food production
Intense farming
Question Twelve
One gram of carbohydrates has
4 kcas
9 kcals
7 kcals
6 kcals
Question Thirteen
Complex carbohydrates comprise of
Glucose, fructose
Maltose, sucrose and fructose
Maltose, sucrose, lactose
Sucrose, fructose and fructose
Question Fourteen
One of the following is an underlying cause of malnutrition
Insufficient household food security
Inadequate dietary intake
Disease
Political ideology
Question Fifteen
Exclusive breast feeding means
Breast feeding but gives water at birth only
Breast feeding for 4 months
Breast feeding without giving anything else for six months
Breast feeding up to 24 months
Question Sixteen
Gestational diabetes mellitus (GDM) means
Diabetes diagnosed during pregnancy
Pregnant women without previous known diabetes
Diabetes occurring during the first 24 months of the gestation period
Diabetes in a first pregnancy
Question Seventeen
Non modifiable cholesterol risk factors are
Diet, age and heredity
Heredity, age and sex
Overweight, physical activity and heredity
Heredity, overweight and age
Question Eighteen
The limiting amino acid in soy beans is
Tryptophan
Arginine
Histidine
Methionine
Question Nineteen
Which of the following nutrient functions as an emulsifier?
Triglycerides
Phospholipid
Protein
Carbohydrates
Question Twenty
Selenium reduces the chances of one developing cancer by
Activating glutathione peroxidase thus breaking down peroxides
Neutralizing the already formed free radicals
Inhibiting co-factors involved in free radical formation
Activating proline hydroxylase that plays a role in free radical neutralization
SECTION B (40 MARKS)
Answer all questions
Question One
A sixteen year old boy weighs 60 kgs and is 5ft tall. Calculate his resting metabolic rate (RMR) in kilocalories
( 5 Marks)
What is his BMI
(3 Marks)
Question Two
What is the function of dietary fibre? (8 Marks)
Question Three
Outline the differences between kwashiorkor and marasmus. (8 Marks)
Question Four
Differentiate between food/drug interaction and drug/nutrient interactions.
(4 Marks)
A patient on warfarin was advised to avoid spinach during the period of medication. Explain why?
(4 Marks)
Question Five
Explain how peptic ulcer can be managed by diet. (5 Marks)
Question Six
How does vitamin E and selenium reduce the probability of one developing cancer (3 Marks)
SECTION C (40 MARKS)
Answer two questions
Question One
Discuss methods of nutritional assessment (20 Marks)
Question Two
’Too much of anything is poisonous.’ By using the following nutrients justify this statement. (20 Marks)
Carbohydrates
Potassium
Calcium
Iron
Vitamin A
Question Three
Discuss factors influencing the nutrition of an individual. (20 Marks)
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