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Dhsc 103:Nutrition Health Question Paper
Dhsc 103:Nutrition Health
Course:Diploma In Clinic Medicine
Institution: Kenya Methodist University question papers
Exam Year:2013
KENYA METHODIST UNIVERSITY
END OF 2''ND ''TRIMESTER 2013 (DAY) EXAMINATION
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : CLINICAL MEDICINE AND SURGERY
UNIT CODE : DHSC 103
UNIT TITLE : NUTRITION
TIME : 3 HOURS
INSTRUCTIONS: Answer ALL QUESTIONS
SECTION A
Question One
Briefly explain the different methods of assessing nutritional status in a community. (6marks)
Question Two
Nutritional intake in humans is assessed by FIVE different methods. Name them. (5marks)
Question Three
Outline the possible benefits of genetically modified foods. (5marks)
Question Four
Name the diseases associated with carbohydrate metabolism. (6marks)
Question Five
Outline factors associated with under nutrition. (5marks)
Question Six
Name etiology, symptoms and signs of niacin deficiency. (6marks)
Question Seven
Give the World Health classification of obesity. (5marks)
Question Eight
Write short notes on protein energy malnutrition. (8marks)
Question Nine
Name the nutritional benefits of Zinc. (6marks)
Question Ten
What are the functions of dietary fibre? (5marks)
SECTION B (Answer TWO Questions only)
Question One
Describe the clinical signs of vitamin A deficiency
Question Two
Explain the functions of essential fatty acids
Question Three
Describe the different types of lipoproteins and their clinical significance.
SECTION C
ALL Multiple choice Questions have one answer circle the correct answer.
Question One
The majority of carbohydrates in the diet should be:-
a) Insoluble fiber
b) Complex carbohydrates half of which are whole grains
c) Added sugar
d) Natural sugar.
Question Two
Which of the following is not a monosaccharide?
a) Fructose
b) Galactose
c) Glucose
d) Glycogen.
Question Three
Glycogen is made and stored in
a) The liver and muscles
b) All cells
c) Fat cells
d) Brain cells
Question Four
The human body has the enzymes needed to digest the all of the following except.
a) Sucrose
b) The alpha bonds in starch
c) The beta bonds in cellulose
d) Maltose.
Question Five
Which of the following foods in most likely to cause GL distress in a person who is lactose intolerant?
a) Yogurt
b) Cheese
c) Lactaid milk
d) Ice-cream
Question Six
Which of the following correctly matches a disaccharide to constituent
monosaccharicle?
a) Sucrose = glucose – glucose
b) Maltose = glucose – fructose
c) Lactose = lactose – fructose
Question Seven
The brain`s preferred source of energy is:
a) Glucose
b) Fatty acids
c) Protein
d) Kentones
Question Eight
In response to low blood glucose lever ___________ meleases ____________
a) Pancreas: glucagon
b) Pancreas; insulin
c) Liver; bile
d) Small interstine; inslin
Question Nine
Type 1 diabetes is caused by
a) The body inability to make insulin
b) The lose of insulin receptors on cells
c) The inability to digest lactose
d) Weight gain.
Question Ten
Individuals with Type II diabetes
a) Are generally thin
b) Do not make any insulin
c) Have a reduced number of insulin receptor on their cells
d) Are unable to store glucose as glycogen.
Question Eleven
Health issues appear to be associated with all the following except:
a) Polyunsaturated fats
b) Trans fatty acids
c) Partially hydrogenated fats
d) Saturated fats
Question Twelve
Which of the following is the major function of phospholipids in the body?
a) They are a component of cell (plasma) membranes
b) Phosphopids are needed to transport cholesterol
c) They help lower cholesterol levels
d) Most act as hormones.
Question Thirteen
In order to be transported in the blood lipids are:
a) Converted into glucose
b) Attached to proteins to make lipo proteins
c) Carried to cells by insulin
d) Converted to glycerol
Question Fourteen
Which one of the following is associated with a high risk of cardiovascular disease?
a) A diet high in soluble fiber
b) A diet with low intake a saturated fats and cholesterol
c) A relatively high blood LDL level
d) A relatively high blood HDL level.
Question Fifteen
Functions of HDL cholesterol is to
a) Transport cholesterol to the cells for use.
b) Make athesclerotic plagues in the blood vessels
c) Transport cholesterol to the liver for break down and excretion
d) To serve as an energy source for brain cells.
Question Sixteen
Which of the following has not been shown to lower cholesterol levels?
a) Reduced intake of saturated fats and cholesterol
b) Increased intake of animal sources of fat
c) Increased intake of soluable fiber
d) Increased activity levels.
Question Seventeen
Children with protein energy malnutrition are more likely to suffer from infections and illness. This is as a result of fear inability to make:
a) Collagen
b) Hormones
c) Chemoglobin
d) Antibodies.
Question Eighteen
Which of the following is a primary function of protein in the body?
a) Source of energy
b) Growth and tissue building
c) Insulates protects organs
Question Nineteen
Many cancer patients are in negative nitrogen balance. This means they are:
a) Building body proteins
b) Healing and rebuilding body tissues
c) Breaking down more protein than they are making
d) Taking in too much protein
Question Twenty
Energy from the metabolism of energy nutrient is released as:
a) Heat
b) ATP
c) Water
d) CO2
e) Both A and B
Question Twenty One
Low density lipoproteins (LDL) are the principal transport vehicle for ______ in the blood.
a) Cholesterol
b) Phospholipids
c) Glucose
d) Triglycerides
e) Free fatty acids
Question Twenty two
The amin, niacin, and riboflavin work together in important biochemical pathways that
a) Release energy from carbohydrates, fats and proteins
b) Control visual process
c) Synthesize collagen
d) Promote absorption of calcium.
Question Twenty Three
In order to reduce the possibility of developing on a low Kcalories diet, a weight loss diet should include an intake of:-
a) Protein at about twice RDA
b) 50% of total Kcalories as fat
c) 40grams of carbohydrates per meal
d) At least 150 grams of carbohydrates per day.
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