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Hndu 381:Medical Nutrition Therapy Ii Question Paper

Hndu 381:Medical Nutrition Therapy Ii

Course:Bachelor Of Medicine And Bachelor Of Surgery

Institution: Kenya Methodist University question papers

Exam Year:2013

KENYA METHODIST UNIVERSITY

END OF 2''ND ''TRIMESTER 2013 (PT) EXAMINATION
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : HUMAN NUTRITION AND DIETETICS
UNIT CODE : HNDU 381
UNIT TITLE : MEDICAL NUTRITION THERAPY II
TIME : 3 HOURS

Instructions:

SECTION A (20 Marks)

Answer all questions

Question One
Outline the advantages of food composition tables as used in nutrition therapy. (4 marks)

Question Two

Differentiate between the following terms:

Food allergy and food intolerance.

(2 marks)

Kwashiorkor and Marasmus.

(2 marks)

Obese and overweight.

(2 marks)

Question Three
Briefly discuss the cause, symptoms and nutritional treatment of phenylketonuria. (6 marks)

Causes
Symptoms
Treatment.

Question Four
Explain the underlying causes of protein energy malnutrition. (PEM)
(4 marks)

SECTION B (40 Marks)

Answer question 5 and any other questions in the section.

Question Five

Mark is 36 months old and suffering from severe PEM with complications. He has been brought to the clinic where you work for treatment.

Explain how you will determine the nutritional status of Mark.

(4 marks)

Explain four factors that could have brought about the condition and how they can be prevented.

(8 marks)

Explain the treatment procedure of PEM with complication.

(8 marks)

Question Six

Mercy is 35 years old and has been diagnosed with obesity and compulsive eating disorder. Her weight is 116kgs and a height of 166cm.

Nutrient Need = kcal = 2100 protein = 90gms

What diet would you prescribe for Mercy?

(2 marks)

Using food exchange list provided below:

Work out a day’s diet for Mercy.

(8 marks)

Distribute the food exchanges arrived at into a meal plan for the day.

(4 marks)

Translate the meal plan to a menu plan.

(6 marks)

Food exchange Amount (gm) Protein (g) Carbohydrates (g) Fats(g) Energy (kcal)
Milk 250 ml 8 12 10 170
Meat 40 gm 7 Neg 5 70
Pulsy 30gm 7 17 Neg 100
Cereal 20gm 2 15 Neg 70
Vegetable A 100gm 2 7 Neg 40
Vegetable B 150gm 2 7 Neg 40
Fruit Variable Neg 10 Neg 40
Fat 5 - - 5 45
Sugar 5 - 5 - 20

Question Seven

State two conditions under which dietary supplements are used.

Define an antioxidant and state the functions in the body.

(2 marks)

State and explain at least five different types of protein supplements.

(12 marks)

State four advantages of food supplements.

(2 marks)

Hndu 381:Medical Nutrition Therapy Ii Question Paper

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