Hsci 104 :Clinical Nutrition &Amp; Dietetics Question Paper
Hsci 104 :Clinical Nutrition &Amp; Dietetics
Course:Nursing
Institution: Kenya Methodist University question papers
Exam Year:2014
KENYA METHODIST UNIVERSITY
END OF 3''RD ''TRIMESTER 2014 (PT) EXAMINATION
SCHOOL : MEDICINE & HEALTH SCIENCES
DEPARTMENT : NURSING
UNIT CODE : HSCI 104
UNIT TITLE : CLINICAL NUTRITION & DIETETICS
TIME : 3 HOURS
INSTRUCTIONS:
This examination has three sections namely A, B & C.
Answer all questions
Answers should be written in the provided booklet.
SECTION A: Choose the most appropriate response 1 mark each.
Question One
Nonheme Iron intestinal absorption is enhanced by
Antacids
Calcium supplements
Ascorbic acid
Phytates.
Question Two
Dietary Zinc is important in that it;
Improves appetite through stimulating taste
Regulates plasma volume and acid-base balance
Enhance bone and teeth formation
Synthesizes proteins that help control bleeding.
Question Three
A sensitive indicator of acute state of malnutrition is
Height for age
Weight for height
Weight for age
Mid upper arm circumference
Question Four
The body mass index (BMI) of a person 1.6m tall and weighing 65kg is;
22.4
24.6
25.4
40.6
Question Five
Replacement feeding;
Reduces the risk of transmission of HIV through breast milk.
Can double the number of children who become sick and die from other illnesses.
Carries the greatest risk for both HIV infection and death from other illnesses
Is always considered infant’s who are exposed to HIV.
Question Six
Low residue diet is recommended in the management of;
Diabetes mellitus, diarrhea
Colostomy, pre operative phase of large bowel surgery
Constipation, hemorrhoids
Overweight, post perineal suturing
Question Seven
High protein-high calorie diet is indicated in the management of:
Burns, glomerulonephritis
Pregnancy, liver cirrhosis
Infancy, multiple injuries
Post major surgery
Question Eight
The following statements are true regarding adequate nutritive in people living with HIV/AIDs, except;
Helps increase and maintain the levels of CD4, count.
Helps increase the viral load.
Helps delay proguellion to AIDs stage.
Enhances the body’s ability to fight opportunistic infection.
Question Nine
With weight loss, fat cell:
Decrease in size
Decrease in number
Decrease in both number and size
Decrease in number and increase in size
Question Ten
Regarding anorexia nervosa:
The client pursues thinner compulsively through imposed starvation.
The client BMI is always between 18-24.9
The client experiences recurrent episodes of bingeing and purging.
The client compulsively binges duly without any compensatory behavior.
SECTION B (40 Marks)
Question One
Outline five functions of proteins. (5 marks)
Question Two
List six dietary sources of iron. (3 marks)
Question Three
Outline five health risks associated with obesity. (5 marks)
Question Four
Describe a bland diet. (3 marks)
Question Five
State four features of a child suffering from Kwashiorkor. (4 marks)
Question Six
State five causes of Cancer Cachexia. (5 marks)
Question Seven
Explain five factors that may affect mother to child transmission of HIV among 0-6 month’s infants. (5 marks)
Question Eight
State four indications of a low sodium diet. (4 marks)
Question Nine
Explain three factors in diet therapy of a patient diagnosed with diabetes mellitus type II. (6 marks)
SECTION C: (20 Marks)
Question One
Describe the nutrition infection cycle. (5 marks)
Question Two
You are taking personal history for a client in order to determine his nutritional status. Discuss five factors that may place a client at risk for developing malnutrition. (15 marks)
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