HTN721S - HUMAN NUTRITION 2 - 1ST OPP - NOVEMBER 2023


HTN721S - HUMAN NUTRITION 2 - 1ST OPP - NOVEMBER 2023



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nAmlBIA UOIVERSITY
OF SCIEnCEAnDTECHnOLOGY
Facultyof Health,Natural
ResourcaensdApplied
Sciences
Schoolof HealthSciences
DepartmentofPreventative
HealthSciences
QUALIFICATION : BACHELORof HUMAN NUTRITION
QUALIFICATION CODE: 08BHON
COURSE:HUMAN NUTRITION II
DATE: NOVEMBER 2023
DURATION: 3 HOURS
13JacksonKaJJeuaStreet T: -2611612072370
Private Ba~ maa
F: -264 51207 9970
Windhoek
E: dphs@nust.na
NAMIBIA
W: 1vww.nust.n;a
LEVEL:7.
COURSECODE: HTN721S
SESSION: 1
MARKS: 100
EXAMINER:
MODERATOR:
FIRST OPPORTUNITY: QUESTION PAPER
MR GEORGE WALIOMUZIBU MUKISA
MS MARJORIE VANWYK
INSTRUCTIONS
1. Answer all questions on the separate answer sheet.
2. Please write neatly and legibly.
3. Do not use the left side margin of the exam paper. This must be allowed for the
examiner.
4. No books, notes and other additional aids are allowed.
5. Mark all answers clearly with their respective question numbers.
PERMISSIBLE MATERIALS:
1. Non-Programmable Calculator
ATTACHEMENTS
1. Z Table
2. Normal distribution table
3. Chi-square table
This paper consists of 3 pages including this front page

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SECTION A:
[44 MARKS]
QUESTION 1:
1.1 Define the following terms and concepts.
(44 MARKS)
1.1.1 Nutrition care process
(2)
1.1.2 Glycogenolysis
(2)
1.1.3 Cholecystitis
(2)
1.1.4 Diabetes mellitus
(2)
1.1.5 Functional disorder
(2)
1.1.6 Pharmacokinetics
(2)
1.1.7 Food intolerance
(2)
1.2 The liver is one of the important organs in the human body and performs several critical
functions. Briefly discuss the role of the liver in
1.2.1 Carbohydrate metabolism
(6)
1.2.2 Fat metabolism
(8)
1.3 Liver cirrhosis is among the major liver diseases. Outline three (3) risk factors and three {3)
complication of liver cirrhosis
(6)
1.4 Propose five (5) goals for nutritional management of diabetic patient
(5)
1.5 Outline five (5) risk factors of diabetes mellitus
(5)
SECTION B:
[37 MARKS]
QUESTION 2:
(37 MARKS)
2.1 Evaluate the symptoms of the gastrointestinal disorders and fill in the corresponding
disorders in the table below
(7)
Symptoms
Disorder
1 Ingestion of solid food causes distress but liquids do not
2 Difficulty in swallowing; food sticks in throat
3 Epigastric pain when eating
4 Pain 2-5 hours after a meal, relieved upon eating
5 Abdominal pain several hours after a fatty meal
6 Cramps, distention and flatulence several hours after drinking
milk
7 heartburn, after a fatty meal
HUMAN NUTRITION ll(HTN721S)
1st Opportunity November 2023
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2.2 Peter is 30 year old diabetic patient with height of 165cm and with medium body fluid
composition. He has a desirable weight of 53.6 kg. He is also engaged in light physical
activity and thus requires 35 to 40 kcal per kg per day.
2.2.1 Calculate Peter's average calorie allowance
(8)
2.3 Nicodemus hypertensive patient and requires 70 kcal per day of body weight per day. Her
caloric intake per day for the week is showed in the table below
Monday
35 kcal
Tuesday
80 kcal
Wednesday Thursday
45 kcal
50 kcal
Friday
30 kcal
Saturday
60 kcal
Sunday
40 kcal
2.3.1 Calculate Nicodemus nutritional indexes for Tuesday and Thursday
(5)
2.3.2 Calculate the average nutritional index for the week
(9)
2.3.3 Explain the nutritional significance of the nutritional index obtained in 2.3.2
(2)
2.4 Propose six (6) ways diet modification can be made
{6)
SECTION C:
[19 MARKS)
QUESTION 3:
3.1 Differentiate between drug-drug interaction and drug-nutrient interaction
(4)
(19 MARKS)
3.2 Explain the following mechanisms of drug-drug interaction and drug-nutrient interaction.
3.2.1 Potentiation
(2)
3.2.2 Inhibition
(2)
3.2.3 Alteration of absorption
(2)
3.2.4 Alteration of distribution
(2)
3.3 Explain the differences in the importance of soluble dietary fiber and insoluble dietary
fiber in the nutrition management of diabetes mellitus
(4)
3.4 Propose three (3) effects of drug on food intake
{3)
--------------·-------------------------------------------------·--------·-----------------------------------------------------
END OF QUESTION PAPER
HUMAN NUTRITIONll{HTN721S)
151 Opportunity November 2023
3