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HNT711S - HUMAN NUTRITIN 1 - 1ST OPP - JUNE 2022 |
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nAm I BIA u n IVERSITY
OF SCIEnCE Ano TECHnOLOGY
FACULTY OF HEALTH, APPLIED SCIENCESAND NATURAL RESOURCES
DEPARTMENT OF HEALTH SCIENCES
QUALIFICATION: BACHELOR OF HUMAN NUTRITION
QUALIFICATION CODE: 08BOHN
LEVEL: 7
COURSE CODE: HNT711S
COURSE NAME: HUMAN NUTRITION I
SESSION: JUNE 2022
PAPER: THEORY
DURATION: 3 HOURS
MARKS: 100
EXAMINER(S)
FIRST OPPORTUNITY EXAMINATION-QUESTION PAPER
MR WALIOMUZIBU MUKISA GEORGE WILLIAM
MODERATOR: MR ERICK UUKULE
INSTRUCTIONS
1. Answer ALL the questions.
2. Write clearly and neatly.
3. Number the answers clearly.
PERMISSIBLE MATERIALS
NONE
THIS QUESTION PAPER CONSISTS OF 9 PAGES (Including this front page)
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SECTION A:
(14 MARKS)
QUESTION 1. MULTIPLE CHOICE QUESTIONS
(14 MARKS)
Select the most appropriate answer from the options provided. (Each correct answer earns
1 mark)
1.1 Of the following which is the percentage of Basal Metabolic Rate used by the brain:
a. 45%
b. 25%
C. 13%
d. 35%
1.2 Excessglucose in the body is often stored in the:
a. Adipose tissue
b. Muscles
C. Kidneys
d. Muscles and liver
1.3 Of the following which one results in accumulation of excess nutrients in the body:
a. Negative energy balance
b. Balanced energy
c. Positive energy balance
d. None of the above
1.4 The following are categories of metabolic syndrome except:
a. Insulin resistance
b. Hypertension
c. Myocardia infarction
d. Hyper-lipoproteinemia
1.5 Of the following which is the major difference between type I diabetes mellitus and
Type II diabetes mellitus:
a. Type I cells do not take in enough glucose whereas type II cells take in excess
glucose
b. Type II insulin and glucagon are very high in cells whereas type I they are less
c. Type I pancreas does not produce insulin whereas type II reaction of cells to
insulin is reduced
d. Type I is associated with obesity and overweight whereas type II is much linked
to genetic related factors
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1.6 Which of the following condition occur during insulin resistance:
a. Reduction in the reaction of cells to insulin
b. Reduced production of insulin by the pancreas
c. Glucose overload in cells occurs due to excessive cell reaction to presence of
glucose
d. None of the above
1.7 Of the following minerals, which ones are important in the maintenance of
electrolyte balance in the body:
a. Calcium and Potassium
b. Sodium and Potassium
c. Iron and Calcium
d. Iodine and Iron
1.8
Chylomicrons are responsible for transportation of food lipids from the intestines to
the adipose tissue and liver:
a. True
b. False
1.9
Of the following which is a category of the lipids to the proper functioning of the
body:
a. Very low density lipoprotein
b. Low density lipoprotein
c. High density lipoprotein
d. Chylomicrons
1.10 During hunger the main source of energy to the body is:
a. Glucose
b. Amino acids
C. Triglycerides
d. Vitamins
1.11 During hunger the central nervous system utilizes glucose and ketone bodies for
energy generation:
a. True
b. False
1.12 The biochemical process involved in the conversion of glycogen to glucose-6-
phosphate is known as glycogenesis:
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a. True
b. False
1.13 Of the following which the biochemical process is involved in conversion pyruvic acid
to glucose-6-phosphate:
a. Glycolysis
b. Glycogenesis
c. Gluconeogenesis
d. Lipogenesis
1.14 Rickets and osteomalacia is deficiency of:
a. Vitamin D and Calcium
a. Vitamin A and Iron
b. Vitamin C and Calcium
c. Vitamin E and Potassium
QUESTION 2.
(16 MARKS)
Evaluate the statements in each numbered section and the questions that follow
2.1 The Nutrition Assessment is a systematic approach to classify and
synthesize important and relevant data needed to identify nutrition-related
problems and their causes, using five domains. Please name the
five (5) domains
(5 marks)
2.2 Each domain above covers nutrition related aspects, which a nutritionist
might want to know.
Match the name of the correct domain to the following data set
(5 marks)
2.2.1
Pale skin
2.2.2
Special eating habits
2.2.3
Role in the family
2.2.4
Mid Upper Arm Circumference
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2.2.5
Blood lipids
2.3 Classifying the data a nutritionist collected during the Nutrition Assessment does
lead to a Nutrition Diagnosis.
To which of the three domains of Nutrition Diagnosis do the following
nutrition problems point
(3 marks)
2.3.1 Too much energy dense foods in the diet
2.3.2 Not Ready for Diet/Lifestyle Change
2.3.3 Altered gastrointestinal function
2.4 Assessing an elderly woman living in a large family, you find that her muscles are small
and weak. In her food record you find mainly pap with various sauces, occasionally
enriched with some seasonal vegetables from the small garden. The calculated protein
intake is less than 0.3 g protein/ kg body weight/ day. Since her dentition is devoid of
several teeth, all food is soft-boiled.
Formulate a Nutrition Diagnosis
(3 marks)
SECTION B:
QUESTION 3
(49 MARKS)
(49 MARKS)
Read each question completely, and on your ANSWERSHEET,next to the question number,
please write the full answer to the questions.
3.1 Explain the term nutrition assessment
(2 marks)
3.2 Outline four (4) importance of nutrition assessment
(4 marks)
3.3 Explain the different between nutrition counseling and nutrition support (4 marks)
3.4 Outline the eight (8) steps followed to measure the height of children of
24 months and older
(8 marks)
3.5 During metabolism excess energy yielding nutrients are stored in the body
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for future use. What is the storage form of the following nutrients
(3 marks)
3.5.1 Glucose
3.5.2 Fat
3.5.3 Amino acids
3.6 Explain five (5) ways of controlling metabolic syndrome
(10 marks)
3.7 A group of third Human Nutrition students conducted a rapid nutritional
assessment and obtain the following results in Table 2 below.
Use the weight for height Z-scores (WHZ) tables to determine
the nutritional status and WHZ of the children
(12 marks)
Table 2
ID
Sex
1
F
2
M
3
M
4
F
5
M
6
M
Age(months) Height(cm) Weight(kg) WHZ
37
98.2
11.5
42
99.5
10.9
13
69.9
7.5
10
68.2
5.0
25
97.2
11.9
28
89.7
12.9
Nutritional
status
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Weight-for-height
(children 24-59
.BOYS, 24-59
SAM
months, weight-for-height
MAM
Normal
Overweight
Height
< -3
:?:-31o<-2
~-2-10~+2
;;,,+2toS•3
!cm) Weight (k 0 ,
72
0-7.0
1.·1-7.6
7.7-10.7
10.8-11.7
73
0-7.2
7.3-7.8
7.9-11.0
11.1-12.0
;~
0-7.3
7.4-7.9
s.0-11.2
11.3-12.2
75
0-7.S
7.6-8.1
8.2-11.4
11.5-12.5
75
0-7.6
7.7-8.3
8.4-11.7
11.8-12.S
77
0-7.8
7.9-8.4
8.5-11.9
12.0-13.0
7S
0-7.9
8.0-S.6
8.7-12.l
12.2-13.3
79
0-8.1
8.2-8.7
8.8-12.3
12.4-13.5
so
0-8.2
8.3-8.9
9.0-12.6
12.7-13.7
81
0-S.4
8.S-9.1
9.2-12.8
12.9-14.0
82
0-8.6
8.7-9.2
9.3-13.0
13.1-14.2
83
0-8.7
S.8-9.4
9.5-13.3
13.4-14.5
8-'.
0-8.9
9.~9.6
9.7-13,5
13.6-14,6
85
0-9.1
9.2-9.9 10.0--13.8 13.9-15.1
S5
0-9.3
9.4-10.1 10.2-14.1 14.2-15.4
87
0-9.5
9.6-10.3 10.4-14.4
14.5-15.7
8S
0-9.7
9.8-10.5 30.6--14.7
14.8-16.
89
0-9.9
10.0-10.7 10.8-14.9 '15.0-16.3
90
0-10.l
10.2-10.9 11.0-15.2 15.3-16.6
91
0-10.3
10.4-11.1 1.1.2-15.5
1.5.6-16.9
92
0-10.5
10.6-11.3 11.4-35.8
15.9-17.2
93
0-10.7
10.8-11.5
11.6-16.0
16.1-17.5
94
95
0-10.9
0-11.0
f-11-11-..-l0---U·1·.1-9.7
11.8-16.3
l~.0-16.6
16.4-17.8
16.7-18.1
--9-5
0-U.2
11.3-12.1 12.2-16.9
17.0-18.4
97
0-ll.4
ll.S-12.3
12.4-37.2
17.3-is.8
9S
0-11.6
11.7-12.5 12.6-17.5
17.6-19.1
99
0-11.8
11.~12.8
12.9-17.9
18.0-19.S
100
0-12.0 12.1-13.0 13 ..1-18.2 18.3-19.9
101
0-12.2
12.3-13.2 13.3-18.5
18.6-20.3
Obesity
>3
> 11.7
> 12.0
> 12.2
> 12.S
>12.8
>13.0
> 13.3
> .l3.S
-> 13.7
> 14.0
> 14.2
> 14.S
> 14.8
> 15.1
>15.4
> 15.7
> 16.0
> 16.3
> 16.6
·-> 16.9
> 17.2
> .17.5
> 17.8
> 18.1
> .18.4
> 18.8
> 19.l
'> 19.5
> 19.0
>20.3
months)
GIRLS, 24-59 months, weight-for-height
Height
Jcm)
SAM
<-3
MAM
~-3to<-2
Weight (kg)
--1 72
. 73
(H;6
0-6.S
2:__(H-;9t
75
0--7.l
6.7-7.2
G.9-7.4
. ---,0-7.5
7.2-7.7
76
0--7.2
7.3-7.9
I -7-7-- 0-7 4
78
0--7 S
l .?~-- 0-7.7
so
0-7.S
I 81 I 0-80
-:~-i 0-8.2
0-8.4
¾;-I0-8 5
0-8.7
7.5-8.0
7.6-8.2
7.8-S.3
7.9-8.5
H.1-3.7
---88·..-35'--89..91
8.G-9.3
8.8-9.5
-8-6
87
es
~1so
0-8 9
0-9.l
0-9.3
0-9.5
0-9 7
i 0-9 9
0-10.l
9 0-9.7
9.2.:.9.9
9.4-10.l
9.6-"10.3
__9.8-10.5
10.0.-.1.._0,_. S
-··
10.2-11.0
93
0-10 3 10.4-11.2
-~~-10-10 5
0-10.7
10.6-11.4
10.8-11.6
1 96
0-10 8
57
0-11.0
1·- L "8
99
0-11 2
0-11 4
100
0-11 6
I 101
0-11 9
10.9-11.8
11.1-12.0
11.3-12.2
ll.S-12.4
-11.7-12.7
12.0-12.9
Normal
~-2to:S+2
7.3-10.5
7.S-10.7
7.6-~l.O
7.8-11.2
8.0-11.4
8.1-11.6
8.3-11.8
8.4-12.l
8.6--12.3
8.8-12.6
9.0-12,8
9.2-13.1
9.4-13.4
9.6-13.7
9.8-14.0
10.0-14.3
10.2-14.6
10.4-14,9
10.6-15.2
10.9-15.S
:l.1.l-15.8
11.3-16.1
13.S-16.4
11.7-16.7
31.9-17,0
12.1-17.4
12.3-17.7
12.5-18.0
12.8-18.4
13.0-18.7
0\\lerw~lght
>+2 to~ •3
10.6-11.6
10.8-11.8
11.1-12.1
11.3-12.3
ll.S-12.6
11.7-12.S
ll.9-13.1
12.2-13.3
12.4-13.6
12.7-13.9
12.9-14.1
13.2-lA.5
13.5-14.8
13.S-15.1
14.1-15.4
14.4-15.8
14.7-16.l
15.0-16.4
15.3-16.8
15.6-17.1
15.9-17.4
16.2-17.3
16.S-1S.l
16.8-13.5
17.1-13.8
17.S-19.2
17.8-19.5
18.1-19.9
18.S-20.3
18.8-20.7
Obc-slty
>3
> 11.6
> 11.8
> 12.1
> 12.3
> 12.6
> 12.8
> 13.1
> 13.3
> 13.6
> 13.9
> 14.1.
> 14.S
> 14.8
> 15.1
-- ::, 15,4
> 15.8
:> 16:l
> 16.4
>16.8
>17.l
> 17.4
> 17.8
> 18.1
> lS.5
> 18.8
"> 19.2
>19.5
19.0
> 2:0.3
> 20.7
Weight-for-length
(children
0-23 months)
BOYS, 0-23 month:-., weight-for-length
GIRLS, 0-23 months,
weight-for-length
.J. Lenath
{cm)
I .._11
MAM
Norm•I
Ov•rw•l•ht
2: -3 ,o ""-z: sz:-2 to s +2 ,.. •2: 10 s +.)
ObeslTy
I~
47
49
0-l
o=-iO
0-2: 2
~T
'2 0-2.l
2.1-2.2
.:?.3-2.•I
2.4-2.s
2.6-3.0
2.2-3.1
2.3-3.3
2.5-9.6
2.G-3.a
3.1.-3.3
3.2-3.S
3.4-3.7
3.7-3.9
3.9-1.z
> 3.3
> 3.7
> 3.9
> 4.2
Weight
(ka)
J'115G o0,.;1-.8l..9
~·
~i
~-
49
0-2 3
21.5.H0.?..-O2.'.~1=2.l.2-3.0.--=2--).1=-3.,3.--=2,---,3c--_=3-"""3c--_~5
2.2.-Z.3
2.4--3.4
3.5-3.7
:..-3.7
Z.3-Z.4
2.5-3,6
3.7--4.0
2.4-2.5
2.6-3.8
3.9---4.2
50
0-2 5
"2.6-'2. 7
Z.8-4.0
>4.S
0-2 7
:.?.S-2.9
3.0-4.3
>4.a
S2
0-2.6
2.9-3.1
3.2-4.S
4.G-5.0
> s.o
52
2:,..9-3.1
3.2-4.6
4.7-5.l
> 5 •.l.
.. 0-3.0
·0-3.2-•"'"·
"3..l.--3=.3 ,--.=3.-~..a=,--,,,.4..,_-5..3,_:-c,,>-_S.3,,--=s."'2,..-=s~.":'.6;-,-=---c:>-c-:=~-cs-,=..,-o=,=....,,~!c--=-::..,:="4 -,..=., -s:-,:---,:c--::-=-_-c:c--:•=;--
0-3.S
56
0-3.7
3.6--3.7_11
:J.S-S-.4
3.S-4.0 -~• 4.1-5.8
s5s 6
0-3-1
0-3.G
3.S-3 7
:l,7-3.9
3.8-S.S
4,0-5.8
5.6-6.1
S.9-6.4
> 6,_;-
:;
I
G2
I ~-:
I4
0-4
--~-:!.
0-S.O
4.0-4.2
4.3-4.s-·4.~A,
4 5-4, 7
4 ?-5.0
<1.9-S.2
4.3-6.l.
4.8-6".S
5.1-7.1
5.3-7.4
6.S-7.1
6.9-?.4
7.2-7.S
7.S-S.S
> 7.4
>7.8.
> 8.5
57
0-.3 e
0-4.0
()-4 2
0-4,4
--Gz--r
o::i6
o-i---;-
3.9-4.2
4.1.-4.4
4.3-4.G
4--:'s-4.8
4.7-S O
4 '='-~.:?.
4.3-G.;J.
4~:S-
4.7-6.8
4,9-7.l.
S.1-7.4
s.3-7.7
G.2-6.S
G.6-7 . .l
G.9-7.S
7.2-7.S
7.S-8.2
7.~.!,
>,-6u.8
> 7.5
:.- 7.8
:- S.2.
:,. s.5
I~
6664 56
~.!
68
69
10
71
72
0-S 6
0-5.0
o--<,,Q
0-6.2
0-6 ..2
.,,._....,,,'
o-<, "
S 3-!.. 7
5.S-5.9
s. 7-6.1.
!i.~-G.:J
6.1-G.5
6 3-6.7
6.5-6,!J
6,6-7.l
6.8-7."j
7;0--,.5-
7.2-7.6
7.3-7.B
7 S-8.0
S.&-8.0
6.0--S.3
6.2-8.6
6.4-8.9
6.G-9.2
7.0-9.7
7.2-l.O.O
7.6-l.O.S
7.7-10.8
7.9-11.0
8.1-1..1..3
8.1.-8.8
8.4-9.l.
o. 7-9.4
!J.0-9.7
9.3-10.0
~.8-l.O,IS
10,1.-10.9
10.3-"ll,2
10.6-11..S
10.9-11.8
11.1.-12.·1
11.4-12.3
>8,B
:> 9.4
> 9.7
:.> io.o
> 10.3
>io~
.>-10.9
I >"uz
>"°i"i":s
-;, 'Jl-8
::-1,2.J
::.. ·12..3
5 6-6.0
!>8-6,2
6.'l-&8
-~~:-0-
8.9-9.8
> 9.8
>iO.O
G.o-6 4
G.s-9.4
9.S-10.3
> 10.3
G J-Ci.G
G.7-9.G
9,7-J.O.G
> 'io.6
70
7l
0-6,2
C>-6 4
G.J-6.B
G.s-G.9
6.9-9.9
7.0-10.1.
1O,0-J.0,9
10.2-11.1
r.r > :3.0~9
:,, 1
72
0 65
6 6-7.1
,,. 7.2-10.3
10.4-11.4
~.4
73
0-6 7
es.s-7.3
7,4-10.6
10.7-11.7
> "J.1.7
74
7S
I 0-6 9
6 9-7.4
7..S:-10.8
10.9-1:1.9
> l.1-.9
-0~7~.o~-~7.~1--=7_~.--,7~.?c---~1~1""".0,--1~1-.1~-..,1~,..,_,,-->~1~2.-=2--I
7.G-8.2
7.e-e.3
8.3-1.1.5
B.4-11..7
ll.G-12.G
11..s-12.s
> J.2.G
> 12.a
::::;::::~!~:~: ;::=~~:~::~::
78
0-7.8
7.5>-8.S
8,G-'1.2,O
12.1-13.l
.,._J.3.1
7s
o-7 4
7 s-s, 1 s.2-:1~7
11.s-1.2.0
> 12.s
79
0--8.0
0-8.l
D.l-0.6
D.7-l.2:2
J.2.3-.133
> "jj3'".
22....
s. 2-s.s -·-s-.,---.-z.-4-+-·,--2-.s---1-,.-6-->-1-,-.6-<BO
0-7 ti
0-7.7
7.7-8,2
7.8-8.11
S.3-1'1.9
8..S-12.1
.12.0-13.1.
"1.2.2-1.3.4
>13.1
13A
81
0-8.3
8,4-9.O
9.l-12.6
!~:7-~~--~ . ;, fi:S
s1
o-7.9
e.o-s.G
a.7-12.4
!.2.:~~f.~ ->:i.T.7
7
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3.8 Match the following macronutrients and their corresponding energy
yields during metabolism
Macronutrient
Organic acids (Fruit juices)
Alcohol
Polydextrose
Carbohydrates
Fat
Protein
Energy yield .
a. 9 Kcal/g
b. 1 Kcal/g
C. 3 Kcal/g
d. 4 Kcal/g
e. 7 Kcal/g
f. 2 Kcal/g
(6 marks)
SECTION C:
(21 MARKS)
QUESTION 4
(21 MARKS)
Read the following case study carefully and answer the questions that follow
4.1 The family lives in a town: the grandmother, her daughter, a single mother, with her two
schoolchildren. The mother works every day from 6:30 am to 3:30 pm, the grandmother in
the evenings, both in minimum wage-jobs. Shared meals and cooking at home are rare, each
family member cares for catching some food in a box on their way to school, work or back
home. Mother and grandmother are obese with a few symptoms ofthe metabolic syndrome,
but do not know as they cannot afford visits at the health center. The younger child is normal
weight, the older overweight.
4.1.1 Name the nutrient(s) and typical foods related to the problem
4.1.2 Identify two other topics that influence the situation others than the
intake of food respectively nutrients
4.1.3 What type of intervention - according the Nutrition Care Process- might
ameliorate the health of those affected?
Sketch a few details of a project idea.
Give an insight into your decision making
(2 marks)
(2 marks)
(5 marks)
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4.2 Explain the difference between ethics arid the law
4.3 What is public health ethics
4.4 Explain three (3) components of public health ethics
(4 marks)
(2 marks)
(6 marks)
! !!! !!!!!!!GOOD LUCK!!!!!!!!!!!!!!
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