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HNT721S - HUMAN NUTRITION 2 -1ST OPP - NOVEMBER 2024 |
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nAm I BIA UnlVERSITY
OF SCIEnCEAnDTECHnOLOGY
FacultyofHealthN, atural
ResourcaensdApplied
Sciences
Schoolof HealthScience~
Departmenot fPreventative
HealthSciences
QUALIFICATION: BACHELOR OF HUMAN NUTRITION
QUALIFICATIONCODE: 08BOHN
COURSE:HUMAN NUTRITION 2
DATE: NOVEMBER 2024
DURATION: 3 HOURS
13Jackson KauJeuSa treet T: ·254 61207 2~70
Private Bag-J33aa
F: ,254 51207 'l'l70
Windhoek
E: dphs@nust.na
N,\\MIBI/\\
W: www.nust.na
LEVEL:7
COURSECODE:HTN721S
SESSION:2024
MARKS: 100
EXAMINER:
MODERATOR:
FIRST OPPORTUNITY EXAMINATION: QUESTION PAPER
MRS MARI-LOUISE JEFFERY
MRS MARJORIE VANWYK
INSTRUCTIONS (add other relevant instructions):
1. Answer all questions on the separate answer sheet.
2. Pleasewrite 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:
NONE
ATTACHMENTS
NONE
This paper consists of~ pages including this front page
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20 MARKS
QUESTION1: MULTIPLECHOICEQUESTIONS
[10 MARKS]
Evaluate the statements in each numbered section and select the most appropriate answer or
phrase from the given possibilities. Fill in the appropriate letter next to the number of the
correct statement/phrase on your ANSWERSHEET.
[10]
1.1 Inositol is a compound that:
[1]
a) May help with inflammation and metabolic health
b) Is often prescribed to regulate menstrual cycles and manage symptoms like acne and
hirsutism
c) Has been shown to improve insulin sensitivity and support ovarian function
d) Aids in digestion and promotes a feeling of fullness
1.2 In insulin resistance:
[1]
a) The insulin-receptor numbers can be increased
b) Patients have circulating antibodies against insulin or the beta cells
c) The insulin-receptor structure can be abnormal
d) A and C
1.3 Which of the following is NOT a common feature of Polycystic Ovary Syndrome (PCOS): [1]
a) Irregular menstrual cycles
b) Excessandrogen levels
c) High insulin sensitivity
d) Ovarian cysts
1.4 Which of the following is a characteristic feature of achalasia:
[1]
a) Increased esophageal motility
b) Inability of the lower esophageal sphincter to relax
c) Presence of esophageal diverticula
d) Excessiveacid production
1.5 Which of the following statements about stimulant laxatives and
intestinal transit is true?
[1]
a) Stimulant laxatives slow down intestinal motility, enhancing drug absorption
b) Stimulant laxatives increase the movement of material from the small intestine distally,
potentially disrupting drug absorption
c) Stimulant laxatives have no effect on drug absorption in the gastrointestinal tract
d) Stimulant laxatives are only effective for treating constipation without affecting intestinal
motility
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1.6 Which of the following is a recommended first-line management
strategy for constipation:
[1]
a) Increasing fiber intake
b) Using stimulant laxatives
c) Performing abdominal surgery
d) Reducing fluid intake
1.7 Which of the following is a primary risk factor for developing
non-alcoholic fatty liver disease (NAFLD):
[1]
a) Excessive alcohol consumption
b) Sedentary lifestyle and obesity
c) High protein diet
d) Viral hepatitis infection
1.8 In resource-poor settings or when a child does not want to
consume ready-to-use therapeutic food, it can be substituted with:
[1]
a) Breastmilk
b) Commercially prepared peanut butter
c) F-75
d) F-100
1.9 Which of the following is NOT a function of the liver:
[1]
a) Producing bile for digestion
b) Storing glucose as glycogen
c) Filtering and detoxifying blood
d) Producing insulin
1.10 Which of the following symptoms is commonly associated with diabetic neuropathy: [1]
a) Increased thirst
b) Numbness or tingling in the extremities
c) Frequent urination
d). Blurred vision
QUESTION2: TRUE/FALSEQUESTIONS
[10 MARKS]
Evaluate the statements and select whether the statement is true or false. Write the word 'True'
or 'False' next to the corresponding number on your ANSWERSHEET.
[10]
2.1 Drug-nutrient interactions are only relevant for prescription medications and
do not affect over-the-counter drugs.
[1]
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2.2 Gastrointestinal diseases can affect nutrient absorption and lead to malnutrition.
[1]
2.3 A child with stunted growth may still be classified as having normal weight for their age. [1]
2.4 Gestational diabetes typically resolves after childbirth.
[1]
2.5 The Nutrition Care Process is a one-time assessment and does not require follow-up. [1]
2.6 Children can outgrow all types of food allergies by adulthood.
[1]
2.7 Child malnutrition only affects physical health and has no impact on
cognitive development.
[1]
2.8 Food intolerance is the same as a food allergy and involves an immune system response. [1]
2.9 Women with gestational diabetes typically require insulin therapy for
blood sugar control.
[1]
2.10 Grapefruit juice has no known interactions with commonly prescribed medications.
[1]
SECTION B: SHORT/ LONG ANSWER QUESTIONS
QUESTION 3:
3.1 Describe the following terms:
a} RUTF
b} Pharmacokinetics
c} Underlying determinants of maternal and child nutrition
[80 MARKS]
[10 MARKS]
[3]
[3]
[4]
QUESTION 4:
Please answer ALL of the questions in this section.
4.1 Differentiate between the two (2) types of food allergy reactions.
[35 MARKS]
[8]
4.2 The metabolic syndrome is defined as cluster of symptoms associated with central obesity,
insulin resistance and hyperinsulinemia.
a} Discussthe diagnostic criteria of the metabolic syndrome.
[6]
b} Gout is one of the chronic diseases that develop as a result of poor management of the
metabolic syndrome. Critically analyse the effectiveness of low-purine diets in the
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management of the disease and discuss the recommended medication options available to
manage this condition.
[5]
c) Describe the dietary recommendations to reduce the build-up of uric acid to prevent gout
flare-ups.
[10]
4.3 Outline the possible gastrointestinal disorders that could be related to the symptoms
described below, and the key nutrition management guidelines for each disorder.
[6]
a) Difficulty in swallowing food
b) Epigastric pain when eating or 2-5 hours after eating
c) Cramps, distention and flatulence several hours after drinking miik
QUESTION 5:
[35 MARKS]
5.1 In a community setting, you are required to assessthe nutritional status of patients diagnosed
with Type 2 Diabetes Mellitus.
a) Explain in detail, the approach you would take in assessing their nutritional status, outlining
the steps in the Nutrition Care Process model and the process of achieving each step. [23]
b) Describe the treatment guidelines that you will follow in your nutrition education session with
this patient.
[12]
END OF PAPER
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