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PHC711S - PRINCIPLES OF PRIMARY HEALTH CARE NUTRITION - 2ND OPP - JULY 2022 |
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nAm I BI A un IVE RS ITY
OF SCIEnCE Ano TECHnOLOGY
FACULTY OF HEALTH, APPLIED SCIENCES AND NATURAL RESOURCES
DEPARTMENT OF HEALTH SCIENCES
QUALIFICATION: BACHELOR OF HUMAN NUTRITION
QUALIFICATION CODE: 08BOHN
COURSE CODE: PHC 7115
LEVEL: 7
COURSE NAME: PRINCIPLESOF PRIMARY HEALTH
CARE NUTRITION
SESSION: JULY 2022
PAPER: THEORY
DURATION: 3 HOURS
MARKS: 100
SUPPLEMENTARY/SECOND OPPORTUNITY EXAMINATION QUESTION PAPER
EXAMINER(S) MRS MARI-LOUISE JEFFERY
MODERATOR: MR GEORGE WALIOMUZIBU MUKIZA
INSTRUCTIONS
1. Answer ALL the questions.
2. Write clearly and neatly.
3. Number the answers clearly.
PERMISSIBLE MATERIALS
SCIENTIFIC CALCULATOR
THIS QUESTION PAPER CONSISTS OF 5 PAGES (Including this front page)
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SECTION A
QUESTION 1
(10 MARKS)
Select the most appropriate answer from the options provided. (Eachcorrect answer earns 1 mark}
1.1 The 2012 WHO growth standards for children are based on data from the WHO Multicentre
Growth Reference Study (MGRS)study conducted during 1997 - 2003 in six sites.
a.
True
b.
False
1.2 Nutritional health is maintained by a state of equilibrium when nutrient intake is balanced by
nutritional requirements:
a.
True
b.
False
1.3 A weight-for-height Z-score below -2SD is generally interpreted as severely stunted:
a.
True
b.
False
1.4 Satiety tells us to stop eating:
a.
True
b.
False
1.5 The total energy that the body expends reflects energy expended for basal metabolism,
physical activity and food consumption:
a.
True
b.
False
1.6 Factors that influence energy expenditure include:
a.
Gender
b.
Age
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c.
Growth
d.
Physical activity
e.
All of the above
1.7 To avoid unhealthy weight gain:
a.
Total fat should not exceed 30% of total energy intake.
b.
Intake of saturated fats should be less than 10% of total energy intake.
c.
Intake of trans-fats less than 15% of total energy intake.
d.
All of the above.
e.
A and B
f.
Band C
1.8 Healthy meal plans should provide:
a.
Energy
b.
Macronutrients
C.
Fruit juice
d.
Sugar sweetened beverages
e.
A and B
f.
C and D
1.9 Eating whole grains reduces the risk of heart disease and helps children of all ages grow at a
healthy weight and avoid constipation:
a.
True
b.
False
1.10 Sunlight is not a good source of vitamin D:
a.
True
b.
False
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"/
QUESTION 2
2.1 Define the following terms:
a.
Nutrition screening
b.
Stadiometer
C.
Amylin
d.
Pancreatic polypeptide
e.
Non-communicable diseases
f.
Basal metabolic rate
(14MARKS)
(3 marks)
(2 marks)
(2 marks)
(3 marks)
(2 marks)
(2 marks)
SECTION B
QUESTION 3
(30MARKS)
3.1 List seven (7) factors that should be considered when compiling the food and
nutrient intake section of a nutrition assessment form.
(7marks)
3.2 Discuss practical advice that you would offer to a client aiming to reduce his/her
sugar intake with relevant examples.
(4 marks)
3.3 Name the Namibian Food Based Dietary Guidelines.
(10 marks)
3.4 Complete the table below
System or tissue
Physical finding
(9 marks)
Possible nutrient deficiency Lexcess
General
Poor wound healing
a)
Hair
Alopecia
b)
Hair
Sparce hair
c)
Skin
Follicular hyperkeratosis
d)
Nails
Koilonychia
e)
Mouth and lips
Cheilosis
f)
Eyes
Bitot' s spots
g)
Neurologic
Ataxia
h)
Skeletal
Bone tenderness
i)
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QUESTION 4
(29 MARKS)
4.1 Discussthe primary care dietary principles for adults.
{10marks)
4.2 Elderly members of the community often suffer from constipation.
Name five (5) reasons for this and how they can overcome it through dietary
interventions.
(9 marks)
4.3 Discuss the fluid requirements in the elderly and how adequate intake can be achieved.
{10 marks)
SECTION C
QUESTION 5
(17 MARKS}
A 25-year-old male, Mr. Du Plessis,was diagnosed with familial hyperlipidemia.
His anthropometric measurements are:
Height: 1.85 m
Weight: 72 kg
Weight 8 months ago: 69 kg
5.1 Calculate and interpret his:
a) Body mass index
b) Ideal body weight range
c) % Usual body weight
d) % Ideal body weight
{3 marks)
{3 marks)
{3 marks)
(3 marks)
5.2 It was suggested that Mr. Du Plessisbe placed on a low fat diet and an exercise programme
of moderate activity three times a week.
Calculate his total energy expenditure requirements using the Harris Benedict
equation with an activity factor of 1.7.
BEE(kcal) for males:= 66.5 + {13,75 x W) + {5.0 x H) - {6,78 x V)
(5marks)
GOOD LUCK
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