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PHC711S - PRINCIPLES OF PRIMARY HEALTH CARE NUTRITION - 1ST OPP - JUNE 2022 |
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n Am I BI A u n IVER s I TY
OF SCIEnCE Ano TECHnOLOGY
FACULTY OF HEALTH, APPLIED SCIENCES AND NATURAL RESOURCES
DEPARTMENT OF HEALTH SCIENCES
QUALIFICATION: BACHELOR OF HUMAN NUTRITION
QUALIFICATION CODE: ·08BOHN
COURSECODE: PHC711S
LEVEL: 7
COURSE NAME: PRINCIPLESOF PRIMARY HEALTH
CARE NUTRITION
SESSION: JUNE 2022
PAPER: THEORY
DURATION: 3 HOURS
MARKS: 100
FIRST OPPORTUNITY EXAMINATION QUESTION PAPER
EXAMINER(S) MRS MARI-LOUISE JEFFERY
MODERATOR: MR GEORGE WALIOMUZIBU MUKISA
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 Fat-free mass is defined as the quantity of non-adipose tissue body mass:
a.
True
b.
False
1.2 Anthropometric measurements should be taken on a person dressed in light clothing,
wearing socks and shoes:
a.
True
b.
False
1.3 A weight-for-height Z-score below -25D is generally interpreted as severely wasted:
a.
True
b.
False
1.4 Satiation tells us to stop eating:
a.
True
b.
False
1.5 The total energy that the body expends reflects:
a.
Energy expended for basal metabolism.
b.
Energy expended for physical activity.
c.
Energy expended for food consumption.
d.
All of the above.
1.6 Resting metabolic rate is the rate at which the body expends energy to maintain life-
sustaining activities:
a. True
b. False
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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 During the introduction of complementary feeding, at about 6 months of age:
a.
Begin to introduce whole foods, one food at a time.
b.
Work with the family to decide what foods to provide.
c.
Wait for at least 7 to 10 days before introducing another new food.
1.9 Eating whole grains increases the risk of heart disease and helps children of all agesgrow at a
healthy weight and avoid constipation:
a.
True
b.
False
1.10 In low-resource settings, health-care costs for non-communicable diseases quickly drain
household resources:
a.
True
b.
False
QUESTION 2
2.1 Define the following terms:
a.
Nutrition assessment
b.
Anthropometry
C.
lnfantometer
d.
Ghrelin
e.
Adaptive thermogenesis
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(15 MARKS)
(3 marks)
(2 marks)
(2 marks)
(3 marks)
(3 marks)
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f.
Non-communicable diseases
(2 marks)
SECTION B
QUESTION 3
(29 MARKS)
3.1 Discuss the purpose and importance of anthropometry.
(6 marks)
3.2 Discuss practical advice that you would offer to a client aiming to reduce his/her
salt intake
with relevant examples.
(4marks)
3.3 Discuss the main nutrition-related problems that occur in prisons.
(6 marks)
3.4 Name four (4) metabolic risk factor that contribute to or increase the risk of
developing non- communicable diseases.
(4 marks)
3.5 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)
QUESTION 4
(29 MARKS)
4.1 Name and discuss the factors to take into consideration during diet planning. {20marks)
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. {9marks)
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SECTION C
QUESTION 5
(17 MARKS)
A 62-year-old female, Mrs. Mouton, was recently diagnosed with Hypertension and Type 2 Diabetes
Mellitus.
Her anthropometric measurements are:
Height: 1.70 m
Weight: 80.8 kg
Weight 6 months ago: 90 kg
5.1 Calculate and interpret her:
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 Mrs. Mouton be placed on a weight loss diet and
an exercise programme of moderate activity three times a week.
Calculate her total energy expenditure requirements using the Harris Benedict
equation with an activity factor of 1.5.
BEE(kcal) for females:= 655.1 + (9,56 x W) + (1,85 x H) - (4,68 x V)
(5 marks)
GOOD LUCK
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