Techniques for assessment of Human Nutritional status, causes and preventions of Malnutrition
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Question No. 1
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Which of the following methods is considered the
most practical
for community-level screening of malnutrition in large populations?
A.
Mid Upper Arm Circumference (MUAC) measurement
B.
Magnetic Resonance Imaging (MRI)
C.
Dual-Energy X-ray Absorptiometry (DEXA)
D.
Computed Tomography (CT) scan
Question No. 2
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The
ABCD
method of nutritional assessment includes all of the following components EXCEPT:
A.
Clinical examination
B.
Anthropometric measurements
C.
Diagnostic imaging
D.
Biochemical tests
Question No. 3
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A child's
weight-for-height
index is primarily used to assess which type of malnutrition?
A.
Micronutrient deficiency
B.
Obesity
C.
Stunting (chronic malnutrition)
D.
Wasting (acute malnutrition)
Question No. 4
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According to WHO guidelines, a BMI of
less than 18.5 kg/m²
in adults indicates:
A.
Normal nutritional status
B.
Obesity
C.
Underweight
D.
Overweight
Question No. 5
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Which biochemical parameter has the
longest half-life
and is therefore less suitable for monitoring acute changes in nutritional status?
A.
Transferrin (10 days)
B.
Albumin (20 days)
C.
Retinol-binding protein (12 hours)
D.
Prealbumin (2-3 days)
Question No. 6
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Bitot's spots on the conjunctiva are a clinical sign of deficiency of which micronutrient?
A.
Iron
B.
Iodine
C.
Vitamin C
D.
Vitamin A
Question No. 7
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The
Frankfurt position
used during height measurement refers to:
A.
A line from external ear hole to lower eyelid parallel to the floor
B.
Chin touching the chest
C.
Head tilted backward at 45 degrees
D.
Standing with feet together and arms by the side
Question No. 8
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A child with a MUAC measurement of
10.5 cm
(red zone) would be classified as having:
A.
Overnutrition
B.
Severe Acute Malnutrition (SAM)
C.
Moderate Acute Malnutrition (MAM)
D.
Normal nutritional status
Question No. 9
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Which of the following is the
primary cause
of protein-energy malnutrition (PEM) worldwide?
A.
Insufficient food intake and poverty
B.
Hormonal imbalances
C.
Excessive physical exercise
D.
Genetic disorders
Question No. 10
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Kwashiorkor is primarily characterized by deficiency of
which macronutrient
?
A.
Fiber
B.
Fats
C.
Carbohydrates
D.
Proteins
Question No. 11
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The
dietary diversity score
is calculated based on consumption of how many food groups in 24 hours?
A.
Four food groups
B.
Ten food groups
C.
Eight food groups
D.
Six food groups
Question No. 12
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Stunting in children is defined as low
which anthropometric index
?
A.
Head circumference-for-age
B.
Height-for-age
C.
Weight-for-height
D.
Weight-for-age
Question No. 13
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Bioelectrical Impedance Analysis (BIA) is used to assess which aspect of nutritional status?
A.
Body composition (fat mass and fat-free mass)
B.
Vitamin absorption
C.
Dietary intake
D.
Micronutrient levels
Question No. 14
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Which of the following interventions is
most effective
for preventing childhood stunting in food-insecure populations?
A.
Exclusive medication therapy
B.
Lipid-based nutrient supplements (LNS) for children 6-23 months
C.
Delayed introduction of complementary foods
D.
Physical exercise programs only
Question No. 15
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Pitting edema in
both feet
after applying thumb pressure for 3 seconds indicates:
A.
Vitamin A deficiency
B.
Iron deficiency anemia
C.
Iodine deficiency
D.
Protein-energy malnutrition
Question No. 16
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The
double burden of malnutrition
refers to the coexistence of:
A.
Undernutrition and overnutrition
B.
Two different vitamin deficiencies
C.
Acute and chronic infections
D.
Protein and carbohydrate deficiency
Question No. 17
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Goitre, a visible swelling on the neck, is the clinical manifestation of deficiency of:
A.
Calcium
B.
Iron
C.
Zinc
D.
Iodine
Question No. 18
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Which method is used to measure the length of children
under 2 years
old?
A.
Measuring tape around waist
B.
Stadiometer with child standing
C.
Portable anthropometer with child sitting
D.
Sliding board with child lying down
Question No. 19
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Antenatal
multiple micronutrient supplementation
during pregnancy is most effective in preventing:
A.
Maternal obesity
B.
Gestational diabetes
C.
Stillbirths and low birth weight
D.
Twin pregnancies
Question No. 20
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A birth weight of
less than 1500 grams
is classified as:
A.
Normal birth weight
B.
Low birth weight
C.
Very low birth weight
D.
Macrosomia
Question No. 21
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Which vitamin deficiency causes
perifollicular hemorrhage
and bleeding gums?
A.
Vitamin A
B.
Vitamin K
C.
Vitamin C
D.
Vitamin D
Question No. 22
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The
Mini Nutritional Assessment (MNA)
is specifically designed as a screening tool for which population?
A.
Pregnant women
B.
Infants under 6 months
C.
Geriatric (elderly) patients
D.
Adolescents
Question No. 23
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Marasmus is primarily caused by deficiency of:
A.
Total calories/energy
B.
Vitamins only
C.
Minerals only
D.
Proteins only
Question No. 24
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Head circumference measurement is most useful for assessing chronic nutritional problems in children of which age group?
A.
2-5 years
B.
Above 10 years
C.
5-10 years
D.
Under 2 years
Question No. 25
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Which of the following is a
direct intervention
for improving maternal and child nutrition?
A.
Water and sanitation improvement
B.
Breastfeeding promotion and counseling
C.
Poverty alleviation schemes
D.
Malaria prevention programs
Question No. 26
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Koilonychia (spoon-shaped nails) is a clinical sign of which deficiency?
A.
Vitamin D
B.
Vitamin B12
C.
Calcium
D.
Iron
Question No. 27
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The
Salter Scale
with weighing sling is used to measure the weight of:
A.
Adolescents only
B.
Pregnant women
C.
Children under 2 years
D.
Adults only
Question No. 28
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Mid-arm muscle circumference (MAMC) is calculated using which formula?
A.
MAC × triceps skinfold
B.
MAC ÷ triceps skinfold
C.
MAC - (3.1414 × triceps skinfold)
D.
MAC + (3.14 × triceps skinfold)
Question No. 29
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Which of the following causes
impaired absorption
of nutrients leading to malnutrition?
A.
High metabolic rate
B.
Inflammatory bowel disease
C.
Excessive physical exercise
D.
Increased appetite
Question No. 30
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The
24-hour recall method
in dietary assessment involves:
A.
Remembering and reporting food consumed in previous 24 hours
B.
Measuring body weight every 24 hours
C.
Testing blood glucose 24 times
D.
Recording food intake for next 24 hours
Question No. 31
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For pregnant women, which anthropometric measurement is
the only accurate
indicator of malnutrition?
A.
Waist circumference
B.
Hip circumference
C.
Mid Upper Arm Circumference (MUAC)
D.
Body Mass Index (BMI)
Question No. 32
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Xerophthalmia (dry eyes) and night blindness are early signs of deficiency of:
A.
Vitamin K
B.
Vitamin A
C.
Vitamin E
D.
Vitamin B complex
Question No. 33
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The
prevalence of stunting
in a population indicates:
A.
Acute infection outbreak
B.
Chronic malnutrition over extended period
C.
Recent food shortage
D.
Micronutrient supplementation programs
Question No. 34
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Prevention of
iron deficiency anemia
during pregnancy requires supplementation with:
A.
Iron and folic acid
B.
Calcium and vitamin D
C.
Vitamin C and vitamin E
D.
Vitamin A and zinc
Question No. 35
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Pellagra, characterized by the
'3 Ds'
(dermatitis, diarrhea, dementia), results from deficiency of:
A.
Thiamine (Vitamin B1)
B.
Niacin (Vitamin B3)
C.
Riboflavin (Vitamin B2)
D.
Pyridoxine (Vitamin B6)
Question No. 36
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Which intervention is recommended for
prevention of childhood obesity
?
A.
Integrated diet, exercise, and behavioral therapy
B.
Unlimited screen time
C.
Restriction of all physical activities
D.
High-calorie diet supplementation
Question No. 37
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Anthropometric measurements of
skinfold thickness
primarily indicate:
A.
Mineral reserves
B.
Energy (lipid) stores
C.
Vitamin levels
D.
Protein stores
Question No. 38
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Severe Acute Malnutrition (SAM) in children is defined as weight-for-height less than:
A.
-2 Standard Deviation (SD)
B.
-3 Standard Deviation (SD)
C.
-1 Standard Deviation (SD)
D.
-4 Standard Deviation (SD)
Question No. 39
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Beriberi disease, affecting the cardiovascular and nervous systems, is caused by deficiency of:
A.
Vitamin K
B.
Thiamine (Vitamin B1)
C.
Vitamin C
D.
Vitamin D
Question No. 40
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The
Food Frequency Questionnaire (FFQ)
is used to assess:
A.
Metabolic rate
B.
Body fat percentage
C.
Blood glucose levels
D.
Usual dietary patterns over time
Question No. 41
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Rickets in children and osteomalacia in adults are caused by deficiency of:
A.
Iron
B.
Vitamin K
C.
Vitamin D
D.
Calcium only
Question No. 42
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C-reactive protein (CRP) levels in nutritional assessment are used as a marker of:
A.
Protein stores
B.
Carbohydrate metabolism
C.
Fat absorption
D.
Inflammation
Question No. 43
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Delayed cord clamping after birth helps prevent which nutritional deficiency in newborns?
A.
Protein deficiency
B.
Vitamin A deficiency
C.
Iron deficiency
D.
Calcium deficiency
Question No. 44
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Angular stomatitis, glossitis, and cheilosis are clinical signs of deficiency of:
A.
Vitamin B complex
B.
Vitamin E
C.
Vitamin C
D.
Vitamin A
Question No. 45
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The
Single Solution Kit (SSK)
is used in nutritional assessment to test:
A.
Soil fertility
B.
Water quality
C.
Blood hemoglobin levels
D.
Household salt iodine content
Question No. 46
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Community-based management of
acute malnutrition
using Ready-to-Use Therapeutic Food (RUTF) has the advantage of:
A.
Being effective only for moderate malnutrition
B.
Replacing all other foods
C.
Requiring hospital admission for all cases
D.
Treating children in their homes and communities
Question No. 47
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Prealbumin (transthyretin) is preferred over albumin for monitoring
short-term nutritional changes
because:
A.
It has a longer half-life
B.
It has a shorter half-life (2-3 days)
C.
It is unaffected by inflammation
D.
It is cheaper to measure
Question No. 48
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The bidirectional relationship between
malnutrition and infection
means that:
A.
Malnutrition increases infection risk, and infections worsen malnutrition
B.
They are completely independent conditions
C.
Only infections cause malnutrition
D.
Only malnutrition causes infections
Question No. 49
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Exclusive breastfeeding is recommended for the first
how many months
of life to prevent malnutrition?
A.
6 months
B.
12 months
C.
3 months
D.
9 months
Question No. 50
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Which population group has the
highest nutritional requirements
per kilogram of body weight?
A.
Elderly adults
B.
Infants and young children
C.
Middle-aged adults
D.
Adolescents
Question No. 51
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Water, Sanitation, and Hygiene (WASH) interventions are considered
indirect strategies
for preventing malnutrition because they:
A.
Replace the need for food
B.
Directly provide nutrients
C.
Increase caloric intake
D.
Reduce diarrheal diseases and improve nutrient absorption
Question No. 52
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Visible severe wasting in infants under 6 months is assessed by examining:
A.
Arms, thighs, and buttocks for muscle loss and sagging skin
B.
Only the face
C.
Only body weight
D.
Hair texture only
Question No. 53
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Scurvy, characterized by impaired collagen synthesis, is caused by prolonged deficiency of:
A.
Vitamin D
B.
Vitamin E
C.
Vitamin C
D.
Vitamin A
Question No. 54
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The
phase angle
measured by bioelectrical impedance analysis (BIA) is considered a strong predictor of:
A.
Blood glucose
B.
Malnutrition and mortality risk
C.
Bone density
D.
Vitamin levels
Question No. 55
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Food fortification with multiple micronutrients is an example of which prevention strategy?
A.
Tertiary prevention
B.
No prevention
C.
Quaternary prevention
D.
Primary prevention
Question No. 56
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Supplementary feeding programs
for pregnant women and children primarily target:
A.
Prevention and treatment of moderate acute malnutrition
B.
Cosmetic improvements
C.
Obesity treatment
D.
Athletic performance enhancement
Question No. 57
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Wernicke encephalopathy and Korsakoff psychosis are neurological complications of chronic deficiency of:
A.
Niacin
B.
Thiamine (Vitamin B1)
C.
Vitamin B12
D.
Folic acid
Question No. 58
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Growth monitoring and promotion (GMP) programs identify children at nutritional risk by plotting:
A.
Weight-for-age on growth charts
B.
Dental development
C.
Blood pressure readings
D.
Vision acuity
Question No. 59
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Zinc supplementation has been proven effective in reducing the
duration and severity
of:
A.
Hypertension
B.
Diabetes mellitus
C.
Acute diarrhea in children
D.
Arthritis
Question No. 60
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School feeding programs as a malnutrition prevention strategy work by:
A.
Replacing all home meals
B.
Reducing physical activity
C.
Teaching only cooking skills
D.
Improving attendance, cognition, and nutritional status of children
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