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Chapter 29: Multiple Choice Questions: Instructions

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Geissler & Powers: Human Nutrition 13e

Chapter 29: Multiple choice questions

Instructions
Answer the following questions and then press 'Submit' to get your score.

Question 1

Severe acute malnutrition in young children is defined as:

a) Weight-for-age Z score <-3


b) Height-for-age Z score <-3 and oedema
c) Height-for-age Z score <-3 or weight-for-height Z score <-3 or oedema
d) Height-for-age Z score <-3 or weight-for-age Z score <-3 or oedema

Question 2

Deficiency of vitamin A in children causes:

a) Goitre
b) Poor cognitive development
c) Poor bone growth
d) Increased risk of mortality

Question 3

Which of the following could lead to iodine deficiency?

a) Low intake of fruits and vegetables


b) Intake only of locally grown food in central Africa
c) Insufficient caloric intake
d) Inadequate sunlight exposure

Question 4

Deficiencies of which of the following nutrients can lead to anaemia?

a) Iodine and vitamin C


b) Copper and iron
c) Zinc and protein
d) Vitamin D and zinc

Question 5

Which of the following has not at one point in the past few decades been considered as a cause of the oedema of kwashiorkor?

a) Altered composition of intestinal bacteria


b) Low intake of antioxidant nutrients
c) Sudden weaning from the breast
d) Iron deficiency

Question 6

The UNICEF model of the causes of malnutrition identifies several levels of causes: immediate, underlying and basic. Which of the following is
not one of the underlying causes in the UNICEF model?
a) Insufficient rainfall for agriculture
b) Inadequate access to food
c) Inadequate care for mothers and children
d) Insufficient health services and unhealthy environment

Question 7

The World Health Organization recommends zinc supplements for which groups of people?

a) Pregnant and lactating women


b) Children with severe malnutrition or diarrhoea
c) All children in low income areas with high prevalence of stunting
d) Elderly people with low incomes

Question 8

Vitamin D deficiency can often be found as a single nutrient deficiency, that is, in an otherwise well-nourished person. The main reason this can
happen is because:

a) Foods containing large amounts of vitamin D are eaten by both poor and wealthy people according to various cultural reasons.
b) The content of vitamin D in foods depends on the soil in which the food was grown so is not related to wealth or age.
c) Most vitamin D in the body does not come from food so access to food is not an important determinant of vitamin D status.
d) Diets containing sufficient other nutrients to promote growth can increase the requirement of vitamin D so that it becomes limiting.

Question 9

Which of the following is not a reason for increased risk of vitamin or mineral deficiencies among older people in high income countries?

a) Low income so decreased ability to purchase nutrient-rich foods


b) Decreased mobility and little time spend outdoors in the sunshine
c) Decreased intrinsic factor in the stomach
d) High nutrient requirements for tissue turnover

Question 10

Diagnosis of iron deficiency can be complicated by concurrent infection since many markers of iron status are altered by infection. Which of the
following combinations of iron status markers is likely to be found in a person with both iron deficiency and a severe infection?

a) Low haemoglobin, high ferritin, high serum transferrin receptors, high hepcidin
b) Low haemoglobin, low ferritin, high serum transferrin receptors, low hepcidin
c) Low haemoglobin, low ferritin, normal serum transferrin receptors, high hepcidin
d) Low haemoglobin, low ferritin, low serum transferrin receptors, high hepcidin

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