Pédiatrie Preparation (Pr. Sruor Yina)

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1024

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1) What is the importance of serum albumin determination in the assessment of protein energy malnutrition?

a. To assess protein malabsorbtion

b. To diagnose hypo-albunemia, To assess protein malabsorbtion

c. To diagnose hyper-albuminemia

d. To diagnose hypo-albunemia

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2) Which age groups of children are more predisposed to protein energy malnutrition (kwashiorkor)?

a. All under five

b. Children 2-3 years old

c. Children 4-5 years

d. Under one year

e. None

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3) What is the importance of differential leukocyte count (particularly lymphocyte count) in the assessment of protein energy malnutrition?

a. To determine the relative lymphocyte count as an indicator of viral infection in protein energy malnutrition

b. To diagnose the presence of infections

c. To see the presence of atypical lymphocytes

d. All of the above

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4) What sanitary measures should be taken to prevent PEM?

a. All of the above

b. Sources of water should be protected

c. Personal and environmental hygiene should be maintained

d. Provision of safe and adequate food

e. None of the above

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5) What pathogens contribute indirectly to the development of protein energy malnutrition?

a. All of the above

b. Bacteria

c. Viruses

d. Parasites

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6) Which of the following is a false statement?

a. Protein energy malnutrition is associated with diarrhea, Malnutrition is non-preventable communicable disease

b. Immunization can prevent malnutrition

c. Malnutrition is non-preventable communicable disease

d. Protein energy malnutrition is associated with diarrhea

e. Marasmus is one of the problems of our society

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7) One of the advantages of providing small frequent feeds in the acute phase of dietary management of PEM is:

a. None of the above

b. It increases appetite; therefore, the child could strive to gain weight at earliest time

c. It minimizes the risk of vomiting, hypoglycemia and hypothermia

d. It reduces the risk of infection

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8) How common is the problem of protein energy malnutrition?

a. The prevalence of mild and moderate forms Protein energy Malnutrition range from 20-40%

b. Severe forms of malnutrition are frequent in the order of 5-10% in developing countries

c. All are correct

d. Stunting is the more common form of malnutrition than wasting in most developing countries including Ethiopia

e. Wasting follows seasonal shortage of food

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9) The basic objective of managing a child with protein energy malnutrition is the following except one:

a. Treating superimposed infections

b. Correction of specific nutrient deficiencies

c. Provision of immunization (measles)

d. Managing complications

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10) The objective of the rehabilitation phase in dietary management of PEM is

a. To decrease the risk of vomiting, diarrhea and hypothermia

b. To increase and promote a rapid rate of catch up growth through administration of high energy and protein

c. To promote the participation of mothers/care givers in the dietary management process.

d. To avoid unnecessarily prolonged hospital stay so as to prevent cross infection

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11) In the clinical work up of protein energy malnutrition, what laboratory investigations can be done in a routine laboratory setup?

a. Hemoglobin determination

b. All of the above

c. Differential leukocyte count

d. Stained red blood cell morphology assessment

e. Serum albumin determination

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12) What is the importance of studying stained red cell morphology in the assessment of protein energy malnutrition?

a. It enables the classification of anemia

b. To diagnose iron deficiency anemia

c. All of the above

d. To assess nutritional anemia

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13) What is the importance of hemoglobin determination in the assessment of protein energy malnutrition?

a. To assess the presence of abnormal red blood cell morphology

b. To diagnose anemia

c. To diagnose polycythemia

d. None of the above

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14) Why is weaning time usually the period for the syndrome of protein energy malnutrition to set in?

a. All

b. Ceasing or reduction of breast-feeding

c. Use of bottle-feeding with diluted and dirty formula predisposing the child to infection

d. None

e. Improper weaning practices like introduction of supplementary foods abruptly

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15) What are the basic causes of protein –energy malnutrition?

a. Drought

b. War

c. Social inequality

d. None

e. All of the above

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16) What are the different risk factors involved for the development of protein energy malnutrition?

a. Ignorance of parents about the importance of child nutrition

b. Infections like measles, Pertusis, diarrhea

c. Child abuse (Neglect)

d. Low socioeconomic conditions

e. All of the above

Your score is

The average score is 92%

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Pédiatrie Preparation (Pr. Sruor Yina)

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និស្សិតអាចប្រាប់មកកាន់ពួកយើងបានដើម្បីកែកំហុស ឬអំពីបញ្ហាដោយអចេតនាណាមួយដែលកើតមានកំឡុងពេលធ្វើតេស្ត