SPECIAL RD EXAM FOR SENIORS
22nd FEBRUARY 2014
TIME: 9 am to 12 noon
TOTAL MARKS 100
ANSWER ALL QUESTIONS
PART A
I. Multiple choice questions.
Tick the most appropriate answer.
Answer 20 out of 21 questions
(40 marks)
(20 x 1= 20 marks)
1. GERD represents
a. Gastro enteritis route disease
b. Gastro esophageal reflux disease
c. Gastro entero reflux disorder
d. Gastro enteral reflux disease
2. One should avoid this non nutritive sweetener during pregnancy and
lactation
a. Aspartame
b. Neotame
c. Saccharin
d. Sucralose
3. The household measure for 10 gm. of oil-any variety is
a. 3 tsp.
b. 2 tsp.
c. 1/4th cup
d. 2 tbs
4. Stages of CKD can be classified with the help of
a. Albumin
b. Urea excretion rate
c. Ammonia output
d. GFR
5. Burn shock resuscitation in adults is required if the % burned surface area
Exceeds
a. 25%
b. 10%
c. 15%
d. 40%
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6. Vitamin B 6-Pyridoxine is
a. coenzyme in single carbon metabolism
b. coenzyme in amino acid metabolism
c. coenzyme for carboxylation
d. coenzyme in fatty acid metabolism
7. Potassium (mg) content per 100 gms of sweet lime ( musambi) is
a. 210 mg
b.160 mg
c. 490 mg
d. 340 mg.
8. The disease associated with Niacin deficiency is
a. keratomalacia
b. pellagra
c. rickets
d. sickle cell anemia.
9. Thalassemia is
a. An inborn error of metabolism
b. Pentothenic acid deficiency
c. An inherited anemia
d. Food borne infection
10. Low fat eating plan that is high in fruits and vegetables and low fat dairy
Foods shown to reduce blood pressure
a. High fiber diet
b. DASH diet
c. Low fat diet
d. Low cholesterol diet
11. Gluconeogenesis is
a. Formation of glucose from non carbohydrate molecules
b. Conversion of glycogen to glucose
c. Formation of glucose through TCA cycle
d. Carbohydrate metabolism
12. The random movement of particles through opening in cellular membrane
According to electrochemical and concentration gradient is
a. Active transport
b. Facilitated diffusion
c. Passive diffusion
d. Molecular transportation
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13. The ratio of moles of carbon di oxide produced to the moles of oxygen
Produced is
a. Thermic effect of food( TEF)
b. Resting metabolic rate (RMR)
c. Resting energy expenditure (REE)
d. Respiratory quotient (RQ)
14. This amino acid can be converted to niacin the body
a. glycine
b. Tryptophan
c. Lysine
d. Histidine
15. The reference level for total cholesterol in adults is
a. > 150 mg/dl
b. <150 mg/dl
c. >250 mg/dl
d. <250 mg/dl
16. Code frequently used to classify nutritional Marasmus by WHO is
a. 263
b. 263-2
c. 261
d. 262
17. Provision of nutrients directly into a large central vein usually the superior
vena cava is
a. Continuous drip infusion
b. Peripheral parenteral nutrition
c. Total parenteral nutrition
d. Enteral nutrition
18. Niacin deficiency cannot occur if the diet is rich in its precursor a. Thiamin
b. Tryptophan
c. Folic acid
d. Carotene
19. The following form of vitamin A is used in the visual cycle of Wald
a. Retinol
b. Retinoic acid
c. Retinaldehyde
d. Retinyl acetate
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20. Vitamin K regulates the synthesis of blood clotting factors
a.
VII
b.
IX
c.
X
d.
All of the above
21.
II.
Which among the following is a saturated fatty acid?
a. Stearic acid
b. Oleic acid
c. Linoleic acid
d. Aspartic acid
Fill in the blanks
Answer all the questions:
(10 x 1 = 10 marks)
1.
Pernecious Anemia is caused because of the deficiency of ............
2.
Hepatitis A is caused by .....................
3.
Limiting amino acid in pulses is .......................
4.
In fever increased requirement for B Complex Vitamin is due
to..............
5.
Which conditions are part of the “Syndrome X”, list them.
......................................................................
6.
In cirrhosis of liver there is a great increase in the serum
..........................................
7.
Excessive secretion of growth hormone in adults results in increase
in thickness of lower jaw, hand and feet producing what is known
as ..............................................
8.
Which hormone causes the kidneys to retain water, thus increasing
the water content of the body. It plays an important role in the
osmo regulation, name the Hormone ................................
9.
High blood cholesterol and low serum proteins are encountered in
.........................................
10.
1 hydroxylation of 25 hydroxy of Vitamin D3 takes place in
.................................
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III.
V.
Match the following:
Answer all questions
1. Ketone body
2. Lipotropic factor
3. Alkaptonurea
4. Maple syrup urine disease
5. Von Gierke’s disease
(5 x 1 = 5 marks)
a. methionine
b. acetoacetic acid
c. glucose – 6 – phosphatase
d. tyrosine
e. valine, Leucine and isoleucine
State whether True or False
(5 x 1 = 5 marks)
Answer all questions
1.
Studies of population that reveal correlations between dietary
habits and disease incidence are Clinical trials
2.
At high temperature the rate of enzyme action decreases because
the increased heat changes the pH of the system.
3.
The simplest amino acid is Aspartic acid.
4.
Orlistat , FDA approved drug for treatment of obesity , involves the
mechanism of inhibition of appetite centre
5.
The main intracellular iron storage protein is Transferrin.
PART B
( 60 Marks)
Answer any FOUR questions out of SIX questions.
(4x15 = 60 marks )
1. Plan a day’s diet for a girl aged 17 years school going from a middle class
family weighing 29 kilograms having Type 1 diabetes mellitus with gluten
enteropathy. Give in detail the principle, objectives and nutritional care
plan of the patient.
2. A 42 year old male (height 165 cm, weight 56 kilograms) is undergoing
haemodialysis and is waiting for kidney transplant. His biochemical
parameters are BP 150/95 mmHg, Creatinine 6.1 mg/dl, BUN 79 mg/dl,
Potassium 5.7 mmo/L, Sodium 155 mmo/L. What diet will you advise for
this patient? Justify your stand on your diet plan.
3. A 38 year old female had accidental 2 nd degree burns due to gas cylinder
burst and has developed jaundice. She is unable to take food orally hence
a RT tube has been put through for feeding. Plan an RT tube feeding
formulae for this patient. Weight: 60 kilo grams, height: 158 cm. Total
Protein: 4.9 gram %, Globulin: 2.4 gm%, Bilirubin: 8.4 mg/DL.
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4. A 44 years old office going lady, known CAD with unstable angina, post
hysterectomy status is waiting CABG. She is on the following medications.
ATEN 50, Atorvastatin 20 mg, Fenofibrate- OD. Her biochemical
parameters Height; 154 cm, weight: 60 kilo grams, Hba1c: 5.8 %, FBS:
124 mgs/dl, PPBS: 139mgs/dl, BP: 160/90 mmHg, Total Cholesterol: 240
mgs/dl, LDL cholesterol: 100 mgs/dl, HDL Cholesterol: 38 mgs/dl, STGL:
278 mgs/dl. What diet will you recommend to this lady and why?
5. A five year old child was brought to the hospital with severe edema,
difficulty in breathing and puffiness of face. The blood and urine report
shows: serum albumin: below 2 mg/dl, Serum Cholesterol: 400 mg/dl,
Urine Albumin: ++. Give your diagnosis of the case, Nutritive prescription,
diet plan and diet calculation.
6.
A 48 year old Male having Diabetes for the past 8 years, below knee
amputation and having renal failure has been referred to the dietitian. He
is on three doses of 6 U of regular insulin and undergoing hemo-dialysis
twice a week. Parameters are weight;82 kilo grams, height: 164 cm, FBS
160mg%, PPBS: 250mg%, Cholesterol: 233 mg%, TG: 480mg%,
HDL:40mg%, Na:138mEq/L, K: 5.1 mEq/L, Hb: 9gm%. Give the following
points: (a). assessment and nutritive goals (b) detailed nutritional care
plans (c) diet plan and calculation.
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