Nutrition Lab VIVA Questions for MBBS
1. Fatty liver, patchy depigmentation of hair and oedema is diagnosis of:
Kwashiorkor
2. A child with alopecia, eczematous lesion over mouth and genitalia and hypogonadism is likely to have suffered from:
Zn deficiency.
3. The characteristic three radiological feature of rickets is:
Cupping, fraying and widening of epiphysis.
4. what is the calorie requirement for a severely malnourished child?
200 cal/kg/day and 10% of total calories should come from proteins of higher biological values.
5. What are the percentage of calorie from diet in balance diet?
15% from protein; 50% from carbohydrate and 35% from fat.
6. How breast feeding offers lower risk of infection?
Because of presence of secretary IgA; lysozyme; lactoferin; low pH, bifidous factor and viable phagocytic macrophages.
7. What are iron dependent enzymes?
Catalase and cytochrome C.
8. Which vitamins are synthesized in the intestine?
vitK; Pantothenic acid; biotin.
9. What is the chief protein of milk?
It is casein.
10. Human milk contains which nutrients in greater amount than cow’s milk?
Linoleic acid; oleic acid; more sugar (lactose)
11. What are the characteristics of the stool of an exclusive breast bed baby?
Low pH; golden colour and acidic reaction.
12. What is the characteristics of colostrums?
Deep yellow with alkaline reaction, 10-40 ml/day, high protein/VitA/Na and Cl, contains antibodies (IgA/IgG/IgM).
13. what are the advantages of breast feeding in later life of the child?
Protection against obesity, demyelinating disease, atherosclerosis, and diabetes mellitus.
14. What is marasmus?
Deficient of energy; body weight less than 60% of expected weight.
15. What is the dose of vitamin A for measles?
2 lakh unit orally each day for 2 days.
16. what are the important signs of hypervitaminosis A?
pseudotumour cerebri ( papilloedema, raised fontanel, and cranial nerve palsy); hyperostosis and hypercalcaemia.
17. What are the C/F of thiamine deficiency?
Dry beri beri (nervous system affected) wet beri beri (cardiovascular system affected) and infantile beri beri (infantile tremor).
18. What are C/F of riboflavin deficiency?
Glossitis/ cheliosis/scaly dermatitis/keratitis.
19. What are C/F of Niacin deficiency?
Diarrhoea/ dermatitis/dementia/red swollen tongue.
20. What are C/F of pyridoxine deficiency?
Hyperirritability/ hyperacusis/ hypochromic anemia/ convulsion in
infancy.
21. What are C/F of vitamin C deficiency?
Pseudoparalysis/ subperiosteal he/ gingival hyperplasia/ scorbutic rosary/ follicular hyperkeratosis.
22. What are C/F of vitamin D deficiency?
Craniotabes/ frontal bossing/ ricketic rosary/ Harrison groove/ delayed eruption of tooth/ pot belly/ widening of epiphysis of long bone.
23. What percentage of children under 5 are stunted in Nepal?
It is more than 50% (54% based on 1998 NepalMicronutrientStatusSurvey)
24. At what age there is greatest risk of PEM?
6-18 months.
25. How will you classify a child whose weight is 60-80% and oedema present?
Kwashiorkor.
26. How will you classify a child whose weight is less than 60 and oedema present?
Marasmic Kwashiorkor.
27. Tell three indication for admission of a malnourished child.
Weight deficit of less than 70% of weight for height or <60% for weight/Hb < 5gms/ hypothermia/persistent diarrhoea/dehydration/sepsis.
28. Tell three causes of death in malnutrition.
Hypothermia/hypoglycemia/dehydration and dyselectrolytemia.
29. which fluid will you use to treat dehydration in malnutrition?
Resomal which contains low sodium and added zinc