Samplex Nutritional & Diseases of Infancy

A 20-year-old female with Anorexia nervosa came for consult because of severe hip joint pains. X- RAY revealed severe osteoporosis due to hyperestrinism. The reason for this is: a. decreased estrogen leads to decreased osteoblastic activity b. decreased estrogen leads to increased osteoclastic activity C. Both
D Neither

C. Both

A 49-year-old patient consulted because of a non-healing ulcer on his right leg, perioral rash, anosmia & ageusia. What could be the possible cause of his condition? a. increased copper B. decreased chromium c. decreased zinc d. decreased selenium

c. decreased zinc

A 5-day old infant was brought to the hospital because of high grade fever associated with poor suck. Physical examination and laboratory findings revealed septicemia. Which of the following is the MOST common etiologic agent? a. Candida species b. Group B streptococcus C. HSV II d. Trichomonas vaginalis

b. Group B streptococcus

The characteristic appearance of patients with marasmus is due to: a. fatty liver Kwa b. atrophy of small bowel villi Kwa C. severe loss of somatic protein d. severe loss of visceral protein Kwa

C. severe loss of somatic protein

The characteristic appearance of patients with marasmus is due to: a. fatty liver b. severe loss of visceral protein C. atrophy of small bowel villi D. severe loss of somatic protein

D. severe loss of somatic protein

This clinical finding is more associated with Marasmus than with Kwashiorkor. a. fatty liver Kwa b. diarrhea Kwa c. bipedal pitting edema Kwa d. loss of subcutaneous fat

d. loss of subcutaneous fat

This coagulation factor is NOT affected in Vitamin K deficiency. a. proconvertin b. Hageman factor 12 C. Christmas factor 9 D. prothrombin 2

b. Hageman factor 12

This coagulation factor is NOT affected in Vitamin K deficiency. a. prothrombin b. Christmas factor C. Hageman factor d. proconvertin

C. Hageman factor

This condition can cause immune fetal hydrops. a. fetal cardiac anomalies b. ABO & Rh incompatibility between mother & fetus c. All of the above d. fetal chromosomal abnormalities

b. ABO & Rh incompatibility between mother & fetus

This condition can cause secondary protein energy malnutrition. a. all of the above b. bedridden elderly C. alcoholism d. eating disorders

a. all of the above

This is common to both Marasmus & Kwashiorkor, EXCEPT: a. multiple avitaminoses - b. anemia - c. related to poor prognosis Kwa d. decreased protein intake .

c. related to poor prognosis

This is common to both Marasmus & Kwashiorkor, EXCEPT: a. multiple avitaminoses b. anemia C. related to poor prognosis d. decreased protein intake

C. related to poor prognosis

This is the cause of a newborn physiologic jaundice: a. Neither b. inadequate biliary excretory function of the liver C. Both d. rapid fetal red cell breakdown

C. Both

This is the cause of a newborn physiologic jaundice: a. Both b. rapid fetal red cell breakdown C. Neither d. inadequate biliary excretory function of the liver

a. Both

Match the Vitamins with their signs of toxicity Vitamin K Vitamin E Vitamin C Vitamin A Vitamin D Renal calculi formation A. Renal calculi formation B. Papilledema C. warfarin over-anticoagulation D. no known toxicity E. kernicterus in newborn

Vitamin K → C. warfarin over-anticoagulation; Vitamin E → D. no known toxicity; Vitamin C → A. Renal calculi formation; Vitamin A → B. Papilledema; Vitamin D → E. kernicterus in newborn

Match the different minerals with their signs of deficiency Selenium myopathy cardiomyopathy muscle weakness Ipain Copper Chromium penoral rash Zinc Iodide hypothyroidism A. impaired glucose tolerance B. muscle pain & weakness C. hypochromic, microcytic anemia impaired glucose tolerance D. perioral rash E. hypothyroidis

Selenium → B. muscle pain & weakness; Copper → C. hypochromic, microcytic anemia impaired glucose tolerance; Chromium → A. impaired glucose tolerance; Zinc → D. perioral rash; Iodide → E. hypothyroidis