Ch10 – Clinical Assessment of Nutritional + Full Test Bank

Chapter 10

Multiple Choice

1. Which of the following is the most appropriate index to evaluate recent changes in nutritional status?

A. Weight-for-height

B. Height-for-age

C. Both A + B

D. Neither A or B

2. Which of the following would most likely be seen in a child who had severe, short-term protein-energy malnutrition?

A. Only stunting

B. Only wasting

C. Both stunting and wasting

D. None of the choices are correct.

3. A weight-for-height that is 75% of what would be expected would be considered ________.

A. normal

B. a mild deficit

C. a moderate deficit

D. a severe deficit

4. Which one of the following is a type of lipodystrophy sometimes seen in patients with Cushing’s syndrome?

A. Moon face

B. Old man’s face

C. Flag sign

D. Stomatitis

5. The flag sign would be seen in the ________.

A. skin

B. nails

C. mouth

D. hair

6. Which one of the following would not be included in the physical examination component of subjective global assessment?

A. Looking at the shoulders and upper arms for loss of subcutaneous fat

B. Checking the deltoid muscles for the presence of muscle wasting

C. Measuring the triceps skinfold thickness

D. Palpating the ankles for edema

7. Which one of the following is the actual weight of an individual having a reference weight-for-height of 160 pounds and whose percent weight-for-height is 75%?

A. 120 pounds

B. 135 pounds

C. 150 pounds

D. 165 pounds

8. Dental erosion is most likely to be seen in a patient with ________.

A. anorexia nervosa

B. bulimia nervosa

C. eating disorder not otherwise specified

D. None of the choices are correct.

9. The terms “buffalo hump” and “bull neck” refer to _______.

A. lipodystrophy

B. lipohypertrophy

C. lipoatrophy

D. both A and B

10. Which of the following would most likely be seen in a child who had mild, chronic protein-energy malnutrition?

A. Reduced height-for-age

B. Reduced weight-for-age

C. Relatively normal weight-for-height

D. All of the choices are correct.

11. There are many health consequences and symptoms associated with bulimia nervosa. Which one of the following is NOT on this list?

A. Chronic irregular bowel movements, constipation

B. Decalcification of teeth, enamel loss, staining

C. Insomnia

D. Chronically inflamed and sore throat

12. There are many medical complications associated with anorexia nervosa. Which one of the following is NOT on this list?

A. Anemia

B. Heart damage

C. Oily skin and hair

D. Amenorrhea

13. The CDC has several criteria to defined the wasting syndrome caused by HIV. Which one of the following is NOT included?

A. Involuntary weight loss >10% of baseline body weight

B. Chronic diarrhea, with 2 or more loose stools per day for ≥1 month

C. Chronic weakness and documented fever for ≥1 month

D. Chronic respiratory illness for 3 months or longer

14. The WHO has 4 clinical stages for HIV/AIDS. In which stage are individuals asymptomatic, but with persistent generalized lymphadenopathy and moderate unexplained weight loss?

A. Clinical Stage 1

B. Clinical Stage 2

C. Clinical Stage 3

D. Clinical Stage 4

True/False

15. Subjective global assessment relies primarily on clinical judgment and on information collected by observation and interviews instead of on biochemical and anthropometric measurements.

16. Obtaining a patient’s history is the first step in the clinical assessment of nutritional status.

17. Stunting refers to a deficit in weight-for-height.

18. Lipodystrophy can include both lipohypertrophy and lipoatrophy.

19. Misuse of laxatives, diuretics, and enemas are considered types of purging.

20. Whether a person had access to and the ability to pay for health care would be considered a psychosocial factor.

21. Questioning a patient about changes in the way clothing fits would not be a suitable way to confirm a reported change in body weight.

22. Because changes in the distribution of body fat and increased adiposity can occur at the same time as decreased fat-free mass in patients with HIV/AIDS, changes in weight and BMI alone may not be suitable indicators of nutritional status.

23. HIV wasting syndrome is typically characterized by the disproportionate loss of lean body mass and muscle wasting with relative preservation of fat mass.

24. In kwashiorkor the loss of body weight is not as great as that seen in marasmus.

Fill-in-the-Blank

25. Kwashiorkor and marasmus are two forms of ________.

26. Profound physical wasting and malnutrition usually associated with chronic disease and advanced acquired immune deficiency syndrome is known as ________.

27. An eating disorder characterized by episodes of binge eating followed by some behavior to prevent weight gain, such as purging, fasting, or exercising excessively is known as ________.

28. The most common sign of malnutrition in children is growth ________.

29. A clinical technique for assessing the nutritional status of a patient based on features of the patient's history and physical examination is known as ________.

30. Three different eating disorders are recognized by the American Psychiatric Association (APA). These include anorexia nervosa, bulimia nervosa, and ________.