Deck 10: Clinical Assessment of Nutritional Status

Question 1

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

Answer 1

True

Question 2

The terms "buffalo hump" and "bull neck" refer to

A) lipodystrophy
B) lipohypertrophy
C) lipoatrophy
D) both A and B

Answer 2

D

Question 3

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

Answer 3

True

Question 4

The flag sign would be seen in the

A) skin
B) nails
C) mouth
D) hair

Question 5

Lipodystrophy can include both lipohypertrophy and lipoatrophy.

Question 6

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

Question 7

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

Question 8

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

Question 9

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

A) weight-for-height
B) height-for-age

Question 10

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

Question 11

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

Question 12

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

Question 13

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

Question 14

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

A) anorexia nervosa
B) bulimia nervosa
C) eating disorder not otherwise specified

Question 15

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 the above

Question 16

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

Question 17

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.

Question 18

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

Question 19

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

Question 20

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

Question 21

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

Question 22

The most common sign of malnutrition in children is growth __________.

Question 23

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 __________.

Question 24

Kwashiorkor and marasmus are two forms of __________.

Question 25

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 __________.