MFN-005 2022-23 SOLVED ASSIGNMENT

Description

ASSIGNMENT 2 (TMA-2)
Clinical and Therapeutic Nutrition (MFN-005)
Course Code: MFN-005
Assignment Code: MFN-005/AST-2/TMA-2/2022-23
Last Date of Submission: 31st December, 2022
Maximum Marks: 100
This assignment is based on Units 1 -18 of the MFN-005 Course.
Section A – Descriptive Questions
There are eight questions in this part. Answer all questions.
(80 marks)
1. a) What are the nutritional assessment methods and tools you could use for the
elderly?
b) Give salient features for nutritional management of Hepatic Encephalopathy
c) Discuss the complications of burns
(3)

(5)
(2)
2. Write short notes on :
a) Drug effects on nutritional status
b) Effect of nutrition on drugs
c) Salient features of the diet you would prescribe to a patient with HIV
(3)
(3)
(4)
3. a) Give the salient features of the nutritional management of the following
diseases/disorders:
i) Type I Diabetes
ii) Nephrotic syndrome
(5+5)

4. Rita, age 30yrs, weight 50 kg and height 5’5” is admitted to a hospital for surgery.
Her gastro-intestinal tract is functioning but she is unable to swallow solid food.
a) Calculate her basal energy expenditure by Harris Benedict equation
b) What are the factors to be considered in estimating the actual energy requirements
for her?
c) What are the various methods of feeding Rita?
d) Which one of the methods of feeding is the most suited for her and why.

(3)

(2)
(3)

(2)
5. a) Enumerate the modifiable risk factors of cardiovascular diseases.
b) Present the dietary management for hypertension.
(2)
(4)
10
c) Give the classification of blood pressure and stages of hypertension in adults. (2)
d) Present the dietary guidelines for prevention of heart disease. (2)
6. a) Define the following inborn errors of metabolism and also give dietary management of
these diseases:
i) Tyrosinemia
ii) Homocystinuria
iii) Maple Syrup Urine Disease
b) Name the enzyme whose deficiency causes PKU.
(3+3+3)
(1)
7. a) Briefly discuss the classification and the dietary modification for obesity.
b) What is Bulimia Nervosa? Briefly discuss the nutritional management of Bulimia
Nervosa.
(5)
(5)
8. a) Enumerate the nutritional problems associated with cancer. Briefly discuss the
macro and micronutrient requirement of a patient with cancer .
b) What are the health consequences of low birth weight. Discuss briefly the nutritional
management and feeding of the premature infant
(5)
(5)
Section B – OTQ (Objective Type Questions) (20 marks)
1. Calculate/define/explain the following in 2-3 sentences each: (10)
i) Calculate the BMI for a 40yrs female of small frame with Height of 5’3” and
weight of 60kg
ii) Calculate the % Ideal body weight (IBW) using the data given in section B 1
Based on %IBW assess the degree of nutritional status
iii) Celiac disease
iv) A disease condition where MCT is beneficial
v) Dysphagia
vi) Diet during dialysis
vii) Hydrogenated fat
viii) Sodium content in 1gm of common salt
ix) “Rule of nine”
x) Glycemic Index
11
2. Give examples for each of the following: (10)
i) Low fibre foods
ii) Rich sources of omega 3 PUFA
iii) Lactose rich foods
iv) Gluten free food sources
v) Neurological disorder of nutritional origin
vi) Foods to be avoided in Peptic ulcer
vii) Foods avoided in CKD
viii) Foods to be avoided in Gout
ix) Non-nutritive sweeteners
x) Food sources of soluble fibre