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If a patient feels heaviness after meals, what should the expert review?
Correct answer: C
Post-meal heaviness may be related to large portions, high-fat preparation, unsuitable texture, rapid eating, delayed gastric emptying or meals that are too widely spaced. A nutrition professional should review the complete meal pattern and associated symptoms rather than assuming one cause. Findings can guide suitable portion, texture and frequency adjustments and referral when needed.
Pulses such as lentils, beans and peas provide plant protein, fibre and several vitamins and minerals. They can help contribute to tissue maintenance and a balanced diet, although preparation and quantity may need adjustment for a patient's digestion, kidney condition or therapeutic restrictions. They are not merely sources of salt and are not harmful for everyone.
What type of food is considered more suitable in gastritis?
Correct answer: D
Gastritis involves irritation or inflammation of the stomach lining. A light, less spicy, non-greasy diet may reduce irritation and is often better tolerated than fried, heavily spiced, or highly acidic items. The exact plan should be individualised because triggers differ; option D is the most appropriate general dietary choice.
Fortification means adding selected vitamins, minerals, or other beneficial nutrients to a food to improve its nutritional value or help prevent a deficiency. Examples may include iron-fortified flour or iodine-fortified salt. Fortification does not mean that the food is merely salty, coloured, burnt, or completely nutritious by itself. Therefore, A is correct.
Why is protein quality important in a patient’s diet?
Correct answer: B
Protein quality reflects the type, proportion, digestibility, and availability of essential amino acids. High-quality protein can support tissue repair, immune functions, enzymes, and muscle maintenance, which are especially important during illness and recovery. Combining complementary plant proteins, such as cereals with pulses, can improve the amino-acid pattern.
What problem may occur if fibre is increased too suddenly in the diet?
Correct answer: D
A sudden large increase in dietary fibre can cause gas, abdominal bloating, cramps, or altered bowel habits because the gut needs time to adapt and bacteria ferment some fibres. Fibre should usually be increased gradually along with adequate fluid, unless fluid is restricted medically. Individual tolerance and the patient’s condition should guide the plan.
Which combination is better for improving iron absorption in anaemia?
Correct answer: C
Lemon supplies vitamin C, which can enhance the absorption of non-haem iron present in pulses and other plant foods. Tea contains polyphenols that may reduce iron absorption when taken with meals or iron supplements, so timing should follow professional advice. Anaemia has different causes; dietary advice should accompany appropriate diagnosis and treatment rather than replace them.
What should be the most appropriate focus of diet counselling for an anemic patient?
Correct answer: C
Diet counselling for many cases of iron-deficiency anaemia focuses on iron-rich foods such as legumes, green leafy vegetables, meat, eggs, or fortified foods, according to the person's diet. Vitamin C-rich foods can improve non-haem iron absorption, whereas tea or coffee taken with meals may reduce it. The underlying cause still requires medical evaluation.
In which condition may both energy and protein needs increase?
Correct answer: A
Option A is correct because severe infection and injury create physiological stress and tissue repair demands. The body may need additional energy and protein to support immune activity, wound healing, maintenance of lean tissue, and recovery. The exact prescription depends on the patient’s condition, organ function, appetite, tolerance, and medical plan rather than applying one fixed amount to everyone.
What is the most correct reason for increased energy need in severe infection?
Correct answer: A
Severe infection can activate immune and inflammatory responses, raise metabolic rate, increase body temperature, and accelerate tissue breakdown. The body therefore may need additional energy and protein for defence, repair, and recovery. Requirements are individualized because disease severity, fever, organ function, and treatment all influence the final nutrition prescription.
Nutrition is the process through which the body obtains, digests, absorbs, transports and uses nutrients from food. These nutrients include carbohydrates, proteins, fats, vitamins, minerals and water. They provide energy, support growth, repair tissues, regulate body functions and help maintain health. Therefore, getting useful nutrients from food is the correct simple meaning; decorating, selling or smelling food is not nutrition.
Nutrition is the overall process by which the body obtains and uses food. It includes eating, digestion, absorption, transport, metabolism, and utilisation of nutrients for energy, growth, repair, regulation, and protection. Thus, B is correct because nutrition connects the use of food with health and normal body functioning.
How should nutrition messages be designed in health education?
Correct answer: A
Nutrition messages are more effective when people can understand them, remember them, and apply them in daily life. Simple language, clear actions, culturally suitable examples, and affordable food suggestions help learners convert information into behaviour. A message should not be confusing or limited to one language, and examples usually improve understanding. Therefore, option A is the best answer.
Why does the importance of folate increase during pregnancy?
Correct answer: A
Folate is required for DNA synthesis, cell division, and the formation of blood cells. During pregnancy these processes are especially active because the placenta and fetus are growing rapidly. Adequate folate before conception and early in pregnancy helps reduce the risk of neural-tube defects. Supplements should be taken according to professional advice.
Why do energy and nutrient needs increase during lactation?
Correct answer: A
Producing breast milk requires energy, protein, fluids, vitamins, and minerals. The mother must support milk synthesis while also maintaining her own tissues, immunity, and recovery after childbirth. A varied balanced diet and adequate fluids are important; exact additional needs depend on the stage of lactation and individual health conditions.
Why can waist measurement be used in nutrition assessment?
Correct answer: A
Waist circumference is a simple anthropometric measure that gives an indication of central or abdominal fat. Excess abdominal fat is associated with higher metabolic risk, including type 2 diabetes and cardiovascular disease. It should be measured correctly and interpreted with BMI, clinical history, diet, and other assessment findings rather than used alone.
Lemon and amla are rich sources of vitamin C, a water-soluble vitamin that supports collagen formation, wound healing and normal immune function. Vitamin C also improves absorption of non-haem iron when eaten with suitable plant foods. Salt, oil and refined sugar do not provide meaningful vitamin C. Therefore option C is correct.
Vitamin A is essential for normal vision, especially adaptation to dim light, and for maintaining healthy skin and mucous membranes. It also supports immune defence. Vitamin K is more directly associated with blood clotting, vitamin D with calcium and bone metabolism, and macronutrients with energy. Thus option D is correct.
Proteins supply amino acids needed to build and repair muscles, skin, enzymes, hormones and other tissues. Prolonged deficiency may impair growth, wound healing, muscle maintenance and immune function, especially in children or illness. The other options are unrelated physical changes. Therefore option A is correct.
Food fortification is the deliberate addition of a vitamin, mineral or other nutrient to a food to improve its nutritional value. Iodine added to salt and iron added to flour are familiar examples. Fortification is intended to help reduce nutrient deficiencies and must follow safe, regulated levels. Therefore option A is correct.
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