Prevention of chronic diseases

Correct answer: A. Adherence improves and disease control is maintained

Explanation: Allowing a patient to choose preferred foods from safe, prescribed alternatives makes the therapeutic plan more enjoyable and realistic. Better acceptability usually improves adherence, while portion and nutrient limits continue to support disease control. Preference cannot override a serious restriction, so choices should be discussed with a qualified health professional.

Correct answer: A. Because some toxins may not be destroyed by cooking

Explanation: Cooking can destroy many living microorganisms when the correct temperature and time are used, but it may not remove toxins already produced by some bacteria or moulds. Spoilage can also involve chemicals or unsafe changes that heat does not reverse. Food with mould, unusual odour or clear spoilage should therefore be discarded rather than rescued by cooking.

Correct answer: A. Severe kidney disease

Explanation: In severe kidney disease, the kidneys may have reduced ability to remove nitrogenous waste produced during protein metabolism. An unnecessarily high protein intake can therefore increase the waste burden and may worsen metabolic problems. Protein should be adjusted according to kidney function, disease stage, dialysis status and professional advice. Thus, severe kidney disease requires special caution and A is correct.

Correct answer: A. Reducing saturated fat and extra salt

Explanation: A heart-healthy diet commonly limits saturated fat and excess sodium while emphasizing vegetables, fruits, whole grains, suitable proteins, and healthier cooking methods. Reducing saturated fat supports healthier blood lipid levels, and sodium moderation may help blood pressure. The exact prescription depends on the diagnosis and medical advice.

Correct answer: A. In some kidney diseases

Explanation: In selected stages or types of kidney disease, protein intake may be adjusted to reduce nitrogenous waste and workload on impaired kidneys. The amount depends on kidney function, nutritional status, dialysis, and medical advice. It is not appropriate for every patient, because unnecessary restriction can cause muscle loss and inadequate growth or recovery.

Correct answer: A. It is thicker than a liquid and can be taken with a spoon

Explanation: A semi-liquid diet has a thicker consistency than clear or ordinary liquids but is still soft enough to be eaten or taken with a spoon. Examples may include smooth porridge, thin custard, or suitable pureed preparations, depending on the prescription. It is defined by texture and swallowing suitability, not by being dry, hard, or salty.

Correct answer: A. They may be difficult to chew and swallow

Explanation: A soft diet is designed to reduce the effort needed to chew and swallow. Dry, hard, or crunchy foods may require strong chewing, break into troublesome pieces, or irritate the mouth and throat, especially when swallowing is impaired. They are therefore limited or softened according to professional advice, while adequate protein and other nutrients are retained.

Correct answer: A. It reduces risk by supplying essential nutrients

Explanation: A balanced diet provides appropriate amounts of carbohydrates, proteins, fats, vitamins, minerals, fibre, and water. This supports normal body functions, healthy weight, immunity, and metabolic health. Choosing varied foods while limiting excess sugar, salt, and unhealthy fats can lower the risk of diabetes, hypertension, and heart disease.

Correct answer: B. Limited and controlled

Explanation: Excess sodium can cause the body to retain fluid and may raise blood pressure, especially in salt-sensitive people. Therefore, salt should be limited by reducing highly salted, packaged, and processed foods and by avoiding unnecessary table salt. A balanced diet rich in vegetables and other minimally processed foods is also helpful.

Correct answer: C. It can support blood-glucose control

Explanation: Refined sugar provides rapidly absorbed carbohydrate with little fibre or other protective nutrients. Frequent excess intake, especially through sweetened drinks and desserts, can increase total calories, promote weight gain, and make blood-glucose regulation more difficult. Limiting it supports, but does not replace, an overall balanced diet and physical activity.

Correct answer: D. They may increase blood lipids and heart risk

Explanation: High intake of saturated fat can raise LDL cholesterol in the blood, while industrial trans fat is particularly harmful to the lipid profile and cardiovascular health. Replacing these fats with unsaturated fats from suitable plant sources, while avoiding excess calories, can support heart health. Thus option D correctly states the risk.

Correct answer: A. It improves digestion and may support blood-glucose control

Explanation: Dietary fibre from whole grains, pulses, fruits, vegetables, nuts, and seeds supports bowel regularity and can increase fullness after meals. Soluble fibre may slow glucose absorption and help improve cholesterol levels, while adequate fibre intake supports healthy weight. These effects can contribute to prevention of diabetes and cardiovascular disease.

Correct answer: B. It supports weight control and heart health

Explanation: Regular physical activity uses energy, supports a healthy body weight, improves insulin sensitivity, and strengthens the heart and circulation. It can also benefit blood pressure, mood, and physical fitness. Activity works best with a balanced diet and should be appropriate to a person’s age and health condition; it does not mean avoiding food.

Correct answer: A. It can increase metabolic burden on the body

Explanation: Excess body fat, particularly around the abdomen, can promote inflammation, insulin resistance, abnormal blood lipids, and raised blood pressure. These changes increase the likelihood of type 2 diabetes, cardiovascular disease, and other chronic conditions. Obesity is influenced by many factors, so prevention should involve balanced eating, activity, sleep, and appropriate medical guidance.

Correct answer: C. They provide vitamins, minerals, fibre, and protective compounds

Explanation: Fruits and vegetables are rich in vitamins, minerals, water, fibre, and many beneficial plant compounds. Their fibre supports fullness, digestion, and metabolic health, while their nutrient density can improve overall diet quality. Eating a varied selection of colours, preferably in suitable whole forms, can support protection against cardiovascular disease and other chronic conditions.

Correct answer: A. They may contain more fibre and nutrients

Explanation: Whole grains retain more of the bran and germ than refined grains, so they generally provide more fibre, vitamins, minerals, and beneficial plant compounds. Fibre can improve fullness, bowel health, and the gradual release of glucose. Choosing whole grains such as whole wheat, oats, brown rice, or millets can support weight and cardiometabolic health.

Correct answer: B. They can provide extra sugar and energy

Explanation: Sweetened beverages often contain substantial added sugar but provide little fibre or fullness. Regular consumption can increase total calorie intake, contribute to weight gain, and make blood-glucose control more difficult. Replacing them with water or unsweetened drinks is a practical preventive step, although the whole dietary pattern and physical activity also matter.

Correct answer: A. By limiting excessive energy intake

Explanation: Portion control helps align the amount eaten with the body’s energy needs and can reduce excess calorie intake. Over time, this may help prevent weight gain and obesity, which are important risk factors for type 2 diabetes, hypertension, and heart disease. Portion control does not automatically improve food quality, so nutritious choices and physical activity remain important.

Correct answer: B. It increases the risk of heart and lung diseases

Explanation: Tobacco smoke contains toxic substances that damage blood vessels and lung tissue and can promote inflammation. Smoking increases the risk of coronary heart disease, stroke, chronic lung disease, and several cancers; second-hand smoke is also harmful. Avoiding tobacco is therefore a major lifestyle measure for preventing chronic disease and improving overall health.

Correct answer: A. Balance between energy intake and energy expenditure

Explanation: Energy balance refers to the relationship between energy obtained from food and drinks and energy used by the body for basic functions, movement, and activity. When intake and expenditure are broadly balanced over time, weight is more likely to remain stable. Persistent excess intake can cause weight gain, while adequate nutrition must still be maintained.

Correct answer: B. Balanced food with fruits, vegetables, and little salt

Explanation: A balanced eating pattern rich in fruits, vegetables, pulses, whole grains, and other nutrient-dense foods can support blood-pressure control. Limiting sodium, highly processed foods, and excess saturated fat is important because these may worsen cardiovascular risk. Such dietary choices work together with physical activity, healthy weight, and prescribed treatment when needed.

Correct answer: A. Higher intake of salt, sugar, and unhealthy fat

Explanation: Many highly processed foods contain large amounts of sodium, added sugar, refined starch, and saturated or trans fat, while often providing little fibre. Frequent consumption can increase calorie intake and contribute to obesity, hypertension, diabetes, and cardiovascular risk. Reading labels and choosing minimally processed foods more often can improve dietary quality.

Correct answer: C. Steamed or boiled foods

Explanation: Steaming or boiling can prepare food with little or no added oil, helping reduce total fat and calorie intake compared with deep frying. Choosing vegetables, pulses, whole grains, and other nutrient-rich foods prepared with limited oil can support a healthier lipid profile. Cooking method matters, but the type of food and overall dietary pattern remain important.

Correct answer: A. Eat a balanced diet and limit sugary drinks

Explanation: A family history can increase susceptibility to type 2 diabetes, but it does not make disease inevitable. A balanced diet rich in fibre, vegetables, pulses, and whole grains, together with limiting sugary drinks, regular activity, and healthy weight management, can reduce modifiable risk. Periodic screening is also sensible when advised by a health professional.

Correct answer: C. It can increase risk

Explanation: Prolonged sitting reduces energy expenditure and is often associated with low physical activity. Over time, this pattern may contribute to weight gain, poorer glucose regulation, abnormal blood lipids, and cardiovascular risk. Breaking up sitting with standing or walking and meeting regular activity recommendations can help, although movement does not replace other healthy habits.