Nutrition And Diet Therapy ii Theory 2015 Question

THE KENYA NATIONAL EXAMINATIONS COUNCIL
DIPLOMA IN DIETETICS MANAGEMENT
MODULE II
NUTRITION AND DIET THERAPY II THEORY
1. Highlight four consequences of kidneys inability to excrete sodium. (4 marks )
2. Explain the reason for each of following in relation to liver disease:
a) Fatty infiltration (2 marks )
b) Dietary fat restriction ( 2 marks )
4. Justify the following statement , “Diabetes mellitus may lead to blindness”. (4 marks )
5. Discuss the link between excess alcohol consumption and development of liver disease.( 4 marks )
6. Highlight four dietary factors that reduce the lower esophageal sphincter muscle pressure (4 marks)
7. State four dietary modifications in the management of Crowns disease during remission.(4 marks)
8. State the reasons why renal failure patients may experience each of the following;
a) Pulmonary oedema;
b) Acidosis
9. Describe dialysis in the management of renal disease. (4 marks)
10. Describe the etiology of sprue as may be experienced in adults. (4 marks)
11. Describe the anabolic action of insulin on:
i. Carbohydrate metabolism; (2 marks)
ii. Protein metabolism (2 marks)
iii. Fat metabolism. (2 marks)
(b) State eight factors that may lead to hypoglycaemia. (8 marks)
(c )state six principles effects of aging on cardiovascular stricter and function.(6 marks)
12. Explain the following :
i. Myocardial ischemia; (3 marks)
ii. Cerebral vascular accident; (2 marks)
iii. latrogenic malnutrition (2 marks)
(b )Describe four functions of the liver that are impaired in hepatic coma.(8 marks)
(c)Highlight five risk factors leading to development of atheroma. (5 marks)
13.(a)Identify three factors affecting nutrient use in hepatitis B. (6 marks)
(b)Describe dumping syndrome. (4 marks)
(c)Explain why diet should not be administered orally in acute pancreatitis.(4 marks)
(d)State six dietary modifications in management of duodenal ulcers. (6 marks)
14. (a ) Discuss four functions of gastro intestinal tract. (8 marks)
(b) Identify eight warning signs of dysphagia (8 marks)
(c) Distinguish between cholelithiasis and cholecystitis. (4 marks)
15. (a)State six recommendations on feeding practices for a patient with colostomy.(6 marks)

(b) (i) Define hepatic statuses. (2 marks)
(ii) State six possible causes of hepatic steatosis. (6 marks)
(c ) Describe three classical symptoms of diabetes mellitus. (6 marks)



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