SNLE Nutrition and Diet Therapy 3

Question 1

Which anthropometric measurement is used to estimate stature in elderly or bedridden patients when standing height cannot be obtained?

Accepted Answer

Knee height

Answer

Knee height measurement, using a knee-height caliper, reliably estimates stature in patients who cannot stand upright.

Question 2

The Malnutrition Universal Screening Tool (MUST) evaluates a patient based on which three components?

Accepted Answer

BMI, unintentional weight loss, and acute disease effect on intake

Answer

MUST uses BMI, percentage of unintentional weight loss over 3–6 months, and acute disease effect on nutritional intake to score malnutrition risk.

Question 3

A Saudi nurse counseling a mother with an exclusively breastfed newborn should recommend which supplement starting within the first few days of life?

Accepted Answer

Vitamin D drops starting within the first few days

Answer

Breast milk is low in Vitamin D; the WHO and Saudi MOH recommend Vitamin D supplementation for exclusively breastfed infants from early life.

Question 4

Which serum protein is the best indicator of chronic, long-standing malnutrition due to its prolonged half-life?

Accepted Answer

Albumin (half-life 21 days)

Answer

Albumin's 21-day half-life means its serum level reflects nutritional status over the past several weeks, making it an indicator of chronic malnutrition.

Question 5

A child with marasmus, a form of severe acute malnutrition, would present with which characteristic clinical finding?

Accepted Answer

Severe wasting of muscle and fat with relatively preserved serum proteins

Answer

Marasmus results from severe caloric deprivation, producing marked wasting but relatively preserved albumin, unlike kwashiorkor which features edema and hypoalbuminemia.

SNLE Practice Test

SNLE Practice Test

SNLE Nutrition and Diet Therapy 3