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Nutritional Assessment Questions and Answers

11.

Test used for the assessment of thiamin status is :

Exam Year(s)

MH SET - 2020, SET Exam - 2020,

Answer: D

Thiamin status is assessed by the erythrocyte transketolase activity test.

Transketolase, an enzyme of the pentose phosphate pathway in red cells, needs thiamin pyrophosphate as its coenzyme. The test measures its activity with and without added TPP; a large increase on adding TPP (the TPP effect) shows thiamin deficiency.

The erythrocyte glutathione reductase test assesses riboflavin status, the FIGLU (formiminoglutamic acid) excretion test assesses folate, and the relative dose response test assesses vitamin A stores in the liver.

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12.

In ................. the respondents are expected to report the consumption of each food for a specific period.

Exam Year(s)

MH SET - 2020, SET Exam - 2020,

Answer: B

The method is the food frequency method.

In a food frequency questionnaire the respondent is given a list of foods and reports how often each one was eaten over a specified period, such as daily, weekly or monthly over the past month or year. It is used to describe habitual intake and to rank people by intake.

A food record or diet diary is kept by the respondent while eating, writing down everything consumed over a few days, rather than reporting the consumption of each listed food. The food inventory method measures the stock of foods in a household at the start and end of a period.

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13.

Mid upper arm circumference measures :

Exam Year(s)

MH SET - 2021, SET Exam - 2021,

Answer: D

Mid upper arm circumference measures fat, bone and muscle tissue.

MUAC is the circumference of the upper arm midway between the shoulder and the elbow. The tape encircles everything in the arm's cross-section: skin and subcutaneous fat, muscle, and the humerus bone. Changes in it mainly reflect muscle and fat, which is why it is used to screen for acute malnutrition in children.

Skinfold thickness and subcutaneous fat are measured with skinfold calipers, and 'fat and muscle' leaves out the bone the circumference also includes.

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14.

Bone Mineral Density (BMD) can be measured using :

Exam Year(s)

MH SET - 2023, SET Exam - 2023,

Answer: C

Bone mineral density is measured by DEXA.

Dual-energy X-ray absorptiometry passes two X-ray beams of different energies through the body. Bone and soft tissue absorb them differently, so the scan calculates the mineral content per unit area of bone, usually at the hip and spine. It is the standard test for diagnosing osteoporosis, reported as T-scores and Z-scores.

Harpenden callipers measure skinfold thickness to estimate body fat. The doubly labelled water technique measures total energy expenditure. Ultrasonography of the heel can screen bone quality, but it does not measure mineral density directly and is not the standard method.

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15.

Fasting blood glucose level in a healthy person should be :

Exam Year(s)

MH SET - 2023, SET Exam - 2023,

Answer: B

A healthy fasting blood glucose is 80-100 mg/dl.

After an overnight fast of at least eight hours, normal plasma glucose lies roughly between 70 and 100 mg/dl, and the range 80-100 sits within it.

The other ranges are abnormal. 40-60 mg/dl is hypoglycaemia. Under the WHO and American Diabetes Association criteria, a fasting value of 100 to 125 mg/dl is impaired fasting glucose (prediabetes), so 110-125 mg/dl is not healthy, and 126 mg/dl or more on two occasions indicates diabetes, so 130-150 mg/dl is in the diabetic range.

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16.

Food Balance Sheet method is employed when information regarding the availability of food is needed at :

Exam Year(s)

MH SET - 2023, SET Exam - 2023,

Answer: B

The food balance sheet is used at the national level.

A food balance sheet works out the food available to a country's population over a year: production plus imports and opening stocks, minus exports, seed, feed, industrial use and wastage. Dividing what is left by the population gives the average per capita availability of each food, used to judge a country's food supply and plan policy. The FAO prepares them country by country.

It cannot show what individuals or families eat, for which diet surveys such as 24-hour recall or weighment are used, nor what an institution serves. Global figures are assembled from national sheets, but the method itself is national.

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17.

This is used to find out the dietary pattern of people residing in hostels or old age homes :

Exam Year(s)

MH SET - 2024, SET Exam - 2024,

Answer: A

The method is the food inventory method.

In hostels, old age homes and other institutions, food is bought and cooked for everyone together. The inventory method records the stock of food at the start, adds the purchases and subtracts the stock left and the waste at the end of the period, and divides by the number of people fed. That gives the group's dietary pattern without questioning each resident.

The food diary, diet history and 24-hour recall are individual methods, in which one person records or remembers what he or she ate, so they suit households or individuals rather than institutions.

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Answer: A

NCHS is the National Center for Health Statistics.

It is the United States agency, now part of the Centers for Disease Control and Prevention, that collects national health statistics. In nutrition it is best known for the NCHS growth reference for weight and height of children, long used to classify malnutrition before the WHO Child Growth Standards of 2006.

The other expansions change one word: the agency deals in 'Statistics', not 'Studies', and in 'Health', not 'Human', and it is a 'National', not a 'Nutrition', centre.

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19.

Epidemiological triad is ................

Exam Year(s)

MH SET - 2025, SET Exam - 2025,

Answer: A

The epidemiological triad is agent, host and environment.

The triad explains disease as the interaction of an agent (a microbe, nutrient deficiency or chemical), a susceptible host with its own age, immunity and behaviour, and an environment that brings them together. Disease occurs when the balance among the three is upset.

A vector is a means of carrying the agent between hosts and belongs to the environment side, so it does not replace one of the three. A carrier is a kind of host. Treatment is a response to disease, not a cause in the model.

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20.

Match the following biochemical tests in List - I to the diseases in List - II :

List - I (Biochemical Tests)List - II (Disease)
(a) Creatinine(i) Hepatic
(b) Bilirubin(ii) Coronary
(c) \(T_{3}T_{4}\)(iii) Kidney
(d) LDL(iv) Thyroid

Codes :
(a) (b) (c) (d)

Exam Year(s)

UGC NET - 2012,

Answer: B

The correct matching is (a)-(iii), (b)-(i), (c)-(iv), (d)-(ii). Creatinine is tested for kidney function, bilirubin for liver (hepatic) disease such as jaundice, T3 and T4 for thyroid disorders, and LDL cholesterol for the risk of coronary heart disease.

The other codes pair creatinine with coronary or thyroid disease, or bilirubin with the kidney, which is wrong: creatinine is a waste product cleared by the kidney, and bilirubin is processed by the liver. So option B is the answer.

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