In kwashiorkor, the loss of hair color is indirectly related to
a. lack of tyrosine.
b. elevated levels of blood homocysteine.
c. excessive exposure to the sun's UV rays.
d. being nursed by a poorly-nourished mother.
e. increased blood lead levels.
Q. 2What is the most realistic advice for reducing lead exposure from the tap water used to prepare infant formula?
a. Because the lead in hot water pipes settles out overnight, draw the water from this source first.
b. Whenever possible, boil the water to vaporize the lead and thus decrease the amount remaining in the water.
c. Because the first water drawn from the tap each day is highest in lead, let the water run a few minutes before using it.
d. To inhibit lead absorption, add a small amount of citrus juice to the water to provide citric acid to complex with the lead.
e. Filtering the water through a clean coffee filter will typically remove the majority of lead contamination.
Q. 3Which of the following is a common source of lead poisoning in infants?
a. Maternal passage of lead to fetus
b. Baby bottles made from lead crystal
c. Contaminated water used to make infant formula
d. Preparation of infant formula in galvanized containers
e. Environmental contamination from leaded gasoline
Q. 4Which of the following formulas is available for infants with lactose intolerance?
a. Egg
b. Soy
c. Barley
d. Powdered cow's milk
e. Goat's milk
Q. 5To gradually replace breast milk with infant formula or other foods appropriate to an infant's diet is to
a. feed.
b. wean.
c. nurse.
d. breastfeed.
e. mature.
Q. 6The word marasmus means
a. terribly thin.
b. without muscle.
c. dying away.
d. empty stomach.
e. lacking food.
Q. 7What term describes the malnutrition syndrome a child develops when the next child is born and the first child no longer receives breast milk?
a. Marasmus
b. Kwashiorkor
c. Psychomalnutrition
d. Postbirth malnutrition
e. Sibling-associated anorexia
Q. 8At the end of your class presentation on Acute Malnutrition, a student asks you to clarify how the rapid onset of malnutrition occurs in kwashiorkor. How should you respond?
a. It is the result of an inborn error of metabolism.
b. It is usually synchronized with the drought season in each respective country.
c. It is typically seen in patients who are 2-5 years old due to the sudden change in diet arising from their dislike for breast milk as they grow older.
d. It is typically seen in patients after weaning due to the sudden change in diet arising from their being weaned from breast milk after the birth of a sibling.
e. It occurs when the family's finances are no longer able to afford food for all family members.