Protein-Energy Malnutrition

• Q1.A 3-year-old child with normal height for age, abnormal weight for age and abnormal weight for height, which of the following is not a differential diagnosis?

  • AAcute malnutrition
  • BChronic malnutrition
  • CAcute on chronic
  • DNone of above
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• Q2.For severe malnutrition MAC will be less than

  • A14.5
  • B13.5
  • C12.5
  • D11.5
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• Q3.All are diagnostic criteria for 'severe acute malnutrition' (SAM) except?

  • AMid-upper arm circumference (MUAC) <115 mm
  • BWeight for age <-3 Z score
  • CPresence of bipedal edema
  • DPresence of visible severe wasting
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• Q4.h/o consumption of rice milk, child presenting with protruded abdomen low albumin but no proteinuria what is the probable diagnosis ?

  • Akwashiorkor
  • Bmarasmus
  • Cnephrotic syndrome
  • Dliver failure
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• Q5.Which is the most specific clinical feature for diagnosis for Kwashiorkor?

  • AFatty liver
  • BEasy pluckable hair
  • CLow serum albumin
  • DEdema
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• Q6.In marasmus, which of the following is not seen?

  • AEdema
  • BVoracious appetite
  • CHepatomegaly not seen
  • DChild is active
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• Q7.Which of the following if normal rules out PEM?

  • ASkin fold thickness
  • BECF Fluid
  • CLean body mass
  • DSerum Potassium
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• Q8.Skin fold thickness is measured in all of the following places, EXCEPT:

  • AMid triceps
  • BBiceps
  • CSuprapubic
  • DSuprailiac
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• Q9.Which of the following is not seen in kwashiorkor?

  • AApathy
  • BFlaky paint dermatosis
  • CBaggy pants appearance
  • DIncreased transaminases
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• Q10.The best indicator of acute malnutrition is

  • AWeight for height
  • BWeight for age
  • CHeight for age
  • DBMI <2SD
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Answer key

Q1: B. Chronic malnutrition; Q2: D. 11.5; Q3: B. Weight for age <-3 Z score; Q4: A. kwashiorkor; Q5: D. Edema; Q6: A. Edema; Q7: C. Lean body mass; Q8: C. Suprapubic; Q9: C. Baggy pants appearance; Q10: A. Weight for height.

Other topics in Paediatrics

• Neonatology Basics and Routine Newborn Care
• Disorders of the Newborn
• Neonatal Conditions Requiring Special Care
• Apgar Scoring and Neonatal Resuscitation
• Milestones of Development
• Patterns of Growth and Development
• Infant Nutrition and Breastfeeding
• Fat-Soluble Vitamin Deficiencies
• Water-Soluble Vitamin and Trace Element Deficiencies
• Disorders of Fluid and Electrolyte Balance
• Mendelian and Non-Mendelian Inheritance Disorders
• Chromosomal Abnormalities
• Inborn Errors of Amino Acid Metabolism
• Urea Cycle, Complex Molecule and Carbohydrate Metabolic Disorders
• Poliomyelitis and HIV/AIDS
• Bacterial and Parasitic Infections in Children
• Measles, Mumps, Rubella and Other Viral Illnesses
• Surgical GI Conditions in Children
• Medical GI Conditions in Children
• Paediatric Liver Disorders
• Respiratory Disorders of the Newborn
• Respiratory Disorders in Childhood
• Fetal Circulation
• Acyanotic Congenital Heart Disease
• Cyanotic Congenital Heart Disease
• Nephrology in Children
• Urology in Children
• Disorders of the Paediatric Nervous System
• Thyroid Disorders in Children
• Congenital Adrenal Hyperplasia and Allied Adrenal Disorders
• Pituitary Gland Disorders
• Pubertal Disorders
• Paediatric Haemato-oncology
• Childhood Solid Tumours
• Musculoskeletal Disorders in Children
• Rheumatological Disorders in Children
• Paediatric Haematology: Bleeding and Clotting Disorders
• Paediatric Anaemias