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When a child has a chronic condition that limits activity, such as spins bifida

ID: 81277 • Letter: W

Question

When a child has a chronic condition that limits activity, such as spins bifida what is the greatest long-term concern? a. protein limiting growth b. modified food textures to avoid eating difficulties c. excessive calorie intake further limiting mobility d. intake of calcium and vitamin D to prevent bone fractures Which of the following nutrients may be required in greater amounts by adolescents who use alcohol and tobacco? a. thiamin b. iron c. vitamin c d. all of the above Which of the following is a normal lipid profile for an adolescent? a. total cholesterol = 185, HDL = 90 b. total cholesterol = 158, HDL = 37 c. total cholesterol = 179, HDL = 39 d. total cholesterol = 167, HDL = 57 Which of the following has been shown to make bones weak? a. Bed rest b. Hospitalization c. Sedentary lifestyle d. Resistance exercise e. a, b and c The main symptoms of GERD include: a. heartburn b. acid regurgitation. c. bloating and cramping. d. All of the above e. a and b only A deficiency in vitamin B_12 may lead to: a. irreversible neurological damage. b. congnitive impairment. c. constipation. d. a and b e. b and c Obesity is defined as having a body mass index of ___ a. 18.5-24.9 b. 25-29.9 c. greaterthanorequalto 30 d. greaterthanorequalto 35 e. greaterthanorequalto 40 Diabetes leads to a tenfold greater risk of all of the following EXCEOT: a. amputations. b. neuropathies c. macular degeneration. d. cataracts. e. elevated blood lipids.

Explanation / Answer

Answer 53: c- Excessive calorie intake, further limiting mobility

Explanation: Spina bifida patients are mostly in a wheelchair on the bed as they can do only a few physical activity. Excessive calorie intake will increase the weight, and the supporting parents or nurse will not be able to move or lift him when required.

Answer 54: d – All the above

Explanation: Alcohol and drug use in adolescents can cause a reduced appetite which may lead to low intakes of protein, vitamin A and vitamin C, thiamine, calcium, iron and fibres.

Answer 55: c – Total cholesterol = 179, HDL = 39

Explanation: HDL = 39 or more are considered normal, HDL is good cholesterol, a higher level of HDL means good health.

Answer 56: e – a, b, and c.

Explanation: Only resistance exercise will not weaken the bones because resistance exercise increases muscle strength, endurance, tone and mass.

Answer 57: d – All of the above

Explanation: GERD can cause all, mentioned in first 3 options

Answer 58: d – a and b

Explanation: Vitamin B12 has little to do with constipation compared to other complications.

Answer 59: c – equal or greater to 30

Explanation:

Answer 60: e – elevated blood lipid

Explanation: Diabetes can increase the tenfold risk of Amputation (diabetic foot ulcer), Retinopathy and cataract, Nephropathy (kidney damage), Myopathy (Muscular degeneration). It has an impact on blood lipid also, but it can not increase the risk tenfold.

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