Ahpc Quosa
Ahpc Quosa
Ahpc Quosa
(b) Feeding a baby adequate breast milk and complementary foods for 24 months and beyond
(c) Feeding a baby only breast milk for the first 6 months of life
(d) Feeding a baby only breast milk and concoctions where necessary for 6 months
2. All of the following are signs of adequate breast milk transfer from a mother to a baby
except…
(a) Sustained suckle/swallow pattern with occasional pauses
4. Akosua Beyie wishes to start complementary feeding early, tell her the conditions by
circling the odd one in the list below…
(a) Her baby should be at least four months of age
(b) Her baby should be gaining adequate weight
(c) Her baby should be receiving adequate and frequent amount of breast milk
(d) If her baby is not gaining weight adequately
5. Each of the following words explain the acronym FADUR except…
(a) Respective feeding
(b) Adequate
(c) Density
(d) Utilisation
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6. Which of the following is not true about Vitamin A?
(a) It is synthesised by the body
(b) It is stored in the liver
(c) It has to come from food and nutrient supplements
(d) It is fat soluble
7. Each of the following points explains briefly to Naa Adoley why she has to give her 6
month old infant vitamin A supplements except…
(a) To prevent night blindness
(b) To prevent goiter during adult life
(c) To reduce the child’ risk of infection
(d) To prevent xerophthalmia
8. All of the following are strategies for curbing vitamin A deficiency except…
(a) Food diversification
(b) Food fortification
(c) Nutrient supplementation
(d) Food processing
9. It is recommended that children between 6-59 months should take vitamin A
supplements…
(a) 2-4 times a year
(b) 2 times every six months
(c) 2 times a year
(d) 3 times a year
10. All of the following are priority key contact points for the control of anaemia except…
(a) Pregnancy
(b) Postnatal and family planning
(c) Delivery
(d) Menopause
11. Hajia Memunatu who is 6 months pregnant comes to your CHPS compound with pale
eyes and palms, which of the following conditions will you suspect…
(a) Goitre
(b) Night blindness
(c) Lack of Vitamin A supplementation
(d) Anaemia
13. Which of the following nutrient deficiencies is the result of niacin deficiency?
a. Scurvy
b. Pellagra
c. Xerophthalmia
d. Beriberi
17. Identify the two components of animal fats that are believed to predispose an
individual to atherosclerosis.
a. Prostagladins and thromboxanes
b. Cholesterol and thromboxanes
c. Prostaglandins and saturated fatty acids
d. Saturated fatty acids and cholesterol
18. Rice proteins are low in one of the following essential amino acids…
a. Leucine
b. Isoleucine
c. lysine
d. Tryptophan
23. All of the following are proven interventions for improving maternal nutrition in Ghana
except…
(a) Adequate nutrition management during and after illness
(b) Birth avoidance
(c) Breastfeeding
(d) Micronutrient sprinkles
27. Food and Drugs Board Amendment Act 523 is targeted at the…
(a) Control of vitamin A deficiency
(b) Control of iron deficiency
(c) Control of iodine deficiency disorders
(d) Control of artificial feeding of infants
28. Breast milk secretion and ejection are controlled by respectively by….
(a) Oxytocin and prolactin reflexes
(b) Prolactin and oxytocin reflexes
(c) Prolactin and progesterone reflexes
(d) Oxytocin and rooting reflexes
29. You get a report from the Growth Monitoring and Promotion team at Dobidi that the
reading on their uniscale is E04, what does this mean?
(a) Scale too hot
(b) Load is too heavy
(c) Load is cold
(d) Scale is seriously damaged-can’t be used
30. What is the recommended age for the introduction of complementary feeding?
(a) At 6 months
(b) At 4 months
(c) At 4-6 months
(d) At 5 months
31. All of the following are characteristics of good complementary foods except that they…
(a) Must be easy for child to eat
(b) Must be nutritious
(c) Must be locally available
(d) Must be canned
32. Which of the following is the most recommended source of complementary food?
(a) Commercially prepared foods
(b) Specially prepared foods at home
(c) Modified family foods
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(d) Processed foods
33. Which of the following strategies is the most sustainable for improving micronutrient
content of complementary food?
37. The fifth World Health Organization’s recommended step in the management of
malnutrition is…….
(a) Treat/Prevent Infection
(b) Correct Electrolyte Imbalance
(c) Start Cautious Feeding
(d) Correct Micronutrient Deficiency
(a) Water
(b) Zinc
(c) Calcium
(d) Lycopen
43. 102. Which of the following nutrients has the highest composition in the body?
(a) Minerals
(b) Fats
(c) Protein
(d) Water
44. In terms of kcal/g which of the following pairs of nutrients will provide the highest
calories
(a) Fats and Proteins
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(b) Fats and Vitamins
(c) Minerals and Fats
(d) Carbohydrates and Proteins
55. What is the energy content of a meal if the composition of fat is 10g, carbohydrate is
60 g, and protein is 15 g
(a) 85 kcal
(b) 21.25kcal
(c) 19.85kcal
(d) 390kcal
56. Determine the percentage contribution of fat in question 18
(a) 70.6%
(b) 11.8%
(c) 17.6%
(d) 100%
57. Determine the percentage contribution of protein in question 18
(a) 70.6%
(b) 11.8%
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(c) 17.6%
(d) 100%
58. Assume your Recommended Daily Allowance or Intake (RDA or I) is 2,800 kcal and
your total energy intake for the day is 1,400 kcal, calculate the percentage satisfaction of
the (RDA or I).
(a) 33.3 %
(b) 100 %
(c) 200 %
(d) 50%
60. Which of the following vitamins can be synthesized in the presence of sunlight?
(a) Vitamin A
(b) Vitamin D
(c) Vitamin E
(d) Vitamin K
61. Which of the following vitamins acts as an antioxidant?
(a) Vitamin E
(b) Vitamin B2
(c) Vitamin B3
(d) Vitamin D
62. What is the other function of Vitamin K besides aiding in blood clotting?
(a) Synthesis of red blood cells
(b) Synthesis of prothrombin
63. Which of the following nutrients acts as part of the co-enzyme Thiamin Pyrophosphate
(TPP)?
(a) Thiamin
(d) Phospho-thiamin
64. Which of the following nutrients acts as part of the co-enzyme Flavin Adenine
Dinucleotide
(FAD)?
(a) Vitamin B6
(b) Vitamin B
(c) Vitamin B3
(d) Vitamin B2
65. Which of the following mineral elements is essential for both teeth and bone formation?
(a) Calcium
(b) Zinc
(c) Sodium
(d) Selenium
66. Which of the following statements is true about osteoporosis and osteomalacia?
(a) Osteoporosis is a calcium deficiency characterized by reduction in mineral
content of the bone and osteomalacia is a calcium deficiency in which the bone
mass diminishes.
(b) Osteomalacia is a calcium deficiency characterized by reduction in mineral
content of the bone and osteoporosis is a calcium deficiency in which the
bone mass diminishes.
(c) Osteoporosis usually occurs in women living in low sunshine areas.
(d) Osteomalacia occurs mostly among middle age and elderly women.
67. Which of the following pairs of minerals is responsible for transmission of messages
along nerves and from nerves to muscles as well as in the response of the muscles
(including the heart muscle) to those messages.
(a) Calcium and Potassium
(b) Iron and Calcium
(c) Potassium and Sodium
(d) Iron and Sodium
68. Which of the following pairs of minerals is chiefly responsible for water balance in the
body?
(a) Calcium and Potassium
(b) Iron and Calcium
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(c) Potassium and Sodium
(d) Iron and Sodium
69. Which of the following mineral is responsible for the production of spermatozoa and
normal foetal growth?
(a) Iodine
(b) Zinc
(c) Fluorine
(d) Selenium
70. Which of the following mineral deficiency can result in anaemia?
(a) Potassium
(b) Phosphorous
(c) Iron
(d) Zinc
71. . Which of the following mineral deficiency can result in abortions and still births?
(a) Fluorine
(b) Zinc
(c) Iron
(d) Iodine
72. Which of the following nutrients plays the role of complementing Vitamin E as an
antioxidant?
(a) Phosphorous
(b) Sodium
(c) Fluorine
(d) Selenium
73. Which of the following nutrients is essential for the production of adequate amounts of
thyroxine?
(a) Zinc
(b) Flourine
(c) Sodium
(d) Iodine
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76. All of the following are characteristics of growth except…
a. The capacity and skill of a person to adapt to the environment
b. Can be measured quantitatively
c. Minimal during adulthood
d. Physical change increase in size
77. The process by which development proceeds from the head downwards is termed
a. Fine motor dexterity
b. Cephalocaudle principle
b. Physical growth
c. Linear growth
78. Which of the following Asian countries participated in the World Health Organization’s
Multicentre Growth Reference Study?
a. India
b. China
c. Singapore
d. Japan
79. The World Health Organization’s Multicentre Growth Reference Study was undertaken
between…
(a) 1996-2003
(b) 1997-2003
(c) 2000-2003
(d) 1999-2003
80. . Which of the following countries did not take part in the World Health Organization
sponsored Multi-Centre Growth Reference Study?
(a) Australia
(b) United States of America
(c) Brazil
(d) Norway
83. Which of the following was not captured as a factor of unconstrained growth that were
considered in recruiting the participating of World Health Organization
sponsored Multi-Centre Growth Reference Study?
84. Which is a feeding recommendation for children who participated in World Health
Organization sponsored Multi-Centre Growth Reference Study?
(a) Almost exclusive breastfeeding for 6 months
(b) Partial breastfeeding to be continued for at least 6 months
(c) Predominant breastfeeding for at least 3 months
(d) Introduction of breastfeeding by the age of 12 months
85. Which city did not participate in the World Health Organization sponsored Multi-Centre
Growth Reference Study?
(a) Muscat
(b) Oslo
(c) Canberra
(d) Pelotas
86. Which one of the following is the most important point to consider when plotting the
weight of children on the New Growth Chart…
(a) Name of the child
(b) Only two successive plots can be joined
(c) Body Mass Index of the of the child
(d) Height of the child
88. What is the colour of the new growth chart for boys…
a. Indigo
b. Violet
c. Pink
d. Blue
89. Which of the following indicators is highly sensitive to change in the growth of a child?
a. Height
b. Weight
c. MUAC
d. Age
90. In the interpretation of the new growth chart, a child is considered moderately
malnourished
when his/her growth curve is…
(a) Below -3SD
(b) Between -2SD and -3SD
(c) Between +2SD and -2SD
(d) Above + 3SD
91. Which among the following is part of a child’s health data as a key aspect of the child’s
health record booklet in Ghana?
(a) Birth Weight
(b) Birth height
(c) MUAC
(d) Skin fold
92. Which is not part of the growth monitoring process in the new child health records
(a) Pictures of growth curves
(b) Join dots except for defaulters
(c) Plot birth weight
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(d) Use pen
93. Which of the following is not among the first four (4) steps on how to weigh a child
using
the salter scale?
(a) Hang the scale
(b) Help mother remove child’s cloth
(c) Place the child in the weighing pant
(d) Check the scale with an object of known weight
95. Which among the following is an underlying cause of malnutrition based on the
UNICEF
conceptual framework of malnutrition?
(a) Low dietary intake
(b) Infection
(c) Inadequate maternal and child care
(d) Economic structure
97. An abnormal infiltration and excess accumulation of serous fluid in connective tissue or
in serous cavity is otherwise termed oedema, this is as a result of a deficiency in
(a) Energy
(b) Fat
(c) Carbohydrate
(d) Protein
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98. In the verification of oedema, how long is thumb pressure applied on top of feet?
(a) Two seconds
(b) Three seconds
(c) Four seconds
(d) Five seconds
99. A child is qualified for discharge from outpatient care under CMAM if he or she meets
all the following except…
(a) The child should be between 6-59 months
(b) Clinically well and alert
(c) Has attained MAC ≥12.5cm
(d) Has oedema grade 3 (+++)
100. Which of the following is part of the first five (5) steps in the management of
Severe Acute Malnutrition?
(a) Treat/prevent infection
(b) Start cautious feeding
(c) Discharge and follow up
(d) Provide sensory stimulation and emotional support
101. Which of the following steps does the provision of vitamin A capsule fall under
the World Health Organization’s recommended ten (10) steps in the management of
severe acute malnutrition?
(a) Prevent/treat dehydration
(b) Correct of electrolyte imbalance
(c) Prevent/treat infection
(d) Correct micronutrient imbalance
102. Which of the following is an indicator that shows a person’s weight in proportion
to height/length?
(a) Weight for height
(b) BMI
(c) Weight for age
(d) MUAC
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103. A board designed to placed on a horizontal surface to measure the length of a
child less than 2 years old is called
(a) Salter scale
(b) Infantometer
(c) Measuring board
(d) Microtoise
107. The category of mothers that were allowed in the World Health Organization
sponsored Multi-Centre Growth Reference Study were…
(a) Non-alcoholic mothers
(b) Hardworking mothers
(c) Non-smoking mothers( before and after delivery))
(d) Educated mothers with health background
108. How many communities in Accra were included in the World Health
Organization sponsored Multi-Centre Growth Reference Study?
(a) 9
(b) 10
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(c) 12
(d) 15
109. One of the following is not a major outcome of the World Health Organization
sponsored Multi-Centre Growth Reference Study?
(a) Provide reference data for assessing childhood obesity
(b) Improved immunization practices
(c) Established the link between physical growth and motor development
(d) Established breast-fed child as the normative model for growth and development
110. All of the following are parts of the salter scale except…
(a) The back
(b) The face
(c) The screw
(d) The hook
111. All of the following were communities in Accra where the World Health
Organization Multi-Centre Growth Reference Study was conducted except…
(a) Lashibi
(b) Dzorwulu
(c) Adabraka
(d) Cantonments
112. Mahama is experiencing prolonged bleeding after a blade cut, what vitamin will
he possibly be lacking…
(a) Vitamin B12
(b) Vitamin E
(c) Vitamin K
(d) Vitamin C
113. What does the acronym RUTF stands for in the dietary management of disease?
(a) Ready-to-Use Therapeutic Feed
(b) Ready-to-Use Transition Feed
(c) Ready-to-Use Transaction Food
(d) Ready-to-Use Treatment Food
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114. Which among the following best describes acute malnutrition?
(a) Underweight
(b) Stunting
(c) Micronutrient deficiency
(d) Wasting
115. All of the under listed are challenges of Centre-Based Care of malnourished
children except…
(a) Overcrowding
(b) Low patronage
(c) Cross-infection
(d) Staff workload increase
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