Central Mindanao University Nutrition Exam (2023) PDF

CENTRAL MINDANAO UNIVERSITY COLLEGE OF HUMAN ECOLOGY DEPARTMENT OF NUTRITION AND DIETETICS MOCK BOARD EXAMINATION ON COMMUNITY AND PUBLIC HEALTH NUTRITION IN-HOUSE REVIEW FOR NUTRITIONIST-...

CENTRAL MINDANAO UNIVERSITY COLLEGE OF HUMAN ECOLOGY DEPARTMENT OF NUTRITION AND DIETETICS MOCK BOARD EXAMINATION ON COMMUNITY AND PUBLIC HEALTH NUTRITION IN-HOUSE REVIEW FOR NUTRITIONIST-DIETITIAN LICENSURE EXAMINATION (2023) AUGUST 10, 2023 (1:00-5:00 PM) ANSWER KEY (RED-COLORED CHOICES ARE THE CORRECT OPTIONS) INSTRUCTION: Shade the box of your choice in a separate sheet given. 1. Chairperson of Operation Timbang team in a barangay: a. Barangay Nutrition Scholar c. Municipal Nutrition Action Officer b. Rural Health Midwife d. Public Health Nurse 2. Areas where goiter is likely to be endemic: a. Lowlands b. Coastal areas c. Urban centers d. Inland and mountainous areas 3. The parameter for under and overnutrition in adults recommended by FAO: a. Weight for height b. Weight for age c. Waist-hip ratio d. Body mass index 4. The main advantage of mid upper arm circumference as an anthropometric indicator: a. Can predict weight accurately b. Age of child need not be known c. More sensitive than weight for height d. Not affected by edema 5. In the Philippine Plan of Action for Nutrition, food assistance is seen as: a. A permanent solution to malnutrition b. An expensive approach to malnutrition c. A preventive malnutrition d. An immediate but temporary measure to help those who are already malnourished 6. Supplementary feeding programs of the DSWD target: a. All preschoolers in the community b. Mildly, moderately and severely malnourished preschoolers c. Moderately and severely malnourished preschoolers d. School children 7. The primary purpose of rooming-in is: a. Eliminate government expense for nurseries b. Reduce number of nursing staff c. Promote breastfeeding d. Greater efficiency 8. Components of UNICEF’s program planning: a. Assessment, analysis, action b. Problem identification, resource management c. Social marketing d. Research and technology transfer 9. Biointensive gardening is a technology that seeks to improve food security at the: a. Household level b. Community level c. National level d. For export 10. The National Nutrition Council is under the: a. Office of the President b. Department of Agriculture c. Department of Health d. NEDA 11. The Rapid Appraisal (RAP) Technique involves data gathering by means of: a. Community survey b. Examining vital statistics c. Interviewing key informants d. Focus group discussion 12. Evaluation done at the planning stage to assess feasibility of the formulated plan, possible unwanted effects, etc. a. Monitoring b. Summative c. Ex ante d. Ex post 13. Evaluation done during program implementation stage: a. Ex ante b. monitoring c. informal d. on-going 14. Evaluation that uses statistical methods: a. Informal b. formal c. summative d. formative 15. Lead agency for the implementation of the food assistance program of the Philippine Plan of Action for Nutrition: a. Nutrition Foundation of the Philippines b. National Nutrition Council c. Department of Health d. Department of Social Welfare and Development 16. The Philippine Plan of Action for Nutrition is in line with the World Declaration on Nutrition enunciated during the: a. World food day, 1992 b. International Conference on Nutrition in Rome, 1992 c. Food and Nutrition Summit, 1992 d. Medium Term Development Plan 17. The ultimate goal of community nutrition: a. Nutrition assessment b. Advocacy c. Policy formation d. Promote people’s self reliance 18. Primary concern of Public Health Nutrition: a. Malnutrition prevention b. Nutrition rehabilitation c. Prevention and treatment of malnutrition d. Program planning and implementation 19. The first stage in the development of a deficiency disease: a. Tissue depletion b. Nutritional inadequacy c. Functional changes d. Anatomical changes 20. The last stage in the development of a deficiency disease: a. Tissue depletion b. Nutritional inadequacy c. Anatomical changes d. Biochemical changes 21. It is a one-time assessment of the nutritional status of population a. Nutritional screening b. Nutrition surveillance c. nutrition survey d. none of the above 22. A Public Health Nutritionist is everything except: a. Community organizer/facilitator b. Program planner & implementor c. Informer and educator d. Funder of the programs 23. Core knowledge that a public health nutritionist must have include the following except: a. Principles of nutrition b. Methods of food preparation, marketing and storage c. Economic, environmental, and socio-cultural factors which influence dietary practices d. Politics 24. Not an immediate cause of malnutrition in the Philippines a. Inadequate food intake b. Poor health status c. Poor caring practices d. Large family size 25. Type of information used to described changes and measure success as a result of implementing a program: a. Surveillance b. Monitoring c. Indicator d. Evaluation 26. The twice a year universal supplementation of children 6-11 mos. and 12-71 mos. old with vitamin A and now with deworming and immunization of children added: a. Garantisadong Pambata b. Araw ng Sangkap Pinoy c. National Micronutrient Day d. National Childrens Day 27. The government’s more long term and integrated response against increasing hunger among poor families a. Food for School Program b. Accelerated Hunger Mitigation Program c. Early Childhood Care and Development d. Philippine Plan of Action for Nutrition 28. Process of identifying and analyzing needs and problems, allocating resources and taking deliberate actions to achieve objectives a. project b. Program c. planning d. evaluation 29. A cluster of programs a. Plan b. Project c. Activities d. Objectives 30. Foods included for mandatory food fortification except a. Rice b. instant noodles c. sugar d. cooking oil 31. The implementation scheme for vitamin A supplementation: a. Universal supplementation through garantisadong pambata b. Daily supplementation for infants c. Weekly supplementation for preschool children d. Daily supplementation for adolescents and pregnant women 32. Agency that assists in the establishment of functional nutrition committees in every region, province,city, municipality and barangay a. Dept. of Health b. Dept. of Agriculture c. Dept. of Social Welfare and Development d. Dept. of Interior and Local Government 33. Nutrition activities and efforts of both public and private sectors in the country are coordinated by: a. DOH b. NEDA c. NCP d. NNC 34. Used as a public health index of malnutrition a. Birth rate b. Morbidity rate c. 1-4 year old mortality rate d. Cause-specific mortality rate 35. One of the management skills needed by a public health nutritionist a. Decision making b. Use of statistics c. Interpersonal relations d. All of the above 36. As a community organizer, an ND engages in a. Supervising field personnel b. Helping people to alleviate their problems c. Discovering potential leaders in the community d. Identifying the nutritional problems in the community 37. Self-determined planning is also known as a. Bottom up planning b. Development planning c. Systems analysis planning d. Up-down planning 38. The process of defining action in terms of objectives and goals is a. Managing b. Planning c. Auditing d. None of the above 39. Program planning is done to a. Direct actions toward a goal b. Advocate for nutrition c. Make use of resources well d. All of the above 40. Classifying undernourished population according to its ecological, demographic, & socio-economic characteristics is called a. Physical classification b. Functional classification c. Biological classification d. Physiological classification 41. A general statement which guides and channels the thinking in decision making a. Program b. Plan c. Policy d. Input 42. Stage in planning when resources for nutrition program and existing constraints are identified a. Assessing the situation b. Setting the objectives c. Implementation and monitoring d. None of the above 43. During the first year of life, the most important step to undertake to encourage healthy eating is a. Introduce a variety of nutritious foods in an inviting way b. Give sweets as a reward or for comfort c. Give food as a reward or for comfort d. All of the above 44.An advantage of food intake record is that: a. The client may change eating behaviors during the times records are kept b. The client may also record behaviors associated with eating symptoms associated with eating foods and physical activities c. The client must diligently maintain the record d. The records are easy to keep 45. All of the following are valid reasons for anthropometric measurements EXCEPT a. To evaluate growth in pregnant women and children b. To detect under nutrition and over nutrition c. To evaluate functional status of organs d. To measure changes in body composition over time 46. It refers to the ideal values of weight and height at different ages and used as a reference point for assessing the nutritional level of a community a. Growth rate b. growth standards c. Growth charts d. Growth curve 47. At this age, the child weighs approximately five times his birth weight aand 90% of the brain has been reached a. 1-2 years b. 2-3 years c. 3-6 years d. 6-7 years 48. Criteria of a well-planned objectives a. Realistic, time-bound b. Measurable, time frame c. Realistic, time-bound, measurable d. Realistic, time warp, measurable 49. Conducts the Bantay Kalusugan Project a. ABS-CBN Foundation b. Nutrition Foundation of the Philippines c. GMA Foundation d. Nutrition Center of the Philippines 50. Also known as participatory planning a. Self-determined b. Joint c. Pre-determined d. Result 51. Research arm of the PPAN a. DILG b. DTI c. NEDA d. FNRI-DOST 52. Provides basis for decisions on policies, program design of PPAN implementation a. Human Resource Development b. Resources Generation c. Advocacy d. Research 53. A weeklong nationwide program to provide comprehensive health services to preschoolers a. OPT b. Dunong Bata, Yaman ng Bansa c. AHMP d. Garantisadong Pambata 54. Program to ensure food availability and food security at the household level a. Ginintuang Masaganang Ani b. Food Always in the Home c. Homestead Food Production d. May Gulay Project 55. End goal of PPAN a. Improved quality of life b. Nationally improved health c. Improved productivity d. All choices 56. Seal awarded to companies whose products are fortified with micronutrients a. BFAD Approval b. Sangkap Pinoy Seal c. BFAD Registration Number d. Certified Fortified Product 57. An action research program using an integrated development approach through coordinated efforts of the barangay people, local government and private organization a. LAKASS b. BIDANI c. KALAHI CIDDS d. MBN-CBIS 58. Type of fortification for rice, flour, sugar, and oil a. Voluntary b. Mandatory c. Incidental d. Regulatory 59. A program started in 1990 aimed at eliminating iodine deficiency through fortification a. FIDEL Salt b. Araw ng Sangkap Pinoy c. FVR Rice d. All Choices 60. Vision of PPAN a. Improve quality of life b. Nutritionally improved country c. Improved productivity d. All choices 61. The nutrition-in-development strategy for LGUs which includes training and technical assistance for the Barangay Integrated Development Plan (BIDP) a. KALINGA b. FSNI c. BIDA d. PDNR 62. The Act which commemorate November 7 as Food Fortification Day: a. RA 8172 b. RA 8976 c. EO 352 d. EO 382 63. Used as indicator of thinness and overweight among adolescents and adults a. Knee height b. Skinfold thickness c. Body mass index d. MUAC 64. The Executive Order which embodies the transfer of the National Nutrition Council from the DA to DOH a. EO 472 b. EO 958 c. EO 1070 d. EO 8980 65. The provision of pharmaceutical preparation of vitamins and minerals like Vitamin A, iron and iodine a. Food Fortification b. Supplementary Feeding c. Micronutrient Supplementation d. Food supplementation 66. It refers to the epidemiological approach which explains the occurrence, nature, and extent of disease a. Triple A approach b. Management-environment triad c. Vicious cycle of malnutrition d. Schema showing the main linkages between food system and individual nutritional status 67. A continuous and spiraling cycle in nutrition that may lead to the development and underdevelopment a. UNICEF framework on factors affecting malnutrition b. Management-environment triad c. Vicious cycle of malnutrition d. Nutrition in the life cycle 68. What is the ABCs of behavior modification? a. Assessment, behavior, cue to action b. Antecedent, behavior, consequences c. Addiction, behavior, cue to action d. None of the above 69. They are the type of learners who are physically mature, voluntarily learns and have longer attention span. a. Pedagogic learners b. Andragogic learners c. Geragogic learners d. None of the above 70. To modify eating behaviors teaching a patient about stimulus control is necessary. What are examples of stimulus control for individuals who wanted to lose weight? a. Eat at regular times, in a fixed place, using fixed table wares b. Do nothing else while eating; devote your self to meals c. Decide how much you are going to eat and serve yourself to a single helping d. All of the above 71. The following are steps to take in modifying eating behaviors, except: a. Cognitive restructuring b. Relapse prevention training c. Social support d. Short term goal 72. It is a form of psychotherapy that treats problems and boosts happiness by modifying dysfunctional emotions, behaviors, and thoughts. a. Cognitive – behavioral therapy b. Health Belief Model c. Behavior Therapy d. Social Cognitive Theory 73. It is a theory that synthesizes concepts and processes from cognitive, behavioristic, and emotional models of behavior change, so it can be readily applied to nutritional intervention for disease prevention and management a. Cognitive – behavioral therapy b. Health Belief Model c. Behavior Therapy d. Social Cognitive Theory 74. A stage of change, wherein an individual may or may not be aware that a behavior change is warranted and has no intention of changing within the next 6 months. a. Precontemplation stage b. Contemplation stage c. Preparation d. Action 75. Process of change are ten strategies that individuals use to facilitate forward movement through the stages of change. The following are example activities of process of change except: a. Consciousness raising b. Counter conditioning c. Dramatic relief d. None of the above 76. It is the cornerstone of any community’s ability to acquire a clear and shared understanding of an issue and the process of exploring and handling it. a. Communication b. Learning c. Education d. None of the above 77. It can be defined as any set of learning experiences designed to facilitate the voluntary adoption of eating and other nutrition-related behaviors conducive to health and well-being. a. Nutrition counselling b. Nutrition education c. Nutrition care process d. Nutrition intervention 78. Malnutrition in all its forms have societal impacts in the way of: I. High losses of human capital II. Continued high burden of disease III. High economic output foregone IV. High rates of illiteracy, impaired social development a. Statements I, II and III are correct b. Statements I and II are correct c. Statements II and IV are correct d. All statements are correct 79. Patient X was diagnosed with inability to manage self – care due to peer pressure. In this scenario peer pressure is considered under what construct in Health belief model? a. Perceived susceptibility b. Perceived barrier c. Perceived severity d. Perceived benefits 80. A type of communication best defined as transmission or exchange of information designed to modify behaviors related to health. a. Health education b. Health communication c. Health counselling d. None of the above 81. Health communication in the community have 4 stages and are all listed below except: a. Planning and strategy development b. Developing and pretesting concepts, messages, and materials c. Assessing effectiveness and making refinements d. Close communication among members 82. According to the Food and Agriculture Organization ______________ is the basis for good health, and both help in making education effective. a. Good education b. Good nutrition programs c. Good nutrition d. B and C are correct 83. Top – down method of nutrition education is considered largely ineffective because of the following reasons, except: a. It believes that consumer decisions involve choices among alternative behavior patterns b. It emphasizes technical and scientific information about nutrients and nutrient deficiencies c. It pays little attention to people's social and cultural context, instead of building on indigenous knowledge about local foods and food preparation and promoting healthy eating patterns d. It focuses on the promotion of individual behavior change rather than fostering active community participation 84. Current nutrition education approach (i.e. social marketing approach and community – based approach) are considered more effective because of the following reasons. I. It believes that consumer decisions involve choices among alternative behavior patterns II. It emphasizes technical and scientific information about nutrients and nutrient deficiencies III. It pays little attention to people's social and cultural context, instead of building on indigenous knowledge about local foods and food preparation and promoting healthy eating patterns IV. It focuses on the promotion of individual behavior change rather than fostering active community participation a. Statement I and II are correct b. Statement I is correct c. Statement II is correct d. All statement are incorrect 85. According to the 2019 ENNS result wasting among adolescent have a prevalence rate of how many percent? a. 11.7% b. 26.8% c. 42.% d. 8.3% 86. Prevalence rate of overweight and obesity among adolescents have decreased by how many percent? a. 11.6% b. 9.8% c. 1.8% d. 2.3% 87. Puberty is divided into 3 hormonal events in following order: a. Gonadarche, adrenarche, growth axis activation b. Adrenarche, gonadarche, growth axis activation c. Growth axis activation, adrenarche, gonadarche d. None of the above 88. It is a hormone responsible for the development of secondary sexual characteristics, that is, growth and development of the breasts and reproductive organs, fat redistribution (hips, breasts), and bone maturation. a. Estradiol b. Luteinizing hormone c. Follicle stimulating hormone d. Gonadotropins 89. It is scale used to classify the onset and progression of puberty in children and adolescents. a. GRA b. SMR c. ASMR d. None of the above 90. Fat free mass constitutes how many percentages of a female and male adolescents’ body weight? a. 44% (female) and 50% (male) b. 75% (female) and 80% (male) c. 65% (female) and 70% (male) d. None of the above 91. A type of temporary anemia cause by rapid growth during puberty. a. Iron deficiency anemia b. Macrocytic anemia c. Megaloblastic anemia d. Physiologic anemia of growth 92. It is said to be the hormone that is responsible in stimulating the production of LH and FSH and is secreted by the hypothalamus a. IGF – 1 b. GnRH c. Kisspeptin d. Estradiol 93. During this stage of adolescence, peer pressure greatly influences food choices that may lead to initiation of health compromising behaviors. a. Early adolescent stage b. Pre-pubertal stage c. Middle adolescent stage d. Late adolescent stage 94. It is found to be the likely cause of overweight and obesity, and frequent skipping of meals among adolescent. a. Snacking b. Binge eating c. Eating away from home d. Vegetarian diet 95. It is a validated nutrition screening and assessment tool that can identify geriatric patients age 65 and above who are malnourished or at risk of malnutrition. a. SGA b. MNA c. GRA d. WHO ICOPE 96. Elderly individuals have increase vitamin B12 requirements due to the following reasons: I. Atrophic gastritis II. Intake of proton pump inhibitors III. Lack of Intrinsic factor IV. Intake of metformin a. I and II are correct b. II and III are incorrect c. All statements are correct d. All statements are incorrect 97. A condition common among elderly individuals and is defined as a loss of muscle mass combined with low muscle function as evidenced by decreased muscle strength and/ or physical performance. a. Frailty b. Muscle wasting c. Sarcopenia d. None of the above 98. A condition commonly observed among elderly individuals and is described as a clinical state of increased vulnerability that is recognized by progressive multisystemic decline, reduced physiological reserve and ability to cope with acute stress, and increased adverse health outcomes. a. Frailty b. Muscle wasting c. Sarcopenia d. None of the above 99. It is a slow process of losing of bone mass and mineral density associated to aging. a. Osteoporosis b. Osteopenia c. Osteomalacia d. None of the above 100. A process of immune dysfunction that occurs with age and includes remodeling of lymphoid organs, leading to changes in the immune function of the elderly, which is closely related to the development of infections, autoimmune diseases, and malignant tumors. a. Auto – immune disease b. Immunosenescence c. Telomere erosion d. A and B are correct 101. Which of the following is not a precursor office to the now-existing Food and Nutrition Research Institute? A. Philippine Institute of Nutrition B. Food and Nutrition Research Center C. National Food and Agricultural Center D. None of the above 102. Which of the following is not included in the PD 491? A. Designation of July as Nutrition Month B. NNC being directly under the Office of the President C. Designation of NNC as the highest policy making and coordinating body in nutrition D. None of the above 103. EO 472 is all about: A. Transferring NNC from DA to DOH B. Designating NNC as the leader of Accelerated Hunger Mitigation Program C. Harmonizing national nutrition information system D. None of the above 104. According to RA 11037, what national government agency is in-charge with the national feeding program among day care centers? A. Department of Education B. National Nutrition Council C. Department of Science and Technology D. Department of Social Welfare and Development 105. A fortified meal as defined by the NNC is comprised of at least _____ of the PDRI-REI or RNI values. A. 1/3 B. ½ C. ¼ D. 2/3 106. The National Feeding Program runs for at least how many days in a year? A. 30 days B. 60 days C. 90 days D. 120 days 107. Which food is specifically included in a standalone feeding program under the National Feeding Program? A. Milk B. Dried fish C. Monggo D. Squash 108. Which agency is tasked to harmonize national nutrition information system? A. Department of Health B. National Nutrition Council C. Department of Social Welfare and Development D. Department of Agriculture 109. The first 1000 days of life: A. Conception to 2 years B. Conception to 5 years C. 0-5 years D. None of the above 110. Refer to interventions or programs that address the underlying determinants of maternal, fetal, infant and child nutrition and development: A. Nutrition-sensitive B. Nutrition-enabling C. Nutrition-supportive D. Nutrition-specific 111. The prenatal period is otherwise known as: A. The first 270 days B. The first 280 days C. Periconceptional period D. Neonatal period 112. Which vitamin is supplemented as part of the routine newborn services in the neonatal period? A. Vitamin D B. Vitamin B12 C. Iron D. Vitamin K 113. The perinatal period starts from the ____ week of pregnancy: - 22th week to 7 days after birth A. 8th B. 12th C. 20th D. 24th 114. Embryogenesis ends in the ____ week of pregnancy: A. 8th B. 12th C. 20th D. 24th 115. The NNC Secretariat is composed of: A. National government agencies B. Non-government organizations C. The Office of the Executive Director + 5 divisions + 17 NNC regional offices D. All of the above 116. The vice-chair/s of the NNC Governing Board: A. DOH B. DA C. DILG D. Both B and C 117. Assists the NAO in the coordination of nutrition programs: A. City/District Nutrition Program Coordinator B. Barangay Nutrition Scholar C. Kagawad on Health D. Health Officer 118. Aims to improve the nutrition knowledge, attitudes and practices of families to increase demand for adequate, nutritious and safe food/. This involves conduct of training and use of multimedia to educate masses. A. Accelerated Hunger Mitigation Program B. Capacity Development C. Promote Good Nutrition D. Tutok Kainan 119. When is OPT+ conducted? A. 1st quarter of the year B. 2nd quarter of the year C. 3rd quarter of the year D. 4th quarter of the year 120. This is a city/municipal-based nutrition surveillance system for detecting at an early stage, an impending deterioration of food security system, developed by NNC and UN-FAO: A. Integrated Food Security Phase Classification B. MELLPI Pro C. OPT+ D. Local Nutrition Early Warning System 121. The Tutok Kainan Dietary Supplementation Program involves feeding pregnant women for _____ and 6-23 months old for ______. A. 90; 180 B. 180;90 C. 120;90 D. 90;120 122. The SUN Movement involves: A. Emphasis on the first 1000 days of life B. Nutrition surveillance of Geographically Isolated and Disadvantaged Areas (GIDAs) C. Mobilization of the academe, business sector and civil society alliance to help end all forms of malnutrition by 2030 D. None of the above 123. According to the results of NNS, the trend for stunting and underweight among under-fives from 2015 to 2019 has been _____. A. Increasing B. Decreasing C. Staying the same D. No data for 2019 124. The % prevalence of wasted under-fives according to ENNS 2018: A. 5.5 B. 5.6 C. 5.7 D. 5.8 125. According to the results of NNS, the prevalence of overweight among school children from 2015-208 has been _____. A. Increasing B. Decreasing C. Staying the same D. No data for 2018 126. According to the results of NNS, the prevalence of nutritionally-at-risk women from 2015-208 has been _____. A. Increasing B. Decreasing C. Staying the same D. No data for 2018 127. According to the results of ENNS 2019, the proportion of children meeting the minimum acceptable diet _____ as the age in month increases. A. Increases B. Decreases C. Stays the same D. No data for 2019 128. The % prevalence of food insecure household _____ from 2018 to 2019 according to ENNS: A. Increased B. Decreased C. Stayed the same D. No data for 2019 129. Which of the following is a proxy indicator of BOTH energy and micronutrient adequacy? A. Dietary diversity score B. Minimum meal frequency C. Minimum acceptable diet D. None of the above 130. Which of the following is NOT an outcome target of PPAN 2017-2022? A. Reduced wasting and stunting among under-fives B. Improved maternal health status C. Improved situation in overweight and obesity D. Reduced micronutrient deficiencies 131. The target prevalence rate of stunting among under-fives by 2022 according to the PPAN 2017-2022 is: A. 21.1 B. 21.2 C. 21.3 D. 21.4 132. Using the ENNS 2019 data as the reference, did we already meet the outcome target for stunting prevalence among under-fives as set by the PPAN 2017-2022? A. Yes B. No C. Maybe D. I don’t know 133. The target prevalence rate of wasting among under-fives by 2022 according to the PPAN 2017-2022 is: A.