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Clinical Assessment
Anthropometric Assessment
Energy Biochemical
Biochemical II
Biochemical III
100
The first step in the clinical assessment, obtained by patient interview, medical chart or questionnaire.
What is the medical history
100
Less than the fifth percentile on growth charts
What is failure to thrive
100
Measurement of heat dissipated by the body by radiation, convection, conduction and evaporation.
What is direct calorimetry?
100
Falls rapidly in response to protein deficiency, transport protein for vitamin A, 12 hour 1/2 life
What is RBP
100
Growth retardation, delayed sexual maturity, acrodermatitis enteropathica, poor appetite
What are signs and symptoms of zinc deficiency?
200
General appearance, anthropometrics, head and neck, eyes, mouth, hair, nails, skin etc.
What are things to look for in a physical exam.
200
Weight for height
What is differentiates between stunting and wasting
200
Give a dose of 18O and 2H measure the difference in isotope excretion, and estimate CO2 production
What is doubly labelled water method?
200
MMA
What is metabolite increased in B12 deficiency and not folate deficiency
200
25 (OH) Vit D
What is the vitamin D metabolite used to assess Vitamin D status?
300
Physical signs are not specific, signs are subjective, requires training and practice
What are limitations of clinical assessment
300
Influenced by muscularity, sites chosen may not represent th entire mass, realtionship between subcutaneous fat and internal fat is not linear
What are limitations of skinfold measurements
300
An umbrella term referring to changes in retina and pathological changes in the retina and pathological changes in the conjunctiva and cornea
What is xeropthalmia?
300
Ceruplasmin
What is ferroxidase for iron and transport protein for copper
300
Methionine synthase
What is the enzyme that requires 5 methyl THF and B12 to convert homocysteine to methionine?
400
Loss of subcutaneous fat, muscle wasting, edema in the ankles, ascites. Patient is rated normal, mild, moderate or severe.
What is physical exam section of SGA
400
BW= Fat + FFM
What is two compartment model
400
Serum retinol, RDR, and night blindness
What are methods used to assess vitamin A status.
400
GI ulceration, allergy to cows milk intestinal parasites
What are causes for iron deficiency anemia other than diet?
400
L methymalonyl CoA mutase and methionine synthase
What are B12 dependent enzymes?
500
Adherence to reference distribution, and uniform critera across indices, not useful for detecting change at extremes of the distribution
What are percentiles
500
The human body is a cylinder, biological tissues act as conductors or insulators and impedance is a function of resistance and reactance
What are assumptions for BIA
500
Measured after an over night fast, resting, supine, awake, motionless thermoneutral, and extrapolated to 24 hours
What is BMR
500
Only measure that can reflect deficent, excess or normal iron stores, but is an acute phase reactant
What is ferritin
500
Gastrectomy, pacreatic insufficiency, intestinal malabsorption and H2 receptor antagonists.
What are non dietary factors associated with B12 deficiency