GENERAL

1. Define malnutrition? What are the forms of malnutrition?

2. State the various forms in which undernutrition manifests?

3. Which types of malnutrition are frequently encountered in India?

4. State the effects of malnutrition (undernutrition) on the community?

5. Enumerate the causes of protein energy malnutrition?

6. State the contributory factors in causation of protein energy malnutrition

7. What is meant by the term ecology?

8. Enumerate the ecological factors related to malnutrition?

9. Explain malnutrition -infection cycle?

10. Explain the life cycle approach in malnutrition/intergenerational cycle of malnutrition?

UNDERWEIGHT / STUNTING / WASTING 

1. What does the term underweight mean?

2. What inference can you draw regarding a child who is underweight?

3. What does the term stunting mean?

4. What inference can you draw regarding a child who is stunted?

5. Enumerate the effects of stunting on a child?

6. What does the term wasting mean?

7. What inference can you draw regarding a child who is showing signs of wasting?

MODERATE/SEVERE ACUTE MALNUTRITION

6. What does the term Moderate Acute Malnutrition mean?

7. What does the term severe acute malnutrition mean

8. Why is it important to focus our attention on children with severe acute malnutrition (SAM)?

9. Differentiate between the causes of Kwashiorkor and Marasmus.

10. Differentiate between the clinical picture of a child with Kwashiorkor and Marasmus.

11. Describe prevention and control of Protein Energy Malnutrition .

CLINICAL EXAMINATION

1. Why should you routinely assess for nutritional status in sick children

2. What are the  key points in clinical assessment of a nutritional status of a child?

3. What are the signs of malnutrition?

4. How will you examine if the child has ‘visible severe wasting’?

5. How will you check for pedal oedema?

6. How do you grade pedal oedema?

7. How will you clinically assess anaemia in children?

NUTRITIONAL STATUS OF A CHILD 2 MONTHS UPTO 5 YEARS OF AGE

1. How is nutritional status classified in a child 2 months upto 5 years of age?

2. What are the criteria for classifying a child 2 months upto 5 years of age as

   1. Severe Acute Malnutrition With Medical Complication

   2. Severe Acute Malnutrition Without Medical Complication

   3. Moderate Acute Malnutrition 

   4. No Acute Malnutrition

3. What action is taken for a CHILD (2 months upto 5 years of age) classified as

   1. Severe Acute Malnutrition With Medical Complication

   2. Severe Acute Malnutrition Without Medical Complication

   3. Moderate Acute Malnutrition 

   4. No Acute Malnutrition

4. What action is taken for a child during following up visit for a child with Severe Acute Malnutrition Without Medical Complication and Moderate Acute Malnutrition? 

5. What are the signs of medical complications?

NUTRITIONAL STATUS OF A YOUNG INFANT

1. How do you classify Feeding Problems and Malnutrition in a YOUNG INFANT?

2. What are the criteria for classifying a young infant as 

   1. ‘Very Low Weight’?

   2. ‘Feeding problem or low weight’?

   3. ‘ No Feeding problem’?

3. What action is taken for a YOUNG INFANT classified as 

   1. ‘Very Low Weight’?

   2. ‘Feeding problem or low weight’?

   3. ‘ No Feeding problem’?

4. What action is taken during the follow up care for the sick YOUNG INFANT with 

   1. ‘Very Low Weight’?

   2. ‘Feeding problem or low weight’

   3. ‘No Feeding problem’?

ANAEMIA

1. How is anaemia classified in children?

2. What are the criteria for classifying a child as 

   1. Severe Anaemia

   2. Anaemia

   3. No Anaemia

3. What action is taken for a CHILD (2 months upto 5 years of age) classified as

   1. Severe Anaemia

   2. Anaemia

   3. No Anaemia

4. What is the dose of IFA in CHILD (2 months upto 5 years of age) classified as Anaemia?

5. What is the most common cause of anaemia in children?

6. Which are the other serious causes of anaemia regarding which you should be aware?

7. How will you clinically assess for anaemia in children?

FEEDING PROBLEM

1. In whom is feeding to be assessed?

2. What are the two points you assess regarding feeding?

3. In whom is breast feeding assessment done?

4. Which are the questions you would ask to assess feeding?

5. What is the recommended frequency of breastfeeding?

6. What are the common feeding problems in children?

7. In whom are you likely to find the problem of breastfeeding?

8. In order to assess breastfeeding, for how long should you observe?

9. What are the four signs of good attachment?

10. What could be the problems of poor attachment?

11. What are the signs of good positioning?

12. When would you say the child is suckling effectively?

13. When would you say the child is not suckling effectively?

14. Explain to mother how to express breast milk?

15. In whom is expressed breast milk usually required?

16. What advice will you give a mother with an inverted nipple?

17. Explain treatment of inverted nipples using syringe?

18. What advice will you give for a sore nipple?

19. What advice will you give engorged breasts?

20. What advise will you give for breast abscess? 

21. When should a mother return immediately for a follow up visit in a young infant?

ORAL THRUSH

1. How should the mother treat the thrush at home?

2. What action is taken during the follow up care for the sick young infant with thrush?

3. How do you check for ulcers or white patches in the mouth (oral thrush)?

NUTRITIONAL REHABILITATION CENTRE

1. What is the role of Nutritional Rehabilitation Centres (NRC)?

2. Who are the beneficiaries of NRC?

3. What are the services provided at NRC?

4. What is the process followed at NRC?

5. Describe the process of Triage at NRC?

6. Describe how the assessment of a child is done at NRC?

7. Describe the principles of hospital based management at NRC?

8. Describe the treatment of medical complications at NRC?

9. Enlist the micronutrient supplementation of children admitted at NRC?

10. Explain the starter diet and catch up diet given in stabilisation phase and Transition phase.

11. What are the constituents of the starter and catchup diets?

12. When is the baby discharged from the NRC?

13. Who does the follow up of a child discharged from NRC?

14. What are the points to be noted during the follow up visit?

15. What is the role of ASHA with regard to a child with SAM?

PREVENTION

1. How will you prevent malnutrition

2. Give examples of interventions to prevent malnutrition at

   1. Family level 

   2. Community level 

   3. National level 

   4. International level

3. Which arethe Health promotion measures that can be instituted for prevention of malnutrition?

4. Which are the specific  measures that can be instituted for prevention of malnutrition?

5. Which are the Early Diagnosis and Treatment measures that can be instituted for prevention of malnutrition?

6. Which Rehabilitation measures can be instituted for prevention of malnutrition?