Nutrition in Emergencies

Daffodil International University Department of Nutrition and Food Engineering Faculty of Health and Life Sciences B.Sc. in Nutrition and Food Engineering Midterm Examination Fall 2026 Course Code: 0915-3211 Course Title: Nutrition in Emergencies Level and Term: L-3, T-2 Section: 241 All Course Teacher Initials: NS/IJR/SHN Time: 1 hour 30 minutes Total Marks: 25 "Maintaining the order of the questions is highly encouraged" 1 (a) Suggest how you would prevent scurvy in a camp that has had no fresh food for 10 weeks. [CLO2,PLO2,C3] 2 (b) During a measles outbreak in a camp, a 3-year-old child is found with a dry, milky cornea (X2) and a 4-year-old child has a cornea scar (XS). A health workers says, "Both children will fully recover their sight with vitamin A capsules." Evaluate this statement using the xerophthalmia classification, and justify which child needs the most urgent action and why. [CLO2,PLO2,C5] 3 2 (a) Explain the major clinical signs and physiological consequences of PEM in children. [CLO1,PLO1,C3] 3 (b) Explain why severe PEM in children must be treated as soon as possible. [CLO1,PLO1,C2] 2 3 (a) In a flood-affected area of Bangladesh, woman and children are among the most vulnerable populations. A nutritional survey conducted in the previous year found that the prevalence of iron-deficiency anemia was 37.75%. Children under five years of age account for 15% of the total population, while pregnant women constitute 5.75%. What are the appropriate iron supplementation does for children under five years of age and pregnant women in the affected community? [CLO2,PLO2,C2] 3 (b) Explain how vitamin C and phytates influence the absorption of non-haem iron in the human body. [CLO2,PLO2,C4] 2 4 (a) Differentiate between iodized salt and iodized oil as methods of preventing iodine deficiency. [CLO2,PLO2,C4] 3 (b) Evaluate the use of dried fish instead of iodized salt to prevent iodine deficiency. [CLO2,PLO2,C5] 2 5 Sami, a 9.5-month-old boy, was admitted on 8 September with persistent diarrhea, convulsions, vomiting, and inability to breastfeed. His weight was 2.75 Kg, with a weight-for-length Z-score of -3.5, indicating severe acute malnutrition (SAM). He also had conjunctival ulceration. After stabilization and therapeutic feeding with F-100, he improved and was discharged on 22 September weighing 4.5 Kg. (a) Calculate the final weight gain of Sami. [CLO1,PLO1,C6] 1 (b) Does Sami require antibiotics? If so, prescribe him required antibiotics along with exact doses. [CLO1,PLO1,C6] 2 (c) Provide appropriate treatment for Sami's micronutrient deficiency. [CLO1,PLO1,C6] 2 Please Turn Over