SECTION A: COMMUNITY NUTRITION

1. One of the following categories of children measurements are taken as length: 

A. Children older than 2 years
B. Children less than 2 years
C. Children with physical disabilities
D. Children who cannot stand
2. Nutritionists normally give instructions to clients, which are normally not followed. How
should they treat patients who they suspect are incapable of keeping follow-up
instructions? 
A. Encourage themselves to educate themselves and take responsibility to their health
B. Establish a system of penalties to increase retention rate
C. Disregard patients’ incapacities and fit them into the schedule
D. Discuss the importance of personal responsibility before administering follow-up care
3. The meaning of anthropometry
A. Measurements of body parts to estimate the nutritional status of individuals
B. Tools used to measure the nutritional status of individuals 
C. Ways of assessing the nutritional status of individuals 
D. Assessment of nutritional status and dietary intake of individuals
4. Which of the following indices is used to measure the nutritional status of children
between 5 and 19 years of age?
A. BMI 
B. Weight for height
C. Height for age
D. BMI for age
5. One of the following health measurements is recommended for pregnant women
’s nutritional assessment
A. Mid Upper Arm Circumference
B. Head circumference
C. Weight changes
D. Weight/height ratio
6. One of the following calculated BMI is correct for an individual who weighs 81
kilograms whose height is 185 cm:
A. 22.6
B. 23.5
C. 24.2
D. 24.8
7. A child with acute malnutrition scoring ˃-3 to ˂-2 on the Z score scale can be classified
as having:
A. Severe acute malnutrition
B. At risk of developing malnutrition
C. Moderately acute malnutrition
D. Moderately at risk of acute malnutrition
8. Which category of nutritional assessment protocol below does a 24 hour recall belong?
A. Biochemical 
B. Anthropometry
C. Clinical 
 D. Dietary
9. On which type of feeding can the above child seen in the picture be enrolled on?
A. Outpatient therapeutic care (OTC)
B. Inpatient therapeutic care (ITC)
C. Supplementary feeding
D. Homecare if patient are active
10. What is the most likely cause of the above case seen in the picture?
A. Poverty and food insecurity 
B. Disease and food insecurity
C. Disease and control
D. Inadequate care on the site of parents
11. How often weighing scales used in nutritional status assessment should be calibrated
A. Every after weighing a child
B. Every after a month
C. Every day before weighing children
D. Every time Ministry of officials coma at the site to verify the scales
12. One of the following is a typical example of a nutritional status of clinical assessment
protocol 
A. A nutritionist checking Edema and pallor of palms and eye of child looking of anemia
B. A nutritionist checking Edema and hemoglobin level of a child
13. Which of the following assessments should a nutritionist receiving a malnourished child
perform first?
A. Assess appetite through performing an appetite test
B. Perform a medical assessment
C. Assess nutritional status through dietary diet
D. Assess HIV status
14. Which of the following is not a duty of a community health worker in regard to
management of acute malnutrition?
A. Providing counselling on proper nutrition and feeding practices
B. Follow-up defaulters and encourage them to return to OTC
C. Screening community members for malnutrition
D. Requisitioning for ready to use therapeutic feeds for supply to community from district
hospital
15.  One of the reasons below has been mentioned as a major reason for emerging cases of
Iodine deficiencies in communities 
A. Consuming un-Iodized salt
B. Consuming foods containing elements that make Iodine biologically unavailable
C. Leaving iodized salt containers uncovered
D. B and C
16. Which micronutrient deficiency can produce the clinical feature shown in the picture
below?
A. Vitamin A
B. Vitamin C
C. Zinc
17. These micronutrients can be used in management of anemia caused by hookworm infections
 A. Iron and vitamin A
B. Iron, Zinc and Vitamin A
C. Iron and Zinc
D. Iron and vitamin C
18. These micronutrients deficiencies are strongly related to poor academic performances among
learners
A. Iron and vitamin A
B. Iron, Zinc and Vitamin A
C. Iron and Iodine
D. Iron and Zinc
21. A nutritionist administering a food frequency questionnaire is using this type of nutritional
assessment
A. Dietary history assessment
B. Biochemical assessment
C. Dietary assessment
D. Clinical assessment
22. A laboratory technician performing a lipid profile on a client’s blood sample is undertaking
this type of nutritional status assessment
A. Anthropometry
B. Biochemical 
C. Clinical 
D. Dietary
23. Which assessment is best done to obtain conclusive remarks on the cause of a condition in
nutrition screening?

A. Clinical assessment 
B. Laboratory examination
C. Dietary assessment 
D. Anthropometry 
24. Which of the following is suitable as a direct source of nutritional related information
concerning a given population in a community?
A. Hospital records 
B. Dietary assessment data
C. Clinical assessments
25. Which of the following is not a primary aim of nutrition counseling 
A. To facilitate successful decision making by reducing anxiety and lending a non-
judgmental support
B. To provide nutritional information regarding alternatives
C. To assist in the implementation of the chosen course of action
 D. To enable a nutritionist choose an alternative for implementation by the client
26. A good nutrition counselor should exhibit the following qualities except one
A. Integrity and Empathy
B. Sensitivity and Flexibility
C. Integrity and Sympathy
D. Self-control and Intelligence
27. Which of the following is not a guiding principle of nutrition counselling 
A. Leave the client the right to make his or her own decisions
B. Keep confidentiality of client problems and give correct information
C. Take limited attention to issues that might affect your personality
D. Be truthful and recognize own limitations
28. The first step in planning any nutrition education is to educate what the key problems are and
what advice should be given. Any proposal for change of practice should include the following
except one
A. Be simple to put into practice with the existing knowledge and skills in the community
B. Fit with existing lifestyle and culture and not conflict with local belief
C. As long as it makes change in practice, it should be implemented at whatever cost 
D. Meet the felt needs of the community
E. Be seen by the people to convey real benefits in the short term, not in distant future
 29. The key decisions that form the basis for any planning of nutrition education activities are
decisions made over the following important questions except one:
A. What the desired change should be expected?
B. How should learners be feed?
C. Where the health education should take place?
D. Who should carry out the health education?
E. How should it be done?
30. Which of the following is not a guiding principle of nutrition education session
A. Should be entertaining to attract the community attention
B. Should use clear, simple language with local expressions and emphasizes short term
benefits of action
C. Should provide an opportunity for dialog and discussion to allow learner participatory
technics on understating and implementation
D. Should develop rules that govern the nutrition education talk and punishable upon not
abiding
E. Should use demonstrations to show the benefits of adopting advocated practice
31. In any communication situation, the following elements should exist except one
A. The source of the message 
B. The message
C. A positive expected feedback
D. The channel used to send the message
 E. The receiver of the message
32. For effective communication to occur, the message sent to a receiver should have the
following elements except one:
A. Should be relevant to the receiver 
B. Should be interesting 
C. Should be short 
D. Should make the receiver laugh all the time…………… 
E. Should be clear
33. For effective communication to occur, the channel used to send message should have the
following elements except one:
A. Relevant to the receiver 
B. Should match with technology
C. Accessible to the receiver
D. Familiar to the receiver
34. Counsel out to perform a food preparation session on complementary feeding in a remote
community to ……. Of methods. Which of the following methods of teaching will you employ.
A. Lecture
B. Practical demonstration and supervised practice
C. Dramatic presentations
D. Role playing 
35. Concerning food safety, risk assessment process provides:
A. Information for identifying and characterizing food hazards
B. Means for food trade and industry
C. Norms for food commercialization
D. None 
36. Which area of food safety and quality are consumers involved in if they are educated and
informed on making choices?
A. Consumers directly affect the safety of food through handling and preparation practices
B. Consumers have to know the number of supermarkets in a city
C. Consumers provide guidance to authorities on which foodstuffs to be imported
D. B and C
37. About quality control and quality assurance
A. Quality control focuses on process and final product while quality assurance is based on
quality system
B. Quality control is a resource  for implementing quality management while quality
assurance is the financial means
C. Quality control is to improve ………………………
D. All
38. Food safety can also be defined as:
 A. Food contamination
B. Food processing 
C. Food conservation and preparation
D. Food hazard-free
39. How do you know that you can improve a process during food quality assurance program?
A. By auditing
B. By planning
C. By selling your products
D. By estimating a tolerance level of critical point
40. Give two methods of microbial control in food contamination
A. Moist heat and dry heat 
B. Deep freezing and refrigeration
C. A and B
D. None
41. What are the consumer’s rights in the matters of food legislation?
A. Right to education and information
B. Right to protection
C. Right of access to justice
D. A and B
E. A, B and C
Note: Read this section to answer questions (42-46). You are a CHW in a village B. The
government is promoting in that village the use of kitchen garden and the rearing of small
animals at household level. You are the in charge as you have been appointed to supervise health
promotion activities in that specific village
42. How can you describe the importance of kitchen garden to the population?
A. Help keep people busy working 
B. Promotion of kitchen garden in the village
C. Help people get necessary nutrients they need
D. Make children healthy
 43. Whom are you going to report to?
A. The major of the district
B. The health center supervisor
C. The director of district hospital
D. The ministry of health

44. In some areas especially in town, people don’t have space to grow the kitchen garden. What
strategy can you use on ground for this specific activity?
A. Abandon the project and report the case to the supervisor
B. Promote sack kitchen gardens
 C. Put people into groups regarding the space of neighboring families 
D. B and C
45. People can rear small animals at home for:
A. Improve their consumption of animal food production
B. Improve their revenues generating activities
C. Put in action the authority ’s planning 
D. A and B
46. Small animals means:
A. Cow and dog
B. Hen and rabbits
C. Elephants 
D. All
47. Which of the following guideline can be used to turn health facilities and communities to
become centers of breastfeeding support?
A. Nation Anemia policy
B. IMAM guidelines
C. Baby friendly hospital initiative
D. Nutritional strategy guideline
48. At facility level, one of these actions can be put in place to orient the facility as a center of
breastfeeding support?
A. Establishment of waiting area at the maternity ward
B. Communication of breastfeeding policy to health workers
C. Provide chairs for patients at the health facility
D. Recruitment of more nurses at the maternity ward
49. At facility level, one of these actions can be provided to pregnant mothers attending antenatal
care in order to support breastfeeding
A. Provision of transport back home
B. Create awareness on benefits and management of breastfeeding
C. Provision of mosquito nets and kits
D. Encourage family planning to pregnant mothers
50. What is the recommended time for initiation of breastfeeding for a mother who has
experienced a normal delivery and she is in good condition?
A. Within 1 hour after birth
B. Within 2 hours after birth
C. 6 hours after birth
D. Within 24 hours after birth
51. The following are key steps for successful breastfeeding except?
A. Provide no artificial teats or pacific
 B. Discourage the practice of rooming-in for the mother and baby
C. Have a written policy on breastfeeding
D. Help mothers initiate breastfeeding within an hour
SECTION B: CLINICAL NUTRITION
52. During management of acute malnutrition, which one of the interventions is recommended to
children who are moderately malnourished?
A. Plumpy nut (RUTF)
B. Corn blend and oil
C. F 75
D. Thick porridge
53. Which of the following condition is managed under Outpatient therapeutic program?
A. Severe acute malnutrition with edema
B. Severe acute malnutrition with diarrhea
C. Severe acute malnutrition without appetite
D. Severe acute malnutrition with no edema
54. During management of acute malnutrition, which one of the interventions is recommended to
children who are severely malnourished without complications?
A. Plumpy nut (RUTF)
B. Corn blend and oil
C. F 75
D. Thick porridge
55. Which of the following condition is managed under Inpatient therapeutic program?
A. Severe acute malnutrition with no edema
B. Severe acute malnutrition with no diarrhea
C. Severe acute malnutrition with appetite
D. Severe acute malnutrition with edema
56. A child is diagnosed with the following symptoms; MUAC˂ 11.5 cm, is still alert and
clinically well. To which program would you recommend this child following the criteria of
admission in integrated management of acute malnutrition?
A. Supplementary feeding programs
B. Community outreach
C. Inpatient Therapeutic Care (ITC)
D. Outpatient Therapeutic Care(OTC)
57. A child is diagnosed with the following symptoms; MUAC˂ 15 cm and low blood sugar. To
which program would you recommend this child following the criteria of admission in integrated
management of acute malnutrition?
E. Supplementary feeding programs
F. Community outreach
G. Inpatient Therapeutic Care (ITC)
 H. Outpatient Therapeutic Care (OTC)
58. Which of the following aspects is the most important while conducting community
outreaches in integrated management of acute malnutrition?
A. Family planning support
B. Screening for malnutrition
C. Selection of community health workers
D. HIV testing of infants
 59. During therapeutic feeding, one of the following is important to carry out before the children
are enrolled to the Outpatient therapeutic program
A. HIV test
B. Appetite test 
C. Goiter test
D. Iron deficiency test
60. Which of the following policies does not directly apply to proper nutrition and care among
pregnant mother who drops out school?
A. Baby friendly hospital initiative
B. National Anemia Policy
C. School feeding guidelines
D. Nutrition action plan
E. CODE of marketing breastmilk substitutes
(READ THE FOLLOWING SCENARIO TO ANSWER THE FOLLOWING QUESTIONS)
Musa is 3 years and was diagnosed with Severe Acute Malnutrition with fever. He was admitted
in Kayonza Health Nutrition Rehabilitation Center. He is now recovering well and will be
transferred from inpatient ward and will go home with his mother and continue Ready to use
therapeutic Food. Musa’s follower is 2 years old and his mother is pregnant (use this scenario to
answer the following questions 61-64)
61. After how long is it necessary for the health worker to go and visit Musa’s household?
A. One week
B. After one month
C. After 6 month
D. After 1 year
62. How can Musa’s mother improve the nutrition status of her household?
A. Prepare a variety of food for every meal
B. Take Musa to kindergarten
C. Start providing the family with soft drinks
D. Start attending religious gatherings 
63. One of the following advice can help Musa’s household not to experience a similar
occurrence in the household?
 A. Attend church service as family
B. Invite friends in his home for advice
C. Attend health education sessions
D. Invite the village chief at his home
64. What advice will you give to Musa’s mother to avoid re-occurrence of fever?
A. Provide safe drinking water
B. Sleep under treated mosquito net
C. Eat a balanced diet
D. Attend a church service in the morning hours

65. A malnourished child was found in the community during advice search. He had a MUAC˂
11.5 cm without any complications and her mother explained that she has a good appetite and
still very alert. How can you help this child in such a scenario?
17. Refer to inpatient ward
18. Provide RUTF to caregiver to give the child
19. Provide F75
20. Provide a treated mosquito net to the child
66. One of the following procedures is correct concerning feeding of a malnourished child on
RUTF
21. provide in large quantities of RUTF
22. Provide in small quantities but frequently
23. provide in small quantities with care
24. provide in large quantities with care
67. For children that are still able to breastfeed but are being fed on RUTF, the correct way of
feeding is ?
A. Breastfeed on demand 
B. Give RUTF first and then breastfeed
C. Provide in large quantities of RUTF
D. A and C
68. The picture above is a representation of a suckling technique using a nasal gastric tube.
Under which circumstance do you advice the mother to use this technique
A. When mother get early pregnancy
B. During re-establishment of breastfeeding
C. When mother is employed
D. All above
69. The following complications inform caretaker that the patient require use of the technique of
returning to food except
A. Repeated vomiting
B. Severe dehydration
C. Gain in appetite
 D. Painful mouth lesions
Scenario. Thomas’s wife and daughter were both diagnosed with malaria and are both on malaria
treatment. However the daughter has started passing watery stools. Use the following scenario to
answer the following  questions that follow 70 73
70. As a clinical nutrition officer, what best advice can you give Thomas’s wife concerning
breastfeeding of her daughter?
A. Continue to breastfeed her daughter
B. Stop breastfeeding
C. Stop breastfeeding and provide daughter with soft foods
D. Reduce frequency of breastfeeding
71. Which foods will you advice to feed the daughter to achieve high protein intake?
A. Milk, oil and cassava
B. Milk, legumes and fish 
C. Milk, cassava and fish
D. Milk, pineapple and fish
72. Why would you advice Mr Thomas’s wife to eat well?
A. To increase bonding with the child 
B. To replace lost nutrients
C. To increase bonding with the husband 
D. To encourage weight loss
73. What advice can you give to Mr Musa on what to provide to the daughter in order to replace
the lost minerals as result of diarrhoea? 
A. Clean water 
B. Tea 
C. Oral rehydration salt (ORS)
D. Milk 
74. Which of the following food products is fortified and is a rich source of Vitamin A?
A. Biscuits 
B. Cookies
C. Vegetable cooking oil
D. Carbonated soft drinks Soda
75. Which of the following foods can act as a good vehicle in fortification of water-soluble forms
of Iron?
A. Maize flour 
B. Plantain
C. Bottled water
D. Carbonated soft drinks 
76. An adolescent was diagnosed with goitre stage 1. Which of the nutrients listed below was
probably consumed inadequately by this adolescent?
A. Zinc 
B. Calcium 
C. Iodine
D. Potassium 
77. One of the farming strategies below is recommended to be a sustainable diversified … crops
to enhance food diversity in developing countries
A. Utilization of improved seeds
B. Utilization of improved on-farm machinery 
C. Promotion of on-farm enterprise mix at household
D. Carrying out irrigation
78. Which farming strategy is not recommended in promotion and reduction of post-harvest
losses to enhance food production in rural communities?
A. Promoting local food processing 
B. Promoting value addition 
C. Promoting indigenous farming practices
D. Promoting use of labour saving technique
79. The following statements are true for salt being recommended as a universal vehicle to iodine
fortificants accept?
A. Salt is one of the few commodities consumed by everyone
B. Salt consumption is fairly stable throughout the year
C. Salt production is usually limited to a few geographical areas
D. Salt iodization technology is easy to implement and available 
E. None of the above
80.One of the following  key elements to the guidelines set for designing and planning a food
fortification program is in support of monitoring and evaluation of the fortificants being utilized?
A. Defining and setting nutrition goals
B. Establishing procedures which check that fortified foods contain the intended amount of
micronutrient
C. Communication and marketing fortification program
D. Informing the target population of the benefits of fortification
81. To prevent micronutrient malnutrition?
A. Balanced diet
B. Avoid disease infection 
C. Prevent illnesses
D. All 
82. One of the following statements is true concerning acquisition of all micronutrients required
by the body?
 A. It is possible with adequate food intake
B. It is possible especially among HIV positive patient under care
C. It is possible with adequate food and appropriate dietary habits
D. It is possible as long as you eat meals on time
SCENARIO: Rwanda government I planning a food fortification program of iron using maize
flour as vehicle for the fortificant. You are contracted as consultant to take the lead in this
program (use the above scenario to answer questions that follow).
83. What indicator shall you consider to measure success of the program?
A. Health impact in terms of goiter prevalence
B. Health impact in terms of anaemia prevalence
C. Impact in terms of weight gain
D. Impact in terms of birth rates
84. Which population will you consider primarily during implementation of the program?
A. Lake shore dwellers
B. Urban dwellers
C. Middle class
D. Resource poor setting
85. The ways of transmission of HIV to the baby are:
A. During pregnancy
B. During labor and delivery 
C. During breastfeeding 
D. All 
86. HIV virus attacks
A. Eyes
B. Womb
C. Immunity system
D. Brain 
87. The aim of all the interventions in the matter of HIV transmission from mother to child is:
A. To be able to support families financially 
B. To get all men be responsible for their families
C. To avoid deaths during delivery
D. To have infants who do not have HIV but still survive
88. During pregnancy, the interventions to reduce MTCT may include:
A. HIV counselling and testing; primary prevention: prevent, monitor, and treat STIs,
malaria, opportunistic infections
B. Provide essential ANC, including nutrition support, ARVs 
C. Counselling on safe sex partner involvement, infant feeding of child, family planning,
self care, preparing for the future
D. All the correct
89. During labor and delivery during these interventions are performed
A. Checking of ARV adherence
B. Keep delivery normal, minimize invasive procedures
C. Artificial rupture of membranes (AROM), episiotomy, suctioning: vaginal cleansing
D. All 
90.If 100 HIV infected women and their babes take ARVs and practice exclusive breastfeeding
during the first 6 months
A. About 2 babies are infected during pregnancy and delivery
B. About three babies are infected during breastfeeding
C. About 95 babies will not get HIV
D. All are correct
91. Some studies have shown that the transmission during breastfeeding when taking ARVs is as
low as 1 out of 100 babies. This statement is correct if:
A. Mother takes ARVs from at least 14 weeks of pregnancy
B. Father helps mother to go early to the clinic
C. The pregnancy is the last one
D. None 
92. What do mothers with an unknown status have in common with those with known HIV
(NOT SURE) status…(NOT SURE) to the national protocol for nutritional care of people living
with HIV and AIDS?
A. Exclusive breastfeeding for up to 6 months and complementary foods at 6 months
continue breastfeeding for 2 years and beyond
B. Take ARVs for 2 years
C. Have only 2 children
D. Prepare food at home and always take it to the schooling children
93. It is said that mixed feeding is the worst option to opt out to because:
A. It increases the risk of HIV transmission as well as exposing the infant to the risk of
illness from contacted formula
B. It is money and time consuming 
C. It reduces the freedom of the mother/father and caretaker
D. The child sometimes refuses to drink from the bottles and cups
94. Describe the major difference between feeding a child from 6 up to 24 months when an HIV
infected mother breastfeeds or does NOT breastfeed.
A. The difference lays on replacement feeding 
B. The difference is about food security
C. The difference is about the use of animal proteins
D. No difference
95. The importance of testing and counselling for the mother is 
A. HIV counselling and testing form the first step to prevention, care, treatment and support
B. increases the number of people who know they are infected and can get treatment early for
MTCT
C. for those not infected with HIV it promotes behaviour change towards safe sex and hence it is
important for HIV prevention 
D. all are correct
96. what is the importance of early testing for the infant?
A. Allow for early diagnosis of an HIV infected child and then be treated early with ARVs which
improves chance of survival
B. HIV infected child should be breastfed for two years or beyond and can be breastfed with
confidence as this helps prevent malnutrition and illness like diarrhoea
C. if the child is negative, the mother continues to implement the feeding option she has chosen
to give the best chance of HIV free survival and reduced death and sickness 
D. all 
97. what are the three aspects of food security 
A. availability, accessibility, utilization
B. commercialization, food technology and food processing
C. food processing, utilization and consumption
D. milk consumption, fishing and kitchen garden 
98. these are some of the drugs side effects that can affect food consumption and nutrient
absorption
A. nausea, vomiting, anorexia, diarrhoea, change of taste
B. sleepless and fatigue
C. swallowing pills
D. none
99. the first step in treatment of kwashiorkor
A. administration of antibiotics
B. rehydration
C. supplementation with proteins
D. supplementation with carbohydrates
100. which of the following is a major risk factor for diabetes mellitus
A. Hypertension 
B. Obesity
C. Kidney diseases
D. HIV