A child with suspected vitamin A deficiency has dry conjunctivae and difficulty seeing in dim light. Which additional assessment is most important?
Correct answer: A. Look for Bitot spots on the conjunctiva
- A. Look for Bitot spots on the conjunctiva
- B. Check for a widened wrist joint
- C. Assess for a swollen thyroid gland
- D. Inspect for bleeding gums
Explanation
Bitot spots are foamy, whitish conjunctival lesions associated with vitamin A deficiency. Widened wrists suggest rickets, thyroid swelling suggests iodine deficiency, and bleeding gums suggest vitamin C deficiency.
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About Childhood Nutrition and Malnutrition
Childhood nutrition covers essential nutrients, breastfeeding, complementary feeding, dietary assessment, growth monitoring and age-appropriate feeding practices. Questions distinguish protein-energy malnutrition, including marasmus and kwashiorkor, from micronutrient deficiencies such as iron, vitamin A, vitamin D and iodine deficiency, using clinical signs and anthropometric findings.
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