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Canadian Dietitian Registration Exam - Test Reviews Sample Questions

Vitamin C deficiency is also known as which of the following?

Correct Answer:

vitamin c deficiency is also known as scurvy. scurvy is a disease resulting from a lack of vitamin c, which is necessary for the synthesis of collagen in humans. collagen is a vital component of connective tissues and plays a crucial role in the health of skin, tendons, blood vessels, and bones. without adequate vitamin c, the body cannot properly form or maintain collagen, leading to a breakdown in these tissues.

the symptoms of scurvy develop due to weakened blood vessels, connective tissues, and bone, which manifest predominantly in the gums, skin, and joints. early symptoms of scurvy include weakness, feeling tired, and sore arms and legs. without treatment, decreased red blood cells, gum disease, changes to hair, and bleeding from the skin may occur. as scurvy progresses, it can lead to swollen, bleeding gums and loosening or loss of teeth. other symptoms might include poor wound healing, severe pain in the limbs, and eventually death.

historically, scurvy was a common problem among sailors and others who were deprived of fresh fruits and vegetables for long periods. today, it is relatively rare in modern societies where fresh produce is readily available, but it can still occur in individuals with severely limited dietary variety or malabsorption issues.

the treatment for scurvy is simple: increase vitamin c intake. this can be achieved through dietary sources such as citrus fruits, tomatoes, potatoes, and green vegetables. in more severe cases, or where dietary intake is not possible, vitamin c supplements may be prescribed by a healthcare provider. recovery is typically quick and effective once vitamin c levels are restored.

while scurvy is distinctly related to vitamin c deficiency, other deficiencies lead to different diseases. for example, beriberi results from a deficiency of vitamin b1 (thiamine), rickets from a deficiency of vitamin d, calcium, or phosphate, and pellagra from a deficiency of niacin (vitamin b3). each of these deficiencies has its specific symptoms and treatment protocols, emphasizing the importance of a balanced diet for maintaining overall health.

Parents should keep bottle-feeding equipment in good working order that includes all of the following except:

Correct Answer:
there is no need to replace nipples regularly 
the question asks for identifying an item that is not necessary for maintaining bottle-feeding equipment in good working condition. let's review the options provided one by one to understand which one is incorrect.

**discard cracked or chipped bottles that could break and spill formula onto the baby.** this practice is essential for maintaining bottle-feeding equipment. bottles that are cracked or chipped can not only leak and waste formula but also pose a safety hazard to the baby. they could break completely while the baby is feeding, potentially leading to injuries. therefore, this is a necessary precaution.

**there is no need to replace nipples regularly.** this statement stands out as it contradicts standard advice regarding bottle-feeding equipment maintenance. nipples endure wear and tear from regular use and sterilization. over time, they can become stretched or damaged, which might affect their function. for instance, a worn nipple might not control the flow of formula properly, leading to risks like choking if the milk flows too quickly or frustration and inadequate feeding if it flows too slowly. therefore, it is generally recommended to replace nipples regularly to ensure they are safe and functional.

**check the size opening of new nipples and periodically as you use them.** this is another important aspect of maintaining bottle-feeding equipment. ensuring the nipple has the appropriate size opening for the baby’s feeding stage is crucial. a newborn, for example, requires a slower flow nipple compared to an older baby. regularly checking the nipple's condition and opening size helps in providing the right flow of formula, which is essential for safe and effective feeding.

**use plenty of hot, soapy water to wash your hands, work area, measuring utensils, bottles, and nipples.** hygiene is critical when it comes to feeding equipment. proper cleaning of all equipment, including bottles and nipples, helps prevent the build-up of bacteria and ensures that the baby is not exposed to potential infections. using hot, soapy water is a basic yet fundamental practice in this cleaning process.

from the provided options, the statement **"there is no need to replace nipples regularly"** is the one that should be excluded as it is not a recommended practice for maintaining bottle-feeding equipment in good order. regular replacement of nipples is necessary to ensure that they function properly and safely.