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GCE JUN 2008 : A2, 15 Human Nutrition and Dietetics

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Centre Number 71 Candidate Number ADVANCED General Certificate of Education 2008 Health and Social Care assessing Unit 15: Human Nutrition and Dietetics A6H71 Assessment Unit A2 15 [A6H71] TUESDAY 10 JUNE, AFTERNOON TIME 2 hours. INSTRUCTIONS TO CANDIDATES Write your Centre Number and Candidate Number in the spaces provided at the top of this page. Write your answers in the spaces provided in this question paper. Answer all three questions. INFORMATION FOR CANDIDATES The total mark for this paper is 100. Quality of written communication will be assessed in all questions. Figures in brackets printed down the right-hand side of pages indicate the marks awarded to each question or part question. For Examiner s use only Question Number 1 2 3 Total Marks A6H71S8 4179 Marks 1 Mr and Mrs Green have two children, five year old Jason and 13 year old Amy. Jason has recently been diagnosed as being lactose intolerant. (a) Explain the term lactose intolerant. _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] (b) Identify three foods which Mr. and Mrs. Green should avoid giving their son. 1. ____________________________________________________ [1] 2. ____________________________________________________ [1] 3. ____________________________________________________ [1] (c) Jason s diet may be deficient in the following nutrients. Discuss the possible impact of this on his health. Vitamin A _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] A6H71S8 4179 2 Examiner Only Marks Remark Vitamin B 1 Examiner Only Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] Calcium _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] A6H71S8 4179 [Turn over (d) Identify two alternative dietary sources for each of the following nutrients which would satisfy Jason s daily requirement. Calcium 1. ____________________________________________________ [1] 2. ____________________________________________________ [1] Vitamin A 1. ____________________________________________________ [1] 2. ____________________________________________________ [1] (e) Jason s school encourages children to bring healthy snacks at break time. Explain three reasons why the school has introduced this policy. 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 3. _______________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] A6H71S8 4179 Examiner Only Marks Remark (f) Mrs Green tries to ensure the family eats a healthy diet. Discuss how nutritional labelling could influence her food choices when shopping for the whole family. Examiner Only Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A6H71S8 4179 [Turn over Examiner Only _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _____________________________________________________ [12] A6H71S8 4179 6 Marks Remark 2 (a) Draw and label a diagram to show the structure of a simple amino acid. Examiner Only Marks Remark [4] (b) Rob (17) and Ben (19) play rugby for their local team. Explain three reasons why protein is important in their diet. 1. _______________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] 2. _______________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] A6H71S8 4179 7 [Turn over Examiner Only 3. _______________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] (c) Explain the meaning of the term High Biological Value (HBV) proteins. _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [2] (d) Carol, a school secretary, aged 50, has a very similar diet to Rob and Ben but she is overweight while the boys are within the normal range. Discuss why this may be the case. _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A6H71S8 4179 8 Marks Remark Examiner Only _________________________________________________________ Marks Remark _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A6H71S8 4179 [Turn over Examiner Only _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _____________________________________________________ [12] A6H71S8 4179 10 Marks Remark (e) Rich sources of protein such as meat, fish and dairy products are high risk foods. Describe good practice when storing and preparing high risk foods. Examiner Only Marks Remark Storing _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [6] A6H71S8 4179 11 [Turn over Preparing Examiner Only Marks _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [6] A6H71S8 4179 12 Remark Westfield Health Centre is keen to promote the increase of iron in the diet of clients in line with the Dietary Reference Values. Examiner Only Marks Remark (a) Explain what is meant by Dietary Reference Values. _________________________________________________________ _________________________________________________________ _________________________________________________________ _______________________________________________________ [2] (b) Discuss the need for iron in the diets of the following clients. 1. Michael, aged 6 months _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] A6H71S8 4179 1 [Turn over 2. Jane, aged 13 Examiner Only Marks _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] 3. Peter, a vegetarian _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ ______________________________________________________ [3] A6H71S8 4179 1 Remark (c) Mr Mac is a 45 year old single male. He is presently unemployed and spends most of his day watching television and frequently eats fast foods and take away meals. In the evening he visits the local pub where he drinks on average four pints of beer. Mr Mac smokes and takes no exercise. As Mr Mac is now obese his G.P. has referred him to a dietician. Examiner Only Marks Remark Using the information in the scenario identify five risk factors associated with Coronary Heart Disease. 1. _______________________________________________________ 2. _______________________________________________________ 3. _______________________________________________________ 4. _______________________________________________________ 5. ____________________________________________________ [5] (d) The dietician gives Mr Mac a leaflet summarising dietary advice for reducing the risk of Coronary Heart Disease. Analyse the dietary advice that would be given in the leaflet. _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A6H71S8 4179 1 [Turn over Examiner Only _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ A6H71S8 4179 16 Marks Remark Examiner Only _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _____________________________________________________ [12] THIS IS THE END OF THE QUESTION PAPER A6H71S8 4179 17 Marks Remark A6H71S8 4179 18 Permission to reproduce all copyright material has been applied for. In some cases, efforts to contact copyright holders may have been unsuccessful and CCEA will be happy to rectify any omissions of acknowledgement in future if notified. SP (NF) T57916/4

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Additional Info : Gce Health and Social Care June 2008 Assessment Unit A2 15 Unit 15: Human Nutrition and Dietetics
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