Community Medicine (PSM) · Nutrition (Macro/Micronutrients, RDA, PEM, Nutritional Programmes)

Therapeutic feeding with Ready-to-Use Therapeutic Food (RUTF) in the management of Severe Acute Malnutrition (SAM) is recommended when a child has:

  • A Severe oedema and poor appetite
  • B Moderate acute malnutrition with stunting
  • C Anaemia with Hb < 7 g/dL
  • D Good appetite and no medical complications
Correct answer: D. Good appetite and no medical complications

Explanation

RUTF (e.g., Plumpy'Nut) is the cornerstone of Community-Based Management of Acute Malnutrition (CMAM) for uncomplicated SAM. It is indicated when the child has SAM (MUAC < 115 mm or WHZ < -3 SD or oedema +) but has appetite (passes appetite test) and no acute medical complications. Children with medical complications or no appetite are admitted for inpatient stabilization phase (F-75 then F-100).

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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