CSP EXAM – Questions And Accurate Solutions Requires modified diet with lower LCT and increased MCT. Minimal fat <5 g/day En = Enfaport or skim milk Correct Ans - Chylothorax A 4 yr old boy weighs 15kg requires nasogastric feeds. He has normal GI function. What is the most appropriate feeding regimen?
- Isotonic Formula started at full strength 15 ml/hr
- Isotonic Formula started at half strength 30 ml/hr
- Semi-elemental formula at 15 ml/hr
- Fluid restriction Correct Ans - A
A 4 mo. old infant has poor weight gain. The mom mixes formula: 1 can liquid
concentrate plus 2.5 cups h20. She lives in a hot climate. What potential consequence of this formula dilution?
- hyponatremia
- Hyperkalemia
- hypocalcemia Correct Ans - A
- Increase 20 ml/kg and advance 20-49 ml/kg/day
- Increase 20 ml/kg and advance 10 ml/kg/day
- Increase 30 ml/kg and advance 20-40 ml/kg/day Correct Ans - A
- His nutrition status is acceptable
- He is at nutrition risk
- He has nutrition failure
- More information is needed Correct Ans - C
- 24 hr recall
- Diet hx 1 / 3
A 32 wk preterm infant c birthweight of 1.5kg is now DOL 7. He has been getting trophic feeds with PN for 2 days. He is tolerating trophic and MD wants to increase enteral feeds. The Ntr diagnosis is: "Inadequate EN related to enteral infusion volume not reached as evidenced by infant receiving trophic feeds DOL 7". What is a reasonable plan to advance enteral nutrition?
A 10 yr old male with CF presents with BMI at 5% for his age. what does this indicate?
What method of nutrition data collection is most likely to underreport intake?
- 7-day food record
- Food frequency Correct Ans - 24 hr recall
- Autism
- Epilepsy
- Prader-Willi
- CHD Correct Ans - C
Which risk factor is mostly associated with being overweight?
All of these are contraindications of breastfeeding except for:
- Active Use of Illicit Drugs
- Alcohol
- Anti-retrovirAL THERAPY
- Chemotherapy agents In use Correct Ans - Alcohol
- 5-6cm, 4-6kg
- 6-8cm, 2-4kg
- 8-9cm, 3-5kg
- 4-6cm, 3-4kg Correct Ans - 6-8cm, 2-4kg
Which of these describes the avg growth rate of a preschool age kid?
requires pancrealipase Sodium, Fe, ADEK supplementation Elevated protein and kcal needs Correct Ans - CF requires diet limiting of fructose, sucrose, lactose Correct Ans - Glycogen Storage Disease Type 1A requires diet with no galactose or lactose restricts all milk products Correct Ans - Galactosemia requires diet free of all potential pathogens like listeria Restricts uncooked or undercooked meat, poultry, seafood and unpasteurized dairy, deli meat, raw sprouts and unwashed veggies/fruit Correct Ans - Transplant Allergy that requires a diet with no banana, kiwi, chestnuts, and all food prepared with rubber items or gloves Correct Ans - Latex 2 / 3
___ controlled diet restricts dark soda, milk, cheese, yogurt Correct Ans - Phosphorous __ controlled diet restricts oranges and its derivitives, potato, avocado, raisins, banana, pickle, salt packets Correct Ans - Potassium ___ restricted diet eliminates foods high in tyramine such as cheese, processed/cured meat, soy, yeast Correct Ans - Tyramine Duration of time that Human milk can be stored at room temperature (69- 85F) Correct Ans - 4 hours Duration of time that human milk can be stored in a insulated cooler bag with ice packs <59F Correct Ans - 24 hours Duration of time ideal for refrigerated human milk however it can be stored 5-
- days. <39F Correct Ans - 96 hours
- / 3
Duration of time ideal for human milk to be stored in the freezer <24F but can be stored up to a year Correct Ans - 6 months Cbili >2 ADEK supplementation required TPN- Use omegaven Increase MCT on EN feeds- use pregestimil or SSC During this trace elements will be limited to 3x/week Correct Ans - Cholestasis Supplement used in NICU TPN that is nitrogen containing. Required for transfer of fatty acids to mitochondria. Used if plans for TPN >14 days Correct Ans - Carnitine supplementation for infants beficial to infants with severe diarrhea or post NEC Correct Ans - Probiotic Dyslipidemia diet recommended for children with HTN rich in fruit, veggies, whole grain, low fat dairy, reduced total fat, sweets, meats, cholesterol, sodium Correct Ans - DASH