Practice Test Geeks(CSP) Certified Specialist in Pediatric Nutrition Practice Test
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Pediatric Nutrition Disorders & Conditions Flashcards

7 cards from real CSP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Pediatric Nutrition Disorders & Conditions flashcards as text

  1. A 4-year-old with cystic fibrosis is not gaining weight adequately despite pancreatic enzyme replacement therapy. What is the most appropriate next step?

    Answer: Add high-calorie oral supplements and reassess enzyme dosing

    Children with CF often require 110–200% of estimated energy needs; optimizing enzyme dosing and adding caloric supplements addresses inadequate weight gain.

  2. Which serum marker best reflects recent dietary protein intake (past 2–3 weeks) in a malnourished child?

    Answer: Prealbumin (transthyretin)

    Prealbumin has a half-life of 2–3 days, making it a more sensitive marker of recent nutritional status than albumin (half-life ~20 days).

  3. A 7-year-old with ARFID (Avoidant/Restrictive Food Intake Disorder) refuses most foods due to sensory sensitivity. Which approach is most nutrition-focused initially?

    Answer: Assess nutrient adequacy and supplement deficiencies while engaging feeding therapy

    Initial management of ARFID involves assessing and correcting nutritional deficiencies while concurrent feeding therapy addresses the behavioral component.

  4. Refeeding syndrome is most likely to occur in which pediatric patient?

    Answer: A severely malnourished adolescent restarting nutrition support after prolonged starvation

    Refeeding syndrome occurs in severely malnourished individuals when nutrition is reintroduced, causing shifts in phosphate, potassium, and magnesium into cells.

  5. Which dietary fat modification is recommended for a child with chylothorax managed conservatively?

    Answer: Medium-chain triglyceride (MCT)-based formula or diet

    MCT fats are absorbed directly into the portal circulation, bypassing lymphatics and reducing chyle production in chylothorax.

  6. An 8-year-old with Crohn's disease is started on exclusive enteral nutrition (EEN). What is the primary nutritional goal of EEN in pediatric Crohn's?

    Answer: Induce mucosal healing and remission while supporting growth

    EEN induces remission and promotes mucosal healing in pediatric Crohn's disease while simultaneously supporting catch-up growth.

  7. A toddler with cholestatic liver disease is at highest risk for deficiency of which group of vitamins?

    Answer: Fat-soluble vitamins A, D, E, K

    Cholestatic liver disease impairs bile flow needed for fat-soluble vitamin absorption, making A, D, E, and K deficiency common.