CSP CSP Enteral & Parenteral Nutrition Support

Question 1

Which enteral formula type is most appropriate for a premature infant requiring concentrated nutrition due to fluid restriction?

Accepted Answer

Nutrient-enriched preterm formula (24–30 kcal/oz)

Answer

Standard 20 kcal/oz term formula

Answer

Whole cow's milk

Answer

Elemental amino acid formula

Question 2

What is the primary indication for transpyloric (post-pyloric) enteral feeding in a pediatric patient?

Accepted Answer

Severe gastroesophageal reflux with aspiration risk

Answer

Cow's milk protein allergy

Answer

Iron-deficiency anemia

Answer

Short bowel syndrome

Question 3

In pediatric parenteral nutrition, which electrolyte imbalance is most characteristic of refeeding syndrome?

Accepted Answer

Hypophosphatemia

Answer

Hyperkalemia

Answer

Hypernatremia

Answer

Hypercalcemia

Question 4

What is the recommended maximum dextrose infusion rate (mg/kg/min) when initiating parenteral nutrition in a stable term neonate?

Accepted Answer

6–8 mg/kg/min

Answer

2–3 mg/kg/min

Answer

12–14 mg/kg/min

Answer

18–20 mg/kg/min

Question 5

Which complication is specifically associated with long-term parenteral nutrition use in pediatric patients?

Accepted Answer

Intestinal failure-associated liver disease (IFALD)

Answer

Rickets

Answer

Scurvy

Answer

Pellagra

Question 6

A 3-year-old with short bowel syndrome is transitioning from PN to enteral nutrition. Which strategy best promotes intestinal adaptation?

Accepted Answer

Gradually introducing small volumes of enteral feeding while weaning PN

Answer

Providing all nutrition as bolus gastric feeds immediately

Answer

Switching entirely to an oral diet to stimulate gut function

Answer

Administering high-osmolality formulas to maximize absorption