CSP CSP Pediatric Food Allergy & Dietary Management 2

Question 1

Which extensively hydrolyzed formula is appropriate for an infant with confirmed cow's milk protein allergy who cannot breastfeed?

Accepted Answer

Extensively hydrolyzed casein or whey formula

Answer

Extensively hydrolyzed formulas break cow's milk proteins into small peptides, making them tolerated by approximately 90% of infants with CMPA.

Question 2

A 2-year-old with multiple food allergies (milk, egg, wheat, soy) is at risk for which nutrient deficiency most commonly?

Accepted Answer

Calcium and vitamin D

Answer

Elimination of dairy removes the primary dietary source of calcium and vitamin D, placing these children at high risk for deficiency and bone health concerns.

Question 3

What is the gold standard diagnostic test for confirming food allergy in a pediatric patient with unclear clinical history?

Accepted Answer

Double-blind, placebo-controlled oral food challenge (DBPCFC)

Answer

The DBPCFC is considered the gold standard for definitively confirming or ruling out food allergy, minimizing bias from both patient and clinician.

Question 4

Which dietary intervention is now recommended by LEAP trial findings to prevent peanut allergy in high-risk infants?

Accepted Answer

Introduce peanut-containing foods early (around 4–6 months) in high-risk infants

Answer

The LEAP trial demonstrated that early introduction of peanut in high-risk infants (with severe eczema or egg allergy) reduces peanut allergy prevalence by up to 80%.

Question 5

A child with celiac disease is started on a gluten-free diet. Which grain is safe for this child to consume?

Accepted Answer

Oats (certified gluten-free)

Answer

Most children with celiac disease can tolerate certified gluten-free oats, which are free from wheat, barley, and rye cross-contamination.

(CSP) Certified Specialist in Pediatric Nutrition Practice Test

(CSP) Certified Specialist in Pediatric Nutrition Practice Test

CSP CSP Pediatric Food Allergy & Dietary Management 2