CSP Nutritional Care & Intervention 3

Question 1

A dietitian is counseling an adolescent athlete with relative energy deficiency in sport (RED-S). Which finding most directly confirms inadequate energy availability?

Accepted Answer

Amenorrhea lasting >3 months

Answer

Functional hypothalamic amenorrhea resulting from low energy availability is a hallmark clinical indicator of RED-S in female athletes.

Question 2

A 6-month-old infant with cow's milk protein allergy requires a substitute formula. Which option is most appropriate for infants who fail soy formula?

Accepted Answer

Extensively hydrolyzed casein formula

Answer

Extensively hydrolyzed casein formulas are recommended for infants with cow's milk protein allergy who cannot tolerate soy, as the proteins are broken down to reduce allergenicity.

Question 3

Which method best estimates resting energy expenditure in critically ill children when indirect calorimetry is unavailable?

Accepted Answer

Schofield equation

Answer

The Schofield equation is the most validated predictive equation for estimating resting energy expenditure in pediatric patients.

Question 4

A 10-year-old with Crohn's disease is started on exclusive enteral nutrition (EEN). What is the primary mechanism by which EEN induces remission?

Accepted Answer

Modulation of gut microbiome and mucosal healing

Answer

EEN induces remission primarily by altering gut microbiota composition and promoting intestinal mucosal healing rather than simply resting the bowel.

Question 5

When counseling a family about introducing allergenic foods to a high-risk infant, current evidence supports:

Accepted Answer

Introducing peanut-containing foods between 4-6 months in high-risk infants

Answer

Current guidelines (LEAP trial evidence) recommend early introduction of peanut-containing foods between 4-6 months in high-risk infants to reduce peanut allergy risk.

(CSP) Certified Specialist in Pediatric Nutrition Practice Test

(CSP) Certified Specialist in Pediatric Nutrition Practice Test

CSP Nutritional Care & Intervention 3