CSP Pediatric Nutrition Disorders & Conditions 2

Question 1

A 3-year-old with celiac disease continues to have poor weight gain despite a gluten-free diet. Which nutrient deficiency should be assessed first?

Accepted Answer

Iron

Answer

Iron deficiency is the most common micronutrient deficiency in celiac disease due to proximal small intestinal villous atrophy impairing absorption.

Question 2

Which formula characteristic is most important when selecting an enteral formula for an infant with short bowel syndrome?

Accepted Answer

Elemental or semi-elemental protein

Answer

Elemental or semi-elemental formulas with hydrolyzed protein reduce the digestive burden and improve absorption in infants with short bowel syndrome.

Question 3

A 10-year-old with type 1 diabetes presents with recurrent hypoglycemia at night. Which dietary strategy is most appropriate?

Accepted Answer

Provide a bedtime snack with complex carbohydrates and protein

Answer

A bedtime snack combining complex carbohydrates and protein slows glucose release overnight, reducing nocturnal hypoglycemia risk.

Question 4

An infant with galactosemia must avoid which primary dietary component?

Accepted Answer

Lactose

Answer

Galactosemia requires elimination of lactose (which contains galactose) because the enzyme needed to metabolize galactose is deficient.

Question 5

Which anthropometric finding is most consistent with marasmus in a 2-year-old?

Accepted Answer

Severely low weight-for-height with muscle wasting and no edema

Answer

Marasmus presents as severe wasting with very low weight-for-height, depleted fat and muscle stores, but without edema.

(CSP) Certified Specialist in Pediatric Nutrition Practice Test