CSP Pediatric Nutrition Evaluation 3 — Questions and Answers
Question 1: In the Pediatric Subjective Global Nutritional Assessment (SGNA), which domain is evaluated?
- Serum electrolyte levels
- Functional capacity and physical exam (Correct answer)
- Urine output over 24 hours
- Stool frequency
Correct answer: Functional capacity and physical exam
SGNA incorporates history (weight change, dietary intake, GI symptoms) and physical examination including functional capacity and muscle/fat stores.
Question 2: A 15-year-old female athlete's dietary assessment reveals calcium intake of 600 mg/day. The DRI for her age group is 1300 mg/day. Which consequence is most concerning?
- Increased fracture risk (Correct answer)
- Impaired iron absorption
- Elevated parathyroid hormone acutely
- Hypercalciuria
Correct answer: Increased fracture risk
Inadequate calcium intake during peak bone mass accrual in adolescence significantly increases long-term fracture risk.
Question 3: Which growth chart should be used for a 2-year-old child born at 28 weeks gestation when assessing nutritional status?
- CDC 2000 charts without correction
- WHO 2006 charts with gestational age correction (Correct answer)
- Fenton preterm growth chart
- NICHD preterm growth chart
Correct answer: WHO 2006 charts with gestational age correction
For children up to age 2-3 years who were born preterm, gestational age correction should be applied when using WHO 2006 growth charts.
Question 4: Which finding on physical examination is most consistent with essential fatty acid deficiency?
- Petechiae on the lower extremities
- Dry, scaly skin and poor wound healing (Correct answer)
- Bitot's spots on the conjunctiva
- Angular stomatitis
Correct answer: Dry, scaly skin and poor wound healing
Essential fatty acid deficiency presents with dry scaly skin (xerosis), alopecia, and impaired wound healing.
Question 5: A dietitian is evaluating a 5-year-old with cystic fibrosis. Which parameter is the PRIMARY nutritional goal to monitor?
- Serum vitamin D level
- BMI-for-age at or above 50th percentile (Correct answer)
- Stool fat content
- FEV1 spirometry value
Correct answer: BMI-for-age at or above 50th percentile
CFF guidelines recommend maintaining BMI-for-age at or above the 50th percentile in children with CF to optimize pulmonary outcomes.
Question 6: When using a 3-day food record in pediatric nutrition assessment, which instruction to caregivers is most important?
- Record only meals consumed at home
- Include two weekdays and one weekend day (Correct answer)
- Avoid recording snacks to simplify tracking
- Record only foods with known nutrition labels
Correct answer: Include two weekdays and one weekend day
Including both weekdays and a weekend day captures day-to-day dietary variability more accurately than weekdays alone.
Question 7: Which of the following indicates moderate acute malnutrition by MUAC criteria in children aged 6-59 months?
- MUAC < 11.5 cm
- MUAC 11.5-12.4 cm (Correct answer)
- MUAC 12.5-13.5 cm
- MUAC >= 13.5 cm
Correct answer: MUAC 11.5-12.4 cm
MUAC between 11.5 and 12.4 cm indicates moderate acute malnutrition; below 11.5 cm indicates severe acute malnutrition.
CSP Pediatric Nutrition Evaluation 3
In the Pediatric Subjective Global Nutritional Assessment (SGNA), which domain is evaluated?