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Self-Assessment Questions

Pediatric Medicine

Pediatric Nutrition: Review Questions

Ulfat Shaikh, MD, MPH, and Alicia Briggs, MD

Dr. Shaikh is an Assistant Professor of Pediatrics, University of Nevada School of Medicine, Las Vegas, NV. Dr. Briggs is a Pediatric Resident, University of Nevada School of Medicine, Las Vegas, NV.

Choose the single best answer for each question.

1. A 6-year-old boy is brought to your office because his mother is concerned that he is not eating enough and may need vitamins. You plot the child’s growth and note that his body mass index (BMI) is at the 97th percentile for age and he is at the 50th percentile for height. Results of his physical examination are otherwise normal. Which of the following statements best reflects the appropriate management for this child?
  1. No intervention is required at this time
  2. Subcutaneous skin fold thickness should be followed closely
  3. A dietary history should be elicited
  4. This child needs intervention only if the family history is significant for heart disease
  5. Laboratory tests should be performed to rule out endocrine disorders
Click here to compare your answer.

2. An 8-week-old Caucasian boy is brought by his mother to your office for a routine check-up. He was delivered at 38 weeks by via uneventful vaginal delivery. His mother had an uncomplicated pregnancy with regular prenatal care and daily prenatal vitamins, which she is currently continuing. He is being exclusively breastfed, and his mother seems to have a balanced diet. Which one of the following nutritional supplements should you recommend for the baby at the present time?

  1. Iron
  2. Vitamin D
  3. Vitamin C
  4. Fluoride
  5. Calcium
Click here to compare your answer.

3. Breastfeeding is contraindicated in the United States if the breastfeeding mother is positive for:
  1. Hepatitis B surface antigen
  2. Hepatitis C
  3. HIV
  4. Group B streptococcus
  5. Chlamydia
Click here to compare your answer.

4. A 7-month-old boy who is formula-fed presents to your clinic. The parents ask you how much fluoride should be in the water he drinks. Which of the following would be your reply?

  1. None
  2. At least 0.3 ppm
  3. At least 0.6 ppm
  4. At least 1 ppm
  5. At least 2 ppm
Click here to compare your answer.

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