BURNS PEDIATRIC PRIMARY CARE
COMPREHENSIVE SOLVED QUESTIONS AND
COMPLETE ANSWERS
◉ Disaccharides are simple or complex carbs?
Answer: complex
◉ Role of fat in diet?
Answer: energy, vitamin absorption, maintain cell membrane and
myelin
◉ Two essential fatty acids are?
Answer: Linoleic acid, alpha-linolenic acid (LA and ALA)
◉ fat soluble vitamins
Answer: DAKE, absorbed in intestines, require bile, store for a long
time in tissue
◉ Water soluble vits
Answer: Cs and Bs, only store small amts, if intake too high
absorption decreases, require daily intake
,◉ How much vit d should a breastfed babe have?
Answer: 400 IU daily
◉ When should fluoride be given to a babe?
Answer: at 6 months if not in water
◉ What is an important consideration when adding food to a
breastfed babe's diet?
Answer: iron-fortified
◉ What is advice regarding comfort feeding?
Answer: avoid
◉ Nutritional risk with teen pregnancies?
Answer: adolescent growth spurt competes with fetus for nutrients
◉ Teen pregnancy risks?
Answer: prematurity, LBW, chronic illness/disability, death
◉ How much exercise should a child have?
Answer: 60 minutes mod/high per day
,◉ Benefits of vegetarianism
Answer: lower obesity, heart disease, and DM rates
◉ What can be deficient in a vegan diet? What 2 are the highest?
Answer: protein, B12, iron, Ca++, zinc, riboflavin, vit D; B12, zinc
◉ What can become of fetus with B12 and zinc deficiency?
Answer: possible permanent neuro damage
◉ What measurements can be taken, other than ht and wt, to assess
wt in children?
Answer: Triceps skinfold measurement; mid-upper arm
circumference
◉ triceps skinfold measurement
Answer:
◉ mid-upper arm circumference
Answer:
◉ What BMI percentile is considered overweight?
Answer: 85-95th
, ◉ What BMI percentile is considered obese?
Answer: 95th or higher
◉ Primary goal of pediatric wt management?
Answer: normalize, not reduce
◉ Complications of obesity in children?
Answer: Hypertension obstructive sleep apnea , OSA, orthopedic
issues, depression, suicide
◉ How long should a food recall or diary be kept for assessment?
Answer: 3 days
◉ Children aged 5 to 9 who have contact with same or opposite
sexes, play sex games, or idea about sex - parents should be?
Answer: parents should avoid being overly alarmed if they witness
this play.
*parents can redirect play*
◉ At around what AGE do children giggle and learn more about SEX
and sexuality?
Answer: Age 8
COMPREHENSIVE SOLVED QUESTIONS AND
COMPLETE ANSWERS
◉ Disaccharides are simple or complex carbs?
Answer: complex
◉ Role of fat in diet?
Answer: energy, vitamin absorption, maintain cell membrane and
myelin
◉ Two essential fatty acids are?
Answer: Linoleic acid, alpha-linolenic acid (LA and ALA)
◉ fat soluble vitamins
Answer: DAKE, absorbed in intestines, require bile, store for a long
time in tissue
◉ Water soluble vits
Answer: Cs and Bs, only store small amts, if intake too high
absorption decreases, require daily intake
,◉ How much vit d should a breastfed babe have?
Answer: 400 IU daily
◉ When should fluoride be given to a babe?
Answer: at 6 months if not in water
◉ What is an important consideration when adding food to a
breastfed babe's diet?
Answer: iron-fortified
◉ What is advice regarding comfort feeding?
Answer: avoid
◉ Nutritional risk with teen pregnancies?
Answer: adolescent growth spurt competes with fetus for nutrients
◉ Teen pregnancy risks?
Answer: prematurity, LBW, chronic illness/disability, death
◉ How much exercise should a child have?
Answer: 60 minutes mod/high per day
,◉ Benefits of vegetarianism
Answer: lower obesity, heart disease, and DM rates
◉ What can be deficient in a vegan diet? What 2 are the highest?
Answer: protein, B12, iron, Ca++, zinc, riboflavin, vit D; B12, zinc
◉ What can become of fetus with B12 and zinc deficiency?
Answer: possible permanent neuro damage
◉ What measurements can be taken, other than ht and wt, to assess
wt in children?
Answer: Triceps skinfold measurement; mid-upper arm
circumference
◉ triceps skinfold measurement
Answer:
◉ mid-upper arm circumference
Answer:
◉ What BMI percentile is considered overweight?
Answer: 85-95th
, ◉ What BMI percentile is considered obese?
Answer: 95th or higher
◉ Primary goal of pediatric wt management?
Answer: normalize, not reduce
◉ Complications of obesity in children?
Answer: Hypertension obstructive sleep apnea , OSA, orthopedic
issues, depression, suicide
◉ How long should a food recall or diary be kept for assessment?
Answer: 3 days
◉ Children aged 5 to 9 who have contact with same or opposite
sexes, play sex games, or idea about sex - parents should be?
Answer: parents should avoid being overly alarmed if they witness
this play.
*parents can redirect play*
◉ At around what AGE do children giggle and learn more about SEX
and sexuality?
Answer: Age 8