Certified Specialist in Pediatrics Exam Questions And 100%
Correct Answers
6 Ways to Show Appreciation for Your Child's Teacher
Subcutaneous fat loss can be seen in:
Facial cheeks (buccal pads) - hollow, narrow, flat for moderate
Biceps and triceps - little space when skin is pinched
Ribs Lower back Mid-axillary line- depressions very noticeable
Buttocks- wasted, flat, baggy skin, wrinkled
Acute malnutrition-undernutrition, is alterations in weight in relation to height.
% of IBW @ 50%Wt/Ln
>90% Grade 0 (normal)
80%-89% Grade 1 (mild)
70% -79% Grade Il (moderate)
<70 rade lIl (severe)
Chronic malnutrition-stunting, is a reduction in the rate of linear growth -Waterlow
Criteria
%IBW of Wt/Ln, age 1-3
>95% Grade 0 (normal)
90%-94% Grade I (mild)
85%-89% Grade II (moderate)
<85 % Grade III (severe)
Muscle Wasting can be seen in:
,Clavicle Shoulder (deltoid muscles) - protruding/prominent
Scapula - As the muscle groups around the scapula waste, bone becomes more
prominent
Thigh (quadriceps muscle) Note: lower body is less sensitive to change
Knee - square, proninent, no muscle
Calf gastrocnemius muscle- definite tissue reduction
In average infant, weight doubles by:
The time they reach 6 months old
In average infant, weight triples by:
One year of age
Premie growth velocity
<2kg = 15-20g/d
>2kg = 20-30g/d
0-4 month infant growth velocity:
23-34g/d
4 - 8 month infant growth velocity:
10 - 16g/d
Growth velocity infant 8 - 12 mo
6-11 g/d
12 - 24 mo infant growth velocity
4-9g/d
History of infant nutrition assess :
1. Current method of feeding
2. Type of milk/ formula per feed
,3. no. of times per day, child is breastfed or takes bottle
4. Duration of feed and abnormal symptoms (including sweating, increased work of
breathing, choking or coughing)
5. Method for preparation ie. ratio of formula to water and source of water
6. Special formula including rationale for modification
7. Number of meals/snacks per day assess meal content
8. Assess for developmental delay, oral aversions
9. Frequency of wet diapers and stooling patterns, stool consistency and frequency
10. Feeding history to include milestones, texture, progression, and variety
11. Food allergies/intolerances
12. Vitamins minerals herbal and/or food supplements quantity, frequency, and duration
13. Review social, economic and environmental factors
Protein Needs in the Critically III Child
0 - 2 years 2 - 3g /kg/day
2-13 years 1.5 -2g /kg/day
13 - 18 years 1.5g /kg/day
According to the American Academy of Pediatrics, energy and protein needs during
adolescence should be based on ___________ rather than ____________.
Height, Weight
Cerebral Palsy (age 5-12 yr) ambulatory vs non-ambulatory
13.9 kcal/cm height ambulatory
11.1 kcal/cm height non-ambulatory
Cerebral Palsy (severely restricted)
10 kcal/cm height
, Athetoid Cerebral Palsy energy needs:
up to 6000 kcals/day (adolescence)
Down Syndrome2 Boys (5-12 yr) Girls (5-12 yr), energy needs
Boys (5-12 yr) 16.1 kcal/cm height
Girls (5-12 yr) 14.3 kcal/cm height
Myelomeningocele (Spina Bifida) energy needs:
Approximately 50% of recommended daily allowances for age after infancy
May need as little as 7 kcal/cm height
Prader-Willi Syndrome energy needs:
10-11 kcal/cm height for maintenance
8-9 kcal/cm height for weight loss
individual diets may be as low as 800 - 1000 calories, under medical supervision.
Vitmain D conversion from mcg to IUs:
/0.025
Vitmain D conversion from IUs to mcg:
x 0.025
Vitamin D needs for infants 0-12months
10mcg (400IUs)
Correct Answers
6 Ways to Show Appreciation for Your Child's Teacher
Subcutaneous fat loss can be seen in:
Facial cheeks (buccal pads) - hollow, narrow, flat for moderate
Biceps and triceps - little space when skin is pinched
Ribs Lower back Mid-axillary line- depressions very noticeable
Buttocks- wasted, flat, baggy skin, wrinkled
Acute malnutrition-undernutrition, is alterations in weight in relation to height.
% of IBW @ 50%Wt/Ln
>90% Grade 0 (normal)
80%-89% Grade 1 (mild)
70% -79% Grade Il (moderate)
<70 rade lIl (severe)
Chronic malnutrition-stunting, is a reduction in the rate of linear growth -Waterlow
Criteria
%IBW of Wt/Ln, age 1-3
>95% Grade 0 (normal)
90%-94% Grade I (mild)
85%-89% Grade II (moderate)
<85 % Grade III (severe)
Muscle Wasting can be seen in:
,Clavicle Shoulder (deltoid muscles) - protruding/prominent
Scapula - As the muscle groups around the scapula waste, bone becomes more
prominent
Thigh (quadriceps muscle) Note: lower body is less sensitive to change
Knee - square, proninent, no muscle
Calf gastrocnemius muscle- definite tissue reduction
In average infant, weight doubles by:
The time they reach 6 months old
In average infant, weight triples by:
One year of age
Premie growth velocity
<2kg = 15-20g/d
>2kg = 20-30g/d
0-4 month infant growth velocity:
23-34g/d
4 - 8 month infant growth velocity:
10 - 16g/d
Growth velocity infant 8 - 12 mo
6-11 g/d
12 - 24 mo infant growth velocity
4-9g/d
History of infant nutrition assess :
1. Current method of feeding
2. Type of milk/ formula per feed
,3. no. of times per day, child is breastfed or takes bottle
4. Duration of feed and abnormal symptoms (including sweating, increased work of
breathing, choking or coughing)
5. Method for preparation ie. ratio of formula to water and source of water
6. Special formula including rationale for modification
7. Number of meals/snacks per day assess meal content
8. Assess for developmental delay, oral aversions
9. Frequency of wet diapers and stooling patterns, stool consistency and frequency
10. Feeding history to include milestones, texture, progression, and variety
11. Food allergies/intolerances
12. Vitamins minerals herbal and/or food supplements quantity, frequency, and duration
13. Review social, economic and environmental factors
Protein Needs in the Critically III Child
0 - 2 years 2 - 3g /kg/day
2-13 years 1.5 -2g /kg/day
13 - 18 years 1.5g /kg/day
According to the American Academy of Pediatrics, energy and protein needs during
adolescence should be based on ___________ rather than ____________.
Height, Weight
Cerebral Palsy (age 5-12 yr) ambulatory vs non-ambulatory
13.9 kcal/cm height ambulatory
11.1 kcal/cm height non-ambulatory
Cerebral Palsy (severely restricted)
10 kcal/cm height
, Athetoid Cerebral Palsy energy needs:
up to 6000 kcals/day (adolescence)
Down Syndrome2 Boys (5-12 yr) Girls (5-12 yr), energy needs
Boys (5-12 yr) 16.1 kcal/cm height
Girls (5-12 yr) 14.3 kcal/cm height
Myelomeningocele (Spina Bifida) energy needs:
Approximately 50% of recommended daily allowances for age after infancy
May need as little as 7 kcal/cm height
Prader-Willi Syndrome energy needs:
10-11 kcal/cm height for maintenance
8-9 kcal/cm height for weight loss
individual diets may be as low as 800 - 1000 calories, under medical supervision.
Vitmain D conversion from mcg to IUs:
/0.025
Vitmain D conversion from IUs to mcg:
x 0.025
Vitamin D needs for infants 0-12months
10mcg (400IUs)
