Practice Test Geeks(CSP) Certified Specialist in Pediatric Nutrition Practice Test
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Nutritional Care & Intervention Flashcards

7 cards from real CSP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Nutritional Care & Intervention flashcards as text

  1. A dietitian is counseling an adolescent athlete with relative energy deficiency in sport (RED-S). Which finding most directly confirms inadequate energy availability?

    Answer: Amenorrhea lasting >3 months

    Functional hypothalamic amenorrhea resulting from low energy availability is a hallmark clinical indicator of RED-S in female athletes.

  2. A 6-month-old infant with cow's milk protein allergy requires a substitute formula. Which option is most appropriate for infants who fail soy formula?

    Answer: Extensively hydrolyzed casein formula

    Extensively hydrolyzed casein formulas are recommended for infants with cow's milk protein allergy who cannot tolerate soy, as the proteins are broken down to reduce allergenicity.

  3. Which method best estimates resting energy expenditure in critically ill children when indirect calorimetry is unavailable?

    Answer: Schofield equation

    The Schofield equation is the most validated predictive equation for estimating resting energy expenditure in pediatric patients.

  4. A 10-year-old with Crohn's disease is started on exclusive enteral nutrition (EEN). What is the primary mechanism by which EEN induces remission?

    Answer: Modulation of gut microbiome and mucosal healing

    EEN induces remission primarily by altering gut microbiota composition and promoting intestinal mucosal healing rather than simply resting the bowel.

  5. When counseling a family about introducing allergenic foods to a high-risk infant, current evidence supports:

    Answer: Introducing peanut-containing foods between 4-6 months in high-risk infants

    Current guidelines (LEAP trial evidence) recommend early introduction of peanut-containing foods between 4-6 months in high-risk infants to reduce peanut allergy risk.

  6. A 14-year-old with anorexia nervosa at 75% ideal body weight is medically unstable. What is the appropriate initial refeeding calorie target?

    Answer: Start at 500-800 kcal/day and advance slowly

    Severely malnourished patients require cautious refeeding starting at 500-800 kcal/day with slow advancement to prevent refeeding syndrome.

  7. Which iron supplementation regimen is currently recommended for exclusively breastfed full-term infants?

    Answer: 1 mg/kg/day starting at 4 months until iron-rich foods are established

    The AAP recommends 1 mg/kg/day of oral iron supplementation for exclusively breastfed full-term infants starting at 4 months of age.