Practice Test Geeks(CSP) Certified Specialist in Pediatric Nutrition Practice Test
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Pediatric Nutrition Disorders & Conditions 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 Pediatric Nutrition Disorders & Conditions flashcards as text

  1. A 3-month-old with suspected cow's milk protein allergy (CMPA) is formula-fed. Which formula change is most appropriate as a first step?

    Answer: Extensively hydrolyzed casein formula

    An extensively hydrolyzed formula is the first-line recommendation for CMPA in infants because soy protein is cross-reactive in up to 50% of CMPA cases.

  2. In a child with nephrotic syndrome during an acute relapse, which dietary modification is most important?

    Answer: Sodium restriction to manage edema

    Sodium restriction reduces fluid retention and edema during nephrotic syndrome relapses; excess protein intake does not compensate for urinary losses and may worsen renal burden.

  3. Which dietary intervention has the strongest evidence for seizure reduction in children with drug-resistant epilepsy?

    Answer: Ketogenic diet

    The ketogenic diet (high fat, low carbohydrate) has the strongest evidence for reducing seizure frequency in children with drug-resistant epilepsy.

  4. A 6-year-old post-liver transplant child on tacrolimus needs nutritional monitoring. Which electrolyte imbalance is most commonly associated with tacrolimus use?

    Answer: Hypomagnesemia

    Tacrolimus causes renal magnesium wasting, leading to hypomagnesemia, which requires dietary supplementation or magnesium supplementation.

  5. Which is the recommended first-line enteral access route for a child requiring long-term (>4–6 weeks) tube feeding?

    Answer: Gastrostomy tube (G-tube)

    For long-term enteral nutrition beyond 4–6 weeks, a gastrostomy tube is preferred over nasogastric tubes for improved comfort, safety, and quality of life.

  6. A child with Wilson's disease requires dietary copper restriction. Which food group contributes most to dietary copper intake and should be most limited?

    Answer: Organ meats, shellfish, and nuts

    Organ meats (especially liver), shellfish, and nuts are very high in copper and should be restricted in Wilson's disease management.

  7. A 12-year-old with obesity undergoes resting metabolic rate (RMR) measurement. His measured RMR is significantly lower than predicted. This finding most likely indicates:

    Answer: Adaptive thermogenesis from prior caloric restriction

    Adaptive thermogenesis causes a reduction in RMR below predicted values in response to prior caloric restriction, which can impair weight loss efforts.