Nutrition Prometric Style Questions – 50 Cases with Answers

What this deck covers

Nutrition Prometric Style Questions – 50 Cases with Answers in 50 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for board, MRCPCH and Prometric examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 50 cases, in order

1. The one baby who must not be fed at the breast
2. Is the baby taking enough?
3. Making more milk
4. Which milk supplies usable iron
5. A dummy on day two
6. When to start the first spoon
7. Home-made food at seven months
8. Poor gain on breast milk alone
9. Holding back the risky foods
10. The pale toddler who drinks all day
11. Blood in the stool after a feed change
12. Still reacting on the special feed
13. What formula copies from milk
14. Loose stools on the unit feed
15. The cheaper milk-free feed
16. What the breastfed baby still needs
17. Bowed legs and swollen wrists
18. Aching legs in a covered teenager
19. Bone disease under a strong sun
20. A fit in a well six-week-old
21. The rash that ringed the mouth
22. A rash that follows the sunlight
23. The child who stopped standing
24. A hoarse cry and a big heart
25. Trouble seeing at dusk
26. Unsteady with a yellow tinge
27. Bruising with pale stools
28. Swollen legs and peeling skin
29. Thin with an old face
30. Why the legs fill with fluid
31. Putting numbers to the deficit
32. Feeding fast after a long fast
33. Cold and drowsy on the ward
34. When is the line falling too fast
35. Screening with a paper tape
36. Why most of them are not growing
37. First move in a well baby
38. Losing weight on a restricted feed
39. Which band does he fall into
40. Where to start with a heavy child
41. Screening the silent complication
42. One change worth making
43. Fever in a child with a line
44. Yellow on the drip feed
45. Skin changes with no fat in the bag
46. When to use the shortened bowel
47. Greasy stools and no weight gain
48. The test that came back normal
49. What the enzymes cannot replace
50. Long meals and repeated chest infections

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Classical galactosaemia, Cow’s milk contains several times more iron, Soft cooked carrot, Change to a follow-on formula at the same volume, Arachidonic acid, 400 international units of vitamin D daily, Dietary calcium deficiency, Vitamin B12, Corneal softening and ulceration, Nephrotic syndrome, Wasted but not stunted, A sustained fall across two or more centile spaces, Take a detailed feeding history and observe a feed, A trial of an appetite-suppressing medication.

Clinical pearls from this deck

• Two metabolic conditions get confused here every time. In one the milk is poison and must stop; in the other the milk is part of the treatment and is measured, not removed.
• The softening breast at three weeks is the commonest reason a mother gives up. Naming it as normal before it happens keeps more babies on the breast than any supplement.
• Every bottle given to let a mother sleep buys one night and costs some supply. Say that plainly, and offer expressing instead.
• Content and availability are different questions, and examiners like the gap between them. Ask what is absorbed, not what is present.
• When two pieces of advice look contradictory, the answer is usually a sequence rather than a side.
• Readiness is a set of signs, not one of them. A baby who holds his head up at four months is not asking for food.

This deck is open to everyone with no sign-in. Work through it once for recognition, then again a week later to test yourself.

More from this system: all Nutrition case decks · pediatric reference values.