Nutrition – Prometric Style Questions, Set 2

What this deck covers

Nutrition – Prometric Style Questions, Set 2 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. No longer sitting or rolling
2. Always full, still thin
3. A swelling at her neck
4. Wanting to raise him vegan
5. Combining food at every meal
6. Crying in the evenings
7. When to start the tablet
8. Anaemic, and worried
9. Told to express and discard
10. Low level in the mother
11. The yellow feed thrown away
12. Wanting to join his siblings
13. Several bottles of tea
14. Pale, and tiring easily
15. Only water and weak tea
16. Bread and yoghurt only
17. Followed with a spoon
18. A cup he carries all day
19. Broccoli refused three times
20. Gagging on any lumps
21. An extra scoop of water
22. A seizure in hot weather
23. Three cans a day
24. Salted drinks after playing
25. Salt and sugar by eye
26. He cannot stand straight
27. Gaining, and hard to lift
28. A wet voice after eating
29. Wanting to blend family food
30. Five days, no bowels open
31. The tube looks longer
32. It will not flush
33. The tube came out
34. Red and bleeding at the edge
35. Retching after each bolus
36. Before the diet begins
37. Anything besides the food?
38. Ketosis lost in a week
39. Two years, two centiles
40. Six months without it
41. Recognised too late
42. A different set of scales
43. When to ask the dietitian
44. A low albumin
45. Two weeks eating nothing
46. Brown upper front teeth
47. Six or seven times a day
48. Once a week, and he hates it
49. Chewing on one side
50. When to see a dentist

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Iron, from the exclusive breastfeeding, It can work, with supplements and planning, As soon as the pregnancy test is positive, Nothing further, An allergy to the drinks, As a sign of an underlying illness, To stop offering it, A febrile seizure that has been missed, The fizzy drink, since he will drink it willingly, Antibiotics kept at home for the next infection, Aspirate and test the acidity, Infection of the skin around the stoma, Vitamin and mineral supplements, Nothing; the test is valid on her current diet.

Clinical pearls from this deck

• A baby who loses a skill has a diagnosis, always. Ask what the mother eats before you order anything.
• He is eating plenty and getting little. In a toddler, bulk and energy are not the same thing.
• Ask which salt they buy. The expensive unrefined kind is the one without the iodine in it.
• They are going to do it either way. The only question is whether they do it with your advice or without it.
• Remove the rule that does nothing, so she keeps following the ones that do.
• The crying stops at four months whatever she eats. What the exclusions reliably do is end the breastfeeding.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

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