Nutrition – Exam Review Set 1

What this deck covers

Nutrition – Exam Review Set 1 in 51 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 paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 51 cases, in order

1. The end of the bone
2. Which way the numbers move
3. What sugar does for bone
4. Short for age, not thin
5. How much a four-year-old needs
6. Which element to stop
7. What curdles, and what does not
8. Ten times the usual
9. The kitchen is enough
10. The bag, not the bowel
11. Where the line is drawn
12. One vitamin, first
13. The mineral that shortens it
14. Filling up, not filling in
15. Given on two days
16. The third day of feeding
17. What the breastfed baby still needs
18. Bowed legs and swollen wrists
19. Aching legs in a covered teenager
20. Bone disease under a strong sun
21. The tracing while you draw it up
22. The rash that ringed the mouth
23. A rash that follows the sunlight
24. Cracks at the corners
25. A hoarse cry and a big heart
26. Trouble seeing at dusk
27. Unsteady with a yellow tinge
28. Bruising with pale stools
29. Swollen legs and peeling skin
30. Thin with an old face
31. Why the legs fill with fluid
32. Putting numbers to the deficit
33. Feeding fast after a long fast
34. Cold and drowsy on the ward
35. When is the line falling too fast
36. Screening with a paper tape
37. Why most of them are not growing
38. First move in a well baby
39. Losing weight on a restricted diet
40. Which band does he fall into
41. Where to start with a heavy child
42. Screening the silent complication
43. One change worth making
44. Fever in a child with a line
45. Yellow on the drip feed
46. Skin changes with no fat in the bag
47. When to use the shortened bowel
48. Greasy stools and no weight gain
49. The test that came back normal
50. What the enzymes cannot replace
51. Look before you decide

Diagnoses and management options tested

Across the 51 cases you are asked to choose between options such as: A dense metaphyseal band, Severe wasting, More casein than whey, Liver disease caused by the feed itself, Zinc for ten to fourteen days, A falling serum phosphate, Juvenile dermatomyositis, Selenium, Thiamine, Vitamin K, A fall in plasma oncotic pressure, Wait for the next scheduled feed, Malabsorption from an undiagnosed enteropathy, Healthy weight.

Clinical pearls from this deck

• Film the wrist, not the legs. The fastest growing plate shows the disease first and shows recovery first too.
• Ask for the parathyroid hormone before you call it dietary. It is the one result that separates the two rickets that look alike on the film.
• Fortified is not the same as absorbed. Ask what else is in the drink before accepting the label’s calcium figure.
• Two ratios, two questions. Weight for height asks what is happening now; height for age asks what has been happening for years.
• Per kilogram, energy needs fall as a child grows. The chart afterwards is what proves the figure was right.
• When a child on long-term parenteral nutrition turns jaundiced, review the trace elements that day. The one cleared by bile is the one that will reach the brain.

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.