Nutrition – Exam Review Set 3

What this deck covers

Nutrition – Exam Review Set 3 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 paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 50 cases, in order

1. A baby who must not be fed
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. Getting milk in
9. Poor gain on breast milk alone
10. Holding back the risky ones
11. The pale toddler who drinks all day
12. The tin in the pharmacy
13. Still reacting on the special feed
14. What formula copies from milk
15. Take the weeks off first
16. The bottle on the shelf
17. Headaches from a supplement
18. The heart on long-term feeds
19. Loose stools on the unit formula
20. The cheaper milk-free feed
21. Marks left by the drops
22. The number that admits her
23. Keep it moving
24. Which line to plot on
25. When he asks for food
26. Counting the scoops
27. The ladder starts in the oven
28. More on the plate, not less
29. The cup at one year
30. Holding it back at the table
31. How long it will last
32. The clock on the last drink
33. Leaking out of the bag
34. After the bug has gone
35. It depends on the mill
36. What goes in the bag home
37. Timing beats the dose
38. What he stirs into water
39. Treatment he can take away
40. Tablets and feeding together
41. The question nobody asked
42. Hot enough to be safe
43. Leave the pot alone
44. Look at how he latches
45. How often the pump goes on
46. Enough for both
47. Where he was heading anyway
48. The small print each time
49. Two people and a board
50. Letting her do it herself

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Phenylketonuria, Cow’s milk contains several times more iron, Soft cooked carrot, Continue the same feed for a further month, Not enough vitamin D, Stop all feeds and start parenteral nutrition, A body mass index of 16, The oedema disappearing, The same energy as any child his age, It must be used within two hours, A new cow’s milk protein allergy, Give the drink with the meal, not the milk, Stop the drug while she feeds, A little salt makes food acceptable.

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 the gap between them is the point. 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.

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.