Pediatric Emergency Medicine

Pediatric Nutrition Quiz

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Pediatric Quizzes 

April 2003 

Revised June 2011 

American College of Emergency Physicians Section of Pediatric Emergency Medicine 

Madeline Matar Joseph, MD, FACEP
University of Florida Health Science Center, Jacksonville, FL

  1. A first time mother asks you about the correct age for introducing solids in her healthy infant's diet. What would you tell her?

    1. 2- 4 months
    2. 4-6 months
    3. 6-8 months
    4. 8-9 months

  2. The recommended age to introduce low-fat milk into children's diet with no risk factors for obesity is the following:

    1. 6 months
    2. 9 months
    3. 12 months
    4. 15 months
    5. 24 months

  3. All of the following are appropriate anticipatory guidance items for a parent of a 3- year- old EXCEPT:

    1. The child should be allowed to eat unsupervised only if he or she is sitting down.
    2. The child should be taught to avoid stuffing excessive amount of food into his or her mouth.
    3. The child should not be given whole hot dogs.
    4. The child should be taught to eat sitting down.

  4. At what age the introduction of fresh cow's milk is recommended?

    1. 4 months
    2. 6 months
    3. 9 months
    4. 12 months
    5. 15 months

  5. A three day-old term infant borne at home, breast- fed exclusively, presented to the ED with lethargy, bulging fontanel, and bright red blood from rectum. What is the most likely etiology of his disease?

    1. Fluoride deficiency
    2. Ca deficiency
    3. Vitamin K deficiency
    4. Iron deficiency

  6. What is the appropriate 24 hour fluid maintenance for a 16-month-old infant with a body weight of 12 kg?

    1. 450 cc
    2. 800 cc
    3. 1100 cc
    4. 1500 cc

  7. In which of the following conditions should a special formula be considered?

    1. Post gastroenteritis malabsorption syndrome
    2. Fat malabsorption
    3. Cholestatic liver disease
    4. Cow's milk enteropathy
    5. All the above

  8. Which of the following special infant formulas has the highest content of medium chain triglycerides (MCT)?

    1. Alimentum
    2. Pregestimil
    3. Portagen
    4. Neocate infant


    9. Which of the following can the parents use to assess the adequacy of the infants' nutrition?

 a. Adequate weight gainb. 

b.Good urine output

c. Calorie count

        d. All the above


10. Which of the following food would you recommend to introduce to a 2-month-old infant with gastro-esophageal reflux who was on thickened formula with rice cereal but now is suffering from constipation?

        a.Apple sauce

        b. Prune juice

        c. Oatmeal cereal

        d. Banana


Copyright 2004 American College of Emergency Physicians. Pediatric Emergency Medicine Section quizzes may be reproduced for educational purposes only. To obtain permission to reprint for any other purpose, please submit your written request to: Deputy Executive Director, American College of Emergency Physicians, PO Box 619911, Dallas, TX 75261. 


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