Fen

Question 1

Peak vacuum during a neonatal suck is created with lowering of

Answer 1

Tongue

Question 2

Excessive amount of what trace element can lead to basal ganglia injury?

Answer 2

Manganese in the ganglia

Question 3

Amino acid considered semi essential and needed in synthesis of antioxidant glutathione

Answer 3

Cysteine, hollenbeck overweight from gluttony

Question 4

Folates are required in the degradation of

Answer 4

Methionine

Question 5

Estimated survival time for 2 kg baby without external nutrients

Answer 5

10 days

Question 6

Most common cause of decreased milk supply in moms of premies is

Answer 6

Progestin based contraception

Question 7

Maternal demographic most related to not breastfeeding

Answer 7

Low income

Question 8

Milk donors undergo serologic screening for which infections

Answer 8

Hepatitis B, C, syphilis, HIV, human lymphotropic virus

Question 9

Nutritional goal intake of copperin premie

Answer 9

120 microgram per kilogram perday. To scale copper mountain you have to put in 120%

Question 10

Predominant storage site for zinc is?

Answer 10

Bone

Question 11

Zinc nutritional goal for premies

Answer 11

350 micrograms per kilo per day

Question 12

Pasteurization of donor milk eliminated which two viruses that they later test the milks for

Answer 12

HIV and CMV

Question 13

Which outcome is decreased with lactoferrin supplementation?

Answer 13

Late onset sepsis

Question 14

Stock TPN for premies has at least x grams per 80 mL of amino acids

Answer 14

3

Question 15

Pasteurization may decrease the amount and activity of what important enzyme in milk

Answer 15

Lysozyme pasteurization is like using Lysol

Question 16

The increase in PTH on the 1st day after birth can be blunted by infusion of what

Answer 16

Calcium

Question 17

Lipid solutions containing omega x fatty acids as opposed to omega x aa can minimize liver disease

Answer 17

3
6

Question 18

Do current IV and enteral nutritional approaches for long chain PU fatty acids reach intrauterine accretion rates ?

Answer 18

No

Question 19

Component in human milk most attributed to decrease NEC is

Answer 19

Platelet activating factor acetylhydrolase

Question 20

Nonnutritive sucking ratio

Answer 20

6:1 to 8:1

Question 21

Most likely mechanism by which lactoferrin protects neonates from infection

Answer 21

Antibiotic effect after proteolysis to lactoferricin

Question 22

How and where does most phosphorus absorption occur ?

Answer 22

Active and passive transport in the jejunum. PH and PH and J and J

Question 23

Most typical manifestation of zinc deficiency

Answer 23

Perianal dermatitis

Question 24

The cord blood [magnesium] is x compared to maternal [] reflecting what type of transport ?

Answer 24

Higher
Active placental transport

Question 25

Is there a risk of indirect hyperbili with free fatty acid delivery?

Answer 25

A theoretical one, yes. Actual risk is minimal. Fatty acids compete for albumin binding sites but molar ratios of 4:1 to 5:1 of free fatty acids to albumin are required for significant changes in bili binding

Question 26

In growing preterm neonates, the percentage of intestinal absorption of calcium is between x percent of intake

Answer 26

50-60 percent

Question 27

Zinc absorption in gut is enhanced by intake of what

Answer 27

Protein - prozeinc

Question 28

What type of anemia is associated with copper deficiency ?

Answer 28

Hypochromic

Question 29

Major LCPUFA in the retina necessary for phototransduction is

Answer 29

Docosahexaenoic acid 22:6, n-3

Question 30

Lactoferrin binds to which 4 things ?

Answer 30

Ferric iron, ribonuclease, nucleotide, heparin

Question 31

Can fish oil based emulsions achieve similar docohexaenoic acid levels to other non fish oil emulsions?

Answer 31

Yes, higher !

Question 32

What percentage of neonates less than 1.5 kg get rickets or fractures ?<1kg?

Answer 32

10-30 percent 50-60 percent

Question 33

Dietary component with highest amount of lactoferrin

Answer 33

Colostrum

Question 34

LCPUFA improves what outcome ?

Answer 34

Visual acuity

Question 35

Suppression of pathogenic organisms by commensal organisms in breast milk is done by suppression of Transcription factor nuclear factor kappa beta ( Anti inflammatory effect) when the commensural organism binds to what

Answer 35

Toll like receptor

Question 36

The upper threshold for peripherally infused PPN osnolarity is…

Answer 36

1000 mOsm per liter

Question 37

Lipoprotein lipase is present primarily in what tissue type?

Answer 37

Adipose tissue

Question 38

Copper absorption is impaired by uptake of what

Answer 38

Ascorbic acid

Question 39

The biologically active component of human milk most preserved after initial freezing and pasteurization is what

Answer 39

Linoleic acid Linoleum very sturdy

Question 40

Most likely cause of hypokalemia in ELBW in first three days

Answer 40

Shift of potassium from intracellular to extra cellular fluid

Question 41

Premie moms have less milk why?

Answer 41

Not because of gestation! It’s insufficient monitoring of volumes, lack of info and equipment, lack of on site storage, stress of nicu

Question 42

The nutrient most likely to reduce oxidative stress through its interaction with the antioxidant glutathione peroxidase is

Answer 42

Selenium