FEN And renal

Question 1

Failure to thrive, photophobia, blurred vision, dermitits, mucousitis, associated with glutamic acidemia type 1

Answer 1

Vitamin B2 (riboflavin)

Question 2

Dermititis, mucosisits, hypochromic anemia, possible seizures, associated with hmocystinuria

Answer 2

Vitamin B6 (pyridoxine)

Question 3

Alopecia, dermititis, scaling, seborrhea, associated with biotinidase deficiency, beta-methylcrotonyl glucinuria, propionic acidemia, and pyruvate dehydrogenase complex deficiency

Answer 3

Bitotin

Question 4

Poor wound healing and bleeding gums, associated with transient tyrosinemia

Answer 4

Vitamin C (ascorbic acid)

Question 5

Rickets, failure to thrive, possible tentany

Answer 5

Vitamin D

Question 6

Which Ig is destroyed in breastmilk with pasteurization

Answer 6

Ig M

Question 7

Kcal per grams in carbs, protein, and fats

Answer 7

Carbs 3.4, protein 4, and fats 9

Question 8

Regulates glucose levels because of role in insulin metabolism

Answer 8

Chromium

Question 9

Critical for production of red blood cells and well as hemoglobin formation, important for absorption of iron, associated with multiple enzyme activities.

Answer 9

Copper

Question 10

Role in enzyme activation (superoxide dismutase) important for normal bone structure, role in CHO metabolism

Answer 10

Manganese

Question 11

Cofactor for glutamine peroxidase

Answer 11

Selenium

Question 12

Type 1 (distal) or classic RTA: ____urine pH, ____serum K, ____calcium

Answer 12

High urine pH, low serum K, high calcium
(Bones/stones)

Question 13

Type 2 (proximal): ____urine pH, ____K

Diminished bicarb resorption

Answer 13

Initially high then low, low to normal K, no hypercalcemia

(Groans)

Question 14

Type 4 RTA: urine pH ____, ____K,

Aldosterone deficiency

Answer 14

Low urine pH, severe hyperkalemia, hypercalcemia does not occur

(Aldosterone)

Question 15

Lactate concentrations reach an adult concentration by

Answer 15

36 weeks

Question 16

Colostrum has a whey to casein ratio of

Answer 16

80:20

Question 17

Mature breast milk has a whey to casein ratio of

Answer 17

55:45

Question 18

Preterm formula has a whey to casein ratio of

Answer 18

60:40

Question 19

Human milk contains a _______amount of long chain unsaturated fatty acids compared to cows milk

Answer 19

A Greater

Question 20

Preterm formula contains _____ % more protein than term formula.

Answer 20

50%

Question 21

Which part of the intestine is responsible for absorption of fat soluble vitamins and zinc.

Answer 21

Ileum

Question 22

X-linked recessive disorder affecting enzymatic function of the cellular Golgi apparatus also know as ochlocerebralrenal syndrome. Endocrine system not involved.

Answer 22

Lowe Syndrome

Question 23

Defect in Na, Cl, and K transport in the loop of Henle, Can be associated with hypokalemia, metabolic alkalosis, hypercalcemia

Answer 23

Bartter Syndrome.

Question 24

Renal agenesis occurs when the ______fails to develop.

Answer 24

Ureteric bud

Question 25

Most frequent cause of acute renal failure in a neonate.

Answer 25

HIE

Question 26

Which hormone plays the biggest role in fetal growth

Answer 26

Insulin-like growth factor

Question 27

Which hormone plays the biggest role in placental regulation of fetal nutrient supply

Answer 27

Placental lactogen

Question 28

What is thought to play a role in Brain and retinal development

Answer 28

Long chain polyunsaturated fatty acids

Question 29

Free water deficit

Answer 29

4 ml x weight (kg) x (desired change in Na)

Question 30

Prognosis of ARPKD

Answer 30

Guarded with 30% of affected newborns not surviving the neonatal period

Question 31

Holman index

Answer 31

Ratio of triene (mead acid) to tetraene (arachidonic acid) A ratio greater than 0.2 is diagnostic for EFAD

Question 32

Fetal calcium homeostasis is dependent on

Answer 32

Parathyroid hormone