Gastroenterology/Nutrition

Question 1

Gene associated with celiac disease

Answer 1

HLA-DQ2 and -DQ8

Question 2

Double-bubble sign

Answer 2

Duodenal atresia (30% with other congenital anomalies)

Question 3

ANA + Anti-smooth muscle antibody

Answer 3

Autoimmune Hepatitis (Type 1)

Question 4

Anti-Liver-Kidney antibody

Answer 4

Autoimmune hepatitis (Type 2)

Question 5

Treatment of cow’s milk protein allergy

Answer 5

Hydrolyzed formulas (Alimentum, Nutramigen, Pregestemil)
-- 5% will require elemental formulas (amino acid-based -- e.g. Neocate, Elecare, Puramino)

Question 6

Typical growth pattern for WEIGHT

Answer 6

• Double by 4-6 months
• Triple by 1 year
• Quadruple by 2 y/o

Question 7

Typical growth pattern for HEIGHT

Answer 7

• Increase by 50% by 1 y/o
• Double by 4 y/o
• Triple by 13 y/o

Question 8

Xerophthalmia (night blindness), conjunctival xerosis, Bitot’s spots, corneal xerosis, follicular hyperkeratosis

Answer 8

Vitamin A deficiency

Question 9

Rickets, osteomalacia, bone demineralization

Answer 9

Vitamin D deficiency

Question 10

Hemolytic anemia, peripheral neuropathy, spinocerebellar ataxia, skeletal myopathy

Answer 10

Vitamin E deficiency

Question 11

Bleeding, hemorrhagic disease of the newborn

Answer 11

Vitamin K deficiency

Question 12

Dry Beriberi (peripheral neuropathy, weakness), Wet Beriberi (cardiac failure), Wernicke-Korsakoff syndrome (encephalopathy, psychosis),

Answer 12

Thiamine (Vit B1) deficiency

Question 13

Cheilosis, angular stomatitis, dermatitis, anemia

Answer 13

Riboflavin (Vit B2) deficiency

Question 14

Three D’s (dermatitis, diarrhea, dementia); pellagra (dermatitis in sun-exposed skin), red tongue

Answer 14

Niacin (Vit B3) deficiency

Question 15

Scurvy, follicular hyperkeratosis, petechiae/ecchymosis, coiled hairs, inflamed and bleeding gums, perifollicular hemorrhages

Answer 15

Vitamin C deficiency

Question 16

Acrodermatitis enteropathica (periorificial and acral dermatitis, alopecia, and diarrhea)

Answer 16

Zinc deficiency