Nutrition Flashcards

1
Q

Most common cause of blindness in young children worldwide

A

Vitamin A deficiency

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2
Q

Xerophthalmia
Nyctalopia (night blindness)

A

Vitamin A deficiency

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3
Q

Bleeding gums
Scurvy
Leg tenderness
Poor wound healing
Follicular hyperkeratosis
Corkscrew-coiled hairs

A

Vitamin C deficiency

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4
Q

Hemolytic anemias in preemies

Neuropathies, peripheral edema, thrombocytosis, muscle weakness in older children

A

Vitamin E deficiency

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5
Q

Pseudotumor cerebri
Isotrentinoin
Hepatoxicity
Hyperostosis
Dry skin
Alopecia

A

Vitamin A toxicity

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6
Q

Active metabolite of vitamin D

A

1, 25 hydroxycalciferol (calcitriol)

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7
Q

Measured vitamin D

A

25-hydroxy vitamin D

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8
Q

Hypercalcemia
Hyperphosphatemia
Low PTH

A

Vitamin D toxicity

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9
Q

Caloric needs per weight

A

100kcal/kg for 1st 10kg
50kcal/kg for 2nd 10kg
20kcal/kg for additional kg

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10
Q

Required caloric intake for preterm and term infants

A

100-120 kcal/kg/day

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11
Q

Protein requirement for preterm and term infants

A

Preterm: 3.5 g/kg/day

Term: 2-2.5 g/kg/day (first 6 mo)

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12
Q

Recommended concentration of iron in iron fortified formula

A

12 g/L

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13
Q

Age to start supplementing iron if receiving more than 50% of calories from break milk

A

4 months

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14
Q

Milk protein allergy

A

IgE mediated
Rash
N/V

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15
Q

Lactose intolerance

A

Irritability
No rash or vomiting
Can be secondary to viral gastroenteritis

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16
Q

Milk intolerance

A

Not IgE mediated

17
Q

Indication for protein hydrosylate formula

A

Allergy to intact milk protein
Allergy to soy protein

18
Q

Heme+ stools or hematochezia
Can present with AMS, shock.
Are afebrile
Not IgE mediated

Management

A

FPIES
(Food protein induced enterocolitis syndrome)

Protein hydrosylate formula or eliminate protein from mother’s diet

19
Q

Scaly/eczematous dermatitis
Alopecia
Thrombocytopenia

Management

A

Fatty acid deficiency

IV lipids (linoleic and linolenic acid)

20
Q

Acrodermatitis enteropathica
Poor growth
Alopecia
No lichenification
Autosomal recessive
Weaned from breast feeding

A

Zinc deficiency

21
Q

Low serum copper
Low serum ceruloplasmin
High tissue copper
Pili torti
Developmental delay
Easily broken hair
X-linked recessive

A

Menkes kinky hair syndrome

22
Q

Liver disease
AMS
low ceruloplasmin levels
Kayser Fleischer

A

Wilson’s disease

Diagnosed by liver biopsy

23
Q

Apathy
Anorexia, thin hair
Dermatitis photosensitivity
Easy bruisability
Hypoalbuminemia, edema
Blanching erythematous rash with overlying reddish-brown scaling and sharply demarcated raised edges
Hepatomegaly

A

Kwashiorkor

(Chronic protein malnutrition)

24
Q

Fats in Breast milk

A

Linoleic and linolenic acids

25
Electrolytes after 1 month of TPN
Normal calcium Normal phosphorus Elevated alkaline phosphates
26
Colostrum
High protein (IgA) Yellow High carotene
27
Cow’s milk compared to human breast milk
Higher phosphorus Infant kidney cannot get rid of it fast enough. Leads to Hypocalcemia
28
Contraindications to Breast feeding
CMV, HIV, TB, HSV lesions on breast Antithyroid meds Amphetamines, cocaine, PCP Radioactive/cytotoxic errors of metabolism Antibiotics (Flagyl) Antiepileptics (Diazepam)
29
Adverse effects of starting solid food too young (ie before 4-6 mo)
Increase likelihood of GI infection Difficult to digest (infants have low amylase) Does not help sleep
30
Overweight
BMI between 85th and 95th percentile for age and gender
31
Obese
BMI > 95th percentile for age and gender
32
Endocrine causes of obesity
Hypothyroidism Cushing syndrome Growth hormone deficiency
33
Underweight Muscle wasting No edema Normal hair
Marasmus General nutritional deficiency
34
Most common complication of NG feeds
Diarrhea
35
Most severe complication of NG feeds
Vomiting with aspiration
36
Muscle weakness Fatigue Abnormal electrolytes Management
Refeeding syndrome Restart feeds at 50% of targeted kcal/kg/day
37
Electrolyte abnormalities in Refeeding syndrome
Hypokalemia Hypophosphatemia HypoMagnesemia Hypoglycemia Thiamine deficiency
38
Metaphyseal fraying and cupping Widening of epiphyses in distal radius/ulna
Rickets
39
Diarrhea Dermatitis Corn mash consumption
Pellagra (Vitamin B3 or niacin/nicotinic acid deficiency)