Nutrition Flashcards

1
Q

BMI over what centile is diagnosic for obesity?

A

98th

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2
Q

What is second line treatment for Cows Milk protein allergy?

A

Amino acid formula

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3
Q

What is the WHO classification for moderate and severe malnutrition?

A

Moderate
BMI +/or length 0.4-9th centile
Severe
BMI +/or length <0.4th centile

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4
Q

What are the fat soluble vitamins?

A

Vitamin A, D, E and K

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5
Q

What are the water soluble vitamins?

A

Vit C
B1, B2, B3, Pantothenic Acid, B6, B12, Folate

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6
Q

When can soy based formula be used? And who can’t have it?

A

Older infant with CMPA where other formulas are rejected due to palatability or parents practicing veganism.
Do not give babies <6 months due to phytoestrogen

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7
Q

When should weaning start?

A

Around 6 months.
Not before 4 months corrected gestational age.

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8
Q

Define faltering growth in child

A

Slowing of weight gain in childhood that is less than expected for age and sex.

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9
Q

Define overweight child

A

BMI beteen 91st and 98th centile

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10
Q

What does vitamin A deficiency present as?

A

Night blindness
Severe- complete blindness, xerophthalmia(pathalogical eye dryness)

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11
Q

Vitamin b1 is also known as what?
What does deficiency of it present as?

A

Thiamine
Infants of thiamine deficienct mothers (think indonesia): Beriberi syndrome- weak/hoarse cry, cardiomegaly, tachycardia and oedema
Teenagers: Wernicke-Korsakoff syndrome

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12
Q

What predisposes to B1/thiamine deficiency?

A

Thiamine deficient mother
Anorexia nervosa, alcohol abuse
Maple syrup urine disease

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13
Q

What is Vitamin B6 also known as and how does deficiency present?

A

Pyridoxine
stomatitis, glossitis, seborrheic dermatitis, microcytic anaemia and seizures.
Seizures neonatal period, inc foetal movement

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14
Q

What predisposes to Vit B6/Pyridoxine deficiency?

A

Homocystinuria
Isoniazid, penicillamine

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15
Q

What is Vitamin B3 also known as and how does deficiency present?

A

Niacin
Pellagra - characterised by dermatitis, glossitis, vaginitis, and oesophagitis, diarrhoea and dementia.

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16
Q

What predisposes to Vit B3/Niacin deficiency?

A

Anorexia nervosa
V. rare as most foods fortified with it.

17
Q

What is Vitamin B2 also known as and how does deficiency present?

A

Riboflavin
Ariboflavinosis: present as sore throat, angular stomatitis, glossitis and normocytic, normochromic anaemia.

18
Q

What is Vitamin B5 also known as and how does deficiency present?

A

Pantothenic acid
‘Burning feet syndrome’ characterised by paraesthesia and dysesthesia.

19
Q

What is Vitamin B9 also known as and how does deficiency present?

A

Folate, Folic Acid
Megaloblastic anaemia. Neural tube defects if occur when pregnant.

20
Q

What predisposes to Vit B9 folate deficiency

A

Coeliac, chronic haemolytic/renal disorders
Methotrexate, Trimethoprim, Sodium Valproate

21
Q

How does vitamin B12 deficieny present?

A

Megaloblastic anaemia + obvious lethargy and pallor. stomatitis and glossitis.
If untreated= neurological and psychological changes inc depression, confusion, numbness and visual changes.

22
Q

What predisposes to B12 deficiency?

A

Vegan/ Vegiterian
Malabsorption

23
Q

How does Vitamin C deficiency present?

A

Chronic severe deficiency can result in Scurvy
Petechial and perifollicular haemorrhaging, impaired wound healing and abnormal bone and dentine formation.

24
Q

How does Vitamin E deficiceny present?

A

Neuromuscular and haemolytic disorders in patients with fat malabsorption.

25
Q

How does vitamin K deficiency present?

A

Bruising or bleeding from any mucosal or subcutaneous site

26
Q

How does Zinc deficiceny present?

A

weight loss, dermatitis, alopecia and diarrhoea.

27
Q

How does iodiine deficieny present?

A

goitre

28
Q

What is Acrodermatitis enteropathica?

A

AR disorder, failure of intestinal zinc absorption
Characteristic orange-y rash with well demarcated border

29
Q

What predisposes to Zinc deficicency?

A

Children following a vegan diet and infants who are exclusively breast fed with delayed introduction of solid food

30
Q

What is the formula for calculating mid parental height in girls?

A

(Mam height + Dad height -13) / 2

31
Q

What is the formula for calculating mid parental height in boys?

A

(Mam height + Dad height + 13) /2