Nutrition

Question 1

What type of feed should be offered to a neonate with PKU

Answer 1

Phenylalanine-free milk e.g. XP Analog LCP

Question 2

What sort of diet should be offered in an infant with intestinal lymphangiectasia?

Answer 2

High protein
Very low long-chain-triglyceride
Medium-chain triglyceride supplementation

Question 3

What conditions can predispose a child to vitamin E deficiency?

Answer 3

Liver disease
Crohn’s disease
Abetolipoproteinaemia
CF

Question 3

what are the symptoms of Vitamin E deficiency?

Answer 3

Peripheral neuropathy
Visual disturbances

Question 4

What diet is best used for X-linked adrenoleukodystrophy?

Answer 4

Lorenzo’s oil and moderate-fat restriction

Question 4

What would be seen on a blood film in Vitamin E deficiency?

Answer 4

Acanthocytes (abnormal red blood cells with irregularly spaced spikes on their surface)

Question 5

Which micronutrient deficiency is a risk for breath-holding spells?

Answer 5

Iron deficiency

Question 5

What bloods should be monitored twice a week in an infant who is stable on TPN?

Answer 5

Potassium
Chloride
Calcium
pH

Question 6

What is the most appropriate dietary strategy for eosinophilic oesophagitis?

Answer 6

Oral elemental diet

Question 7

Which vitamin is it most important to supplement in somebody using orlistat?

Answer 7

Vitamin D