NUTRITION HEALTH AND WELLNESS FINAL
CERTIFICATION EVALUATION TEST PAPER 2026
COMPLETE STUDY QUESTIONS WITH
CORRECT ANSWERS
◉ Blepharitis. Answer: inflammation of the eyelash follicles
bilateral
Findings: swelling, erythema of eyelids, flaky debris upon wakening,
gritty/burning in eyes
Tx: Bacitracin or erythromycin ointment
purchase new makeup, cool compresses
◉ Uveitis. Answer: acute onset of pain, red eye, photophobia,
blurred/decreased vision, excessive tearing
Dx: slit lamp exam
Tx. refer to optho, corticosteroids typically used
◉ Otitis media. Answer: Findings: bulging TM, decrease
translucency otorrhea, white or yellow TM
Tx: 1st line amoxicillin
if allergy to PCN-azithromycin
,◉ Otitis media with effusion. Answer: children often asymptomatic
dull, bulging TM
amber colored TM
watchful waiting for 3 months.
◉ cystic fibrosis. Answer: genetic disorder maifested by COPD, GI
disturbances, and exocrine dysfunction
◉ CF manifestations. Answer: Neonate-meconium ileus, prolonged
jaundice, hemorrhagic disease of newborn (vit K deficiency)
infancy- cough, pneumonia, FTT, steatorrhea, abdominal distention
childhood- poor weight gain, constipation, sinusitis, poorly
controlled asthma, digital clubbing
adolescents- diabetes, osteoporosis, chronic pansinusitis
◉ CF Dx. Answer: newborn screening
sweat testing- sweat chloride >60 is indicative of CF
LFTs are abnormal
◉ CF tx. Answer: -inhaled dornase- decreases mucosal viscosity
-CFTR modulators
-high dose ibuprofen and azithromycin 3x a week
, -pancreatic enzyme replacement therapy (PERT) with every meal
and snack
-at age 10 yearly glucose tolerance test
◉ Microcytic anemia (iron deficiency anemia). Answer: dietary iron
primarily absorbed in the duodenum
HGB screening at 12 mo for anemia
lead poisoning often comorbid diagnosis
RF: premature, >6 mo BF without iron supplementation
alternative diets, low socioeconomic status
characterized by: microcytic hypochromic RBC, low or normal MCV,
increased RDW, low ferritin, high TIBC
◉ Findings of IDA. Answer: infants/toddlers-restless irritable, PICA,
pagophagia (desire to ingest ice), anorexia, developmental delays
◉ Tx of IDA. Answer: iron supplementation 3-6mg/kg/day in 2-3
divided doses
◉ SCA. Answer: Findings: fatigue, anemia, pain crises, bacterial
infections, dactylitis (swelling of hands and/or feet), priapism,
splenic sequestration
CERTIFICATION EVALUATION TEST PAPER 2026
COMPLETE STUDY QUESTIONS WITH
CORRECT ANSWERS
◉ Blepharitis. Answer: inflammation of the eyelash follicles
bilateral
Findings: swelling, erythema of eyelids, flaky debris upon wakening,
gritty/burning in eyes
Tx: Bacitracin or erythromycin ointment
purchase new makeup, cool compresses
◉ Uveitis. Answer: acute onset of pain, red eye, photophobia,
blurred/decreased vision, excessive tearing
Dx: slit lamp exam
Tx. refer to optho, corticosteroids typically used
◉ Otitis media. Answer: Findings: bulging TM, decrease
translucency otorrhea, white or yellow TM
Tx: 1st line amoxicillin
if allergy to PCN-azithromycin
,◉ Otitis media with effusion. Answer: children often asymptomatic
dull, bulging TM
amber colored TM
watchful waiting for 3 months.
◉ cystic fibrosis. Answer: genetic disorder maifested by COPD, GI
disturbances, and exocrine dysfunction
◉ CF manifestations. Answer: Neonate-meconium ileus, prolonged
jaundice, hemorrhagic disease of newborn (vit K deficiency)
infancy- cough, pneumonia, FTT, steatorrhea, abdominal distention
childhood- poor weight gain, constipation, sinusitis, poorly
controlled asthma, digital clubbing
adolescents- diabetes, osteoporosis, chronic pansinusitis
◉ CF Dx. Answer: newborn screening
sweat testing- sweat chloride >60 is indicative of CF
LFTs are abnormal
◉ CF tx. Answer: -inhaled dornase- decreases mucosal viscosity
-CFTR modulators
-high dose ibuprofen and azithromycin 3x a week
, -pancreatic enzyme replacement therapy (PERT) with every meal
and snack
-at age 10 yearly glucose tolerance test
◉ Microcytic anemia (iron deficiency anemia). Answer: dietary iron
primarily absorbed in the duodenum
HGB screening at 12 mo for anemia
lead poisoning often comorbid diagnosis
RF: premature, >6 mo BF without iron supplementation
alternative diets, low socioeconomic status
characterized by: microcytic hypochromic RBC, low or normal MCV,
increased RDW, low ferritin, high TIBC
◉ Findings of IDA. Answer: infants/toddlers-restless irritable, PICA,
pagophagia (desire to ingest ice), anorexia, developmental delays
◉ Tx of IDA. Answer: iron supplementation 3-6mg/kg/day in 2-3
divided doses
◉ SCA. Answer: Findings: fatigue, anemia, pain crises, bacterial
infections, dactylitis (swelling of hands and/or feet), priapism,
splenic sequestration
