Certified Specialist in Pediatrics Exam
Questions & Answers (Grade A+)
Acute malnutrition (undernutrition) refers to changes in weight in
relation to height. -
correct answer ✅% of IBW @ 50%Wt/Ln
>90% Grade 0 (normal)
80%-89% Grade 1 (mild)
70% -79% Grade Il (moderate)
<70 rade lIl (severe)
Chronic malnutrition (stunting) refers to a reduction in the rate of
linear growth -Waterlow Criteria -
correct answer ✅%IBW of Wt/Ln, age 1-3
>95% Grade 0 (normal)
90%-94% Grade I (mild)
85%-89% Grade II (moderate)
<85 % Grade III (severe)
Subcutaneous fat loss can be seen in: -
correct answer ✅Facial cheeks (buccal pads) -hallow, narrow, flat
for moderate
Biceps and triceps - little space when skin pinched
Ribs Lower back Mid-axillary line- depressions very apparent
,Certified Specialist in Pediatrics Exam
Questions & Answers (Grade A+)
Buttocks- wasted, flat, baggy skin, wrinkled
Muscle Wasting can be seen in: -
correct answer ✅Clavicle Shoulder (deltoid muscles) -
protruding/prominennt
Scapula - As the muscle groups around the scapula waste, bone
becomes more prominent
Thigh (quadriceps muscle) (Note: lower body is less sensitive to
change)
Knee - square, proninent, no muscle
Calf (gastrocnemius muscle)- definite tissue reduction
In average infant, weight doubles by: -
correct answer ✅The time they reach 6 months old
In average infant, weight triples by: -
correct answer ✅One year of age
Premie growth velocity -
correct answer ✅<2kg = 15-20g/d
>2kg = 20-30g/d
,Certified Specialist in Pediatrics Exam
Questions & Answers (Grade A+)
0-4 month infant growth velocity: -
correct answer ✅23-34g/d
4 - 8 month infant growth velocity: -
correct answer ✅10 - 16g/d
Growth velocity infant 8 - 12 mo -
correct answer ✅6-11 g/d
12- 24 month infant growth velocity -
correct answer ✅4-9g/d
Infant nutritional history, assess: -
correct answer ✅1. Current method of feeding
2. Type of milk/formula per feed
3. Number of times per day, child is breastfed or takes bottle
4. Duration of feed and abnormal symptoms (including sweating,
increased work of breathing, choking or coughing)
5. Method for preparation (i.e. ratio of formula to water and source
of water)
, Certified Specialist in Pediatrics Exam
Questions & Answers (Grade A+)
6. Special formula including rationale for modification
7. Number of meals/snacks per day (assess meal content)
8. Assess for developmental delay, oral aversions
9. Frequency of wet diapers and stooling patterns, stool consistency
and frequency
10. Feeding history to include milestones, texture, progression, and
variety
11. Food allergies/intolerances
12. Vitamins minerals herbal and/or food supplements (quantity,
frequency, and duration)
13. Review social, economic and environmental factors
Protein Needs in the Critically III Child -
correct answer ✅0 - 2 years 2 - 3g /kg/day
2-13 years 1.5 -2g /kg/day
13 - 18 years 1.5g /kg/day
According to the American Academy of Pediatrics, energy and
protein needs during adolescence should be based on
___________ rather than ____________. -
correct answer ✅Height, Weight
Questions & Answers (Grade A+)
Acute malnutrition (undernutrition) refers to changes in weight in
relation to height. -
correct answer ✅% of IBW @ 50%Wt/Ln
>90% Grade 0 (normal)
80%-89% Grade 1 (mild)
70% -79% Grade Il (moderate)
<70 rade lIl (severe)
Chronic malnutrition (stunting) refers to a reduction in the rate of
linear growth -Waterlow Criteria -
correct answer ✅%IBW of Wt/Ln, age 1-3
>95% Grade 0 (normal)
90%-94% Grade I (mild)
85%-89% Grade II (moderate)
<85 % Grade III (severe)
Subcutaneous fat loss can be seen in: -
correct answer ✅Facial cheeks (buccal pads) -hallow, narrow, flat
for moderate
Biceps and triceps - little space when skin pinched
Ribs Lower back Mid-axillary line- depressions very apparent
,Certified Specialist in Pediatrics Exam
Questions & Answers (Grade A+)
Buttocks- wasted, flat, baggy skin, wrinkled
Muscle Wasting can be seen in: -
correct answer ✅Clavicle Shoulder (deltoid muscles) -
protruding/prominennt
Scapula - As the muscle groups around the scapula waste, bone
becomes more prominent
Thigh (quadriceps muscle) (Note: lower body is less sensitive to
change)
Knee - square, proninent, no muscle
Calf (gastrocnemius muscle)- definite tissue reduction
In average infant, weight doubles by: -
correct answer ✅The time they reach 6 months old
In average infant, weight triples by: -
correct answer ✅One year of age
Premie growth velocity -
correct answer ✅<2kg = 15-20g/d
>2kg = 20-30g/d
,Certified Specialist in Pediatrics Exam
Questions & Answers (Grade A+)
0-4 month infant growth velocity: -
correct answer ✅23-34g/d
4 - 8 month infant growth velocity: -
correct answer ✅10 - 16g/d
Growth velocity infant 8 - 12 mo -
correct answer ✅6-11 g/d
12- 24 month infant growth velocity -
correct answer ✅4-9g/d
Infant nutritional history, assess: -
correct answer ✅1. Current method of feeding
2. Type of milk/formula per feed
3. Number of times per day, child is breastfed or takes bottle
4. Duration of feed and abnormal symptoms (including sweating,
increased work of breathing, choking or coughing)
5. Method for preparation (i.e. ratio of formula to water and source
of water)
, Certified Specialist in Pediatrics Exam
Questions & Answers (Grade A+)
6. Special formula including rationale for modification
7. Number of meals/snacks per day (assess meal content)
8. Assess for developmental delay, oral aversions
9. Frequency of wet diapers and stooling patterns, stool consistency
and frequency
10. Feeding history to include milestones, texture, progression, and
variety
11. Food allergies/intolerances
12. Vitamins minerals herbal and/or food supplements (quantity,
frequency, and duration)
13. Review social, economic and environmental factors
Protein Needs in the Critically III Child -
correct answer ✅0 - 2 years 2 - 3g /kg/day
2-13 years 1.5 -2g /kg/day
13 - 18 years 1.5g /kg/day
According to the American Academy of Pediatrics, energy and
protein needs during adolescence should be based on
___________ rather than ____________. -
correct answer ✅Height, Weight
