CSP Nutrition Exam Questions &
Answers (Grade A+)
Ebb phase (trauma) -
correct answer ✅24-72 hours post injury; hypermetabolism with
decreased cardiac output, temp, BP, O2 consumption
Flow phase (trauma) -
correct answer ✅2-8 weeks depending on injury severity; catabolic
phase - increased cardiac output, temperature, release of cytokines
and the catabolic hormones glucagon, cortisol, epi, norepi and
dopamine. This neuroendocrine response mobilizes stored fatty
acids, glycogen and protein to provide glucose
Anabolic phase (trauma) -
correct answer ✅restoration and recovery of body protein stores
(injury and severity dependent)
TBI energy needs -
correct answer ✅based on adult data, fever can increase calorie
needs by 7.4% per degree C, aim to provide 100-110% REE
Micronutrient supplementation for burn (>20% TBSAB) -
correct answer ✅Vitamin C, Vitamin A, Zinc, Vitamin D
,CSP Nutrition Exam Questions &
Answers (Grade A+)
Reasons early EN in TBI may not be tolerated -
correct answer ✅delayed gastric emptying and/or decreased
lower esophageal sphincter pressure (increases aspiration risk) -
consider whey or peptide based formulas or post-pyloric feedings
Diabetes diagnosis (HgbA1c, fasting plasma glucose, random
plasma glucose, 2 hr plasma glucose) -
correct answer ✅HgbA1c: >6.5%
FBG: >126 mg/dL
RPG: >200 mg/dL (with symptoms of hyperglycemia)
2 hr: >200 mg/dL (during OGTT)
Texas Children's target blood sugar (<5 years) - fasting/ before
meals and bedtime/overnight -
correct answer ✅Fasting/ before meals: 80-200 mg/dL
Bedtime/overnight: 100-200 mg/dL
Texas Children's target blood sugar (5-11 years) - fasting/ before
meals and bedtime/overnight -
correct answer ✅Fasting/ before meals: 70-180 mg/dL
Bedtime/overnight: 100-180 mg/dL
,CSP Nutrition Exam Questions &
Answers (Grade A+)
Texas Children's target blood sugar (12+ years) - fasting/ before
meals and bedtime/overnight -
correct answer ✅Fasting/ before meals: 70-150 mg/dL
Bedtime/overnight: 90-150 mg/dL
American Diabetes Association recommended BS and HgbA1c for
all pediatrics -
correct answer ✅Before meals: 90-130 mg/dL
Bedtime/ overnight: 90-150 mg/dL
HgbA1c: <7.5%
Diagnosis of pancreatic insufficiency in CF -
correct answer ✅Fecal elastase <200 mcg/g of stool
(85-90% of CF are PI)
CF nutrient needs (energy, protein) -
correct answer ✅Energy: 110-200% DRI/age
Protein: 150-200% DRI/age, not to exceed 4 g/kg/day except for
severe cases of malabsorption
, CSP Nutrition Exam Questions &
Answers (Grade A+)
BMI/age and wt/length goals for CF -
correct answer ✅0-24 months: >75th%ile wt/ln
2+: >50th% BMI/age
"Risk" level for CF patients 0-24 months based on wt/ln -
correct answer ✅Normal: >75th%ile
Low risk: 50-75th%ile
Moderate risk: 25-50th%ile
High risk: <25th%ile
"Risk" level for CF patients 2-20 years based on BMI/age -
correct answer ✅Normal: >50th%ile
Low risk: 25-50th%ile
Moderate risk: 10-25th%ile
High risk: <10th%ile
Enzyme dosing for CF infants -
correct answer ✅2000-4000 units lipase per 120 mL of formula of
breast milk, or at least 1000 units lipase/kg/meal
Answers (Grade A+)
Ebb phase (trauma) -
correct answer ✅24-72 hours post injury; hypermetabolism with
decreased cardiac output, temp, BP, O2 consumption
Flow phase (trauma) -
correct answer ✅2-8 weeks depending on injury severity; catabolic
phase - increased cardiac output, temperature, release of cytokines
and the catabolic hormones glucagon, cortisol, epi, norepi and
dopamine. This neuroendocrine response mobilizes stored fatty
acids, glycogen and protein to provide glucose
Anabolic phase (trauma) -
correct answer ✅restoration and recovery of body protein stores
(injury and severity dependent)
TBI energy needs -
correct answer ✅based on adult data, fever can increase calorie
needs by 7.4% per degree C, aim to provide 100-110% REE
Micronutrient supplementation for burn (>20% TBSAB) -
correct answer ✅Vitamin C, Vitamin A, Zinc, Vitamin D
,CSP Nutrition Exam Questions &
Answers (Grade A+)
Reasons early EN in TBI may not be tolerated -
correct answer ✅delayed gastric emptying and/or decreased
lower esophageal sphincter pressure (increases aspiration risk) -
consider whey or peptide based formulas or post-pyloric feedings
Diabetes diagnosis (HgbA1c, fasting plasma glucose, random
plasma glucose, 2 hr plasma glucose) -
correct answer ✅HgbA1c: >6.5%
FBG: >126 mg/dL
RPG: >200 mg/dL (with symptoms of hyperglycemia)
2 hr: >200 mg/dL (during OGTT)
Texas Children's target blood sugar (<5 years) - fasting/ before
meals and bedtime/overnight -
correct answer ✅Fasting/ before meals: 80-200 mg/dL
Bedtime/overnight: 100-200 mg/dL
Texas Children's target blood sugar (5-11 years) - fasting/ before
meals and bedtime/overnight -
correct answer ✅Fasting/ before meals: 70-180 mg/dL
Bedtime/overnight: 100-180 mg/dL
,CSP Nutrition Exam Questions &
Answers (Grade A+)
Texas Children's target blood sugar (12+ years) - fasting/ before
meals and bedtime/overnight -
correct answer ✅Fasting/ before meals: 70-150 mg/dL
Bedtime/overnight: 90-150 mg/dL
American Diabetes Association recommended BS and HgbA1c for
all pediatrics -
correct answer ✅Before meals: 90-130 mg/dL
Bedtime/ overnight: 90-150 mg/dL
HgbA1c: <7.5%
Diagnosis of pancreatic insufficiency in CF -
correct answer ✅Fecal elastase <200 mcg/g of stool
(85-90% of CF are PI)
CF nutrient needs (energy, protein) -
correct answer ✅Energy: 110-200% DRI/age
Protein: 150-200% DRI/age, not to exceed 4 g/kg/day except for
severe cases of malabsorption
, CSP Nutrition Exam Questions &
Answers (Grade A+)
BMI/age and wt/length goals for CF -
correct answer ✅0-24 months: >75th%ile wt/ln
2+: >50th% BMI/age
"Risk" level for CF patients 0-24 months based on wt/ln -
correct answer ✅Normal: >75th%ile
Low risk: 50-75th%ile
Moderate risk: 25-50th%ile
High risk: <25th%ile
"Risk" level for CF patients 2-20 years based on BMI/age -
correct answer ✅Normal: >50th%ile
Low risk: 25-50th%ile
Moderate risk: 10-25th%ile
High risk: <10th%ile
Enzyme dosing for CF infants -
correct answer ✅2000-4000 units lipase per 120 mL of formula of
breast milk, or at least 1000 units lipase/kg/meal
