CERTIFIED SPECIALIST IN PEDIATRICS EXAM NEWEST
2025 ACTUAL EXAM WITH COMPLETE 300+ QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+ | GUARANTEED PASS
When treating NEC, enteral feeds are with held for _________ to
_____________, requiring PN support
10 days to 3weeks
To determine EFA deficiency, a triene to tetraene ratio of _________
would reflect EFA deficiency
>0.2
In PN, excess glucose provision has been associated with
_______________ and should be avoided in LT PN patients at risk for
_____________
Hepatic steatosis
PN -associated liver disease
,EFA can be avoided by providing minimum of ______________ (or
__________________) of lipid
0.5g/kg/day (2.5mls/kg/d)
Lipid delivery should not provide more than ___________ % of calories
in PN due to risk of ______________
60%; ketosis
Intestinal Failure (IF)
Inability to maintain protein-energy, fluid, electrolyte or micronutrient
balance enteraly
Reasons for PN in critical illness
Hemodynamic instability
Feeding intolerance
Peripheral PN is limited to __________ mosm/L
,900 mosm/L
PN components that impart the greatest osmolarity to a solution are
__________, ____________, ____________, ________________.
Protein, dextrose, sodium and potassium salts
Pediatric amino acid products have _________________, which allows
for ____________ & ___________ to be added to the solution.
_____________ is also added to optimize solubility.
Lower ph; higher concentrations of Ca & Phos; Cysteine
___________ & ____________ aas were designed to replicate plasma
AA patterns of breastfed infants
Trohpamine & Aminosyn
Maximum Ca and Phos accretion rates occur over the last
______________________ of gestation.
6 weeks of gestation.
, Almost every major food allergen is a _______ or a ________
Protein or glycoprotein
________________________ is responsible for aprox. Half of cases
among infants with cholestasis
Extrahepatic biliary atresia
Basic nutritional strategy for neonatal cholestasis is:
Provide ample fat soluble vitamins (ADKE) and montor levels
Substantial amount of fat should be MCT (1:1)
Biliary atresia
A congenital disease described as the narrowing or obliteration of all
or a portion of the biliary tree
Results in cholestasis
2025 ACTUAL EXAM WITH COMPLETE 300+ QUESTIONS
AND CORRECT ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+ | GUARANTEED PASS
When treating NEC, enteral feeds are with held for _________ to
_____________, requiring PN support
10 days to 3weeks
To determine EFA deficiency, a triene to tetraene ratio of _________
would reflect EFA deficiency
>0.2
In PN, excess glucose provision has been associated with
_______________ and should be avoided in LT PN patients at risk for
_____________
Hepatic steatosis
PN -associated liver disease
,EFA can be avoided by providing minimum of ______________ (or
__________________) of lipid
0.5g/kg/day (2.5mls/kg/d)
Lipid delivery should not provide more than ___________ % of calories
in PN due to risk of ______________
60%; ketosis
Intestinal Failure (IF)
Inability to maintain protein-energy, fluid, electrolyte or micronutrient
balance enteraly
Reasons for PN in critical illness
Hemodynamic instability
Feeding intolerance
Peripheral PN is limited to __________ mosm/L
,900 mosm/L
PN components that impart the greatest osmolarity to a solution are
__________, ____________, ____________, ________________.
Protein, dextrose, sodium and potassium salts
Pediatric amino acid products have _________________, which allows
for ____________ & ___________ to be added to the solution.
_____________ is also added to optimize solubility.
Lower ph; higher concentrations of Ca & Phos; Cysteine
___________ & ____________ aas were designed to replicate plasma
AA patterns of breastfed infants
Trohpamine & Aminosyn
Maximum Ca and Phos accretion rates occur over the last
______________________ of gestation.
6 weeks of gestation.
, Almost every major food allergen is a _______ or a ________
Protein or glycoprotein
________________________ is responsible for aprox. Half of cases
among infants with cholestasis
Extrahepatic biliary atresia
Basic nutritional strategy for neonatal cholestasis is:
Provide ample fat soluble vitamins (ADKE) and montor levels
Substantial amount of fat should be MCT (1:1)
Biliary atresia
A congenital disease described as the narrowing or obliteration of all
or a portion of the biliary tree
Results in cholestasis
