Pediatrics Recalls By Subject – Feeding And Nutrition

A 4-month-old girl, until now has been exclusively breastfed, is brought for examination due to bloody stools. On examination – gaining weight well, vital, soft abdomen, no signs of anal fissure. Stool PCR negative for enteropathogens. The mother indicates that for the past few weeks, she has been fed infant formula.

What is the most recommended treatment in this case?

A 16-year-old girl with anorexia nervosa and acute weight loss has been admitted with an 1600 calorie per day dietary plan.

Which of the following complications can the girl develop during the initial stages of the dietary plan?

A 5-year-old boy, diagnosed on the autistic spectrum, was admitted due to decreased appetite, restlessness, and in recent days weakness in the lower limbs. Refuses to walk. On his examination, non-specific sensitivity over the lower extremities as well as the finding described in the image.

What is the most likely cause of the child’s complaints?

A 14-year-old girl with anorexia nervosa is admitted to the pediatric ward. A nasogastric tube is placed and feeding is initiated. 24-hours later she is pale, weak, tachycardic, and dyspneic. Physical examination is normal besides being extremely thin.

Which of the following may explain her condition?

Which of the following is an indication for soy-based formula?

A 14-year-old girl with anorexia has been fed gradually with increasing amounts of food and calories in order to avoid refeeding syndrome.

Which of the following blood tests should be performed daily for follow up?

A 3-year-old boy with failure to thrive, presents with lacrimation and keratitis over the last 6 months. Examination reveals a smooth tongue and the finding in the photo below

Which of the following deficiencies is most likely?

A 16-year-old female was hospitalized due to weight loss in the last few months, no emesis no diarrhea. On examination – BMI 16 kg/m2, pulse – 55 per minute, rest of exam is normal. During her stay, she began to receive nutrition. A day after beginning the nutrition, the girl was disorientated and asthenic, with a normal glucose level and evidence of lactic acid. How can this situation be avoided?

In which of the following is breast feeding of a term newborn contraindicated?

A 17-year-old male, vegan since birth, presents with chronic fatigue. Blood count reveals anemia with high MCV. Blood smear is below.

Which of the following symptoms is most likely in this boy?

A 16-year-old outstanding student had been exercising obsessively and recently has lost a lot of weight. She wishes to lose weight and vomits after meals.

Which of the following will most likely be found in her blood tests?

A 5-year-old boy with autism spectrum disorder (ASD) presents with restlessness over the last few days, and refusal to walk. History reveals he doesn’t eat much, and his diet is based on schnitzel and water. Examination of the mouth is shown in the picture. Complete blood count revealed anemia.

Which of the following is the most likely cause of his disease?

A 10-months-old boy with developmental regression, difficulty eating and episodes of apnea that have recently appeared. Breastfed. The mother observes a poor rice-based nutrition. In his examination, his crying is hoarse and there is also evidence of hypotonia. Lab tests show metabolic acidosis. MRI shows enhancement in basal ganglia bilaterally. What immediate treatment is recommended in this situation?

A 4-year-old male is being monitored for failure to thrive (FTT). Over the past 6 months, he has had lacrimation, eye infections with keratitis, seborrhea. Smooth tongue found on examination

Which of the following deficiencies would be most likely to explain his condition?