Nutrition: refeeding in recovery: practice question

A Pediatrics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Pediatrics · Nutrition: refeeding in recovery

Sample item

A child with SAM during rehabilitation is on F-100 and gains 12 g/kg/day. Which criterion allows discharge from a nutrition rehabilitation centre?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Weight-for-height at -2 SD or above, or MUAC at 12.5 cm or more, with no oedema for at least 2 weeks

Facility discharge is based on reaching weight-for-height above -2 SD (or MUAC above 12.5 cm) with no oedema, good appetite, completed treatment of infections and a caregiver who understands feeding. Follow-up then continues at the community level. Early discharge raises relapse risk.

Option by option

  • A. Normal appetite on day 3

    Appetite on day 3 reflects only early recovery.

  • B. Absence of diarrhoea for 24 hours

    Absence of diarrhoea for 1 day is not an adequate criterion.

  • C. Weight gain of 1 kg in total

    A fixed 1 kg gain is not the criterion.

  • D. Weight-for-height at -2 SD or above, or MUAC at 12.5 cm or more, with no oedema for at least 2 weeks (correct)

    Correct. Recovery of anthropometry with no oedema.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Pediatrics question

What is the answer to this Pediatrics question?

The best answer is D, Weight-for-height at -2 SD or above, or MUAC at 12.5 cm or more, with no oedema for at least 2 weeks. Facility discharge is based on reaching weight-for-height above -2 SD (or MUAC above 12.

Why is "Normal appetite on day 3" not the answer?

Appetite on day 3 reflects only early recovery.

Why is "Absence of diarrhoea for 24 hours" not the answer?

Absence of diarrhoea for 1 day is not an adequate criterion.

Why is "Weight gain of 1 kg in total" not the answer?

A fixed 1 kg gain is not the criterion.

What concept does this question test?

It tests Nutrition: refeeding in recovery in Pediatrics. 5 cm) with no oedema, good appetite, completed treatment of infections and a caregiver who understands feeding. Follow-up then continues at the community level. Early discharge raises relapse risk.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Nutrition: refeeding in recovery?

Memorise milestones and the vaccine schedule as tables and revise them often. Then use the flashcards and the other Pediatrics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.