Malnutrition: stabilisation feeds: 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.

Try it

Pediatrics · Malnutrition: stabilisation feeds

Sample item

In the stabilisation phase of inpatient SAM management, which feed is used and at what volume?

ARegular family diet at full energyBF-75 at about 130 ml/kg/day (100 kcal/kg/day)CUndiluted cow's milk at 150 ml/kgDF-100 at 200 ml/kg/day

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

The answer and the reasoning

B. F-75 at about 130 ml/kg/day (100 kcal/kg/day)

F-75 provides 75 kcal and 0.9 g protein per 100 ml, giving about 100 kcal/kg/day, and is used in the first phase while metabolic abnormalities are corrected. Transition to F-100 or RUTF follows once appetite returns. Rapid high-calorie feeding at the start can cause refeeding problems and heart failure.

Option by option

A. Regular family diet at full energy
A full family diet at initial stage can be unsafe.
B. F-75 at about 130 ml/kg/day (100 kcal/kg/day) (correct)
Correct. F-75 at about 130 ml/kg/day is the stabilisation feed.
C. Undiluted cow's milk at 150 ml/kg
Undiluted cow's milk has too high a solute load.
D. F-100 at 200 ml/kg/day
F-100 is used in the rehabilitation phase.

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.

Questions about this Pediatrics question

What is the answer to this Pediatrics question?

The best answer is B, F-75 at about 130 ml/kg/day (100 kcal/kg/day). F-75 provides 75 kcal and 0.

Why is "Regular family diet at full energy" not the answer?

A full family diet at initial stage can be unsafe.

Why is "Undiluted cow's milk at 150 ml/kg" not the answer?

Undiluted cow's milk has too high a solute load.

Why is "F-100 at 200 ml/kg/day" not the answer?

F-100 is used in the rehabilitation phase.

What concept does this question test?

It tests Malnutrition: stabilisation feeds in Pediatrics. 9 g protein per 100 ml, giving about 100 kcal/kg/day, and is used in the first phase while metabolic abnormalities are corrected. Transition to F-100 or RUTF follows once appetite returns. Rapid high-calorie feeding at the start can cause refeeding problems and heart failure.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. 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 Malnutrition: stabilisation feeds?

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.