Infant GER and GERD Assessment Quiz

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Questions and Answers

What are common symptoms of Gastroesophageal Reflux (GER) in infants?

Regurgitation, frequent spit-ups, feeding difficulties, and signs of discomfort during or after feeding (correct)
Fever, rash, excessive sleepiness, and irritability
Joint pain, muscle weakness, skin discoloration, and blurred vision
Persistent cough, rapid breathing, chest pain, and fatigue

What lifestyle modifications are often recommended for infants with Gastroesophageal Reflux (GER)?

Introducing solid foods early, letting the infant sleep on their stomach, overfeeding to ensure adequate nutrition, and using tight diapers
Adding honey to the infant's milk, giving cow's milk before the age of one, and feeding the infant spicy foods
Feeding the infant while lying down, using a larger nipple hole on the bottle, and feeding the infant quickly
Elevating the head during sleep, smaller and more frequent feedings, avoiding overfeeding, and thickening feeds with rice cereal (correct)

What might be signs of Gastroesophageal Reflux Disease (GERD) in infants?

Excessive drooling, delayed motor skills, poor eye contact, and constant crying
Recurrent vomiting, irritability, poor weight gain, or respiratory issues like coughing or wheezing (correct)
Excessive sweating, pale skin, refusal to eat, and sunken fontanelle
Excessive laughter, increased appetite, rapid weight gain, and high energy levels

What is important to focus on during the assessment of constipation?

Bowel movement frequency, consistency, and associated pain (C) Signup and view all the answers

What is the initial management for pediatric constipation?

Increasing fiber intake, encouraging fluid intake, and establishing a regular toileting routine (C) Signup and view all the answers

What is recommended for mild dehydration in gastroenteritis?

Oral rehydration solutions (D) Signup and view all the answers

What is the cornerstone of treatment for celiac disease?

Strict gluten-free diet (D) Signup and view all the answers

What may be recommended for nutritional deficiencies in celiac disease?

Nutritional supplements (A) Signup and view all the answers

What is a common symptom of inflammatory bowel disease (IBD)?

Persistent abdominal pain (B) Signup and view all the answers

What type of diet may be recommended for management of IBD in certain cases?

Exclusive enteral nutrition (liquid diet) (D) Signup and view all the answers

What is a key component of management for peptic ulcer disease?

Proton pump inhibitors (D) Signup and view all the answers

What is an important lifestyle modification for peptic ulcer disease?

Stress management (D) Signup and view all the answers

What is crucial in providing optimal care for pediatric gastrointestinal conditions?

Consulting pediatric gastroenterologists or specialists (D) Signup and view all the answers

What is necessary for assessment of gastroenteritis?

Evaluating the history of recent dietary changes, potential exposure to contaminated food or water, and symptoms (A) Signup and view all the answers

What is a common diagnostic test for celiac disease?

Serologic tests for antibodies and confirmatory intestinal biopsy (A) Signup and view all the answers

What is crucial for the assessment of peptic ulcer disease?

Detailed history and diagnostic testing, including endoscopy (D) Signup and view all the answers

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Study Notes

Gastroesophageal Reflux (GER) in Infants

Common symptoms of GER in infants include spitting up, vomiting, and irritability
Lifestyle modifications often recommended for infants with GER include:
- Upright positioning after feeding
- Thickening of formula or breastmilk
- Avoiding overfeeding or underfeeding
- Burping during feeding
Signs of Gastroesophageal Reflux Disease (GERD) in infants may include:
- Failure to thrive
- Refusal to feed
- Respiratory symptoms

Constipation

During assessment of constipation, it is important to focus on:
- Bowel movement frequency and consistency
- Presence of pain or straining during bowel movements
- Abdominal pain or bloating
Initial management for pediatric constipation typically involves:
- Dietary changes (e.g. increasing fiber and fluid intake)
- Encouraging regular bowel habits

Gastroenteritis

For mild dehydration in gastroenteritis, it is recommended to:
- Offer small, frequent feedings of oral rehydration solution
- Monitor for signs of dehydration
Assessment of gastroenteritis involves:
- Evaluating hydration status
- Identifying causative organisms (e.g. viral or bacterial)

Celiac Disease

The cornerstone of treatment for celiac disease is a:
- Gluten-free diet
Nutritional deficiencies in celiac disease may be addressed by:
- Supplementing with iron, folate, and vitamin B12
- Ensuring adequate calcium and vitamin D intake
A common diagnostic test for celiac disease is:
- Intestinal biopsy or blood tests for tissue transglutaminase antibodies

Inflammatory Bowel Disease (IBD)

A common symptom of IBD is:
- Diarrhea
In certain cases, a specific type of diet may be recommended for management of IBD, such as:
- Elemental diet
- Exclusive enteral nutrition
A key component of management for IBD is:
- Medication therapy (e.g. aminosalicylates, corticosteroids)

Peptic Ulcer Disease

A key component of management for peptic ulcer disease is:
- Eradication of Helicobacter pylori infection
An important lifestyle modification for peptic ulcer disease is:
- Avoiding nonsteroidal anti-inflammatory drugs (NSAIDs)
Crucial for the assessment of peptic ulcer disease is:
- Endoscopy and biopsy

General Pediatric Gastroenterology

Crucial in providing optimal care for pediatric gastrointestinal conditions is:
- Collaboration between healthcare providers and parents
- Regular follow-up and monitoring