Pediatrics Question #16


Which diet is best for a child with a diagnosis of cystic fibrosis?


  1. Gluten-free with added amounts of protein.
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  2. Increased calories, high protein, high fat.
    • Rationale:
  3. Increased calories, low fat, low phosphate.
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  4. High protein, low fat, high sodium.
    • Rationale:



The correct answer is B. A child with cystic fibrosis needs increased calories, high, protein and high fat related to the lack of pancreatic enzymes needed to digest food. Fat and protein will be lost in the stool. An increase in calories will compensate for the digestive loss. A child with cystic fibrosis needs added protein but does not need to follow a gluten-free diet. Increased calories, low fat, and low phosphate does not allow for the increased fat and protein needed in a child with cystic fibrosis. High protein, low fat, and high sodium allows for high protein, but not the high fat option.The child with cystic fibrosis does not need a high sodium diet but possibly a sodium supplement. The majority of sodium loss occurs in the summer heat when sweating might be an issue.

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