Failure to Thrive MCQ Quiz | Growth & Development

Welcome to the Failure to Thrive (FTT) quiz, designed for MBBS students studying Growth & Development. This quiz will test your understanding of the definition, etiology, clinical evaluation, and management of FTT. Failure to Thrive is a critical topic, representing a sign of undernutrition and a potential indicator of underlying medical or psychosocial issues. This quiz contains 25 multiple-choice questions to help you assess your knowledge and prepare for your examinations. After submitting your answers, you will receive your score and see the correct responses highlighted. You can also download a PDF version of all questions with their correct answers for your future reference and revision. Good luck!

1. Failure to Thrive (FTT) is most commonly defined as weight for age that falls below which percentile on standard growth charts?

2. What is the most common cause of Failure to Thrive in developed countries?

3. A 6-month-old infant with FTT presents with chronic diarrhea, abdominal distension, and muscle wasting. Which condition should be strongly suspected?

4. How does a large ventricular septal defect (VSD) primarily contribute to FTT?

5. An infant with FTT is found to have a normal anion gap hyperchloremic metabolic acidosis. Which underlying condition is most likely?

6. A key feature that strongly suggests non-organic FTT over organic FTT is:

7. When evaluating a child with FTT, which component of the clinical history is considered the most crucial?

8. The presence of dysmorphic facial features in a child with FTT should raise suspicion for:

9. For a child with FTT who has an unremarkable history and physical exam, what is the most appropriate initial set of laboratory investigations?

10. To achieve catch-up growth, the recommended daily caloric intake for an infant with FTT is typically:

11. The management of FTT, especially complex cases, is best approached by:

12. A significant long-term consequence of untreated or persistent FTT in early childhood is:

13. An infant is diagnosed with FTT and on examination has hypotonia, a single palmar crease, and a heart murmur. The most likely diagnosis is:

14. Symmetrical growth restriction, where weight, length, and head circumference are all proportionally low from an early age, typically suggests:

15. In the classification of FTT, a pattern where weight gain falters first, followed by linear growth, with head circumference being preserved the longest, is characteristic of:

16. Which anthropometric measurement is the most sensitive indicator of acute undernutrition (wasting) in a child?

17. An infant with FTT, constipation, prolonged jaundice, and a hoarse cry should be evaluated for:

18. Maternal depression, substance abuse, and domestic violence are significant risk factors for which category of FTT?

19. Which of the following represents an improper feeding technique that can lead to FTT?

20. During aggressive nutritional rehabilitation of a severely malnourished child with FTT, which is the hallmark electrolyte abnormality of refeeding syndrome?

21. A 9-month-old presents with FTT, a persistent cough, and bulky, foul-smelling stools. A sweat chloride test would be indicated to rule out:

22. What is a “food-secure” household?

23. In the evaluation of FTT, observing the parent-child interaction during a feed is most useful for identifying:

24. Which condition is NOT typically considered an organic cause of FTT?

25. The prognosis for catch-up growth and normal cognitive development in a child with FTT is generally best when: