QuestionSBA
QuestionChoice
This child is suffering from cystic fibrosis, as indicated by the history of recurrent chest infections, short stature, and pancreatic insufficiency (causing steatorrhoea). The BMJ and NICE recommend the use of pancreatic enzyme replacement as well as a high-fat, high-calorie diet.
10000291
a
Pancreatic enzyme supplementation
QuestionChoice
This child is suffering from cystic fibrosis, as indicated by the history of recurrent chest infections, short stature, and pancreatic insufficiency (causing steatorrhoea).  Antibiotic therapy may feature in the management of respiratory cystic fibrosis but would not be used in pancreatic insufficiency.
10000293
c
Antibiotic therapy
QuestionChoice
Reassurance is not appropriate management of cystic fibrosis.
10000295
e
Reassurance
QuestionChoice
This child is suffering from cystic fibrosis, as indicated by the history of recurrent chest infections, short stature, and pancreatic insufficiency (causing steatorrhoea). Steroid therapy is not indicated in the management of pancreatic insufficiency in cystic fibrosis.
10000292
b
Prednisolone
QuestionChoice
A gluten-free diet may be useful to manage coeliac disease but would not feature in cystic fibrosis management. Instead, a high-calorie, high-fat diet is recommended to treat pancreatic insufficiency, as well as pancreatic enzymes.
10000294
d
Gluten-free diet
Concept
Chapter
2693
3736
Pancreatic activity in cystic fibrosis
Topic
137
Gastrointestinal
12605
An 8-year-old female is brought to General Practice by her mother who reports a history of pale, oily, foul-smelling stool. The mother also mentions her daughter has suffered from recurrent chest infections. You note the child is of short stature.

Which of the following is the most appropriate management of this child's gastrointestinal symptoms?
a