Ultra-processed Foods and Pediatric Nutrition Counseling, CME/MOC 2 Questions

Please complete the following quiz. You can view your score at the end of this quiz. If you do not earn a score of 75% or higher, please review the presentation and submit the quiz again. CME and MOC points will be awarded on a 30-day basis. If you have any questions, please contact obesity@aap.org.

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1. Please provide the following information to receive CME credit, following successful completion of the knowledge change survey. (Required.)

First and Last Name

AAP ID

Credential (MD, DO, RN)

Email Address

City/Town

State/Province

ZIP/Postal Code

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2. American Board of Pediatrics (ABP) ID# (REQUIRED for pediatricians seeking part 2 MOC)

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3. Month and date of birth (MM/DD) (REQUIRED for pediatricians seeking part 2 MOC)

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4. Were the individual learning objectives of this CME activity achieved? (Required.)

Yes

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5. Which of the following is one of the most effective high-yield dietary changes families can make to reduce ultra-processed food intake in children? (Required.)

Eliminate all packaged foods immediately

Replace all snacks with supplements

Improve everyday foods such as breakfast cereals, lunchbox items, and snacks

Restrict all carbohydrates

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6. When counseling families about reducing added sugar intake, which recommendation is most consistent with current pediatric guidance? (Required.)

Added sugars should be avoided only in children with obesity

Children ages 2 and older should limit added sugars to less than 25 g/day

Fruit juice is not considered a source of added sugar

Parents should avoid all processed foods regardless of context

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7. The four tasks of motivational interviewing in order are (Required.)

Identify, Assess, Counsel, Verify

Engage, Guide, Evoke, Plan

Advise, Assess, Alert, Arrange

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8. The following is an example of involving a pediatric patient in promoting whole food consumption: (Required.)

Teaching and practicing kitchen skills

Reading about nutrition

Discussing the benefits of good nutrition regularly

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9. A parent asks their pediatrician what makes a food "ultra-processed." According to the NOVA classification system, which of the following best characterizes an ultra-processed food (NOVA Group 4)? (Required.)

A food that has been cooked, canned, or heated during manufacturing

An industrial formulation made by deconstructing foods into components and recombining them with cosmetic additives like stabilizers and flavor enhancers

Any packaged food containing added sugar, sodium, or saturated fat above the daily recommended threshold for children

A food product made with natural preservatives to extend shelf life and improve convenience

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10. According to the first randomized controlled trial examining the effects of ultra-processed food (UPF) consumption (Hall et al., 2019), which of the following best describes the primary finding? (Required.)

A UPF diet was associated with increased inflammation but no change in body weight

Ad libitum consumption of a UPF diet led to excess caloric intake and weight gain

UPF consumption increased BMI only in participants with pre-existing metabolic syndrome

UPF diets caused weight gain primarily through changes in resting metabolic rate

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11. Based on what you learned in this activity, do you plan to change:
The strategies you implement in practice (e.g., how you diagnose/manage patients, coordinate care, etc.)? (Required.)

Yes

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12. Based on what you learned in this activity, do you plan to change:
What you do in practice (e.g., how you perform exams, instruct, counsel patients/families, etc.)? (Required.)

Yes

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13. If YES to either of the above questions, please identify any changes in practice that you plan to make:

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14. If NO and you do not plan to make changes in practice, other than lack of time and resources, why not? (select all
that apply)

Systems-related barriers internal to your organization

The activity reinforced what I am already doing in practice

No practice changes were recommended

Other (please specify)

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15. Do you feel the educational content contributed to stereotypes and/or biases which could negatively impact patients, colleagues, or trainees? (Required.)

Yes - if yes, please comment

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16. Do you feel a commercial product, device, or service was inappropriately promoted in the educational content? (Required.)

Yes - If yes, please comment

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17. On a scale of 1 to 7, what was the return on your investment of time/effort for participating in this activity? (Required.)

	1 - Low Return	2	3	4 - Medium Return	5	6	7 - High Return
Scale	Scale 1 - Low Return	Scale 2	Scale 3	Scale 4 - Medium Return	Scale 5	Scale 6	Scale 7 - High Return

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18. Are you a member of NAPNAP (National Association of Pediatric Nurse Practitioners)? (Required.)

Yes

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* 1. Please provide the following information to receive CME credit, following successful completion of the knowledge change survey. (Required.)

Question Title

* 2. American Board of Pediatrics (ABP) ID# (REQUIRED for pediatricians seeking part 2 MOC)

Question Title

* 3. Month and date of birth (MM/DD) (REQUIRED for pediatricians seeking part 2 MOC)

Question Title

* 4. Were the individual learning objectives of this CME activity achieved? (Required.)

Question Title

* 5. Which of the following is one of the most effective high-yield dietary changes families can make to reduce ultra-processed food intake in children? (Required.)

Question Title

* 6. When counseling families about reducing added sugar intake, which recommendation is most consistent with current pediatric guidance? (Required.)

Question Title

* 7. The four tasks of motivational interviewing in order are (Required.)

Question Title

* 8. The following is an example of involving a pediatric patient in promoting whole food consumption: (Required.)

Question Title

* 9. A parent asks their pediatrician what makes a food "ultra-processed." According to the NOVA classification system, which of the following best characterizes an ultra-processed food (NOVA Group 4)? (Required.)

Question Title

* 10. According to the first randomized controlled trial examining the effects of ultra-processed food (UPF) consumption (Hall et al., 2019), which of the following best describes the primary finding? (Required.)

Question Title

* 11. Based on what you learned in this activity, do you plan to change:The strategies you implement in practice (e.g., how you diagnose/manage patients, coordinate care, etc.)? (Required.)

Question Title

* 12. Based on what you learned in this activity, do you plan to change:What you do in practice (e.g., how you perform exams, instruct, counsel patients/families, etc.)? (Required.)

Question Title

* 13. If YES to either of the above questions, please identify any changes in practice that you plan to make:

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* 14. If NO and you do not plan to make changes in practice, other than lack of time and resources, why not? (select all that apply)

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* 15. Do you feel the educational content contributed to stereotypes and/or biases which could negatively impact patients, colleagues, or trainees? (Required.)

Question Title

* 16. Do you feel a commercial product, device, or service was inappropriately promoted in the educational content? (Required.)

Question Title

* 17. On a scale of 1 to 7, what was the return on your investment of time/effort for participating in this activity? (Required.)

Question Title

* 18. Are you a member of NAPNAP (National Association of Pediatric Nurse Practitioners)? (Required.)

1. Please provide the following information to receive CME credit, following successful completion of the knowledge change survey. (Required.)

2. American Board of Pediatrics (ABP) ID# (REQUIRED for pediatricians seeking part 2 MOC)

3. Month and date of birth (MM/DD) (REQUIRED for pediatricians seeking part 2 MOC)

4. Were the individual learning objectives of this CME activity achieved? (Required.)

5. Which of the following is one of the most effective high-yield dietary changes families can make to reduce ultra-processed food intake in children? (Required.)

6. When counseling families about reducing added sugar intake, which recommendation is most consistent with current pediatric guidance? (Required.)

7. The four tasks of motivational interviewing in order are (Required.)

8. The following is an example of involving a pediatric patient in promoting whole food consumption: (Required.)

9. A parent asks their pediatrician what makes a food "ultra-processed." According to the NOVA classification system, which of the following best characterizes an ultra-processed food (NOVA Group 4)? (Required.)

10. According to the first randomized controlled trial examining the effects of ultra-processed food (UPF) consumption (Hall et al., 2019), which of the following best describes the primary finding? (Required.)

11. Based on what you learned in this activity, do you plan to change:
The strategies you implement in practice (e.g., how you diagnose/manage patients, coordinate care, etc.)? (Required.)

12. Based on what you learned in this activity, do you plan to change:
What you do in practice (e.g., how you perform exams, instruct, counsel patients/families, etc.)? (Required.)

13. If YES to either of the above questions, please identify any changes in practice that you plan to make:

14. If NO and you do not plan to make changes in practice, other than lack of time and resources, why not? (select all
that apply)

15. Do you feel the educational content contributed to stereotypes and/or biases which could negatively impact patients, colleagues, or trainees? (Required.)

16. Do you feel a commercial product, device, or service was inappropriately promoted in the educational content? (Required.)

17. On a scale of 1 to 7, what was the return on your investment of time/effort for participating in this activity? (Required.)

18. Are you a member of NAPNAP (National Association of Pediatric Nurse Practitioners)? (Required.)