Are overt signs of EFAD common in people with CF?

• A. Yes
• B. Sometimes
• C. No
• D. Not sure

Answer: (C)

In CF, overt essential fatty acid deficiency signs are not commonly seen when pancreatic enzyme replacement therapy and targeted nutrition are in place. Fat malabsorption is a feature of CF, but effective enzyme supplementation and a high-fat diet help maintain adequate essential fatty acid status, preventing the characteristic skin, hair, and growth issues associated with EFAD. You'd only expect obvious EFAD signs if enzyme dosing is insufficient, adherence is poor, or there is severe malabsorption beyond routine CF management. That’s why the best answer is that overt signs are not common.