Multiple Choice Questions (MCQ)

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Category: Gastrointestinal, Nutrition and Genitourinary Disorders--->Nutrition in Critical Illness
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Question 1#Print Question

A 22-year-old female who has sustained a 50% total body surface area burn in a house fire is intubated in the ICU. She is scheduled for serial debridements in the OR. The best management for perioperative nutrition includes:

A. Begin TPN to ensure adequate nutrition despite intermittent NPO periods
B. Place a postpyloric feeding tube to allow continuation of tube feeds intraoperatively
C. Stop tube feeds 8 hours before the OR start time
D. Stop tube feeds at midnight before the OR

Question 2#Print Question

A 39-year-old 80-kg trauma patient is intubated and sedated in the ICU. You are planning to start enteral nutrition.

What is his daily calorie goal that you need to meet with tube feeding?

A. 2100 kcal/d
B. 1800 kcal/d
C. 2600 kcal/d
D. 1500 kcal/d

Question 3#Print Question

Which of the following patients should have enteral nutrition advanced to goal within the first 24 to 48 hours of hospitalization instead of waiting up to 1 week before instituting enteral nutrition?

A. 24-year-old with history of type I diabetes mellitus now post multitrauma motorcycle crash
B. 39-year-old G1P1 with ROSC after arrest due to postpartum hemorrhage
C. 76-year-old with a history of COPD and hypertension with urosepsis and renal failure
D. 85-year-old with a history of a lung nodule now post right lower lobe lobectomy

Question 4#Print Question

A patient’s calculated nitrogen balance is 4 g/d. What change to the patient’s nutrition would you make?

A. Increase protein intake
B. Decrease protein intake
C. No change needs to be made to the protein content
D. Begin 25% albumin every 8 hours

Question 5#Print Question

A frail appearing 82-year-old male is admitted to the ICU with respiratory insufficiency due to pneumonia. A nasogastric tube is placed as there are concerns for dysphagia and tube feeds are started. Approximately 24 hours after admission the patient develops signs and symptoms of left heart failure. The most likely cause of this patient’s sudden cardiac dysfunction is:

A. Low systemic phosphorous
B. Cor pulmonale
C. Pulmonary embolism
D. Vitamin B3 deficiency

Category: Gastrointestinal, Nutrition and Genitourinary Disorders--->Nutrition in Critical Illness
Page: 1 of 2