Medical Quiz

Surgical Nutrition Quiz


Primary fuel source of the body

A. Vitamins and minerals

B. Ketones

C. Carbohydrates

D. Fats

E. Proteins

Condition that requires the highest energy demands in surgery

A. Major surgery

B. Major trauma

C. Malnutrition

D. Major burns

E. Major injury

Diagnostic examination used to determine nutritional status of a patient; prognostic indicator in surgery

A. Serum albumin

B. Skin fold

C. Arm circumference

D. Complete blood count

E. Liver function test

A condition that results in a gastric residual volume of more than 150 ml

A. Gastroesophageal reflux

B. Gastrointestinal dysmotility

C. Gastric outlet obstruction

D. Malabsorption syndrome

E. Irritable bowel syndrome

Metabolic disturbances that occur as a result of reinstitution of nutrition to patients who are starved, severely malnourished or metabolically stressed due to severe illness

A. Refeeding syndrome

B. Rebound nutrition syndrome

C. Overfeeding

D. Acid-base imbalance

E. Electrolyte imbalance

Primary nutrition goal in surgery

A. Faster recovery

B. Improve clinical outcome and restore function

C. Faster healing

D. Shorter hospital stay

E. Least expensive form of nutrition

Preferred route for nutrition in surgery

A. Oral route

B. Parenteral route

C. Enteral route

D. Intravenous/central venous line

E. Nasogastric tube

Part of the gastrointestinal tract responsible for absorption of carbohydrates and half of the proteins

A. Duodenum

B. Jejunum

C. Colon

D. Stomach

E. Ileum

Muscles checked for subtle sign of malnutrition are:

A. Triceps and biceps muscles

B. Gastrocnemius and biceps

C. Thenar or temporal muscles

D. Cheeks in the face

E. Biceps and quadriceps muscles

Based on ESPEN guidelines, the number of hours allowed for patients to eat solid food prior to anesthesia is:

A. 6 hours

B. 12 hours

C. 8 hours

D. 2 hours

E. 4 hours

Fuel source of the brain in prolonged fasting

A. Ketones

B. Nitrates

C. Carbohydrates

D. Fats

E. Proteins

The process of identifying patients who are either malnourished or at risk for developing malnutrition

A. Nutritional screening

B. Evaluation

C. Perioperative evaluation

D. Assessment

E. Pre-operative clearance

Continuous infusion of hyperosmolar solution containing carbohydrates, proteins, fats and other necessary nutrients through an indwelling catheter inserted into the superior vena cava

A. PET gastrostomy tube

B. Enteral nutrition

C. Nasogastric tube

D. Elemental formula

E. Parenteral formula

Number of hours for stored carbohydrates to be depleted

A. 8 hours

B. 12 hours

C. Stored carbohydrates are never depleted

D. 24 hours

E. 48 hours

Enteral formula containing predigested nutrients and provides proteins in the form of small peptides

A. Ketonic diet

B. Parenteral formula

C. Amino acids

D. High protein diet

E. Elemental formula


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