Surgical Nutrition Quiz
Preview:
Preferred route for nutrition in surgery
A. Oral route
B. Parenteral route
C. Enteral route
D. Intravenous/central venous line
E. Nasogastric tube
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
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
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
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
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
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
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
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
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
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
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
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