Question 1

A patient has undergone a colectomy for colon cancer The MD has kept the patient NPO for 4 days post op What is the likely cause of this order?

Accepted Answer

A) bowel rest 
B) optimal bowel adaptation 
C) patient reports pain 
D) post-operative ileus 
A) bowel rest 
B) optimal bowel adaptation 
C) patient reports pain 
D) post-operative ileus

Question 2

Free fatty acid mobilization during metabolic stress can be attributed to all of the following hormones except:

Accepted Answer

A) cortisol 
B) epinephrine 
C) norepinephrine 
D) insulin 
A) cortisol 
B) epinephrine 
C) norepinephrine 
D) insulin

Question 3

Nitrogen losses per day are highest in which type of patient?

Accepted Answer

A) major surgery 
B) burn 
C) sepsis 
D) MVA 
A) major surgery 
B) burn 
C) sepsis 
D) MVA

Question 4

Case Study
DF is a 55 yo F who was brought to the trauma center following a motor vehicle accident.She sustained blunt trauma to the head, is unconscious, and is being mechanically ventilated.The MD contacts you for a consult.
HT: 5'2        WT: 124#      UBW: 118#
Alb: 2.0
-Her albumin is low due to?

Accepted Answer

A) malnutrition 
B) acute-phase response 
C) dehydration 
D) her albumin is not low 
A) malnutrition 
B) acute-phase response 
C) dehydration 
D) her albumin is not low

Question 5

For a patient who has undergone major surgery, had complications, and is now in complete recovery, you would expect a gradual rise in which laboratory value?

Accepted Answer

A) albumin 
B) glucose 
C) C-reactive protein 
D) BUN 
A) albumin 
B) glucose 
C) C-reactive protein 
D) BUN

Question 6

Case Study
DF is a 55 yo F who was brought to the trauma center following a motor vehicle accident.She sustained blunt trauma to the head, is unconscious, and is being mechanically ventilated.The MD contacts you for a consult.
HT: 5'2        WT: 124#      UBW: 118#
Alb: 2.0
-Which of the following equations would best estimate her caloric needs?

Accepted Answer

A) Harris-Benedict 
B) Curreri 
C) Fick 
D) Penn State 
A) Harris-Benedict 
B) Curreri 
C) Fick 
D) Penn State

Question 7

Case Study
DF is a 55 yo F who was brought to the trauma center following a motor vehicle accident.She sustained blunt trauma to the head, is unconscious, and is being mechanically ventilated.The MD contacts you for a consult.
HT: 5'2        WT: 124#      UBW: 118#
Alb: 2.0
-To ensure that her nutrition support is providing enough kcalories and protein, what would you recommend?

Accepted Answer

A) nitrogen balance study 
B) CRP 
C) albumin 
D) recalculating her needs 
A) nitrogen balance study 
B) CRP 
C) albumin 
D) recalculating her needs

Question 8

BM is a 35 yo firefighter who has sustained major burns and smoke inhalation.He is taken to the burn unit and a consult with the registered dietitian has been ordered.
HT: 6'1"        WT: 180#
-What medication should the registered dietitian recommend as part of her plan?

Accepted Answer

A) diuretics 
B) oxandrolone 
C) megace 
D) vitamin A 
A) diuretics 
B) oxandrolone 
C) megace 
D) vitamin A

Question 9

If a patient in the ICU experiences dysfunction of 2 or more organs whereby homeostasis is not maintained, this complication is termed:

Accepted Answer

A) SIRS. 
B) septic shock. 
C) MODS. 
D) CARS. 
A) SIRS. 
B) septic shock. 
C) MODS. 
D) CARS.

Question 10

BM is a 35 yo firefighter who has sustained major burns and smoke inhalation.He is taken to the burn unit and a consult with the registered dietitian has been ordered.
HT: 6'1"        WT: 180#
-What are his protein requirements?

Accepted Answer

A) 0.8-1.0 g/kg of body weight 
B) 1.0-1.2 g/kg of body weight 
C) 1.0-1.5 g/kg of body weight 
D) 1.5-2.0 g/kg of body weight 
A) 0.8-1.0 g/kg of body weight 
B) 1.0-1.2 g/kg of body weight 
C) 1.0-1.5 g/kg of body weight 
D) 1.5-2.0 g/kg of body weight

Question 11

The transition from the ebb phase to the flow phase starts with:

Accepted Answer

A) the patient becoming hemodynamically stable. 
B) acute resuscitation. 
C) ceasing of hemorrhaging. 
D) anabolism. 
A) the patient becoming hemodynamically stable. 
B) acute resuscitation. 
C) ceasing of hemorrhaging. 
D) anabolism.

Question 12

During the ebb phase, what is the etiology of the subsequent decrease in cardiac and urinary output?

Accepted Answer

A) decreased respiratory rate 
B) decreased consciousness 
C) hypovolemia 
D) hypermetabolism 
A) decreased respiratory rate 
B) decreased consciousness 
C) hypovolemia 
D) hypermetabolism

Question 13

Match between columns
                        Premises: hypotension
esophagectomy
debride
silver nitrate
Curling's ulcer
epidural anesthesia
silver sulfadiazine cream
general anesthesia
necrotizing fasciitis
local anesthesia
hypoperfusion

Accepted Answer

The Answer of sulfa medicine used to prevent and treat is...

Question 14

Regarding enteral nutrition and the burn patient, which of the following statements is true?

Accepted Answer

A) Small bowel feedings may be favored due to the presence of ileus. 
B) If the patient can tolerate an oral diet, EN is not indicated. 
C) Formula should be initiated at a very low rate due to hemodynamic instability. 
D) There are no benefits to early initiation of EN. 
A) Small bowel feedings may be favored due to the presence of ileus. 
B) If the patient can tolerate an oral diet, EN is not indicated. 
C) Formula should be initiated at a very low rate due to hemodynamic instability. 
D) There are no benefits to early initiation of EN.

Question 15

The body normally uses _____ as a fuel source, in contrast to periods of stress, when the body utilizes _____ as a major fuel source

Accepted Answer

A) carbohydrate, protein 
B) a mixture of macronutrients, protein 
C) protein, a mixture of macronutrients 
D) fat, protein 
A) carbohydrate, protein 
B) a mixture of macronutrients, protein 
C) protein, a mixture of macronutrients 
D) fat, protein

Question 16

BM is a 35 yo firefighter who has sustained major burns and smoke inhalation.He is taken to the burn unit and a consult with the registered dietitian has been ordered.
HT: 6'1"        WT: 180#
-What is the best way to estimate his caloric needs?

Accepted Answer

A) Harris-Benedict equation 
B) Curreri equation 
C) Fick equation 
D) indirect calorimetry 
A) Harris-Benedict equation 
B) Curreri equation 
C) Fick equation 
D) indirect calorimetry

Question 17

The period 4 hours post trauma where the patient is in shock and there is hypoperfusion to the tissues is called:

Accepted Answer

A) flow. 
B) recovery. 
C) resolution. 
D) ebb. 
A) flow. 
B) recovery. 
C) resolution. 
D) ebb.

Question 18

Initial treatment of a major burn focuses on:

Accepted Answer

A) starting enteral feedings. 
B) maintaining normal blood pressure. 
C) calculating BSA. 
D) fluid resuscitation. 
A) starting enteral feedings. 
B) maintaining normal blood pressure. 
C) calculating BSA. 
D) fluid resuscitation.

Exam 22: Metabolic Stress and the Critically Ill

A patient has undergone a colectomy for colon cancer The MD has kept the patient NPO for 4 days post op What is the likely cause of this order?

Free fatty acid mobilization during metabolic stress can be attributed to all of the following hormones except:

Nitrogen losses per day are highest in which type of patient?

Case Study DF is a 55 yo F who was brought to the trauma center following a motor vehicle accident.She sustained blunt trauma to the head, is unconscious, and is being mechanically ventilated.The MD contacts you for a consult. HT: 5'2 WT: 124# UBW: 118# Alb: 2.0 -Her albumin is low due to?

For a patient who has undergone major surgery, had complications, and is now in complete recovery, you would expect a gradual rise in which laboratory value?

BM is a 35 yo firefighter who has sustained major burns and smoke inhalation.He is taken to the burn unit and a consult with the registered dietitian has been ordered. HT: 6'1" WT: 180# -What medication should the registered dietitian recommend as part of her plan?

If a patient in the ICU experiences dysfunction of 2 or more organs whereby homeostasis is not maintained, this complication is termed:

BM is a 35 yo firefighter who has sustained major burns and smoke inhalation.He is taken to the burn unit and a consult with the registered dietitian has been ordered. HT: 6'1" WT: 180# -What are his protein requirements?

The transition from the ebb phase to the flow phase starts with:

During the ebb phase, what is the etiology of the subsequent decrease in cardiac and urinary output?

Regarding enteral nutrition and the burn patient, which of the following statements is true?

The body normally uses _____ as a fuel source, in contrast to periods of stress, when the body utilizes _____ as a major fuel source

BM is a 35 yo firefighter who has sustained major burns and smoke inhalation.He is taken to the burn unit and a consult with the registered dietitian has been ordered. HT: 6'1" WT: 180# -What is the best way to estimate his caloric needs?

The period 4 hours post trauma where the patient is in shock and there is hypoperfusion to the tissues is called:

Initial treatment of a major burn focuses on:

Role of the Dietitian in the Health Care System

The Nutrition Care Process

Nutrition Assessment: Foundation of the Nutrition Care Process

Nutrition Intervention

Enteral and Parenteral Nutrition Support

Documentation of the Nutrition Care Process

Fluid and Electrolyte Balance

Acid-Base Balance

Cellular and Physiological Response to Injury:The Role of the Immune System

Nutritional Genomics

Pharmacology

Energy Balance and Body Weight

Diseases of the Cardiovascular System

Diseases of the Upper Gastrointestinal Tract

Diseases of the Lower Gastrointestinal Tract

Diseases of the Liver, Gallbladder, and Exocrine Pancreas

Diseases of the Endocrine System

Diseases of the Renal System

Diseases of the Hematological System

Diseases and Disorders of the Neurological System

Diseases of the Respiratory System

Neoplastic Disease

Hiv and Aids

Diseases of the Musculoskeletal System

Metabolic Disorders

Filters

The body normally uses _ as a fuel source, in contrast to periods of stress, when the body utilizes _ as a major fuel source