Question 1

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 
E)  ​ESPEN guidelines 
A)  ​Harris-Benedict equation 
B)  ​Curreri equation 
C)  ​Fick equation 
D)  ​indirect calorimetry 
E)  ​ESPEN guidelines D

Question 2

Metabolic stress is the hypermetabolic, catabolic response to acute injury or disease.

Accepted Answer

A) True 
 B)False  True

Question 3

The dietitian should look for a formula that contains which of the following to induce an anti-inflammatory response?

Accepted Answer

A)  ​saturated fatty acids 
B)  ​omega-3 fatty acids 
C)  ​omega-6 fatty acids 
D)  ​probiotics 
E)  ​arginine 
A)  ​saturated fatty acids 
B)  ​omega-3 fatty acids 
C)  ​omega-6 fatty acids 
D)  ​probiotics 
E)  ​arginine B

Question 4

What factor is NOT correlated with the severity of electrical burns?

Accepted Answer

A)  ​temperature 
B)  ​time of exposure 
C)  ​voltage 
D)  ​location affected 
E)  ​presence of water 
A)  ​temperature 
B)  ​time of exposure 
C)  ​voltage 
D)  ​location affected 
E)  ​presence of water

Question 5

Weaning from nutritional support is recommended when the patient is able to meet at least 25% of nutritional needs orally.

Accepted Answer

A) True 
 B)False

Question 6

When should enteral and/or parenteral feeding be initiated after surgery?​

Accepted Answer

A)  ​as soon as possible and safe 
B)  12-15 hours post-op 
C)  ​18- 24 hours post-op 
D)  ​1-2 days post-op 
E)  ​at least 72 hours post-op 
A)  ​as soon as possible and safe 
B)  12-15 hours post-op 
C)  ​18- 24 hours post-op 
D)  ​1-2 days post-op 
E)  ​at least 72 hours post-op

Question 7

It was not until the hallmark studies of Dr. Ancel Keys that the manner in which the body responds to starvation through physiological adaptations was understood.

Accepted Answer

A) True 
 B)False

Question 8

Explain what methods are used to feed the critically ill and when weaning can occur.

Accepted Answer

​For critically ill individuals, nutriti

Question 9

For critically ill individuals, nutritional needs can normally be met by the oral route.

Accepted Answer

A) True 
 B)False

Question 10

What cells in the blood are markedly increased during sepsis?​

Accepted Answer

A)  ​granulocytes 
B)  ​thrombocytes 
C)  ​platelets 
D)  ​red blood cells 
E)  ​white blood cells 
A)  ​granulocytes 
B)  ​thrombocytes 
C)  ​platelets 
D)  ​red blood cells 
E)  ​white blood cells

Question 11

During metabolic stress, what supplies the substrate used for gluconeogenesis?

Accepted Answer

A)  ​breakdown of muscle tissue 
B)  ​breakdown of body fat 
C)  ​breakdown of connective tissue 
D)  ​breakdown of bone minerals 
E)  ​breakdown of brain tissue 
A)  ​breakdown of muscle tissue 
B)  ​breakdown of body fat 
C)  ​breakdown of connective tissue 
D)  ​breakdown of bone minerals 
E)  ​breakdown of brain tissue

Question 12

What is post-operative ileus?

Accepted Answer

A)  ​liver damage 
B)  ​quick drop in blood pressure 
C)  ​general paralysis of the GI tract 
D)  ​severe headaches 
E)  ​reduced stomach acidity 
A)  ​liver damage 
B)  ​quick drop in blood pressure 
C)  ​general paralysis of the GI tract 
D)  ​severe headaches 
E)  ​reduced stomach acidity

Question 13

What is the metabolic pathway through which glucose is formed from non-carbohydrate sources?

Accepted Answer

A)  ​glycolysis 
B)  ​glucogenesis 
C)  ​glycogenesis 
D)  ​glycogenolysis 
E)  ​gluconeogenesis 
A)  ​glycolysis 
B)  ​glucogenesis 
C)  ​glycogenesis 
D)  ​glycogenolysis 
E)  ​gluconeogenesis

Question 14

What are the daily protein requirements for burn victims?

Accepted Answer

A)  ​0.5-0.7 g protein/kg IBW per day 
B)  ​0.8-1.1 g protein/kg IBW per day 
C)  ​1.1-1.5 g protein/kg IBW per day 
D)  ​1.5-2 g protein/kg IBW per day 
E)  ​1.9-2.4 g protein/kg IBW per day 
A)  ​0.5-0.7 g protein/kg IBW per day 
B)  ​0.8-1.1 g protein/kg IBW per day 
C)  ​1.1-1.5 g protein/kg IBW per day 
D)  ​1.5-2 g protein/kg IBW per day 
E)  ​1.9-2.4 g protein/kg IBW per day

Question 15

What vitamins should be given to metabolically stressed patients while recovering?​

Accepted Answer

A)  ​vitamins A and B6 
B)  ​vitamins B7 and C 
C)  ​vitamins C and E 
D)  ​vitamins D and E 
E)  ​vitamins D and K 
A)  ​vitamins A and B6 
B)  ​vitamins B7 and C 
C)  ​vitamins C and E 
D)  ​vitamins D and E 
E)  ​vitamins D and K

Question 16

Enteral nutrition formulas for burn patients should be high in what nutrients?

Accepted Answer

A)  ​saturated fat and sucrose 
B)  ​monounsaturated fat and glucose 
C)  ​essential amino acids and simple carbohydrates 
D)  ​protein and omega-6 fatty acids 
E)  ​protein and omega-3 fatty acids 
A)  ​saturated fat and sucrose 
B)  ​monounsaturated fat and glucose 
C)  ​essential amino acids and simple carbohydrates 
D)  ​protein and omega-6 fatty acids 
E)  ​protein and omega-3 fatty acids

Question 17

Provide a comprehensive definition of sepsis.

Accepted Answer

​Sepsis has historically been defined as

Question 18

Multiorgan distress syndrome is also referred to as multisystem organ failure.

Accepted Answer

A) True 
 B)False

Question 19

Substrates such as inulin, guar gum, and other soluble fibers are fermented in the gut to _______________ and lactate.

Accepted Answer

​short-cha

Question 20

Many general surgical procedures do not pose nutritional risk.

Accepted Answer

A) True 
 B)False

Exam 22: Metabolic Stress and the Critically Ill

What is the best way to estimate his caloric needs?​

Metabolic stress is the hypermetabolic, catabolic response to acute injury or disease.

The dietitian should look for a formula that contains which of the following to induce an anti-inflammatory response?

What factor is NOT correlated with the severity of electrical burns?

Weaning from nutritional support is recommended when the patient is able to meet at least 25% of nutritional needs orally.

When should enteral and/or parenteral feeding be initiated after surgery?​

It was not until the hallmark studies of Dr. Ancel Keys that the manner in which the body responds to starvation through physiological adaptations was understood.

Explain what methods are used to feed the critically ill and when weaning can occur.

For critically ill individuals, nutritional needs can normally be met by the oral route.

What cells in the blood are markedly increased during sepsis?​

During metabolic stress, what supplies the substrate used for gluconeogenesis?

What is post-operative ileus?

What is the metabolic pathway through which glucose is formed from non-carbohydrate sources?

What are the daily protein requirements for burn victims?

What vitamins should be given to metabolically stressed patients while recovering?​

Enteral nutrition formulas for burn patients should be high in what nutrients?

Provide a comprehensive definition of sepsis.

Multiorgan distress syndrome is also referred to as multisystem organ failure.

Substrates such as inulin, guar gum, and other soluble fibers are fermented in the gut to _______________ and lactate.

Many general surgical procedures do not pose nutritional risk.

Role of the Dietitian in the Health Care System

The Nutrition Care Process

Nutrition Assessment - Foundation of the Nutrition Care Process

Nutrition Intervention and Nutrition Monitoring and Evaluation

Enteral and Parental 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

Diseases and Disorders of Energy Imbalance

Diseases of the Cardiovascular System

Diseases of the Upper Gastrointestinal Tract

Diseases of the Lower Gastrointenstinal 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

What is the best way to estimate his caloric needs?

When should enteral and/or parenteral feeding be initiated after surgery?

What cells in the blood are markedly increased during sepsis?

What vitamins should be given to metabolically stressed patients while recovering?