Question 1

Parenteral nutrition should be reserved for those cases of prolonged nothing by mouth (NPO) status lasting how long?

Accepted Answer

A)  ​7 days 
B)  ​10 days 
C)  ​14 days 
D)  ​21 days 
E)  ​28 days 
A)  ​7 days 
B)  ​10 days 
C)  ​14 days 
D)  ​21 days 
E)  ​28 days

Question 2

Catecholamines (epinephrine, norepinephrine) increase energy availability by stimulating glycogenolysis and increasing the release of what alternative fuel source?

Accepted Answer

A)  ​glucose 
B)  ​galactose 
C)  ​amino acids 
D)  ​polypeptides 
E)  ​fatty acids 
A)  ​glucose 
B)  ​galactose 
C)  ​amino acids 
D)  ​polypeptides 
E)  ​fatty acids

Question 3

Describe the main objectives of nutritional support for the critically ill.

Accepted Answer

​Nutrition support has three m

Question 4

What amino acid supplement is strongly recommended for burn, trauma, and ICU patients?

Accepted Answer

A)  ​arginine 
B)  ​lysine 
C)  ​cysteine 
D)  ​tyrosine 
E)  ​glutamine 
A)  ​arginine 
B)  ​lysine 
C)  ​cysteine 
D)  ​tyrosine 
E)  ​glutamine

Question 5

Interleukin 6 (IL-6) increases production of what acute-phase proteins?

Accepted Answer

A)  ​tumor necrosis factor 
B)  ​C-reactive protein 
C)  ​leukotrienes 
D)  ​interferon 
E)  ​histamine 
A)  ​tumor necrosis factor 
B)  ​C-reactive protein 
C)  ​leukotrienes 
D)  ​interferon 
E)  ​histamine

Question 6

What is the term for reduced blood flow?

Accepted Answer

A)  ​hypotension 
B)  ​cyanosis 
C)  ​alkalosis 
D)  ​hypoperfusion 
E)  ​vasoconstriction 
A)  ​hypotension 
B)  ​cyanosis 
C)  ​alkalosis 
D)  ​hypoperfusion 
E)  ​vasoconstriction

Question 7

General anesthesia may result in a post-operative _______________.

Accepted Answer

The answer of General anesthesia may result in a post-operative...

Question 8

Sepsis is actually a(n) _______________ process that prevents an adequate response to infection.

Accepted Answer

The answer of Sepsis is actually a(n) _______________ process that...

Question 9

What protein is released in response to inflammation?

Accepted Answer

A)  ​insulin 
B)  ​cysteine 
C)  ​histamine 
D)  ​C-reactive protein 
E)  ​lipase 
A)  ​insulin 
B)  ​cysteine 
C)  ​histamine 
D)  ​C-reactive protein 
E)  ​lipase

Question 10

What are the three phases of the stress response?

Accepted Answer

A)  ​ebb phase, flow phase, recovery or resolution phase 
B)  ​injury phase, healing phase, recovery phase 
C)  ​reaction phase, adjustment phase, resolution phase 
D)  ​hyper-stress phase, moderation phase, reduction phase 
E)  ​reaction phase, healing phase, recovery phase 
A)  ​ebb phase, flow phase, recovery or resolution phase 
B)  ​injury phase, healing phase, recovery phase 
C)  ​reaction phase, adjustment phase, resolution phase 
D)  ​hyper-stress phase, moderation phase, reduction phase 
E)  ​reaction phase, healing phase, recovery phase

Question 11

Describe the metabolic consequences of injury and stress.

Accepted Answer

​The metabolic consequences of injury an

Question 12

What amino acid is the primary fuel for enterocytes within the gastrointestinal tract and for T lymphocytes?

Accepted Answer

A)  ​lysine 
B)  ​arginine 
C)  ​alanine 
D)  ​glutamine 
E)  ​cysteine 
A)  ​lysine 
B)  ​arginine 
C)  ​alanine 
D)  ​glutamine 
E)  ​cysteine

Question 13

Once access to the GI tract has been established, the first step in developing the nutrition prescription is choosing the appropriate enteral formula.

Accepted Answer

A) True 
 B)False

Question 14

Indirect calorimetry is the method of choice to establish energy and protein requirements for the critically ill.

Accepted Answer

A) True 
 B)False

Question 15

The degree of metabolic stress is inversely proportionate with the seriousness of the injury.

Accepted Answer

A) True 
 B)False

Question 16

Burn wounds are described as superficial, superficial partial thickness, _______________ partial thickness, or _______________ thickness.

Accepted Answer

The answer of Burn wounds are described as superficial, superficial...

Question 17

Discuss the importance of glutamine during times of metabolic stress.

Accepted Answer

​Though glutamine is a non-essential ami

Question 18

What is the term for a systemic inflammatory response and immunosuppressive process that prevents an adequate response to infection or trauma?

Accepted Answer

A)  ​allergic reaction 
B)  ​sepsis 
C)  ​hypoxic injury 
D)  ​necrotizing fasciitis 
E)  ​multiorgan distress syndrome 
A)  ​allergic reaction 
B)  ​sepsis 
C)  ​hypoxic injury 
D)  ​necrotizing fasciitis 
E)  ​multiorgan distress syndrome

Question 19

Describe the clinical manifestations of the physiological response to stress.

Accepted Answer

The stress response has been described a

Question 20

What is the most common source of burn wounds?

Accepted Answer

A)  ​chemicals 
B)  ​electricity 
C)  ​radiation 
D)  ​magnetic 
E)  ​heat 
A)  ​chemicals 
B)  ​electricity 
C)  ​radiation 
D)  ​magnetic 
E)  ​heat

Exam 22: Metabolic Stress and the Critically Ill

Parenteral nutrition should be reserved for those cases of prolonged nothing by mouth (NPO) status lasting how long?

Catecholamines (epinephrine, norepinephrine) increase energy availability by stimulating glycogenolysis and increasing the release of what alternative fuel source?

Describe the main objectives of nutritional support for the critically ill.

What amino acid supplement is strongly recommended for burn, trauma, and ICU patients?

Interleukin 6 (IL-6) increases production of what acute-phase proteins?

What is the term for reduced blood flow?

General anesthesia may result in a post-operative _______________.

Sepsis is actually a(n) _______________ process that prevents an adequate response to infection.

What protein is released in response to inflammation?

What are the three phases of the stress response?

Describe the metabolic consequences of injury and stress.

What amino acid is the primary fuel for enterocytes within the gastrointestinal tract and for T lymphocytes?

Once access to the GI tract has been established, the first step in developing the nutrition prescription is choosing the appropriate enteral formula.

Indirect calorimetry is the method of choice to establish energy and protein requirements for the critically ill.

The degree of metabolic stress is inversely proportionate with the seriousness of the injury.

Burn wounds are described as superficial, superficial partial thickness, _______________ partial thickness, or _______________ thickness.

Discuss the importance of glutamine during times of metabolic stress.

What is the term for a systemic inflammatory response and immunosuppressive process that prevents an adequate response to infection or trauma?

Describe the clinical manifestations of the physiological response to stress.

What is the most common source of burn wounds?

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

Burn wounds are described as superficial, superficial partial thickness, _ partial thickness, or _ thickness.