02 - Surgical metabolism

Question 1

How many kilocalories does a liter of D5LR provides?

Answer 1

170 kcal

Question 2

WHO BMI cutoff for: underweight

Answer 2

<18.5 kg/m2 (5)

Question 3

WHO BMI cutoff for: normal

Answer 3

18.5-24.9 kg/m2 (5)

Question 4

Asian criteria BMI cut-off for: overweight

Answer 4

23-24.9 kg/m2 (5)

Question 5

WHO BMI cut-off for: obese type 3

Answer 5

>=40 kg/m2 (5)

Question 6

Asian criteria BMI cut-off for: normal

Answer 6

18.5-22.9 kg/m2 (5)

Question 7

WHO BMI cut-off for: overweight

Answer 7

25-29.9 kg/m2 (5)

Question 8

Asian criteria BMI cut-off for: obese type 3

Answer 8

no such cut-off (5)

Question 9

Asian criteria BMI cut-off for: obese type 1

Answer 9

25-29.9 kg/m2 (5)

Question 10

WHO BMI cut-off for: obese type 2

Answer 10

35-39.9 kg/m2 (5)

Question 11

Asian criteria BMI cut-off for: underweight

Answer 11

<18.5 kg/m2 (5)

Question 12

Asian criteria BMI cut-off for: obese type 2

Answer 12

>=30 kg/m2 (5)

Question 13

WHO BMI cut-off for: obese type 1

Answer 13

30-34.9 kg/m2 (5)

Question 14

Normal caloric requirement of healthy adult

Answer 14

22 - 25 kcal/kg/day

Question 15

What is the principal source of fuel during short term fasting <5 days

Answer 15

lipids

Question 16

When does ketone bodies become the principal source of fuel

Answer 16

starts after 2 days of starvation 24 days

Question 17

What is the primary source of energy in critical illness and stressed states

Answer 17

lipids

Question 18

caloric adjustment for hypermetabolic conditions

Answer 18

1. mild stress - 25 - 30 2. moderate - 30 3. severe - 30 - 35 4. burns - 35 to 40

Question 19

What vitamin is not part of parenteral nutrition and must be supplemented weekly

Answer 19

vitamin K

Question 20

Most common trace mineral deficiency and is associated with diffuse eczematoid rash at intertriginous area

Answer 20

Zinc

Question 21

What is the effect of prostacyclin in inflammation

Answer 21

inhibit platelet aggregation and vasodilation

Question 22

How much does sepsis increase metabolic need

Answer 22

50%

Question 23

what is the initial enteric formula for majority of surgical patients

Answer 23

low residue isotonic formula 1.0 kcal/ml - requires 1500 to 1800 ml