Chapter 4

Question 1

Persistence of \_\_\_\_\_\_\_\_\_\_ from cancer can lead to a decrease in lean body mass, causing functional impairment, and is considered "disease-related malnutrition".
A. Malnutrition
B. Tumor
C. Inflammation
D. Chemotherapy

Answer 1

C. Inflammation

Question 2

True and False: All individuals with cancer are hypermetabolic.

Answer 2

False

Question 3

Inflammation does not appear to affect the serum levels of which micronutrients?
A. Vitamins A, C, E
B. Thiamin, riboflavin, vitamin B12, folate
C. Selenium
D. Trace nutrients

Answer 3

B. Thiamin, riboflavin, vitamin B12, folate

Question 4

In the palliative care setting, an average of______mL of fluid per day is considered acceptable for adequate urine output and hydration

Answer 4

1,000 ml

Question 5

These are conditions needed for a valid assessment of Indirect Calorimetry, except for:

a) . Hemodynamic stability
b) . Cooperative or sedated patient
c) . Period of rest prior to test
d) . Hyperventilation
e) . Absence of chest tubes

Answer 5

D). Hyperventilation

Question 6

For individuals at risk for refeeding syndrome calorie repletion should start at
A. 20kcal/kg
B. No more than 1000 kcal/day
C. 25% of estimated energy needs and advance to goal slowly
D. All the above

Answer 6

D. All of the above

Question 7

Protein requirements for cancer and cancer cachexia are ____ and ____ g/kg/day (actual body weight-unless specified), respectively.

A. 1.2-1.5 and 1.5-2.0 g/kg/day
B. 1.0-1.3 and 2.0-2.5 g/kg/day
C. 1.0-1.5 and 1.5-2.5 g/kg/day
D. 0.8-1.2 and 1.8-2.5 g/kg/day

Answer 7

C. 1.0-1.5 and 1.5-2.5 g/kg/day

Question 8

For individuals at risk for refeeding syndrome, calorie repletion should start at:
A. 25 kcals/kg
B. 18 kcals/kg
C. 22 kcals/kg
D. 20 kcals/kg

Answer 8

D. 20 kcals/kg

Question 9

True or False, hypophosphatemia usually occurs within 3 days of starting nutrition intervention?

Answer 9

True

Question 10

What is the “gold standard” for estimating energy needs?
A. Direct calorimetry
B. Harris-Benedict Equation
C. Indirect Calorimetry
D. Mifflin-St Jeor Equation
E. Ireton-Jones Equation

Answer 10

C. Indirect Calorimetry

Question 11

All of the following are common micronutrient deficiencies in individuals who are ill except:
A.	Zinc
B.	Calcium
C.	Selenium
D.	Vitamin A, B, and C

Answer 11

B. Calcium