Final Kathy

Question 1

Malnutrition and acutely ill patients

Answer 1

Failure to recognise nutritional need on admission –
Increased energy demand during inflammatory responses
Prolonged periods of time ‘nil by mouth’ prior to treatment or investigations
Impact of cognitive impairment on eating
Reduction in appetite

Question 2

Maldigestion

Answer 2

Chronic pancreatitis, cystic fibrosis, pancreatic carcinoma

Question 3

Inadequate absorptive surface

Answer 3

Intestinal resection, gastro colic fistula, jejuno-ileal bypass

Question 4

Bile Salt Deficiency

Answer 4

Cirrhosis, cholestasis, bacterial overgrowth, impaired ileal reabsorption, bile salt binders

Question 5

Lymphatic obstruction

Answer 5

Lymphoma, Whipple’s disease, intestinal lymphangiectasia

Question 6

Vascular disease

Answer 6

Constructive pericarditis, right sided heart failure, mesenteric arterial or venous insufficiency

Question 7

Mucosal disease

Answer 7

Infection (giardia, Whipple’s disease, tropical sprue, Inflammatory diseases, radiation enteritis, eosinophilic enteritis, ulcerative jejunitis