IC7 Nutrition

Question 1

Intrinsic factor is released into which organ?

Answer 1

Stomach

Question 2

Which kind of patient need to be on long-term Vit B12 supplementation

Answer 2

Those w/o terminal ileum

Question 3

Site of Vit B12 absorption

Answer 3

Terminal ileum

Question 4

Parts of small intestines

Answer 4

Duodenum, Jejunum, Ileum

Question 5

Which part of small intestine absorbs the most nutrients

Answer 5

Jejunum

Question 6

What to replenish for patients who vomit a lot

Answer 6

• Water
• Electrolyte abnormalities

Question 7

Which organ secrete bile

Answer 7

Gall bladder

Question 8

Where is bile secreted into

Answer 8

Duodenum

Question 9

Role of cholecystokinin

Answer 9

• produced in duodenum in response to food passage from stomach to duodenum
• stimulate pancreatic contraction -> release pancreatic enzymes
• stimulate liver to produce bile
• stimulate gall bladder to contract to release bile

Question 10

What is total energy expenditure dependent on?

Answer 10

resting/basal metabolic rate,
physical activity, stress factor

Question 11

Protein requirements: healthy adults

Answer 11

0.8 g/kg/day

Question 12

Protein requirements: CKD, Not on dialysis

Answer 12

0.6 – 0.8 g/kg/day

Question 13

Protein requirements: CKD, HD/PD

Answer 13

1.2 g/kg/day

Question 14

Protein requirements: CKD, CRRT

Answer 14

Up to 2 g/kg/day

Question 15

Weight based measurement for energy requirements

Answer 15

25-35 kcal/kg for general hospitalized patients (ESPEN)

Question 16

Which substances can cause ppt

Answer 16

Ca and P

Question 17

Hallmark of refeeding syndrome

Answer 17

• Hypokalaemia
• Hypophosphataemia
• Hypomagnesaemia
• Thiamine deficiency
• Salt and water retention (edema)