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infecto > opaganga esa > Flashcards

opaganga esa Flashcards

1
Q

Is consider as the gold standard to measure energy requirements in Intensive care Unit patients?

A

a) Indirect calorimetry

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2
Q

Is a common micronutrient deficiency in patients with COVID-19

A

Vit D

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3
Q

Is it considered as a conditionally essential amino acid involved in wound healing in patients with Sepsis or Trauma?

A

arginine

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4
Q

Please select the nutrient that is consider as a specialized pro-resolving mediator due their anti-inflammatory
activity. Commonly used for trauma, surgical and oncologic patients?

A

Omega-3 fatty acids

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5
Q

Adult females with obesity and breast cancer. Please select the caloric suggestion for this type of patient:

A

b) 21-25 kcal/kg of weight

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6
Q

Is consider as an indirect indicator of hyper catabolism in cancer patients:

A

a) High levels of C reactive protein

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7
Q

Patient with short bowel syndrome with malabsorption. Consider which type of enteral formula should you consider
as appropriate.

A

d) Olygomeric formula

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8
Q

Patient with nonfunctional GI tract for gastrointestinal ischemia. Which kind of nutritional medical therapy should you
consider?

A

Parenteral Nutrition

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9
Q

Characteristics of the polymeric formula for renal disease patient with hemodialysis?

A

a) High in protein
b) Low content of sodium
c) Low content of potassium
d) All options are characteristics of a rena

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10
Q

According to ERAS protocol, which are characteristics of the immunonutrition formulas Post surgery:

A

c) With Arginine, glutamine and Omega 3 fatty acids

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11
Q

The muscle depletion in oncology patients are related with:

A

b) High risk of chemotherapy toxicity

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12
Q

Which of the following are consider as pillars in ERAS protocol?

A

a) Early oral nutrition

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13
Q

Male patient with severe acute pancreatitis with abdominal pain. Which of the following type of administration (via of
administration) should be consider for a relative reduction in exocrine pancreatic secretion?

A

b) Naso-Jejunal tube feeding

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14
Q

Which of the following are the optimal intake of protein in patients with acute pancreatitis?

A

b) 1.2-1.5 g/kg/day

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15
Q

Patient with hepatic encephalopathy, child Pugh C, with ascites and malnutrition. Which of the following formulas
should you consider for oral nutrition supplementation?

A

Hypercaloric, Based in branched chain aminoacids (BCAA)

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16
Q

Enteral and parenteral nutrition must be initiated even though the patient is hemodynamically unstable:

A

a) False

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17
Q

To enhance recovery after surgery is recommended to includes a light meal up to six hours prior to a surgical
procedure, and clear fluids up to two hours before the procedure.

A

b) True

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18
Q

. Nutrition therapy in nonalcoholic fatty liver disease is focus on the following target:

A

a) Insulin resistance & oxidative stress

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19
Q

Adult patient with severe malnutrition and the presence of an enterocutaneous fistula in duodenum, the fluid output
is more than 750 ml/day. Which should be the preferred route for the nutrition therapy?

A

c) Parenteral nutrition

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20
Q

What is the amount of protein suggested in patients with enteroatmospheric fistula & high fistula output according to
ASPEN guidelines?

A

a) 1.5- 2 g/kg/day

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21
Q

Which of the following nutrients has been demonstrated a benefit in the fistula closure rates?

A

glutamina

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22
Q

Select the Type of diet with scientific evidence for liver steatosis nutrition therapy?

A

c) Mediterranean diet

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23
Q

Adult woman with non-alcoholic steatohepatitis with a height of 1.75 mt, weight of 120 kg. What is the initial target of
weight loss that has been shown to improve the liver histology and the liver enzymes parameters

A

a) Lose 12 Kilograms → 10%

24
Q

Abdominal perimeter is considered as one of the best nutritional indicators in patients with liver cirrhosis

A

b) False

25
Q

Some of the principal changes in the body composition of decompensated patients with liver cirrhosis:

A

b) Increase the amount of extracellular water

26
Q

According to the rule-of-thumb which is the amount of energy that non-overweight liver cirrhosis patients can
receive:

A

a) 30-35 kcal/Kg of body weight

27
Q

Which of the following is a common micronutrient deficiencies in patients with liver cirrhosis:

A

a) Vitamin D
b) Vitamin E
c) Zinc
d) All of the options are common deficiencies in this patient

28
Q

Patient with liver cirrhosis and ascites. Which of the follow is the sodium consumption recommendation?

A

b) 2000 mg of sodium per day

29
Q

The prevention and treatment of hepatic encephalopathy includes the prescription of a low protein diet

A

a) False

30
Q

Which of the following is a benefit of the EPA/DHA consumption in oncological patient?

A

b) Reduce the systemic inflammation

31
Q

Oral nutritional supplementation during hemodialysis sessions are consider as safe for the renal patient:

A

a) True

32
Q

Main carbohydrate given through Parenteral Nutrition

A

c) Dextrose

33
Q

Is consider as one risk factor for the development of protein-energy wasting in patients with chronic kidney disease:

A

b) Uremic anorexia

34
Q

According with the international society of renal nutrition and metabolism (ISRNM) which of the following is a
biochemical parameter for protein-energy wasting?

A

a) Serum cholesterol less than 100 mg/dL

35
Q

According with the international society of renal nutrition and metabolism (ISRNM) which of the following is an
anthropometric parameter for protein-energy wasting?

A

c) IMC < 23 kg/m2

36
Q

Non-dialyzed adult men, with chronic kidney disease (KDOKI classification=3), he has an albumin of 2.8 g/dL and he
lost 10% of his usual weight in less than 1 month. He is eating less than 25 kcal/day (consume less than 70% of his
caloric requirement). Please select your nutrition therapy recommendation:

A

a) Initiate oral nutritional supplementation and achieve an intake of 0.8 g/kg/day of protein

37
Q

intradialytic oral nutritional supplementation in patients with chronic kidney disease in hemodialysis is not
recommended due the risk of Broncho aspiration

A

b) False

38
Q

In a patient with mild acute pancreatitis that tolerate the oral feeding. Which of the following diets is recommended
to reinitiate oral feeding?

A

b) Low-fat, soft oral diet

39
Q

Which of the following is consider a recommendation that improves the tolerance of enteral feeding?

A

a) Modify the infusion rate or the type of the formula

40
Q

In an adult male patient with moderate acute pancreatitis, you decided to initiate enteral nutrition via a nasogastric
tube in the hospital. Her current body weight is 65 Kg and the energy requirement is 30 Kcal/kg/day. How many
calories does the patient needs everyday?

A

d) 1950 kcal

41
Q

In an adult male patient with moderate acute pancreatitis, you decided to initiate enteral nutrition using a
nasogastric tube feeding at the hospital. Her current body weight is 65 Kg and the energy requirement is 30
Kcal/kg/day. Which type of formula do you consider as the best option?

A

a) Polymeric standard formula

42
Q

In an adult male patient with moderate acute pancreatitis, you decided to initiate enteral nutrition via a nasogastric
tube in the hospital. Her current body weight is 65 Kg and the energy requirement is 30 Kcal/kg/day. Which infusion
method do you consider as the best option because he has some symptoms of distension and diarrhea?

A

c) Overnight

43
Q

Female adult with chronic obstructive pulmonary disease that requires oral nutritional supplementation. Please
select which type of formula is consider as a good option for this type of patient?

A

a) Polymeric, Low in carbohydrates and high in lipids

44
Q

A patient undergoing hemodynamic instability is a good candidate for Parenteral Nutrition

A

b) False

45
Q

Hypocaloric nutrition (not exceeding 70% of EE) should be administered in the early phase of acute illness.

A

a) True

46
Q

Patient with non functional GI tract for gastrointestinal ischemia. Which kind of nutritional medical therapy should
you consider?

A

b) Parenteral Nutrition

47
Q

Which of the following enteral feeding methods consists of giving a measured amount of formula, in a slowly way
with a syringe over an identified time.

A

b) Bolus

48
Q

Which type of malnutrition or Undernutrition is the Cancer Cachexia

A

d) Disease related malnutrition with inflammation

49
Q

Which of the following are one of the 3 components for sarcopenia diagnosis in geriatric patients?

A

c) Muscle function

50
Q

Patient with Pancreatic cancer with total parenteral Nutrition. (male, 45 years of age, 60 kg weight, 1.65 m height;
estimating a requirement of 1.6 g of protein per weight kg).
50. Calculate the amount of energy that the patient needs using the rule-of-thumb (35 Kcal/kg of body weight)

A

b) 2100 Kcal

51
Q

Calculate the protein requirements of the patient:

A

a) 96 g

1. 6 g x 60 kg = 96 g

52
Q

Calculate the grams of Nitrogen included in the parenteral nutrition:

A

b) 15.36

(1 g N = 6.25g protein

53
Q

Using Aminoacids at 20% (20 g/100 mL), please calculate the milliliters of aminoacids that you will need for the PNT
solution:

A

a) 480 mL

54
Q

. What is the relationship between non-protein calories: g Nitrogen in the PNT solution?

A

a) 111:1

55
Q

Calculate how many grams of dextrose would be needed for a peripheral parenteral Nutrition given the amount of
1230 kcal of carbohydrates; estimating a 50% volume of carbohydrates (50 g/100 mL).

A

a) 180g

There are 3.4 kcal/g dextrose

56
Q

Calculate how many milliliters of dextrose would be needed for a Parenteral Nutrition given the amount of 1230 kcal
of carbohydrates; estimating a 50% volume of carbohydrates.

A

b) 360 mL

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