Repaso final

Question 1

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

Answer 1

Indirect calorimetry

Question 2

Is a common micronutrient deficiency in patients with COVID-19?

Answer 2

Vitamin D

Question 3

Is consider as a conditionally essential amino acid involve in wound healing in patients with Sepsis or Trauma?

Answer 3

Arginine

Question 4

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?

Answer 4

Omega-3 fatty acids

Question 5

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

Answer 5

21-25 kcal/kg of weight

Question 6

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

Answer 6

High levels of C reactive protein

Question 7

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

Answer 7

Olygomeric formula

Question 8

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

Answer 8

Parenteral Nutrition

Question 9

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

Answer 9

All options are characteristics of a renal specific polymeric formula: High in protein, Low content of sodium, Low content of potassium

Question 10

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

Answer 10

With Arginine, glutamine and Omega 3 fatty acids

Question 11

The muscle depletion in oncology patients are related with:

Answer 11

High risk of chemotherapy toxicity

Question 12

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

Answer 12

Early oral nutrition

Question 13

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?

Answer 13

Naso-Jejunal tube feeding

Question 14

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

Answer 14

1.2-1.5 g/kg/day

Question 15

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

Answer 15

Hypercaloric, Based in branched chain aminoacids (BCAA)

Question 16

Enteral and parenteral nutrition must be initiated even though the patient is hemodynamically unstable (T/F)

Answer 16

False

Question 17

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. (T/F)

Answer 17

True

Question 18

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

Answer 18

Insulin resistance & oxidative stress

Question 19

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?

Answer 19

Parenteral nutrition

Question 20

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

Answer 20

1.5- 2 g/kg/day

Question 21

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

Answer 21

Glutamine

Question 22

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

Answer 22

Mediterranean diet

Question 23

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

Answer 23

Lose 12 Kilograms

Question 24

Abdominal perimeter is considered as one of the best nutritional indicators in patients with liver cirrhosis (T/F)

Answer 24

False

Question 25

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

Answer 25

Increase the amount of extracellular water

Question 26

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

Answer 26

30-35 kcal/Kg of body weight

Question 27

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

Answer 27

Vitamin D, E, Zinc

Question 28

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

Answer 28

2000 mg of sodium per day

Question 29

The prevention and treatment of hepatic encephalopathy includes the prescription of a low protein diet (T/F)

Answer 29

False

Question 30

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

Answer 30

Reduce the systemic inflammation

Question 31

Oral nutritional supplementation during hemodialysis sessions are consider as safe for the renal patient: (T/F)

Answer 31

True

Question 32

Main carbohydrate given through Parenteral Nutrition

Answer 32

Dextrose

Question 33

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

Answer 33

Uremic anorexia

Question 34

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

Answer 34

Serum cholesterol less than 100 mg/dL

Question 35

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

Answer 35

IMC < 23 kg/m2

Question 36

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:

Answer 36

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

Question 37

Intradialytic oral nutritional supplementation in patients with chronic kidney disease in hemodialysis is not recommended due the risk of Broncho aspiration (T/F)

Answer 37

False

Question 38

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

Answer 38

Low-fat, soft oral diet

Question 39

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

Answer 39

Modify the infusion rate or the type of the formula

Question 40

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?

Answer 40

1950 kcal

Question 41

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?

Answer 41

Polymeric standard formula

Question 42

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?

Answer 42

Overnight

Question 43

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?

Answer 43

Polymeric, Low in carbohydrates and high in lipids

Question 44

A patient undergoing hemodynamic instability is a good candidate for Parenteral Nutrition (T/F)

Answer 44

False

Question 45

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

Answer 45

True

Question 46

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

Answer 46

Parenteral Nutrition

Question 47

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.

Answer 47

Bolus

Question 48

Which type of malnutrition or Undernutrition is the Cancer Cachexia

Answer 48

Disease related malnutrition with inflammation

Question 49

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

Answer 49

Muscle function

Question 50

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). Calculate the amount of energy that the patient needs using the rule-of-thumb (35 Kcal/kg of body weight)

Answer 50

2100 Kcal

Question 51

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). Calculate the protein requirements of the patient:

Answer 51

96g

Question 52

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). Calculate the grams of Nitrogen included in the parenteral nutrition:

Answer 52

15.36

Question 53

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

Answer 53

480 mL

Question 54

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

Answer 54

111:1

Question 55

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

Answer 55

180g

Question 56

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). 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

Answer 56

360 mL