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CNSC Exam Review Questions and Answers-module IV
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CNSC Exam Review Questions and Answers-module IV
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CNSC exam review module IVIn an intensive care setting, which of the following complications associated with malnutrition is most
likely to occur as a result of the failure to begin nutrition support early in the treatment regimen?
a. decreased systemic vascular resistance
b. increased white cell production
c. increased myocardial contraction
d. increased serum levels of protein-bound drugs - Answer -d. increased serum levels of protein-bound
drugs
Critically ill surgical patients have been found to have less morbidity when blood glucose is maintained
between:
a. 80-110 mg/dl
b. 115 - 130 mg/dl
c. 140-175 mg/dl
d. 180-210 mg/dl - Answer -a. 80-110 mg/dl
Compared to healthy individuals, the glucose uptake in critically ill patients is most likely to:
a. decrease
b. increase
c. remain the same
d. be replaced by different forms of energy - Answer -a. decrease
, Which of the following immunomodulating nutrients may be harmful in critically ill nonsurgical patients?
a. arginine
b. glutamine
c. nucleic acids
d. omega-3 fatty acids - Answer -a. arginine
Which of the following best describes enteral glutamine supplementation in the critically ill?
a. enteral glutamine is preferred over parenteral glutamine
b. supplementation of enteral glutamine improves morbidity and mortality
c. approximately 20-40 g glutamine/day should be administered to all critically ill patients
d. the optimal amount and form of enteral glutamine required to achieve beneficial results are
unknown - Answer -d. the optimal amount and form of glutamine required to achieve beneficial results
are unknown
Which of the following are counter-regulatory hormones responsible for the hypercatabolism observed
in critically ill trauma patients?
a. glucagon, epinephrine, and insulin
b. glucagon, epinephrine, and cortisol
c. glucagons and serotonin
d. glucagon, epinephrine, and norepinephrine - Answer -b. glucagon, epinephrine, and cortisol
In patients with burns, providing caloric support above average energy expenditure has been found to:
a. decrease mortality
b. improve wound healing
c. decrease fat mass accumulation
d. have no effect on lean body mass preservation - Answer -d. have no effect on lean body mass
preservation
In pulmonary insufficiency, excessive calorie administration may cause increased blood pCO2 resulting
in:
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