Nutrition Support to Patients Undergoing Gastrointestinal surgery

Sourced: Nutrition support to patients undergoing gastrointestinal surgery.
Nicola Ward – Department of Pharmacy, Glenfield Hospital, University Hospitals of Leicester, NHS Trust, Leicester, UK

Nutrition Journal 2003, 2:18 doi:10.1186/1475-2891-2-18
Published December 2003

© 2003 Ward; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article’s original URL.

 

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    Question #1
    The physiological stress of surgical trauma causes a surge of sympathetic activity and an associated

    A: rise in catecholamine secretionB: fall in catecholamine secretionC: leveling in catecholamine secretionD: none of the above

    Question #2
    It has been demonstrated that the addition of glutamine to parenteral nutrition regimens given to patients after elective abdominal surgery results in

    A: a more comfortable hospital stayB: a increased length of hospital stayC: a reduced length of hospital stayD: none of the above

    Question #3
    In situations of severe stress or nutritional depletion the demand for glutamine may

    A: reduce the body's capacity to synthesise itB: exceed the body's capacity to synthesise itC: not effect the body's capacity to synthesise itD: none of the above

    Question #4
    In surgical patients the metabolic rate is typically increased by about

    A: 5% postoperativelyB: 10% postoperativelyC: 15% postoperativelyD: 20% postoperatively

    Question #5
    Increased intestinal permeability indicates a failure of the gut barrier function to

    A: extrude endogenous bacteria and toxins.B: include endogenous bacteria and toxins.C: exclude endogenous bacteria and toxins.D: none of the above

    Question #6
    Glutamine is also involved in antioxidant defence mechanisms by

    A: influencing glutamine synthesisB: influencing glutamic acid synthesisC: influencing glutathione synthesisD: none of the above

    Question #7
    Albumin, muscle function tests, immunological status and weight loss are used as these show correlation with

    A: postoperative recovery ratesB: postoperative morbidity and mortalityC: postoperative blood glucose levels.D: none of the above

    Question #8
    Glutamine is

    A: the least abundant free amino acid in the extra and intracellular compartments.B: the most abundant free amino acid in the extra and intracellular compartments.C: not present in the extra and intracellular compartments.D: present in the extra and intracellular compartments.

    Question #9
    In addition, nutritional depletion is associated with increased intestinal permeability and a

    A: decrease in villous heightB: increase in villous heightC: standardizing in villous heightD: none of the above

    Question #10
    Comparative studies show that, compared with parenteral nutrition, enteral nutrition is well tolerated and is associated with

    A: reduced septic morbidity, costs and length of stay.B: increased septic morbidity, costs and length of stay.C: little change in septic morbidity, and no costs and length of stay.D: none of the above

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