Nutrition in Critical Illness Practice Questions

Question 1

Fluid of choice for shock in a child with severe acute malnutrition + hypoglycemia

Accepted Answer

Ringer lactate + 5% dextrose

Answer

Normal saline

Answer

Ringer lactate

Answer

10% dextrose

Question 2

A patient on total parenteral nutrition for 20 days presents with weakness, vertigo and convulsions. Diagnosis is

Accepted Answer

Hypomagnesemia

Answer

Hypercalcemia

Answer

Hypermagnesemia

Answer

Hypocalcemia

Question 3

A 1-year-old child weighing 6 kg is suffering from acute gastroenteritis with signs of sunken eyes and skin pinch returning to normal very rapidly. What will be your management?

Accepted Answer

RL infusion 180 ml in the first hour followed by 270 ml in the next 5 hours

Answer

RL infusion 120 ml in the first hour followed by 360 ml in the next 5 hours

Answer

RL infusion 180 ml in the first hour followed by 480 ml in the next 5 hours

Answer

RL infusion 240 ml in the first hour followed by 360 ml in the next 5 hours

Question 4

Ramesh met an accident with a car and has been in deep coma for the last 15 days. The most suitable route for the administration of protein and calories is by :

Accepted Answer

Jejunostomy tube feeding

Answer

Central venous hyperalimentation

Answer

Nasogastric tube feeding

Answer

Gastrostomy tube feeding

Question 5

A patient presents in coma for 20 days, what will be the best way to give him nutrition?

Accepted Answer

Ryle's tube feeding

Answer

Feeding via jejunostomy

Answer

Parenteral nutrition

Answer

Oral feeding

Question 6

Which of the following are components of SOFA scoring system?
I. PaO_2 / FiO_2 ratio
II. Mean arterial pressure
III. Glasgow coma scale
IV. Prothrombin Time with INR

Select the correct answer using the code given below :

Accepted Answer

I, III and IV

Answer

I, II and IV

Answer

II, III and IV

Answer

I, II and III

Question 7

The following are true of Mendelson's syndrome –

Accepted Answer

Onset of symptoms generally occurs within 30 minutes

Answer

Steroids have been shown to improve outcome

Answer

Critical volume of aspirate is 50 mls

Answer

Critical pH of gastric aspirate is 1.5

Question 8

The treatment of choice for a mucocele of the gallbladder is:

Accepted Answer

Cholecystectomy

Answer

Aspiration of mucus

Answer

Cholecystostomy

Answer

Antibiotic and observation

Question 9

Propofol infusion syndrome all except?

Accepted Answer

Features are nausea and vomiting

Answer

Occurs with infusion of propofol for 48 hours or longer

Answer

Occurs in critically ill patients

Answer

Features are cardiomyopathy, hepatomegaly

Question 10

A 50 kg patient has 40 % burn of the body surface area. Calculate the ringer lactate solution to be given for first 8 hours of fluid:

Accepted Answer

4 Litres

Answer

8 Litres

Answer

2 Litres

Answer

1 Litre

Nutrition in Critical Illness — MCQs

Nutrition in Critical Illness — MCQs

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