CNSC Exam 2023 Already Passed!!
Microcytic hypochromic anemia is a result of a deficiency in... - Answer Iron or
Copper
Macrocytic anemia results from a deficiency of... - Answer B12 or Folate
Consequences of long-term parenteral nutrition - Answer Anemia
Leukopenia
Neutropenia
Skeletal abno...
Microcytic hypochromic anemia is a result of a deficiency in... - Answer Iron or Copper Macrocytic anemia results from a deficiency of... - Answer B12 or Folate Consequences of long-term parenteral nutrition - Answer Anemia Leukopenia Neutropenia Skeletal abnormalities Symptoms of copper deficiency - Answer Sensory ataxia Lower extremity spasticity Parathesis in extremities Leukopenia Neutropenia Hypercholesterolemia Increased erythrocyte turnover Decreased ceruloplasmin and erythrocyte copper/zinc superoxide dismutase (SOD) Abnormal EKG patterns Myeloneuropathy What change should be made to the PN for a patient with high ileostomy output? - Answer Increase sodium and increase fluid volume (high output leads to water and Na loss) Acute disease-associated malnutrition symptoms - Answer Hypalbuminemia Edema Anasarca % body weight loss to meet malnutrition criteria - Answer 5% or more in 1 month 7.5% or more in 3 months 10% or more in 6 months Stress vs Starvation related malnutrition - Answer Stress: hypermetabolism, hypergylcemia, lipolysis Starvation: ketosis, hypoglycemia, lipolysis Subjective Global Assessment includes - Answer Historical: Weight history Dietary intake GI symptoms Functional status Metabolic demand Physical Exam Parameters: Subcutaneous fat Muscle wasting Edema Ascites CNSC Exam 2023 Already Passed!! What lab value is a significant predictor of morbidity and mortality in critically ill patients? - Answer Albumin What can compromise the reliability of urinary urea nitrogen to calculate nitrogen balance? - Answer Creatinine clearance < 50 mL/min What can reduce plasma homocysteine concentrations? - Answer Folic acid B6 B12 Fluid requirements for healthy adults - Answer 35 mL/kg for 18-55 yo 30 mL/kg for 55-75 yo 25 mL/kg for >75 yo <25 mL/kg when fluid restriction indicated Iron is primarily absorbed in the - Answer Duodenum and Jejunum (in ferrous state) Which amino acid is essential for small intestinal structure and function? - Answer Glutamine PKU is caused by a... - Answer deficiency of phenylalanine hydroxylase (PAH) Conditionally indispensable amino acids - Answer Require a dietary source in order to meet increased needs caused by metabolic stress. Arginine (wound healing) Cysteine Glutamine Glycine Proline Tyrosine Symptoms of Essential Fatty Acid Deficiency - Answer Scaly dermatitis Alopecia Thrombocytopenia Anemia Impaired wound healing What IV fluid most closely resembles jejunal and ileal electrolyte content? - Answer Lactated Ringer's (LR) Supplementation of Vitamin A should be given for a maximum of - Answer 14 days DKA puts a patient at high risk for low... - Answer phosphate (hypophosphatemia) The risk of metastatic calcification in soft tissues begins to increase when the product of calcium x phosphorus exceeds... - Answer 55 What is the most common cause of zinc deficiency? - Answer Diarrhea
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