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CNSC Exam Review Module IV With Correct Solutions 2024
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CNSC Exam Review Module IV With Correct Solutions 2024
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CNSC Exam Review Module IV WithCorrect Solutions 2024
In .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 .- .correct .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 .- .correct .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 .- .correct .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 .- .correct .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 .- .correct .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 .- .correct .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 .- .correct .answer.d. .have .no .effect .on
.lean .body .mass .preservation
In .pulmonary .insufficiency, .excessive .calorie .administration .may .cause .increased .blood
.pCO2 .resulting .in: .
.a. .metabolic .acidosis .
.b. .metabolic .alkalosis .
.c. .respiratory .acidosis .
.d. .respiratory .alkalosis .- .correct .answer.c. .respiratory .acidosis
Which .of .the .following .best .describes .essential .fatty .acid .deficiency .in .patients .with .cystic
.fibrosis? .
.a. .patients .should .routinely .be .supplemented .with .docosahexaenoic .acid .
.b. .biochemical .essential .fatty .acid .deficiency .may .be .seen .in .both .pancreatic .sufficient
.and .insufficient .patients .
.c. .patients .with .essential .fatty .acid .deficiency .have .increased .levels .of .linoleic .acid .and
.decreased .levels .of .eicosatrienoic .acid .
.d. .high .doses .of .arachidonic .acid .have .been .shown .to .correct .the .fatty .acid .abnormality
.and .decrease .neutrophil .levels .in .patients .with .cystic .fibrosis .- .correct .answer.b.
.biochemical .essential .fatty .acid .deficiency .may .be .seen .in .both .pancreatic .sufficient .and
.insufficient .patients
Which .of .the .following .best .describes .the .use .of .semi-elemental .formula .without .enzyme
.replacement .or .the .use .of .standard .formula .with .enzyme .replacement .in .regards .to
.optimal .absorption .of .fat .and .nitrogen .in .a .pancreatic .insufficient .patient .with .cystic
.fibrosis .receiving .nocturnal .feedings? .
.a. .both .allow .for .similar .absorption .
.b. .neither .provides .optimal .absorption .
.c. .standard .formula .with .enzyme .replacement .provides .optimal .absorption .
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