MCQ ( PARENTERAL NUTRITION PN)

: Parenteral nutrition is to feed a patient either at hospital or at home i.v

i.m

s.c

PAREMTERAL NUTRITION (MCQ) 1

MCQ ( PARENTERAL NUTRITION PN)

Parenteral nutrition is indicated in both malnutrition or at risk of malnutrition : true false PAREMTERAL NUTRITION (MCQ) 2

MCQ ( PARENTERAL NUTRITION PN)

Body mass index is measured in : Kg/m2 Kg/m m/kg2 PAREMTERAL NUTRITION (MCQ) 3

MCQ ( PARENTERAL NUTRITION PN)

PN formula is a (sterile,balanced,nutritive,stable,i.v) solution or : Suspension Emulsion Elixir PAREMTERAL NUTRITION (MCQ) 4

MCQ ( PARENTERAL NUTRITION PN)

PN is indicated if GIT is inaccessible only True False PAREMTERAL NUTRITION (MCQ) 5

MCQ ( PARENTERAL NUTRITION PN)

When GIT is not accessible , we use tube feeding for a short time through : Rectal route I.v route Naso-pharyngeal route PAREMTERAL NUTRITION (MCQ) 6

MCQ ( PARENTERAL NUTRITION PN)

Correction of dehydration is through adding water and : Amino acids Electrolytes L-amino acids PAREMTERAL NUTRITION (MCQ) 7

MCQ ( PARENTERAL NUTRITION PN)

L-glutamine is included in PN formulation as dipeptide form due to its low : Activity Polarity Solubility PAREMTERAL NUTRITION (MCQ) 8

MCQ ( PARENTERAL NUTRITION PN)

PN solutions are expressed in nitrogen content , one gram nitrogen equals …. Grams of proteins 5.25

6.25

7.25

PAREMTERAL NUTRITION (MCQ) 9

MCQ ( PARENTERAL NUTRITION PN)

The amino acids solutions are : Hypertonic Isotonic Hypotonic PAREMTERAL NUTRITION (MCQ) 10

MCQ ( PARENTERAL NUTRITION PN)

BMR is termined by Schofield equaion which is depending on both sex and : Age Weight Height PAREMTERAL NUTRITION (MCQ) 11

MCQ ( PARENTERAL NUTRITION PN)

Combination of glucose and lipids as asource of energy is termed : Bi-energy Dual-energy Mixed-energy PAREMTERAL NUTRITION (MCQ) 12

MCQ ( PARENTERAL NUTRITION PN)

Which of the following glucose solution concentration is infused peripherally: 5% 10% 25% PAREMTERAL NUTRITION (MCQ) 13

MCQ ( PARENTERAL NUTRITION PN)

1 gram fat gives …. Kcal.

5 10 15 PAREMTERAL NUTRITION (MCQ) 14

MCQ ( PARENTERAL NUTRITION PN)

Which of the following is not a microelement : Flourine Zinc Sodium PAREMTERAL NUTRITION (MCQ) 15

MCQ ( PARENTERAL NUTRITION PN)

Excess of water soluble vitamins is excreted in : Urine Stool Sweat PAREMTERAL NUTRITION (MCQ) 16

MCQ ( PARENTERAL NUTRITION PN)

While microelements are 10 in count, electrolytes are : 3 4 5 PAREMTERAL NUTRITION (MCQ) 17

MCQ ( PARENTERAL NUTRITION PN)

The main side effect of peripheral administration of PN is : Phlebitis and thrombophlebitis Occlusion Nephritis PAREMTERAL NUTRITION (MCQ) 18

MCQ ( PARENTERAL NUTRITION PN)

PICC is : Central route Peripheral route Both of them PAREMTERAL NUTRITION (MCQ) 19

MCQ ( PARENTERAL NUTRITION PN)

Central PN is achieved through either jugular or sub-clavian vein , while one the following is not preferd : Brachial Femoral Cephalic PAREMTERAL NUTRITION (MCQ) 20

MCQ ( PARENTERAL NUTRITION PN)

Which one of the following may be infused: A cracked-lipid emulsion A creamy-lipid emulsion PAREMTERAL NUTRITION (MCQ) 21

MCQ ( PARENTERAL NUTRITION PN)

A reaction is started by a condensation reaction of the carbonyl group of glucose and amino group of amino acids.

Maillard Schofield Harttman PAREMTERAL NUTRITION (MCQ) 22

MCQ ( PARENTERAL NUTRITION PN)

As insulin,PN solutions should not be : Cooled Freezed Agitated PAREMTERAL NUTRITION (MCQ) 23

MCQ ( PARENTERAL NUTRITION PN)

Adding drugs to infused solutions is termed: X-site co-administration Y-site co-administration Z-site co-administration PAREMTERAL NUTRITION (MCQ) 24

MCQ ( PARENTERAL NUTRITION PN)

Line-occlusion is catheter-related complication of PN feeding, while hyperglycemia is : Metabolic complication Infectious complication Destabilisation comlication PAREMTERAL NUTRITION (MCQ) 25

MCQ ( PARENTERAL NUTRITION PN)

In a renal failure case , PN solution volume in oligouric phase is : Low Medium High PAREMTERAL NUTRITION (MCQ) 26

MCQ ( PARENTERAL NUTRITION PN)

In renal failure, which of these forms of vitamin D should presciped: Cholecalciferol Mono-hydroycholecalciferol Di-hydroycholecalciferol PAREMTERAL NUTRITION (MCQ) 27

MCQ ( PARENTERAL NUTRITION PN)

In hepatic patients where cyclic PN is encouraged, low glucose and lipid is precripedto avoid: Chloelithiasis Lipogenesis Hyperglycemia PAREMTERAL NUTRITION (MCQ) 28

MCQ ( PARENTERAL NUTRITION PN)

PN should be started in neonates from day : 1 2 3 PAREMTERAL NUTRITION (MCQ) 29

MCQ ( PARENTERAL NUTRITION PN)

PN should be started in neonates from day : 1 2 3 PAREMTERAL NUTRITION (MCQ) 30

MCQ ( PARENTERAL NUTRITION PN)

A 20% lipid emulsion is prefered in neonates to 10% one due to its high content of phospholipid and low content in : Cholestereol Aminoacids Triglycerides PAREMTERAL NUTRITION (MCQ) 31

MCQ ( PARENTERAL NUTRITION PN)

After a long mal-nutrition period, one should be gradually given PN and adgusted for K,Mg,PO4 to avoid : Cushing syndrome Refeeding syndrome Hypernatraemia PAREMTERAL NUTRITION (MCQ) 32

MCQ ( PARENTERAL NUTRITION PN) Model answers

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Model answers

• PAREMTERAL NUTRITION (MCQ) 33