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Section 17: Nutritional Disorders

A 55-year-old man (height, 175 cm [5′9″]; weight, 122.5 kg [270 lb]) is admitted with a new diagnosis of cancer. He has lost 6.8 kg (15 lb) in the last 4 months. Which of the following would be the most appropriate characterization of his nutrition status?

A. Normal, healthy nutrition status

B. Marasmus

C. Acute, disease-related malnutrition

D. Chronic, disease-related malnutrition

The answer is D.

You are working with an interdisciplinary nutrition support team to design a nutrition screening program for your hospital. Which of the following diagnoses should be included as a trigger to identify patients at high risk for nutrition-related complications?

A. Asthma exacerbation

B. Short bowel syndrome

C. New onset seizures

D. Community-acquired pneumonia

The answer is B.

Using his ideal body weight (IBW), how would you characterize the nutrition status of a 65-year-old man whose weight is 79.5 kg (175 lb) and height is 190.5 cm (6′3″)?

A. Normal, healthy

B. Mild malnutrition

C. Moderate malnutrition

D. Severe malnutrition

The answer is C.

A 39-year-old woman weighs 113.4 kg (250 lb) and is 165 cm (5′5″). Based on BMI, what is the best interpretation of her current nutrition status?

A. Normal, healthy

B. Overweight

C. Moderate obesity

D. Severe or morbid obesity

The answer is D.

A patient suffering from severe anorexia/bulimia is to be started on supplemental nutrition via a feeding tube. Which of the following visceral proteins would be the most appropriate to measure the acute response (first 3-4 days) to refeeding in this patient?

A. Serum albumin concentration

B. Serum transferrin concentration

C. Serum prealbumin concentration

D. Serum C-reactive protein concentration

The answer is C.

A patient has been on home ...

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