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Section 17: Nutritional Disorders

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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?

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A. Normal, healthy nutrition status

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B. Marasmus

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C. Acute, disease-related malnutrition

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D. Chronic, disease-related malnutrition

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The answer is D.

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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?

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A. Asthma exacerbation

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B. Short bowel syndrome

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C. New onset seizures

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D. Community-acquired pneumonia

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The answer is B.

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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″)?

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A. Normal, healthy

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B. Mild malnutrition

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C. Moderate malnutrition

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D. Severe malnutrition

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The answer is C.

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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?

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A. Normal, healthy

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B. Overweight

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C. Moderate obesity

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D. Severe or morbid obesity

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The answer is D.

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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?

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A. Serum albumin concentration

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B. Serum transferrin concentration

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C. Serum prealbumin concentration

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D. Serum C-reactive protein concentration

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The answer is C.

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A patient has been on home ...

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