Nutrition QuickFire

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Question 1 of 10

1. Question
1 points
Which of the following is the most appropriate statement regarding zinc supplementation in patients with chronic liver disease?
- A. Routine zinc supplementation is recommended for patients with chronic liver disease regardless of nutritional status.
- B. Zinc supplementation may be considered in patients with documented zinc deficiency, particularly when deficiency may contribute to complications such as dysgeusia or anorexia.
- C. Zinc supplementation is indicated when serum albumin concentration is below the normal range.
- D. Zinc supplementation should be avoided because chronic liver disease invariably causes zinc toxicity.
Question 2 of 10

2. Question
1 points
In a critically ill patient receiving enteral nutrition, which situation most strongly supports withholding or reducing enteral feeding?
- A. Gastric residual volume of 300 mL
- B. Absence of bowel sounds
- C. Escalating vasopressor requirement with evidence of hypoperfusion
- D. Severe diarrhoea
Question 3 of 10

3. Question
1 points
A severely malnourished patient has had negligible intake for 8 days. Nutrition support is initiated. Which micronutrient requires particular attention and supplementation before and during initiation of feeding?
- A. Sodium
- B. Thiamine
- C. Magnesium
- D. Phosphate
Question 4 of 10

4. Question
1 points
Which of the following best reflects current thinking on albumin in nutrition assessment?
- A. Low albumin is diagnostic marker for surgical outcomes
- B. Albumin should be used as a marker of nutritional status
- C. Albumin reflects the severity of inflammation and illness rather than nutritional intake alone
- D. Albumin is affected by chronic illness
Question 5 of 10

5. Question
1 points
A patient is transferred from ICU to the ward after 10 days of critical illness. Enteral feeding is stopped, but oral intake is only ~40% of estimated requirements. What is the most appropriate nutrition strategy?
- A. Stop artificial nutrition as the patient is stable
- B. Wait 3–5 days for appetite to improve
- C. Assess intake and nutritional risk, optimise oral intake with ONS
- D. Start parenteral nutrition till oral intake improves
Question 6 of 10

6. Question
1 points
A patient meets one phenotypic criterion and one etiologic criterion under the GLIM framework. Which statement is correct?
- A. At least two phenotypic criteria are required for diagnosis
- B. One phenotypic and one etiologic criterion are required to diagnose malnutrition
- C. An etiologic criterion is sufficient for diagnosis
- D. BMI below 18.5 kg/m² is important to recognize malnutrition
Question 7 of 10

7. Question
1 points
In a critically ill patient, indirect calorimetry is unavailable. Which approach best reflects the principle of energy delivery during the early acute phase of critical illness?
- A. Full estimated energy requirements should be provided
- B. Consider parenteral nutrition till the patient is extubated
- C. Nutrition should be withheld until inflammatory markers start reducing
- D. Nutrition should be initiated cautiously and progressed, avoiding routine full feeding
Question 8 of 10

8. Question
1 points
A patient with a functional gastrointestinal tract is consuming approximately 45% of estimated requirements despite food fortification and oral nutritional supplements. Which is the most appropriate next step?
- A. Continue the same strategy until appetite improves
- B. Consider supplemental enteral nutrition while continuing efforts to optimise oral intake
- C. Start total parenteral nutrition
- D. Stop monitoring intake because oral feeding has been established
Question 9 of 10

9. Question
1 points
Which statement most accurately distinguishes nutrition screening from nutrition assessment?
- A. Screening establishes a complete nutrition diagnosis
- B. Assessment is required when biochemical abnormalities are present
- C. Screening is a rapid process to identify individuals at nutritional risk who require further assessment or intervention
- D. Nutrition screening and nutrition assessment are interchangeable processes
Question 10 of 10

10. Question
1 points
Which statement regarding sarcopenia and malnutrition is most accurate?
- A. A patient may have sarcopenia without meeting diagnostic criteria for malnutrition, and may have malnutrition without sarcopenia
- B. Reduced muscle mass alone is sufficient to diagnose malnutrition
- C. Sarcopenia and malnutrition are synonymous because both involve muscle loss
- D. Sarcopenia occurs in adults aged over 65 years

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