OKEP 22 Aug'14

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Which action of Glutahenz I.V. may have worked for the esophageal cancer patients on chemotherapy?

a) Anticatabolic

b) Gut mucosal protective and antioxidant

c) anti-infective

Can Glutahenz IV be given to patients hypersensitive to L-alanine amino acid?

a) Yes

b) No

Which route should be preferred for the infusion of solution having osmolarity 500 mOsmol/L?

a) Central

b) Peripheral

c) Bolus injection

What is the maximum dilution of saline in 60 kg patient administered 1.5ml/kg body weight Glutahenz IV?

a) 100 ml

b) 500 ml

c) 90 ml

Mr. John is admitted to ICU since one month. He was continuously infused with TPN. The daily requirement of amino acid is 1.2g / kg body weight due to the continuous venovenus hemofiltration. The anthropometric parameter changes weekly and weight reduces from 80 kg to 75 kg in 4th week. As a part of precaution, Glutahenz I.V. was prescribed to protect from the infection. So what should be the maximum dosage of Glutahenz I.V. be given to Mr. John?

a) 190ml

b) 150ml

c) 120ml

For the above patient what should be the minimum dilution of the TPN?

a) 950 ml

b) 750 ml

c) 600 ml

For the above patient approximately how many Glutahenz IV vial should be given to Mr. John?

a) Approximately 4

b) Approximately 3

c) Approximately 2

10.

What is the maximum dosage of N (2) L-alanyl - l-glutamine observed in animal trial till the no teratogenic toxicity was found?

a) 0.6 g N(2) L-alanyl - l-glutamine

b) 1.6 g N(2) L-alanyl - l-glutamine

c) 2.0 g N(2) L-alanyl - l-glutamine

d) 1.9 g N(2) L-alanyl - l-glutamine

11.

When should be the Glutahenz IV used in myocardial revascularization surgery that helps in glycemia control according to clinical study?

a) Post operative

b) Intraoperative

c) preoperative

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