OKEP 12 Jun'15

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What is critical illness myopathy?

a) Atrophy of skeletal muscle mass

b) Atrophy of involuntary muscle mass

c) Atrophy of smooth muscle

Which of the following critically ill patients have greatest loss of muscle with increasing stay of hospital?

a) Burn patients

b) Trauma patients

c) Multisystem failure patients

In common practice scenario, which kind of feeding is done in the critically ill patients?

a) Continuous feeding

b) Intermittent feeding

c) None of the above

According to this review, which kind of feeding is unphysiological and have adverse effects?

a) Continuous feeding

b) Intermittent feeding

c) None of the above

Soy or casein based protein increased muscle synthesis as compared to whey based protein.

True

False

Continuous feeding has adverse effects on _______and___________metabolism.

a) Protein and lipid

b) Glucose and lipid

c) Glucose and protein

10.

Continuous enteral feeding results in a blunted ______ response and impaired release of bile may result in impaired lipid absorption and diarrhoea commonly noted in the critically ill.

a) CCK

b) GLP-1

c) GIP

11.

Possible that blunted release of __________ may contribute to organ dysfunction in continuously fed critically ill patients.

a) Insulin

b) GLP-1

c) CCK

12.

In a randomized crossover study, continuously fed group led to __________concentration of insulin and Peptide YY as compared to bolus group in healthy human individuals.

a) Increase

b) Decrease

c) Flat

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