Nutrition mcq

A product lists the following nutrition information

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mcg 2009 03 raman 200954 sdc1

39. Which of the following components of energy expenditure generally accounts for the largest proportion of the 24h energy expenditure total

38. A product lists the following nutrition information:
Serving size 9oz

Servings per package 1

Calories 240

Protein 19g

Carbohydrate 19g

Fat 10g
What is the percentage of calories provided by fat in this product?

E. 50%
39. Which of the following components of energy expenditure generally accounts for the largest proportion of the 24h energy expenditure total?

Thermic Effect of Food
Resting Energy Expenditure
Activity related energy expenditure
Energy of fidgeting
Energy of Catabolism

40. A 50 year old male is admitted to the ICU with respiratory distress secondary to pneumonia. He is now ventilator dependant. He is started on polymeric enteral feeds at 20cc/hour. After 2 days of feeds, his nurse notices that the gastric residual is 100cc and she is concerned about the risk of aspiration. The best recommendation in this situation is:

Stop enteral feeds and start parenteral nutrition
Reduce the rate of the enteral feed to 10cc/hour
Change the polymeric formula to semi-elemental formula
Start Domperidone 10mg qid
Make no change to the current rate or type of feed as the risk of aspiration is low

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