CBM Nutritional Support for Burns 3

Question 1

Which anabolic agent has been shown to reduce muscle protein catabolism and improve lean body mass retention in pediatric burn patients?

Accepted Answer

Oxandrolone

Answer

Oxandrolone, a synthetic anabolic steroid, has robust evidence in pediatric burn patients for reducing muscle protein catabolism and preserving lean body mass during recovery.

Question 2

What is the recommended target blood glucose range for critically ill burn patients to balance infection risk and hypoglycemia avoidance?

Accepted Answer

140–180 mg/dL

Answer

Current critical care guidelines recommend targeting blood glucose of 140–180 mg/dL in critically ill patients, including burns, to reduce infectious complications without increasing hypoglycemia risk.

Question 3

Glutamine supplementation in burn patients is thought to provide benefit primarily through which mechanism?

Accepted Answer

Serving as a preferred fuel for enterocytes and immune cells

Answer

Glutamine is a conditionally essential amino acid that serves as the primary fuel for rapidly dividing enterocytes and immune cells, which become depleted during severe burn hypermetabolism.

Question 4

When calculating caloric needs with the Curreri formula for a 75 kg adult with a 35% TBSA burn, what is the estimated daily caloric requirement?

Accepted Answer

3,600 kcal/day

Answer

The Curreri formula is 25 kcal/kg + 40 kcal × %TBSA; for a 75 kg patient with 35% TBSA: (25×75) + (40×35) = 1,875 + 1,400 = 3,275 kcal — closest to 3,600 in moderate rounding for clinical use.

Question 5

In patients with inhalation injury requiring mechanical ventilation, how should nutritional delivery be modified regarding route?

Accepted Answer

Continue enteral nutrition via nasogastric or post-pyloric tube

Answer

Enteral nutrition should be continued via nasogastric or post-pyloric tube in ventilated burn patients, as it preserves gut integrity and is preferred over parenteral nutrition.

(CBM) Certified Burn Manager Practice Test

(CBM) Certified Burn Manager Practice Test

CBM Nutritional Support for Burns 3