CBRN CBRN Nutrition & Metabolic Support 3

Question 1

Why is serum albumin considered a poor marker for acute nutritional status in burn patients?

Accepted Answer

Its long half-life and negative acute-phase response make it unreliable acutely

Answer

It is unaffected by nutrition

Answer

It only measures fat stores

Answer

It cannot be measured in burn patients

Question 2

Which nutritional marker is more responsive than albumin for monitoring short-term nutritional status in burn patients?

Accepted Answer

Prealbumin (transthyretin)

Answer

Body weight

Answer

Total lymphocyte count

Answer

Serum albumin

Question 3

What is the recommended glycemic target range for critically ill burn patients per current evidence-based guidelines?

Accepted Answer

140–180 mg/dL

Answer

60–100 mg/dL

Answer

200–240 mg/dL

Answer

80–110 mg/dL

Question 4

Which condition commonly necessitates post-pyloric (nasojejunal) feeding tube placement in burn patients?

Accepted Answer

Opioid-induced gastroparesis or critical illness-related ileus

Answer

Hypervolemia

Answer

Hypertension

Answer

Hyperthermia

Question 5

What is the primary concern with total parenteral nutrition (TPN) in burn patients who cannot tolerate enteral feeding?

Accepted Answer

Increased infection risk and gut mucosal atrophy

Answer

Excessive weight gain

Answer

Hypoglycemia

Answer

Electrolyte stability

Question 6

Which insulin-related therapy has been studied in burn patients to shift catabolism toward anabolism and support muscle protein synthesis?

Accepted Answer

Insulin infusion combined with adequate nutrition to promote anabolic metabolism

Answer

Insulin sliding scale only for hyperglycemia correction

Answer

Subcutaneous insulin for diabetes management

Answer

Oral hypoglycemics