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1. Which of the following monitoring parameters can be used to assess hydration status in a patient with SBS?

A. Basic metabolic panel B. Intake/output records C. Weight D. All of the above

2. What is the primary site for vitamin B₁₂ absorption?

A. stomach B. jejunum C. ileum D. colon

3. In the immediate postoperative period, which is the most appropriate plan for providing nutrition to JD? [CASE STUDY]

A. Advance oral diet as tolerated B. Initiate enteral nutrition (tube feeding) C. Initiate parenteral nutrition D. Initiate both tube feeding and parenteral nutrition

4. What is the most appropriate plan for initiating treatment of diarrhea for JD? [CASE STUDY]

A. Start diphenoxylate 2.5 mg (with atropine) po four times daily, before meals and at bedtime B. Start diphenoxylate 2.5 mg (with atropine) po as needed C. Start diphenoxylate 2.5 mg (with atropine) and loperamide 2 mg po four times daily, before meals and at bedtime D. Start diphenoxylate 2.5 mg (with atropine) and loperamide 2 mg po as needed

5. How much fluid volume is typically absorbed by the small intestine daily?

A. 1L B. 2L C. 5L D. 7L

6. In the outpatient setting, you encounter a patient with short bowel syndrome who is receiving vitamin D 50,000 units three times weekly. It was started 3 months ago based on a low vitamin D level. Which of the following is the most appropriate assessment of this medication?

A. Dose is too high; recommend a dosage reduction B. Recommend discontinuation because 3 months is adequate time for repletion C. Recommend continuation of current dose and repeat vitamin D level D. Recommend continuation of current dose; no intervention required

7. An adult patient who is dependent on PN is started on teduglutide therapy. Prior to starting teduglutide, the PN volume is 3000 mL daily and average urine output is 1500 mL daily. At the 2-week follow-up visit, the patient reports an average urine output 2300 mL daily (3 day measurement). Which is the most appropriate assessment/intervention of the PN formula?

A. Decrease PN volume to 2500 mL daily B. Decrease PN volume to 2000 mL daily C. Increase PN volume to 3500 mL daily D. Continue current PN volume

8. Dietary recommendations for patients that have SBS without a colon should include:

A. Consume foods low in fat B. Eat small, frequent, high-caloric meals C. Avoid salty foods D. Avoid oxalate-containing foods

9. Recommendations for intake of beverages in patients with SBS should include:

A. Liberalize oral fluid intake with each meal B. Encourage intake of at least 2 L of water daily C. Sip on oral rehydration solutions throughout the day D. Drink sugar-containing beverages for a source of calories

10. Management of small intestine bacterial overgrowth (SIBO) in patients with SBS may include all of the following, EXCEPT:

A. Initiation of proton pump inhibitor for acid suppression B. Rotating schedule of different oral antibiotic therapy C. Prebiotic and probiotic therapy D. Antibiotic-free intervals

Maintenance is scheduled for 8/7/2023 7:00 AM EST - 8:00 AM EST.

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1. Which of the following monitoring parameters can be used to assess hydration status in a patient with SBS?

2. What is the primary site for vitamin B₁₂ absorption?

3. In the immediate postoperative period, which is the most appropriate plan for providing nutrition to JD? [CASE STUDY]

4. What is the most appropriate plan for initiating treatment of diarrhea for JD? [CASE STUDY]

5. How much fluid volume is typically absorbed by the small intestine daily?

6. In the outpatient setting, you encounter a patient with short bowel syndrome who is receiving vitamin D 50,000 units three times weekly. It was started 3 months ago based on a low vitamin D level. Which of the following is the most appropriate assessment of this medication?

8. Dietary recommendations for patients that have SBS without a colon should include:

9. Recommendations for intake of beverages in patients with SBS should include:

10. Management of small intestine bacterial overgrowth (SIBO) in patients with SBS may include all of the following, EXCEPT:

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Maintenance is scheduled for 8/7/2023 7:00 AM EST - 8:00 AM EST.

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1. Which of the following monitoring parameters can be used to assess hydration status in a patient with SBS?

2. What is the primary site for vitamin B12 absorption?

3. In the immediate postoperative period, which is the most appropriate plan for providing nutrition to JD? [CASE STUDY]

4. What is the most appropriate plan for initiating treatment of diarrhea for JD? [CASE STUDY]

5. How much fluid volume is typically absorbed by the small intestine daily?

6. In the outpatient setting, you encounter a patient with short bowel syndrome who is receiving vitamin D 50,000 units three times weekly. It was started 3 months ago based on a low vitamin D level. Which of the following is the most appropriate assessment of this medication?

8. Dietary recommendations for patients that have SBS without a colon should include:

9. Recommendations for intake of beverages in patients with SBS should include:

10. Management of small intestine bacterial overgrowth (SIBO) in patients with SBS may include all of the following, EXCEPT:

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2. What is the primary site for vitamin B₁₂ absorption?