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Self-Assessment Questions

Internal Medicine

Refeeding Syndrome: Review Questions

Mark A. Marinella, MD, FACP, CNSP

Dr. Marinella is Assistant Clinical Professor, Department of Internal Medicine, Wright State University School of Medicine, and Practicing Hospitalist, Miami Valley Hospital, Dayton, OH .

Choose the single best answer for each question.

1. The refeeding syndrome (RFS) is most likely to develop in which of the following patients?
  1. A 16-year-old boy after outpatient arthroscopic knee surgery
  2. A 44-year-old hypertensive male executive with staphylococcal gastroenteritis
  3. A 75-year-old woman with dementia and limited oral intake for the last 10 days
  4. A 51-year-old man treated as an outpatient for cellulitis
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2. The hallmark laboratory abnormality associated with RFS is which one of the following?

  1. Hyperkalemia
  2. Hypermagnesemia
  3. Elevated erythrocyte sedimentation rate
  4. Hypophosphatemia
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3. A 16-year-old girl with anorexia nervosa is hospitalized with severe malnutrition and placed on parenteral nutrition. All of the following statements are correct EXCEPT:

  1. Maximal caloric replacement during the initial 12 hours of hospitalization will improve her outcome
  2. Telemetry monitoring should be utilized during the first few days of hospitalization
  3. Fatal cardiac arrhythmia may occur
  4. She is at risk of developing rhabdomyolysis
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4. Which form of electrolyte supplementation would be most useful in a patient with classic RFS?
  1. Sodium chloride
  2. Potassium phosphate
  3. Calcium chloride
  4. Iron gluconate
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5. Which one of the following is NOT a potential complication of RFS?

  1. Respiratory failure
  2. Hemolytic anemia
  3. Ventricular tachycardia
  4. Polycythemia
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