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? A 16-year-old boy after outpatient arthroscopic knee surgery A 44-year-old hypertensive male executive with staphylococcal gastroenteritis A 75-year-old woman with dementia and limited oral intake for the last 10 days A 51-year-old man treated as an outpatient for cellulitis Click here to compare your answer. 2. The hallmark laboratory abnormality associated with RFS is which one of the following? Hyperkalemia Hypermagnesemia Elevated erythrocyte sedimentation rate Hypophosphatemia Click here to compare your answer. 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: Maximal caloric replacement during the initial 12 hours of hospitalization will improve her outcome Telemetry monitoring should be utilized during the first few days of hospitalization Fatal cardiac arrhythmia may occur She is at risk of developing rhabdomyolysis Click here to compare your answer.		4. Which form of electrolyte supplementation would be most useful in a patient with classic RFS? Sodium chloride Potassium phosphate Calcium chloride Iron gluconate Click here to compare your answer. 5. Which one of the following is NOT a potential complication of RFS? Respiratory failure Hemolytic anemia Ventricular tachycardia Polycythemia Click here to compare your answer.
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