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General Surgery · Nutrition: enteral feeding
Sample itemIn a patient with a functioning gastrointestinal tract who cannot meet nutritional needs orally after surgery, which route is generally preferred?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Enteral nutrition
When the gastrointestinal tract is functional, enteral nutrition is generally preferred because it supports gut integrity and has fewer catheter-related risks than parenteral nutrition. The route and timing are individualized.
Option by option
A. Total parenteral nutrition as first choice in every case
Parenteral nutrition is reserved when enteral feeding is not possible or insufficient.
B. No nutrition for two weeks
Prolonged starvation worsens catabolism and recovery.
C. Enteral nutrition (correct)
Correct. Enteral feeding uses the functional gut and is usually preferred.
D. Intramuscular glucose only
Intramuscular glucose cannot provide complete nutritional support.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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