What You Got

Section A - Nutrition (Q21-Q26)

• Q21 - TPN 3:1 formula calculation (with the actual numbers for 70 kg) + monitoring schedule
• Q22 - NRS-2002 scoring tool explained + nutritional augmentation methods
• Q23 - Metabolic response to surgery, all routes of nutritional support (enteral > parenteral hierarchy)
• Q24 - Full PN indications/contraindications, 3-category complications, catheter issues, Home PN (HPN)
• Q25 - 4 key immunonutrients (glutamine, arginine, omega-3, nucleotides) with mechanisms + ESPEN evidence
• Q26 - PEG - indications, step-by-step pull technique, complications table, replacement

Section B - Fluid, Electrolytes & Acid-Base (Q27-Q34)

• Q27 - ABG normal values, MUDPILES for high-AG acidosis, chloride-responsive vs. resistant alkalosis table
• Q28 - Hypokalemia: U waves on ECG, IV K+ rate limits (20 mmol/hr peripheral, 40 central), Mg co-replacement
• Q29 - Hyponatremia by osmolality+volume classification, post-op mechanism, 8-10 mmol/24hr correction rule
• Q30 - GDFT algorithm, SAFE/CHEST trial evidence against colloids
• Q31 - 5-tier monitoring strategy, NICE 5Rs, lactate targets
• Q32 - Perioperative 4-phase fluid management + RL vs. NS comparison table
• Q33 - Zero fluid balance concept, ERAS integration, physiological basis
• Q34 - Post-major GI surgery 4-phase IV fluid protocol + Hartmann's exact composition table

Section C - Shock (Q35-Q36)

• Q35 - 5-type classification, full septic shock pathophysiology, surviving sepsis 1-hour and 6-hour bundles, stages table
• Q36 - Full drug classification table with receptors, doses, and shock-type-specific protocols