Learner Assessment

Blends and Beyond: Exploring Cutting Edge Research in Whole Food Tube Feeding Quiz
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Question 1: True or False: Historically enteral feeds have been used since the late 1500s. During that time enteral feeds used raw egg, whiskey, and beef mixtures for nutrition.
Reference: Harkness L. The history of enteral nutrition therapy: from raw eggs and nasal tubes to purified amino acids and early postoperative jejunal delivery. J Am Diet Assoc. 2002;102(3):399-404.
Question 2: What are some reported patient benefits of blenderized tube feeding?
Reference: Church A. & Zoeller S. Enteral nutrition product formulations: A review of available products and indications for use. Nutr Clin Pract. 2023;38(2):277-300.
Question 3: True or False: Formulas that include whole foods can directly influence the microbiota by supporting a healthy gut microbiome through food diversity and stimulating anti-inflammatory metabolites in the gut.
Reference: McClave S. & Martindale R. Why do current strategies for optimal nutrition therapy neglect the microbiome? Nutr J. 2019;60: 100-105.
Question 4: In the research article “Healthy Subjects Experience Bowel Changes on Enteral Diets: Addition of a Fiber Blend Attenuates Stool Weight and Gut Bacteria Decreases Without Changes in Gas" by Koecher & colleagues, what was the primary bacterial population affected by a fiber-free formula?
Reference: Koecher K., Thomas W., & Slavin J. Healthy Subjects Experience Bowel Changes on Enteral Diets. J Parenter Enteral Nutr. 2015;39:337-343.
Question 5: True or False: You need to utilize blenderized tube feeding for 100% of patient nutrition needs to see clinical benefit.
Reference: Schmitz E., Silva E., Filho O., et al. Blenderized tube feeding for children: an integrative review. Rev. Paul. Pediatri. 2022;40.
Question 6: In the prospective, pilot study by Spurlock and colleagues, when head and neck cancer patients transitioned to blenderized tube feeding, they experienced all of the following except:
Reference: Spurlock A., Johnson T., Pritchett A., et al. Blenderized food tube feeding in patients with head and neck cancer. Nutr Clin Pract. 2022 Jun;37(3):615-624.
Question 7: What are some of the concerns and barriers related to blenderized tube feedings that clinicians need to consider and potentially overcome with patients/caregivers?
Reference: Schmitz E., Silva E., Filho O., et al. Blenderized tube feeding for children: an integrative review. Rev. Paul. Pediatri. 2022;40.
Question 8: In Dr. Hron’s study from Boston Children’s Hospital, patients had improvements in GERD, nausea, vomiting, and other GI-related symptoms, but also had significantly lower rates of which of the following?
Reference: Hron B., Fishman E., Lurie M., et al. Health Outcomes and Quality of Life Indices of Children Receiving Blenderized Feeds via Enteral Tube. J Pediatr. 2019 Aug;211:139-145.
Question 9: What are some of the proposed mechanisms/explanations for why blenderized tube feedings may be better tolerated?
Reference: Hron B., Fishman E., Lurie M., et al. Health Outcomes and Quality of Life Indices of Children Receiving Blenderized Feeds via Enteral Tube. J Pediatr. 2019 Aug;211:139-145.

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