Here are the paraphrased versions of questions 114 to 117 with five options, correct answers, and explanations:
Specialty: Surgery
Question 114:
A 45-year-old man was involved in a motor vehicle accident and presents with an isolated head injury. He has been in a coma for 5 days in the ICU. What is the most appropriate initial method of feeding?
Options:
A) Nasogastric tube feeding
B) Jejunostomy tube feeding
C) Total parenteral nutrition via central line
D) Peripheral intravenous feeding
E) Oral feeding
Correct Answer: A) Nasogastric tube feeding
Explanation: Nasogastric tube feeding is the preferred initial method for providing nutrition to patients with isolated head injuries who are in a coma. It is less invasive than other methods and effective for short-term feeding. Jejunostomy or parenteral nutrition may be considered later if complications arise.