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Malnutrition risk — DGM MCQ

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EasyFrailtyMalnutrition riskDGM

An 82-year-old man has lost 8 kg in four months after bereavement and dental problems. His BMI is 18.2 kg/m2 and he eats one small meal daily. He has no dysphagia or abdominal mass on examination. Current medicines include ramipril. What is the most appropriate assessment?

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Correct answer: DNutritional screening and dietetic support

Significant unintentional weight loss and low BMI require nutritional screening and support, including dietetic input. Reassurance, steroids, delayed assessment and antibiotics miss malnutrition risk. Dental, mood and social causes should be sought alongside medical causes.

Reference: NICE CG32