Which one of the following conditions tends to increase nitrogen excretion and REE the most?

Question

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A major burn injury causes significant tissue damage and inflammation, leading to a dramatic increase in nitrogen excretion and resting energy expenditure (REE). This is due to the increased metabolism required for tissue repair, and the breakdown of proteins for energy. Total starvation can also lead to an increase in nitrogen excretion, but it would not increase REE as significantly as a major burn injury. Partial starvation and peritonitis/severe sepsis may increase nitrogen excretion to some extent, but they do not typically have as profound an effect as a major burn injury.

Which One of the Following Conditions Tends to Increase Nitrogen