Surgery Increase in energy expenditure by 100% over normal, or two times greater than normal, is seen in a patient with which of the following? A Pyloric obstruction from chronic duodenal ulcer B Fractured femur C Perforated diverticulitis of colon D Severe thermal burns of more than 30% total body surface area (BSA) 💡 Explanation Increase in energy expenditure by 100% over normal, or two times greater than normal, is seen in a patient with which of the following? ✓ Correct Answer: D. Severe thermal burns of more than 30% total body surface area (BSA)