Nutr340 Final Exam
Which of the following describe a conditionally essential nutrient? A nutrient that becomes essential due to a metabolic disorder or serious disease (e.g. kidney or liver disease). All of the choices are correct. A nutrient that is normally nonessential, but becomes essential under certain conditions. A nutrient that may be made in the body, but in amounts that are inadequate.
All of the choices are correct.
Bile is....secreted by the.........stored.......and its role is to
a digestive juice secreted by the liver and stored in the gallbladder role is to digest and absorb fat
Which of the following statements is true? A fatty acid is a polymer of glucose molecules most fatty acids in foods are water soluble a fatty acid has a chain of carbons bonded to each other and to hydrogen atoms the omega end of a fatty acid molecule is the acid portion of the molecule
a fatty acid has a chain of carbons bonded to each other and to hydrogen atoms
Victor is making cake batter. When he added corn oil, fat-free milk, baking powder, and salt together, the oil and milk separated into two layers. To make a mixture that does not separate into oily and watery components, Victor should add _____ and stir the ingredients together. high-fructose corn syrup egg yolks fruit juice whey protein
egg yolks
A refined grain product that has iron, thiamin, riboflavin, niacin, and folic acid added to replace amounts lost during processing has been enhanced enriched supplemented fortified
enriched
Which of the following substances is a simple carbohydrate? lignin glycogen starch fructose
fructose
Most Americans purchase less than recommended amounts of: Fruits Refined grain products Red meats Sugary beverages
fruits
The 3 most important dietary monosaccharides for humans are
galactose glucose fructose
A fasting blood HDL cholesterol level of _______ is considered desirable for healthy women. less than 40 less than 50 greater than 40 greater than 50
greater than 50 mg/dL
Digestion of fat soluble vitamins
Fat-soluble vitamins are absorbed very similarly to dietary fat. They are mixed into micelles and bile acids in the small intestine and absorbed into enterocytes for storage by diffusion. It is best to consume fat soluble vitamins with sources of fat; this is easy to do if we are consuming nutritious sources of food such as foods naturally rich in fat (avocado, nuts and seeds, salmon). A,D,E,K
Describe the difference between "feasting" and "fasting".
Feasting is when the body receives sufficient nutrients through food which can then be stored as energy. Feasting is anabolic. Fasting is when the body does not receive sufficient nutrients through food intake, thus needs to break down stores of energy throughout the body. Fasting is catabolic.
energy needs as we age
As we age, the need for energy decreases due to physical inactivity and reduced metabolic rate The EAR for energy is: •1600 kcal for older women •2000 kcal for older men
Vitamins responsible for Red blood cell formation
B
Vitamins responsible for amino acid metabolism
B, C
Which of the following dietary nutrients would most rapidly reverse a state of ketosis in a starving person? Carbohydrate Fat Protein Amino acids
Carbohydrate
Which of the following enhance the bioavailability of iron? Choose all that apply. Consuming with calcium Consuming with vitamin C Soaking beans Fermenting grains Consuming with vitamin A Drinking high amounts of tea
Consuming with vitamin C Soaking beans Fermenting grains
What is the classic physical symptom of Wilson disease (toxic amounts of copper in the body)?
Copper-colored rings around the eyes
rich food sources of potassium
Food sources of potassium: •Baked potato with skin •Fresh fruits, fruit juice, and vegetables •Milk •Whole grains •Dried beans •Meats
rich sources of sodium
Foods high in sodium: •Salted snack foods •French fries •Canned and dried soups •Sauces and gravies •Hot dogs and deli meats •Cheeses Pickled foods
The synthesis of glucose from noncarbohydrate precursors is ______________.
Gluconeogenesis
iodine deficiency can cause
Hypothyroidism and Cretinism and Goiter Iodine deficiency is the most common cause of preventable intellectual disability worldwide
_________ acid is an essential fatty acid.
Linoleic
Methylmercury and pregnancy
Methylmercury exposure during the prenatal period is associated with: •Nervous system damage •Learning disabilities
methods that may be used to prevent eating disorders.
•Early identification •Education programs to improve body image -Therapy
food that should NOT be given to infants and why
•Honey •Regular, low-fat, or skim cow's milk or goat's milk •Unpasteurized (raw) milk •Cookies, candy, chips, pastries, or anything with added sugar, solid fat, or salt •Small pieces of hard or course foods •Rare poultry, beef, or pork
undernutrition treatment and prevention among adults
•Improving nutrition education •Enhancing government assistance programs •Providing nutrition supplementation
Functions of water in the body
•Is a solvent •Is a major component of blood, saliva, sweat, tears, mucus, and joint fluid •Removes wastes •Helps transport substances •Lubricates tissues •Regulates body temperature •Helps digest foods •Helps maintain proper blood pH
diet related concerns of school aged children
•Often skip breakfast •Consume more foods away from home •More fried items and sugar-sweetened beverages •Excessive amounts of saturated fat, total sugars, sodium •Not enough fruits, vegetables, or dietary fiber
food sources of zinc
•Red meat •Poultry products fruits: avacado veggies: spinach, peas, asparagus dairy: milk, yogurt, cheese grains: whole grain bread and cereals protein: beef, eggs, beans, poultry
Name the 3 macronutrients
1. Carbohydrates 2. Fats 3. Proteins
According to the 2015-2020 Dietary Guidelines for Americans, added sugar intake should be limited to less than ________ % of total daily calories.
10 %
Dietary fat intake should be less than _____ of total kilocalories
20%
Amanda consumes approximately 2500 kcal/day. According to recommendations of the Dietary Guidelines (2015-2020), she should limit her saturated fat intake to fewer than_____kcal/day.
250
Adults absorb ________% of the calcium we intake. 33% almost 100% 25% 66%
33%
chloride deficiency and toxicity signs and symptoms.
A deficiency is unlikely to occur, but signs and symptoms include fatigue and loss of appetite Consuming too much chloride can contribute to hypertension
Vitamin responsible for growth and development
A, D
Vitamins responsible for bone health
A, D, K, C
Vitamins responsible for immune function
A,C,D,E
Which of the following statements is FALSE? Disclaimers are clues that a product is not likely to live up to your expectations or the manufacturer's claims. A person with a PhD who promotes drinking vinegar as the cure for lung cancer is practicing quackery. The RDN credential is legally protected. According to scientific research, most dietary supplements provide considerable health benefits.
According to scientific research, most dietary supplements provide considerable health benefits.
factors that influence a persons usual food selection
Age: Sensory Info: Taste, smell, appearance, odor... Cognitive factors: religious beliefs, past experiences... psychological factors: depression, stress, anxiety... Environmental factors: income, availability of food, location of home....
Which of the following is NOT source of fluoride? Mouthwash Tap water (in the US) Fish Aged cheese
Aged cheese
Explain the importance of carbohydrates before, during, and after prolonged physical activity.
Before and during: helps delay fatigue in events lasting more than 90 minutes, increases muscle glycogen stores , and About 3 g of water are incorporated into muscle tissue along with each gram of glycogen During/after: helps replenish glycogen stores for recovery
factors that can contribute to an eating disorder
Being dissatisfied with one's body shape Having a history of frequent dieting Being female Low self esteem Poor self image
Which of the following compounds is not secreted by the human stomach? Gastric juice Intrinsic factor Bile Mucus
Bile
In the United States, consumers eat more ________ than recommended. A. Fish B. Vegetables C. Cheese D. Whole grains
C. Cheese
The organic cofactors that help enzymes catalyze reactions are called _____________.
Coenzymes
Which of the following statements is true? A. A person's diet is influenced by his or her blood type and birth order. B. Nutrients are life-sustaining phytochemicals in food. C. Most people are born with the ability to choose a nutritious diet. D. In the United States, poor eating habits contribute to some of the ten leading causes of death.
D. In the United States, poor eating habits contribute to some of the ten leading causes of death.
nutrient needs of healthy infants
During the first 3 months, infants need about 49 kcal/lb/day The AI for protein during the first 6 months is 1.52 g/kg body weight After 6 months, the RDA for protein decreases to 1.2 g/kg body weight
Vitamins responsible for antioxidant defense
E,C
vitamins and minerals are a source of energy. T or F
False
Describe the effects of food insecurity on the health of older adults.
Food insecurity can result in poor nutritional status
food sources of iron
Heme iron - form of iron found in meat that is absorbed efficiently Nonheme iron - form of iron that is not absorbed as efficiently as heme iron; found in vegetables, grains, legumes, supplements, and fortified or enriched foods fruits: peaches Veggies: broccoli, green beans, proteins: beef, beans, seafood grains: whole grains, oatmeal
Are animal or plant foods richer in vitamins? Plant foods Animal and plant foods are equally rich in vitamins Animal foods It depends on the vitamin
It depends on the vitamin
Bernard recently started following a vegan diet. What is a possible disadvantage to following such a diet? Low intake of certain minerals, including zinc, iron, and calcium high intake of phytochemicals Low intake of saturated fats High intake of vitamins C and E
Low intake of certain minerals, including zinc, iron, and calcium
Catabolism
Metabolic pathways that break down molecules, releasing energy.
Are vitamins metabolized for energy?
NO
Megadoses of which vitamin may reduce LDL cholesterol levels and increase HDL cholesterol levels?
Niacin (Vitamin B3)
what are common nutrient deficiencies in older adults?
Older Adults typically lack Vitamins D, C, E, and B. It is also common that older adults are deficient in calcium, as well as magnesium
The pancreas secretes enzymes important for digestion. Match the four following enzymes to their function. Pancreatic amylase Pancreatic lipase Trypsin & chemotrypsin
Pancreatic amylase: digests starch Pancreatic lipase: digests fat Trypsin & chemotrypsin: partially digests protein
The chemical attraction between the acid group of one amino acid and the amino group of another amino acid can form a _________.
Peptide bond
Who is most at risk for vitamin E deficiency? Choose all correct responses. Preterm infants Adults with Crohn's disease Adults with heart disease Adults with ulcerative colitis Pregnant women Adults with diabetes
Preterm infants Adults with Crohn's disease Adults with ulcerative colitis
chemical digestion
Process by which enzymes and gastric juices break down food into small molecules that the body can use essential to digestion
_____________ is/are the form of vitamin A that is most commonly found in animal products.
Retinoids
Which of the following menu items does not contain complementary protein? Salad made with apples, pears, and grapes pita bread dipped in mashed chick peas whole wheat crackers spread with soy nut butter kidney beans mixed with rice
Salad made with apples, pears, and grapes
What is the major difference between soluble and insoluble forms of fiber?
Soluble fiber dissolves or swells in water, whereas insoluble fiber generally does not change in water.
how the muscles obtain energy from the PCr-ATP, lactic acid, and oxygen systems?
The PCr-ATP systems and lactic acid system do not need oxygen to produce ATP; they metabolize glucose under anaerobic conditions to provide energy. The oxygen system uses available oxygen to metabolize glucose and fat to provide energy.
intracellular water vs extracellular
The body has two major fluid compartments: •Intracellular water is inside the cells •2/3 of the body's water is found here •Extracellular water surrounds cells or is in the blood
rich food sources of chloride
The major food source of chloride is table or sea salt Food sources: seaweed, rye, tomatoes, celery, olives
A nutrient requirement is the smallest amount of a nutrient that maintains a defined level of nutritional health. T or F
True
Saliva includes enzymes that are important for digestion. T or F
True
The FDA can recall a dietary supplement when there is evidence that it is harmful. T or F
True
The cholesterol carried by oxidized LDL is taken up by certain arterial cells and deposited in plaque. T or F
True
certain proteins transport nutrients and oxygen in the bloodstream. T or F
True
Digestion of water soluble vitamins
Water soluble vitamins are absorbed right into the blood stream when our food is broken down during normal digestion. B and C
Which of the following are signs and symptoms of dehydration? Pale colored urine Weight loss Confusion Weakness Excess saliva Low volume of urine
Weight loss Confusion Weakness Low volume of urine
Which of the following foods typically acts as a prebiotic (NOT probiotic)? Chicken Whole grains Cheese Yogurt
Whole Grains
energy density
amount of energy a food provides relative to the weight of the food Example: donuts
Starch is composed of
amylose and amylopectin
Proteins _______. are stored as glycogen in the body have phosphorous in there chemical structures provide 7kcal/g are comprised of amino acids
are comprised of amino acids
Heart disease and ______ make up 50% of all deaths
cancer
Bryce is a pescavegetarian. Which of the following foods does he choose not to eat? fruit salad chicken salad egg salad tuna salad
chicken salad
Pancreatic lipase is secreted into the________ and is necessary for __________
duodenum fat digestion
factors that affect iron bioavailability.
enhance: Vitamin C Heme iron Leavening of bread Fermentation Soaking beans or grains inhibit: High intake of calcium with iron-containing food Medications that reduce stomach acidity Oxalic acid from foods such as spinach Phytic acid from foods such as whole grains, dried beans Soy protein from foods such as tofu Polyphenols from foods and beverages such as tea
factors effecting zincs bioavailability
enhanced when zinc-containing foods are eaten with proteins, especially the sulfur-containing amino acids •The body's need for the mineral (e.g., pregnancy) •Presence of large amounts of other metals (e.g., copper, iron)
Describe recommendations for weight gain during pregnancy.
first trimester 1.0 to 4.5 pounds total second and third 1 pound/week
nutrient dense foods
food supplies more vitamins and minerals in relation to calories
In the stomach, ________ + __________ participate in the chemical digestion of protein.
hydrochloric acid + pepsin
The primary storage sites for glycogen in the body are the _________________ and the _______________.
liver and the skeletal muscles
According to Shawn's physician, Shawn has a high risk of _____ because his waist circumference is 42 inches, his blood pressure consistently measures 140 mm Hg/90 mm Hg, and his fasting blood glucose level is 110 mg/dl.
metabolic syndrome
Pregnant women need to consume more
pregnant women needs to consume more Vitamin A, Folate, Vitamin B-12, Vitamin C, iron, and iodine.
You are conducting a physical assessment of your patient. She has a deep red swollen tongue and cracks in the corners of her mouth, and she reports that it hurts to swallow. What vitamin deficiency is she experiencing?
riboflavin deficiency
rich food sources of iodine.
seafood Milk, cheese, yogurt Eggs Iodized salt Bread
Major functions of lipids include all of the following EXCEPT stimulate production of vitamins and minerals help produce steroid hormones serve as energy source cushions body against bumps and blows
stimulate production of vitamins and minerals
Which of the following sweeteners provides 4kcal/g? sucralose sucrose saccharin stevia
sucrose
Energy is defined as
the capacity to perform work
health problems associated with obesity in childhood.
type 2 diabtes, breathing problems, joint discomfort
Which vitamin is responsible for production of blood-clotting factors?
vitamin K
Name at least 3 influences on individual water requirements.
1. environmental influences 2. health conditions 3. dietary choices
general recommendation for the duration of breastfeeding.
A lactating woman will typically produce over 3 cups of milk per day Milk production relies on supply and demand It is recommended that new mothers breastfeed their babies exclusively for 6 months
You are asked to provide dietary education for a patient with hypertension. How would you recommend your patient alter her diet?
A licensed physician should provide this information to their patients. If I were, I would recommend my patients limit sodium, fat, and cholesterol . I would tell them to eat more fruits, veggies, and low fat dairy products.
Which of the following can be synthesized from all three energy-yielding nutrients? Acetyl CoA Glycogen Lactate Oxaloacetate
Acetyl CoA
Vitamins responsible for energy metabolism
B
Select all foods that are rich in potassium. Sardines Tofu Bananas Potatoes Fresh orange
Bananas Potatoes Fresh orange
how vitamin D is converted from non-food sources
Basically, the energy from the sun turns a chemical found in our skin into vitamin D3, which is then passed to the liver and then the kidneys to make active vitamin D that our bodies can use. Pretty neat!
During "feasting", excess carbohydrates are converted to Body fat stores Body protein Ketones Glycogen
Body fat stores
Which of the following is NOT a rich source of cobalamin (Vitamin B12)? Chicken liver Fish Broccoli Eggs
Broccoli
the effect of dehydration on older adults
Dehydration is a common problem in older adults because: •Thirst sensation declines •Kidneys are less able to conserve fluids •Lack of mobility •Medications •Desire to avoid frequent trips to the bathroom
Describe the role of diet in cancer development. How can you educate patients on reducing cancer risk with diet?
Diets high in fruits and veggies may lower the risk for certain cancer development. Avoiding trans fats and limiting saturated fats will also help reduce the risk of cancer.
digestion route
Digestion begins to the mouth, food is then passed through the esophagus to the stomach, and then to the small intestine, then large intestine, through the rectum, and out the anus. Accessory organs (I.e., pancreas, liver, and gallbladder) play key roles along the way.
eating disorders versus disordered eating
Eating disorders are psychological disturbances that lead to certain physiological changes and serious health complications Disordered eating refers to chaotic and abnormal food-related practices such as skipping meals, limiting food choices, following fad diets, and binge eating
Toxicity from magnesium is most commonly from Consuming high amounts of phytic acid with magnesium Excess dietary intake of magnesium Excess intake of laxatives or antacids Limiting total fat intake
Excess intake of laxatives or antacids
It is easy to obtain adequate amounts of trace minerals from food. T or F
False
the most serious health consequences of the female athlete triad.
Female athlete triad - condition that occurs as a result of the interrelationships among energy availability, menstrual function, and bone mineral density in female athletes •Estrogen deficiency •Low bone mineral density •Premature osteoporosis
The major storage form of iron that is commonly used to check iron status is Ferritin Transferrin Total body iron Plasma iron
Ferritin
rich food sources of magnesium
Food sources of magnesium: •Plant foods such as spinach, green leafy vegetables •Whole grains •Beans •Nuts •Seeds •Chocolate "Hard" tap water and dietary supplements
_____________ is a hormone that instructs cells to use catabolic rather than anabolic pathways.
Glucagon
When muscle cells have more glucose than they need for energy, they may store some of the excess as
Glycogen
major food groups and foods typically classified in each
Grains: wheat, rice, oats Dairy: yogurt, hard cheeses Fruits: fresh, dried, frozen, sauced, and canned fruits, and 100% fruit juices. Veggies: include fresh, cooked, canned, frozen, and dried/dehydrated vegetables and 100% vegetable juice. Proteins: beef, pork, fish, eggs, beans, nuts and seeds
Which of the following substances carries cholesterol away from the tissues? HDL insoluble fiber insulin LDL
HDL
Which of the following best describes chromium? Deficiency often leads to low cholesterol levels It is prevalent in many foods in relatively large amounts It plays a role to prevent insulin resistance and improve glucose tolerance Toxicity causes joint pain
It plays a role to prevent insulin resistance and improve glucose tolerance
nicotine and pregnancy
Nicotine and other toxic chemicals in tobacco smoke pass from the mother's bloodstream into the embryo/fetus increasing the risk of: •Stillbirths (infants that are dead at birth) •LBW babies •Preterm newborns
Every amino acid has _____ in its chemical structure.
Nitrogen
Aerobic metabolism is the production of ATP that occurs in the presence of ______________.
Oxygen
98% of the body is composed of 5 elements
Oxygen Carbon Nitrogen Hydrogen Calcium
Name the 3 accessory organs of the digestive system
Pancreas Liver Gallbladder
energy (kcal) in a serving of food based on the grams of carbs, protein, fat, and alcohol
Per gram: Carbs- 4 cals protein- 4 cals fat- 9 cals alcohol- 7 cals
mechanical digestion
Physical breakdown of large pieces of food into smaller pieces essential to digestion
cardiovascular disease risk factors
Physical inactivity Smoking High blood pressure Diabetes Inflammation Abnormal Blood Lipids High Sugar Intake Sex Age Family History Overweight/Obesity Trans Fat intake
Explain why polypharmacy is common among older adults, and discuss the nutritional implications of the condition.
Polypharmacy is a condition that occurs when a person takes multiple medications each day can cause: •Dysgeusia •GI bleeding or diarrhea •Anorexia or increased appetite •Altered blood glucose levels
major functions of potassium in the human body
Potassium is needed for: •Maintaining fluid balance •Transmitting nerve impulses •Contracting muscles •Maintaining kidney function
Which of the following menu items has ingredients that represent all MyPlate food groups? Salad made with hard-cooked eggs, grapes, leaf lettuce, cooked pasta, and cheddar cheese Ready-to-eat cereal with strawberries, blueberries, wheat germ, and fat-free milk Sandwich made with Swiss cheese, cooked ham, mayonnaise, and two slices of buttered whole-wheat bread Smoothie made with vanilla yogurt, fat-free milk, orange juice, wheat germ, and fresh peaches
Salad made with hard-cooked eggs, grapes, leaf lettuce, cooked pasta, and cheddar cheese
WIC program and its maternal and child health benefits.
The Special Supplemental Assistance Program for Woman, Infants, and Children (WIC) is a federal program that provides funds to state governments so they can help specific populations obtain certain supplemental foods, basic health care services, and nutrition education •Reduced incidence of fetal death, low birth weight, and infant mortality •Improved growth of nutritionally at-risk infants and children •Decreased incidence of iron deficiency anemia in young children •Improved intellectual development
nutrition assistance programs that are available to Americans who experience food insecurity and describe persons who are eligible for such assistance.
The Supplemental Nutrition Assistance Program (SNAP) is an assistance program that enables qualified low-income participants to use monthly cash allotments and a special debit card to purchase foods from authorized stores The Special Supplement Nutrition Assistance Program for Women, Infants, and Children (WIC) provides nutrition education including breastfeeding support, referrals for health and social services, and checks or vouchers to purchase special foods food banks, food pantry's, soup kitchens, etc... national school lunch program, meals on wheels for: low income households, people with lack of transportation, lack of food distribution centers
What is the primary function of iodine?
The primary function of iodine is for proper thyroid function and the production of different thyroid hormones.
HDL vs. LDL cholesterol
The reason why HDL cholesterol is called "good" cholesterol is because it carries cholesterol away from your arteries for disposal out of the body. LDL is called "bad" cholesterol because it carries cholesterol to your arteries where it may cause plaque buildup.
The 6 classes of nutrients are:
carbohydrates, lipids, proteins, vitamins, minerals, water
Which of the following does NOT describe Wernicke-Kosakoff syndrome? caused by riboflavin deficiency a syndrome that affects the nervous system most commonly seen with alcoholism characterized by poor musclar coordination and weakness
caused by riboflavin deficiency
Which of the following is NOT associated with abnormal blood urea nitrogen? liver failure kidney disease colon cancer malnutrition
colon cancer
Explain the composition of sports drinks and recommendations for consumption by athletes.
composition: •Sodium and other electrolytes help maintain blood volume, enhance the absorption of water and carbohydrate from the intestinal tract, and stimulate thirst recommendations for consumption: Drink 1.25-1.5 L of fluid (about 5-6 cups) for every kilogram of body weight lost during exercise.
common sources of fluoride
fluoridated water, coffee, tea, soft drinks, beer, and juice fish and shellfish Toothpaste, mouthwash, dental treatments
Describe a dinner meal rich in antioxidants. Be sure your meal includes all Choose My Plate food groups.
fruits: oranges grains: whole grain bread dairy: milk protein: wild caught salmon vegetables: broccoli
consequences of low and high fluoride consumption. benefits?
low: not essential but may increase risk of tooth decay At therapeutic doses, fluoride can stimulate osteoblast activity and increase bone mineral density High: can cause dental and/or skeletal fluorosis
Your patient had a total knee replacement two days ago and is now taking Coumadin. The registered dietitian has gone home for the day, and you must provide nutrition education on vitamin K before discharge. What information is necessary for your patient to know?
vitamin k intake should be consistent when on blood thinners
Most ___________-soluble vitamins act as important parts of coenzymes.
water
The richest sources of minerals are plant foods. T or F
False
Anabolism
Metabolic pathways that construct molecules, requiring energy.
rich food source of copper, manganese, molybdenum
copper: Liver, cocoa, legumes, whole grains, shellfish manganese: •Leafy vegetables •Whole grains •Nuts •Tea molybdenum: •Legumes •Grains •Nuts
2 general categories of carbohydrates
simple complex
Your patient has hypothyroidism. His thyroid hormone levels have not responded well to medication. After speaking with your patient, you find that he consumes a high amount of broccoli, cauliflower, and cabbage each day. What dietary advice do you have for him?
A licensed physician should provide this information to their patients. If I were, I would tell my patient that some plant foods such as cassava, turnips, cabbage, brussels sprouts, cauliflower, and broccoli, contain goitrogens. Goitrogens inhibit iodide metabolism by the thyroid gland. This can result in hypothyroidism. I would recommend that he limits his intake of these veggies that contain goitrogens.
Discuss the different forms of age-related dementia, including common causes of the conditions and how dementia can affect a person's nutritional status.
Alzheimer's disease (AD) - most common form of irreversible dementia that affects older adults Vascular dementia - condition that occurs when the blood supply to the brain is reduced •Usually occurs after a person has had several small strokes •More common in people with hypertension and atherosclerosis
The Food and Drug Administration regulates the safety and effectiveness of dietary supplements that are sold in the U.S. T or F
False
The breakdown of glycogen into glucose is an example of anabolism. T or F
False
Which of the following foods is the most nutrient-dense per serving? French fries Leafy greens Refined grains Grape drink
Leafy greens
Explain the importance of antioxidant vitamins in physical activity.
Physical activity may increase the need for certain vitamins and minerals because of: •Increased energy metabolism to support the activity •Enhanced turnover and loss from the body •Consumption of low-calorie diets by some athletes Vitamins C and E may increase aerobic endurance capacity
BMI (body mass index)
Underweight - Less than 18.5 Normal - 18.5 - 24.9 Overweight - 25 - 29.9 Obese - 30 - 39.9
The metabolism of folate is dependent on adequate levels of which vitamin?
Vitamin B-12
vitamin D being a public health nutrient of concern. Reply
Vitamin D deficiency (VDD) is an important public health problem that has emerged as a pandemic because subjacent levels of vitamin D in the body system is a risk factor for some chronic disabling disorders like rickets in children, osteoporosis, osteomalacia, cancer, heart disease, autoimmune disorders,
Describe the role of vitamin-like compounds.
Vitamin-like compounds are necessary to maintain a normal metabolism.
Name the fat soluble vitamins
Vitamins A, D, E, K
age related dementia risk factors
age alcohol use diabetes atherosclerosis down syndrome genetics hypertension smoking
Which of the following is a common sign or symptom of a food allergy? hives swollen lips vomiting and/or diarrhea all are correct
all are correct
Water-soluble vitamins are sensitive to which of the following? Choose all correct responses. oxidation boiling in water heat long periods of storage
all of them are correct
An Estimated Average Requirement (EAR) is the percentage of a nutrient standard that is used for food labeling purposes. minimum amount of a nutrient that is safe to consume and cures the nutrient's deficiency disease. range of intake for a particular nutrient that is not likely to cause toxicity or deficiency. amount of a nutrient that meets the needs of 50% of healthy people in a particular population.
amount of a nutrient that meets the needs of 50% of healthy people in a particular population
The formation of glycogen by the liver is an example of _______________. anabolism catabolism glycolysis oxidation
anabolism
Which of the following foods has a low GI (less than 70) white rice banana plain white bagel apple
apple
Define and Describe Recommended Dietary Allowance (RDA)
are standards for recommended daily intakes of several nutrients. Meets the needs for 97.5% of healthy individuals.
The liver uses cholesterol to make
bile
Dorothy is an 85-year-old woman who is having difficulty swallowing. Food seems to enter her stomach too slowly. Based on this information, Dorothy probably has a(n) overgrowth of probiotics in her stomach. excessive amount of secretory activity within her digestive tract. condition characterized by loss of peristaltic functioning. blockage caused by undigested fiber deposits in her jejunum.
condition characterized by loss of peristaltic functioning.
Describe the ergogenic effects of creatine, energy drinks, and caffeine.
creatine: Can provide muscles with a quick energy source Energy drinks: •Mental focus •Alertness •Sports performance Caffeine: •Raises the level of fatty acids in the blood •Enhances the ability of skeletal and heart muscles to contract •Increases mental alertness •Can dampen pain perception and perceived exertion during exercise
Ketones are made in the body when there is inadequate _________ in the diet.
glucose
Insulin helps_____ enter_______
glucose enter cells
A feature of catabolic reactions is that they involve release of energy occur only in mitochondria involve consumption of energy occur only during loss of body weight
involve release of energy
The rapid breakdown of glucose in the muscles produces large amounts of pyruvate, which leads to a fall in pH within the muscle. The muscle responds by converting excess pyruvate into _______________.
lactate
nutrient dense food vs empty calorie food
leafy greens vs snack chips lean meats vs candy
When a person is in _________, their nitrogen intake is balanced with their nitrogen losses.
nitrogen equilibrium
Acceptable Macronutrient Distribution Range (AMDR) are
ranges of carbohydrate, fat, and protein intakes that provide adequate amounts of vitamins and minerals, and may reduce the risk of diet-related chronic diseases.
Carbohydrate Absorption and breakdown occurs in the
small intestine
Most absorption takes place in the
small intestine
Digestion of protein begins in the
stomach
Macy would like to sweeten her tea with a nonnutritive sweetener that provides no calories per tsp. Which should she use? granulated cane juice sucralose mannitol table sugar
sucralose
Your patient has vitamin D deficiency. What would you recommend for your patient to boost his vitamin D levels?
supplement recommendation should come from a physician I would recommend that they try and spend more time in the sun, if they can. I would also tell them to eat more fatty fish and sea food. Finally, I would recommend to supplement with a vitamin D supplement.
Julian ate a baked potato as a side at dinner. The starch in the potato will begin to be digested in
the mouth (what that mouf do)
The lining of the small intestine is covered with ________, tiny, finger-like structures that absorb nutrients from food.
villi
Which of the following vitamins has demonstrated teratogenic effects at high levels when taken during pregnancy?
vitamin A
Identify major health consequences of binge-eating disorder.
•Bipolar disorder •Depressive disorder •Anxiety disorder •Substance use disorders being overweight
major function of magnesium in the human body
•Contraction and relaxation of muscles •Enzyme functions •Energy production •DNA and protein synthesis •Strong bones Healthy immune system •Regulation of: •Muscle and nerve function •Blood pressure •Blood glucose levels
Roles that Registered Dietitian Nutritionist (RDN) play as members of a health care team
•evaluate the health status of a patient •determine their dietary deficiencies and needs •plan dietary treatments and meals
Correctly order the major organs of the digestive system in ascending order, beginning with the mouth as number 1
1. mouth 2. esophagus 3. stomach 4. Duodenum 5. Jejunum 6. ileum 7. Large intestine 8. Rectum 9. Anus
Americans who are more likely to be food insecure include:
Americans who are more likely to be food insecure include: •Households with children, especially if a single woman is the head of the household •Households that live at 185% of the poverty threshold •Hispanic families and black, non-Hispanic families •Households living in metropolitan areas •Households in the southern and western regions of the country
Which group of vitamins is responsible for energy metabolism?
B vitamins
All forms of LDL cholesterol are considered unhealthy, because they increase the risk of diabetes. T or F
False
Lead and Pregnancy
If a pregnant woman was exposed to lead before she became pregnant, her body may have stored the mineral in her bones During pregnancy, the mineral can be released into the blood stream and may cause: •Miscarriage •Preterm delivery •Low birth weight •Developmental delays Cognitive delays
Which of the following foods or beverages is a main source of added sugars in American Diets? fruit juice jams and jellies Regular soft drinks pastries
Regular soft drinks
Major functions of sodium in the human body
Sodium plays a major role in maintaining normal fluid balance It is also necessary for: •Transmitting nerve impulses •Normal functioning of muscles •Transporting small substances into cells
what is Dehydration and what are signs of it
bodies water depletion •Rapid weight loss •Dry or sticky mouth •Low or no urine output •Dark urine •No tears •Sunken eyes •Confusion •Heart palpitations •Weakness
What is the difference between major minerals and trace minerals? Are they both essential?
Major minerals are needed in greater amounts in the diet and are stored in larger quantities in the body than are trace minerals. The body requires each trace mineral in very small amounts. However, they are both essential.
Describe 3 key functions of zinc.
Zinc functions to support growth and development, wound healing, and the sense of taste and smell •DNA synthesis •Proper functioning of the nervous and immune systems
All three macronutrients have the potential to be stored as fat if not used by the body for energy or other functions. T or F
True
Amino acids becoming muscle tissue is anabolism. T or F
True
Heart Disease is the leading cause of death in the U.S. T or F
True
Plant sterols and stanols are structurally similar to cholesterol and, as a result, plant sterols and stanols can interfere with cholesterol absorption. T or F
True
Carbohydrate absorption occurs almost exclusively in the stomach. T or F
False
Glycogen that is stored in muscle tissue can be broken down and sent to other places in the body. T or F
False
maternal complications associated with anemia during pregnancy and strategies for treating the condition.
Maternal anemia occurs when a pregnant woman has a hemoglobin level that is less than 11 g/dL or a hematocrit that is less than 33% There are two main causes of anemia during pregnancy: •Expansion of the mother's blood volume •Poor dietary intake of iron (eat more dietary iron)
_________________ is the organelle that synthesizes most of the ATP that cells need to function.
Mitochondria
essential fatty acids
Omega 3= alpha linolenic (soybean oil, canola oil, walnuts, flax seed oil); Omega 6= linoleic (cottonseed, sunflower, soybean, corn oil)
What macronutrient requires deamination for metabolism?
Protein
Folic acid and pregnancy
Supplemental folic acid in early pregnancy reduces neural tube defects.
What is water intoxication?
condition that occurs when too much water is consumed in a short time period or kidneys have difficulty filtering water from blood •Excess water dilutes sodium concentration of blood •Results in hyponatremia, low blood sodium
A ______ amino acid is one that is normally nonessential, but becomes essential under certain conditions
conditionally essential
Explain the roles of copper, manganese, and molybdenum in human health.
copper: -promotes iron metabolism -component of antioxidant enzymes, and connective tissue synthesis manganese: •Wound healing •Metabolism •Bone and cartilage formation •Antioxidant function molybdenum: is a trace mineral required as a cofactor of four enzymes in humans
Iodine toxicity can overtime cause
•Goiter •Hypothyroidism •Hyperthyroidism •Thyroid cancer
characteristics of reliable sources of nutritional info
•Registered Dietitian (RD) or Registered Dietitian Nutritionist (RDN) -peer reviewed literature!
health benefits of performing regular physical activity.
•Weight control •Improved body composition •Prevention of chronic diseases •Management of depression •Improved sleep
Match the following acceptable macronutrient distribution ranges for carbohydrates, protein, and fat.
Carbs- 45-65% Protein- 10-35% Fat- 20-35%
_______ is the process that changes the normal shape of a protein and, as a result, the molecule loses its usual function.
Denaturation
People with low C reactive protein (CRP) are more likely to develop cardiovascular disease. T or F
False
The FDA regulates nutrition info in books and other forms of popular media? T or F
False
The five overarching guidelines of the 2015-2020 Dietary Guidelines for Americans?
Focus on variety, nutrient density, and amount. Shift to healthier food and beverage choices. Follow a healthy eating pattern across the lifespan. Limit calories from added sugars and saturated fats and reduce sodium intake. Support healthy eating patterns for all.
Phil is a healthy college student. When he wakes up in the morning, he can't wait to eat breakfast. While he is asleep and before he consumes food or beverages, his pancreas secretes _____ to maintain his blood glucose level within normal limits.
Glucagon
Which of the following statements is FALSE? In order for a dietary supplement to be on the market, all research studies on the supplement must show a beneficial effect on health. The Dietary Supplement Health and Education Act of 1994 allows manufacturers to classify dietary supplements as foods. Dietary supplements include fish oil, glucosamine, echinacea, and flaxseed oil. A megadose is an amount of a vitamin or mineral that greatly exceeds the recommended amount of the nutrient.
In order for a dietary supplement to be on the market, all research studies on the supplement must show a beneficial effect on health.
Justin's blood cholesterol level is too high. He'd like to add foods to his diet that can help reduce his blood cholesterol level. Based on this information, which of the following foods should he add? white rice legumes liver milk
Legumes
Which of the following statements is true? Olives, salmon, and avocados are sources of unhealthy solid fats. According to MyPlate, all foods that provide empty calories should be avoided. Most food guides classify eggs in the protein foods group. Food guides generally classify butter in the food group that includes milk and eggs.
Most food guides classify eggs in the protein foods group.
A healthy large intestine is home to numerous bacteria. Which of the following is not a function of the gut microbiota? Neutralize acidic chyme Synthesize vitamin K Break down (ferment undigested food Metabolize phytochemicals Produce energy for colon cells
Neutralize acidic chyme
April wants to add _____ to her salad, because the food is a naturally rich source of omega-3 fats. bread cubes walnuts coconut oil cheddar cheese
Walnuts
Which of the following statements about phospholipids is FALSE? Phospholipids are naturally found in both plant and animal foods Phospholipids have a similar chemical structure to cholesterol Phospholipids have both hydrophilic and hydrophobic portions lecithin is an example of a Phospholipid found naturally in egg yolks
Phospholipids have a similar chemical structure to cholesterol
Which of the following statements about sphincters is FALSE? Sphincters are essential for normal digestion. Sphincters are important for controlling the flow of the contents through the GI tract. When a sphincter relaxes, the passageway closes to prevent movement of GI contents. Sphincters are thickened regions of circular muscle.
When a sphincter relaxes, the passageway closes to prevent movement of GI contents.
For lunch today Quentin ate a turkey sandwich on whole wheat bread, a small bag of pretzels, and an apple. He also drank a 20-fluid ounce orange-flavored sports drink. Which component of his lunch would be considered a source of empty calories Whole wheat bread Pretzels Turkey Sports drink
Sports Drink
Dallas, a healthy, active teen, was diagnosed with PKU when he was a few days old. In addition to foods that are low in phenylalanine, which of the following foods can he eat to meet his protein needs safely? fat free milk baked potatoes lean hamburger fried fish
baked potatoes
A primary function of the digestive system is the transmission of nervous impulses breakdown of food into nutrients destruction of toxic metabolic by-products production of red blood cells
breakdown of food into nutrients
chyme is the organelle that maintains fluid balance within intestinal cells. large particle that transports lipids throughout the bloodstream. semisolid liquid formed by the partial digestion of food in the stomach. material absorbed by lacteals that the liver must detoxify and excrete.
semisolid liquid formed by the partial digestion of food in the stomach.
Nutrition is
the scientific study of how the nutrients and how the body uses them
3 major classes of lipids
triglycerides, phospholipids, and steroids
Why is it important to study nutrition?
§Food is a basic human need for survival. §Nutrients are the life-sustaining substances found in food. Necessary for growth, maintenance, and repair of the body's cells