branched chain amino acids leucine isoleucine and valine may be especially important for a patient with
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ATI Nutrition Proctored Exam 2019 Answers

1. Which condition may benefit from branched chain amino acids (leucine, isoleucine, and valine)?

Correct answer: A

Rationale: Branched chain amino acids, such as leucine, isoleucine, and valine, are essential in preventing muscle breakdown. Therefore, they may be particularly important for a patient with cancer-related malnutrition, where maintaining muscle mass is crucial. Marasmus is a severe form of malnutrition characterized by energy deficiency, not specifically related to cancer. Cardiovascular disease and severe depression do not have a direct correlation with the need for branched chain amino acids to prevent muscle breakdown.

2. What group makes each amino acid unique?

Correct answer: A

Rationale: The correct answer is the radical group (R-group) because it is the unique side chain that differentiates each amino acid. The amino group (choice B) and carboxyl group (choice C) are functional groups common to all amino acids but do not make them unique. The peptide bond (choice D) is the bond formed between amino acids in a protein chain, not the group that makes each amino acid unique.

3. Which hormone stimulates the gallbladder to contract?

Correct answer: B

Rationale: Cholecystokinin (CCK) is the hormone responsible for stimulating the gallbladder to contract and release bile into the small intestine. Secretin primarily acts on the pancreas to stimulate the secretion of bicarbonate-rich fluid. Gastrin functions in the stimulation of gastric acid secretion, while Gastric inhibitory polypeptide (GIP) plays a role in inhibiting gastric acid secretion and stimulating insulin release.

4. Proteins from plant sources such as grains, nuts, and legumes are classified as:

Correct answer: A

Rationale: The correct answer is A: 'incomplete.' Proteins from plant sources like grains, nuts, and legumes are considered incomplete because they often lack one or more essential amino acids required by the body. Choice B, 'complete,' is incorrect because complete proteins contain all essential amino acids in adequate amounts. Choice C, 'indispensable,' is incorrect as it refers to essential amino acids rather than the classification of plant proteins. Choice D, 'dispensable,' is also incorrect as it implies that these proteins are not necessary, which is not the case.

5. How many kilocalories (kcal) are provided by 35 g of fat?

Correct answer: C

Rationale: Fat provides 9 kcal per gram, so 35 grams of fat provides 315 kcal. Therefore, the correct answer is C. Choice A (140) is incorrect because it doesn't consider the energy content of fat. Choice B (245) is incorrect as it miscalculates the kilocalories provided by 35g of fat. Choice D (360) is incorrect because it overestimates the kilocalories provided by 35g of fat.

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