Nursing Elites

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

• A. cancer-related malnutrition
• B. marasmus
• C. cardiovascular disease
• D. severe depression

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. Ketones are produced when:

• A. carbohydrate stores are depleted.
• B. excess protein is consumed.
• C. protein stores are depleted.
• D. fat stores are depleted.

Correct answer: A

Rationale: Ketones are produced when the body uses fat for energy due to the depletion of carbohydrate stores. When carbohydrate stores are depleted, the body turns to fat as its primary source of energy, leading to the production of ketones. Excess protein consumption does not directly lead to ketone production. Similarly, the depletion of protein stores or fat stores is not directly related to the production of ketones.

3. What role do the amino acids methionine, tyrosine, and tryptophan play?

• A. Forming neurotransmitters.
• B. Blocking excess protein breakdown.
• C. Increasing production of insulin and thyroxine.
• D. Decreasing energy expenditure.

Correct answer: A

Rationale: The correct answer is A: Forming neurotransmitters. Methionine, tyrosine, and tryptophan are important amino acids involved in the production of neurotransmitters in the body. Neurotransmitters are chemical messengers that transmit signals across nerve cells, influencing various functions such as mood, memory, and muscle control. Choices B, C, and D are incorrect because these amino acids do not primarily play a role in blocking protein breakdown, increasing insulin and thyroxine production, or decreasing energy expenditure.

4. Which types of acids form the basic building blocks of protein?

• A. fatty
• B. amino
• C. nucleic
• D. omega fatty

Correct answer: B

Rationale: The correct answer is 'B: amino.' Amino acids are the fundamental units that make up proteins. They are essential for various bodily functions, including building and repairing tissues. Choice A, 'fatty acids,' are not the basic building blocks of proteins but rather a type of lipid. Choice C, 'nucleic acids,' are the building blocks of nucleic acids like DNA and RNA, not proteins. Choice D, 'omega fatty acids,' are a specific type of fatty acid known for their health benefits but are not directly related to the building blocks of proteins.

5. An example of government nutrition policy is:

• A. MyPlate Food Guidance System.
• B. Dietary Guidelines for Americans 2010.
• C. Healthy People 2020.
• D. Dietary Reference Intakes (DRIs).

Correct answer: C

Rationale: The correct answer is C: Healthy People 2020. Healthy People 2020 is a government initiative that sets goals for improving the health of Americans, including specific nutritional objectives. Choices A, B, and D are not examples of government nutrition policies. MyPlate Food Guidance System is a visual tool to help individuals make healthy food choices, Dietary Guidelines for Americans 2010 provide evidence-based advice for Americans two years and older, and Dietary Reference Intakes (DRIs) are a set of nutrient reference values.

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