branched chain amino acids leucine isoleucine and valine may be especially important for a patient with

ATI LPN

ATI Nutrition Proctored Exam 2019 Answers

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. What is the cause of gas formation in the colon?

A. Consuming refined foods.
B. Drinking excess water.
C. Swallowing air while eating.
D. Bacterial action on organic compounds.

Correct answer: D

Rationale: Gas formation in the colon is primarily due to bacterial fermentation of undigested carbohydrates. Choice A, consuming refined foods, is incorrect as gas formation is not directly linked to refined foods but rather undigested carbohydrates. Choice B, drinking excess water, is incorrect as water consumption does not lead to gas formation in the colon. Choice C, swallowing air while eating, is incorrect as this may cause belching but not gas formation in the colon. The correct answer is D because bacterial action on organic compounds, specifically undigested carbohydrates, leads to gas production in the colon.

3. The lining of the stomach and intestine is protected from self-digestion by:

A. pepsinogen.
B. bile.
C. mucus.
D. fat.

Correct answer: C

Rationale: The correct answer is C: mucus. Mucus forms a protective barrier that prevents the stomach and intestine from digesting themselves. Pepsinogen (choice A) is an inactive form of pepsin, a digestive enzyme, and does not protect the stomach lining. Bile (choice B) aids in the digestion and absorption of fats but does not protect the stomach lining. Fat (choice D) is a nutrient and energy source; it does not play a role in protecting the stomach and intestine from self-digestion.

4. Which tissue has the highest rate of protein turnover?

A. Skin
B. Intestinal mucosa
C. Muscle
D. Adipose tissue

Correct answer: B

Rationale: The correct answer is B: Intestinal mucosa. The intestinal mucosa has the highest rate of protein turnover due to its rapid cell renewal. The skin, muscle, and adipose tissue do not exhibit protein turnover rates as high as the intestinal mucosa. Skin cells turnover relatively slower compared to the rapid renewal of intestinal mucosa cells. Muscles have a moderate rate of protein turnover, while adipose tissue has a lower turnover rate compared to the other tissues mentioned.

5. What are probiotics?

A. Indigestible carbohydrates that promote growth of health-promoting bacteria.
B. Antibiotics that prevent growth of harmful bacteria.
C. Nutritional supplements of health-promoting bacteria.
D. Commercial fiber supplements that have a laxative effect.

Correct answer: C

Rationale: Probiotics are live bacteria that are beneficial for gut health and are often taken as supplements. They are not indigestible carbohydrates (Choice A), antibiotics (Choice B), or commercial fiber supplements (Choice D). Probiotics contain live strains of good bacteria that help maintain a healthy balance in the gut microbiome.