Nursing Elites

1. Why are diets that contain less than 10% of kcalories as fat not recommended?

• A. Intake of carbohydrates would not necessarily be too high.
• B. This would not necessarily require excessive use of fat replacers.
• C. The diet would not provide adequate essential fatty acids.
• D. Intake of essential fatty acids would be too low.

Correct answer: D

Rationale: Diets that contain less than 10% of kcalories as fat are not recommended because they would lead to inadequate intake of essential fatty acids, which are crucial for various bodily functions like hormone production, brain function, and cell membrane structure. Option A is incorrect because reducing fat intake does not necessarily mean increasing carbohydrate intake excessively. Option B is incorrect as it introduces a new concept of using fat replacers, which is not directly related to the issue of essential fatty acid intake. Option C is incorrect as the primary concern with low-fat diets is the insufficiency of essential fatty acids, not the adequacy of them.

2. Fructose is the sugar found in:

• A. bread.
• B. gelatin desserts.
• C. sugar-coated cereals.
• D. honey and fruit.

Correct answer: D

Rationale: Fructose is a sugar naturally found in honey and fruit. While bread contains carbohydrates, it does not primarily consist of fructose. Gelatin desserts are more likely to contain added sugars like sucrose rather than fructose. Sugar-coated cereals typically contain sucrose or other added sugars, not just fructose. Therefore, the correct answer is honey and fruit as they naturally contain fructose.

3. Which enzyme is secreted by the salivary glands?

• A. Pepsin.
• B. Trypsin.
• C. Sucrase.
• D. Amylase.

Correct answer: D

Rationale: The correct answer is D, amylase. Amylase is an enzyme produced by the salivary glands that initiates the digestion of carbohydrates in the mouth. Pepsin (choice A) is produced in the stomach to digest proteins, trypsin (choice B) is produced in the pancreas to digest proteins, and sucrase (choice C) is produced in the small intestine to break down sucrose. Therefore, choices A, B, and C are incorrect in the context of an enzyme secreted by the salivary glands.

4. From where are trypsin and chymotrypsin secreted?

• A. Small intestine.
• B. Liver.
• C. Stomach.
• D. Pancreas.

Correct answer: D

Rationale: Trypsin and chymotrypsin are enzymes involved in protein digestion. These enzymes are secreted by the pancreas, not the small intestine, liver, or stomach. The pancreas plays a crucial role in producing digestive enzymes that aid in breaking down proteins in the small intestine. The small intestine is the site where these enzymes act, not where they are secreted. The liver is responsible for producing bile, not digestive enzymes. The stomach secretes gastric juices but not trypsin and chymotrypsin. Therefore, the correct answer is the pancreas.

5. Most fat replacers are made from:

• A. proteins.
• B. carbohydrates.
• C. cholesterol.
• D. monoglycerides.

Correct answer: B

Rationale: Most fat replacers are made from carbohydrates. Carbohydrates are utilized to mimic the texture of fats in food products. Proteins (Choice A) are not commonly used as fat replacers and are more often associated with other functions in food. Cholesterol (Choice C) is a type of fat and not used to replace fat in food products. Monoglycerides (Choice D) are sometimes used as emulsifiers or stabilizers in food products but are not the primary source of fat replacers.

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