Nursing Elites

1. In a low-carbohydrate diet, most of the calories are supplied by:

• A. proteins.
• B. fats.
• C. carbohydrates.
• D. vitamins.

Correct answer: B

Rationale: In a low-carbohydrate diet, fats become the primary source of calories as carbohydrate intake is restricted. Proteins can contribute to caloric intake but are not the primary source in a low-carbohydrate diet. Carbohydrates are intentionally limited in this diet, so they do not supply most of the calories. Vitamins are essential nutrients but do not provide calories.

2. What is a major function of glucose?

• A. Produce energy.
• B. Transport oxygen to cells.
• C. Convert fat to glycogen.
• D. Maintain body weight.

Correct answer: A

Rationale: Glucose serves as a primary source of energy for the body, especially for the brain and muscles. Choice B is incorrect because glucose itself is not responsible for transporting oxygen to cells. Choice C is incorrect as glucose is converted to glycogen, not the other way around. Choice D is incorrect as glucose itself does not play a direct role in maintaining body weight.

3. What is the function of chylomicrons?

• A. Produced in the hepatic system.
• B. Composed of triglycerides and cholesterol only.
• C. Absorbed in the large intestine.
• D. Cleared from the blood by lipoprotein lipase.

Correct answer: D

Rationale: Chylomicrons are particles that transport dietary fats from the small intestine to cells in the body. They are cleared from the bloodstream by lipoprotein lipase, an enzyme that breaks down triglycerides in chylomicrons into fatty acids and glycerol. This process allows fats to be absorbed by the body. Choices A, B, and C are incorrect because chylomicrons are not formed in the hepatic system, they are composed of various lipids including triglycerides and cholesterol, and they are absorbed in the small intestine, not the large intestine.

4. What is the term for the production of glucose from protein, lactate, or glycerol?

• A. glycolysis
• B. gluconeogenesis
• C. glycogenolysis
• D. glucogenesis

Correct answer: B

Rationale: Gluconeogenesis is the correct term for the production of glucose from non-carbohydrate sources such as protein, lactate, or glycerol. Choice A, glycolysis, is the process of breaking down glucose into pyruvate. Choice C, glycogenolysis, is the breakdown of glycogen into glucose. Choice D, glucogenesis, is not a recognized term in biochemistry.

5. What is the primary function of carbohydrates as a food source?

• A. Regulate metabolic processes.
• B. Build body tissue.
• C. Supply energy.
• D. Provide bulk.

Correct answer: C

Rationale: The primary function of carbohydrates as a food source is to supply energy. Carbohydrates are the body's main source of energy, providing fuel for various physiological functions. Choice A is incorrect because carbohydrates do not primarily regulate metabolic processes; that role is mainly attributed to enzymes and hormones. Choice B is incorrect because proteins are primarily responsible for building body tissue. Choice D is incorrect because fiber, not all carbohydrates, provides bulk in the diet.

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