Nursing Elites

1. How is resistant starch digested in the colon?

• A. bacterial fermentation.
• B. pancreatic amylase.
• C. hydrochloric acid.
• D. villi and microvilli.

Correct answer: A

Rationale: In the colon, resistant starch is digested by bacterial fermentation. The correct answer is A. During this process, short-chain fatty acids are produced. Pancreatic amylase, as mentioned in choice B, is responsible for breaking down starch in the small intestine, not in the colon. Choice C, hydrochloric acid, functions in the stomach to aid in the digestion of proteins, not starch. Villi and microvilli, as stated in choice D, are structures in the small intestine that absorb nutrients; they do not participate in the digestion of resistant starch in the colon.

2. The type of protein-energy malnutrition that results in edema, hypoalbuminemia, skin lesions, and fatty liver is:

• A. cachexia.
• B. marasmus.
• C. kwashiorkor.
• D. sarcopenia.

Correct answer: C

Rationale: The correct answer is C, kwashiorkor. Kwashiorkor is a type of protein-energy malnutrition characterized by edema, hypoalbuminemia, skin lesions, and fatty liver. Edema is a key feature of kwashiorkor due to hypoalbuminemia, which leads to decreased oncotic pressure. Marasmus (choice B) is a form of severe malnutrition characterized by energy deficiency without significant protein deficiency, resulting in severe wasting. Cachexia (choice A) is a syndrome characterized by weight loss, muscle atrophy, fatigue, weakness, and loss of appetite in someone who is not actively trying to lose weight. Sarcopenia (choice D) is the age-related loss of muscle mass and function.

3. Which option below is an example of a meal or snack that contains complementary proteins?

• A. an egg and cheese omelet
• B. a peanut butter sandwich
• C. trail mix with nuts and raisins
• D. mixed bean salad with green beans, kidney beans, and white beans

Correct answer: B

Rationale: The correct answer is B, a peanut butter sandwich. A peanut butter sandwich combines grains from the bread and proteins from the nuts in the peanut butter, providing complementary proteins. This combination offers all essential amino acids. Choices A, C, and D do not contain complementary proteins as they lack the combination of different protein sources necessary to provide a complete amino acid profile.

4. Proteins are absorbed primarily in the form of:

• A. fatty acids.
• B. disaccharides.
• C. amino acids.
• D. polypeptides.

Correct answer: C

Rationale: The correct answer is C: amino acids. Proteins are broken down by digestive enzymes into amino acids before being absorbed in the small intestine. Amino acids are the building blocks of proteins and are the form in which they are primarily absorbed. Choice A (fatty acids) is incorrect as fatty acids are the end products of fat digestion, not protein digestion. Choice B (disaccharides) is incorrect because disaccharides are sugars that are broken down into monosaccharides, not proteins. Choice D (polypeptides) is incorrect as proteins are broken down into amino acids and not absorbed as polypeptides.

5. During the process of deamination, the nitrogen portion of amino acids is converted to:

• A. ammonia.
• B. protein.
• C. purines.
• D. glycogen.

Correct answer: A

Rationale: During the process of deamination, the nitrogen portion of amino acids is converted to ammonia. This occurs in the liver as part of the process to remove excess nitrogen from the body. Choice B, 'protein,' is incorrect as deamination breaks down amino acids rather than synthesizing proteins. Choice C, 'purines,' is incorrect as purines are a type of nitrogenous base found in DNA and RNA, not a product of deamination. Choice D, 'glycogen,' is incorrect as glycogen is a storage form of glucose and not a product of amino acid deamination.

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