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. 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.

3. How many kilocalories (kcal) are provided by a food containing 30 grams of carbohydrate?

• A. 90
• B. 120
• C. 180
• D. 270

Correct answer: B

Rationale: The correct answer is B: 120. Carbohydrates provide 4 kcal per gram, so 30 grams of carbohydrates will provide 120 kcal. This is calculated by multiplying the grams of carbohydrate (30) by the kcal per gram (4). Choices A, C, and D are incorrect because they do not reflect the correct calculation based on the energy content of carbohydrates.

4. Two amino acids are chemically joined by a:

• A. double bond.
• B. hydrogen bond.
• C. carboxyl bond.
• D. peptide bond.

Correct answer: D

Rationale: The correct answer is D, peptide bond. A peptide bond is formed through a dehydration synthesis reaction between the amine group of one amino acid and the carboxyl group of another amino acid. This bond is crucial in protein synthesis. Choices A, B, and C are incorrect. A double bond involves sharing two pairs of electrons, a hydrogen bond is a weak attraction between a hydrogen atom and an electronegative atom, and a carboxyl bond is not a common term in biochemistry.

5. Which of the following is an example of a plasma protein?

• A. Collagen.
• B. Myosin.
• C. Albumin.
• D. Phospholipid.

Correct answer: C

Rationale: The correct answer is C, albumin. Albumin is a plasma protein that plays a crucial role in maintaining fluid balance in the blood. Collagen (choice A) is a structural protein found in connective tissues, not a plasma protein. Myosin (choice B) is a protein involved in muscle contraction, not found in the blood plasma. Phospholipid (choice D) is a type of lipid molecule, not a protein present in plasma.

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