Nursing Elites

1. Which lipoprotein increases the risk of cardiovascular disease?

• A. Low-density lipoprotein (LDL)
• B. High-density lipoprotein (HDL)
• C. Very low-density lipoprotein (VLDL)
• D. Chylomicrons

Correct answer: A

Rationale: The correct answer is A: Low-density lipoprotein (LDL). LDL is often referred to as 'bad cholesterol' because it can lead to plaque buildup in arteries, increasing the risk of cardiovascular disease. High-density lipoprotein (HDL) is considered 'good cholesterol' as it helps remove LDL from the arteries, reducing the risk of cardiovascular issues. Very low-density lipoprotein (VLDL) and chylomicrons are also lipoproteins that transport fats in the bloodstream, but they are not as strongly associated with an increased risk of cardiovascular disease as LDL.

2. What role do the amino acids methionine, tyrosine, and tryptophan play?

• A. Forming neurotransmitters.
• B. Blocking excess protein breakdown.
• C. Increasing production of insulin and thyroxine.
• D. Decreasing energy expenditure.

Correct answer: A

Rationale: The correct answer is A: Forming neurotransmitters. Methionine, tyrosine, and tryptophan are important amino acids involved in the production of neurotransmitters in the body. Neurotransmitters are chemical messengers that transmit signals across nerve cells, influencing various functions such as mood, memory, and muscle control. Choices B, C, and D are incorrect because these amino acids do not primarily play a role in blocking protein breakdown, increasing insulin and thyroxine production, or decreasing energy expenditure.

3. What substance acts as an emulsifier and helps absorb digested fat?

• A. bile
• B. trypsin
• C. lipase
• D. cholecystokinin (CCK)

Correct answer: A

Rationale: The correct answer is A: bile. Bile acts as an emulsifier, breaking down fats into smaller droplets to aid in digestion and absorption. Trypsin is a digestive enzyme that acts on proteins, not fats. Lipase is an enzyme that breaks down fats, but it doesn't act as an emulsifier. Cholecystokinin (CCK) is a hormone that stimulates the release of digestive enzymes, including lipase, but it is not directly involved in emulsification.

4. A person with lactose intolerance should be most careful to limit their intake of:

• A. milk
• B. yogurt
• C. cheese
• D. corn syrup

Correct answer: A

Rationale: Individuals with lactose intolerance lack the enzyme lactase needed to break down lactose, the sugar in dairy products. Milk contains a high amount of lactose, making it crucial for those with lactose intolerance to limit their intake. Yogurt and cheese, on the other hand, have lower lactose content due to the fermentation process which reduces lactose levels, making them better tolerated by many with lactose intolerance. Corn syrup, although high in sugar, does not contain lactose and is unrelated to lactose intolerance. Therefore, the correct answer is 'milk' as it is a significant source of lactose, which can trigger symptoms in individuals with lactose intolerance.

5. The Dietary Guidelines are published and revised by the U.S. Department of Agriculture in association with the:

• A. Department of Health and Human Services.
• B. National Institutes of Health.
• C. National Academy of Sciences.
• D. Food and Nutrition Board.

Correct answer: A

Rationale: The correct answer is A. The U.S. Department of Agriculture collaborates with the Department of Health and Human Services to publish and revise the Dietary Guidelines for Americans. This collaboration ensures that the guidelines encompass both agricultural and health aspects. Choices B, C, and D are incorrect as they are not directly involved in the publication and revision of the Dietary Guidelines. The National Institutes of Health focuses on medical research, the National Academy of Sciences provides independent scientific advice, and the Food and Nutrition Board is a part of the National Academies of Sciences, Engineering, and Medicine.

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