Nursing Elites

1. Which nutrient has a protein-sparing effect?

• A. Glycerol
• B. Carbohydrate
• C. Nitrogen
• D. Fatty acids

Correct answer: B

Rationale: Carbohydrates have a protein-sparing effect, meaning that adequate carbohydrate intake can prevent the use of protein for energy. Glycerol, nitrogen, and fatty acids do not have a protein-sparing effect. Glycerol is a component of fats and oils, nitrogen is a component of proteins, and fatty acids are used primarily as an energy source.

2. In which health problem is protein catabolism increased?

• A. severe burns
• B. severe obesity
• C. hypothyroidism
• D. food allergies

Correct answer: A

Rationale: Protein catabolism increases in conditions like severe burns because the body breaks down muscle protein to provide energy for healing. Severe obesity does not necessarily increase protein catabolism; instead, it is more related to excessive fat accumulation. Hypothyroidism may lead to a decrease in metabolic rate but does not directly increase protein catabolism. Food allergies trigger an immune response to specific foods but do not directly impact protein catabolism.

3. 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.

4. Where does gluconeogenesis occur?

• A. Muscles.
• B. Pancreas.
• C. Liver.
• D. Spleen.

Correct answer: C

Rationale: Gluconeogenesis mainly occurs in the liver. It is a process where glucose is synthesized from non-carbohydrate sources such as amino acids and glycerol. The liver is the primary site for gluconeogenesis due to the presence of key enzymes and substrates required for this process. Muscles do not play a significant role in gluconeogenesis, making choice A incorrect. The pancreas is involved in the regulation of blood sugar levels through insulin and glucagon but is not the primary site for gluconeogenesis, so choice B is incorrect. The spleen is not a major organ involved in glucose metabolism, making choice D incorrect.

5. The process of breaking down body protein into amino acids for energy is known as:

• A. Deamination.
• B. Transamination.
• C. Transcription.
• D. Catabolism.

Correct answer: D

Rationale: The correct answer is D: Catabolism. Catabolism involves the breakdown of body proteins into amino acids to be used as energy when there is an inadequate dietary intake. Choices A and B, deamination and transamination, involve the removal and transfer of amino groups, respectively, but not the breakdown of body proteins. Choice C, transcription, is a process in genetics where DNA is used to create mRNA, not related to breaking down body proteins.

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