Nursing Elites

1. 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.

2. A characteristic of saturated fats is that they are:

• A. mostly found in animal products.
• B. solid at room temperature.
• C. composed of many double bonds.
• D. found primarily in vegetable products.

Correct answer: A

Rationale: The correct answer is A: 'mostly found in animal products.' Saturated fats are primarily found in animal products such as meat, dairy, and eggs. They are typically solid at room temperature. Choice B is incorrect because saturated fats are solid at room temperature, not liquid. Choice C is incorrect because saturated fats do not have double bonds; they have single bonds between carbon atoms. Choice D is incorrect because saturated fats are mainly found in animal products, not vegetable products.

3. What is the chemical structure that forms the base component of an amino acid?

• A. carboxyl group
• B. carbon chain
• C. radicals
• D. amino group

Correct answer: D

Rationale: The correct answer is the amino group. Amino acids consist of an amino group (NH2), a carboxyl group (COOH), a hydrogen atom, and a variable side chain attached to a central carbon atom. The amino group is essential for the formation of proteins. The carboxyl group is not the base component but another important functional group in amino acids. Carbon chain and radicals are not specific chemical structures that form the base component of an amino acid.

4. Ketones are produced when:

• A. carbohydrate stores are depleted.
• B. excess protein is consumed.
• C. protein stores are depleted.
• D. fat stores are depleted.

Correct answer: A

Rationale: Ketones are produced when the body uses fat for energy due to the depletion of carbohydrate stores. When carbohydrate stores are depleted, the body turns to fat as its primary source of energy, leading to the production of ketones. Excess protein consumption does not directly lead to ketone production. Similarly, the depletion of protein stores or fat stores is not directly related to the production of ketones.

5. 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.

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