Nursing Elites

1. The type of protein-energy malnutrition (PEM) that develops when the diet lacks protein is called:

• A. kwashiorkor.
• B. marasmus.
• C. anemia.
• D. beriberi.

Correct answer: A

Rationale: The correct answer is A: kwashiorkor. Kwashiorkor is a form of protein-energy malnutrition that arises due to a protein-deficient diet. This condition leads to symptoms such as edema, skin lesions, and fatty liver. Choice B, marasmus, is a form of PEM caused by overall malnutrition (protein and calorie deficiency), resulting in severe wasting and muscle loss. Choice C, anemia, is a condition characterized by a deficiency of red blood cells or hemoglobin, not specifically related to protein deficiency. Choice D, beriberi, is a disease caused by thiamine (Vitamin B1) deficiency, not a form of PEM related to protein deficiency.

2. How many kilocalories are provided by 15 grams of protein?

• A. 15
• B. 45
• C. 60
• D. 135

Correct answer: C

Rationale: Protein provides 4 kcal per gram. Therefore, 15 grams of protein will provide 15 grams x 4 kcal/gram = 60 kcal. Choices A, B, and D are incorrect because they do not consider the caloric value of protein correctly.

3. How can cholesterol absorption be decreased?

• A. Vitamin K.
• B. Plant sterols.
• C. Trans fats.
• D. Phospholipids.

Correct answer: B

Rationale: The correct answer is B: Plant sterols. Plant sterols can reduce cholesterol absorption by competing with cholesterol for absorption sites. Vitamin K, choice A, does not have a significant impact on cholesterol absorption. Trans fats, choice C, are known to increase cholesterol levels rather than decrease absorption. Phospholipids, choice D, play a role in cell structure and are not directly involved in reducing cholesterol absorption.

4. Plasma lipoproteins contain varying amounts of:

• A. ascorbic acid.
• B. triglycerides.
• C. lecithin.
• D. glucose.

Correct answer: B

Rationale: The correct answer is B: triglycerides. Plasma lipoproteins, such as LDL and HDL, contain triglycerides, cholesterol, and other fats. Ascorbic acid (choice A) is not typically found in plasma lipoproteins; it is a form of vitamin C. Lecithin (choice C) is a phospholipid found in cell membranes but is not a major component of plasma lipoproteins. Glucose (choice D) is a type of sugar and is not a primary component of plasma lipoproteins.

5. 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.

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