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Details

Normal Nutrition
Registered Dietitian Exam
114
Medical
Graduate
07/05/2010

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Cards

Term
Which vitamin structure most closely resembles that of glucose
Definition
Ascorbic Acid
Term
What is the relationship of the RDA for thiamin per 1000 calories
Definition
0.5 mg thiamin per 1000 calories
Term
What is the relationship of the RDA for niacin per 1000 calories
Definition
6.6 mg niacin per 1000 calories
Term
What is the relationship of the RDA for riboflavin per 1000 calories
Definition
0.6 mg riboflavin per 1000 calories
Term
What is the relationship of the RDA for iron per 1000 calories
Definition
6.0 mg iron per 1000 calories
Term
Vitamin B6 needs to increased as the need for which macronutrient increases
Definition
Protein
Term
When does biotin function as a part of an enzyme in the transferring of carbon dioxide
Definition
In energy metabolism; the Kreb's cycle
Term
Insufficient intake of what three vitamins is likely to result in increased serum homocysteine levels?
Definition
Folate, B12, B6
Term
What emulsifier converts to a phospholipid
Definition
Lecithin
Term
Where in the body is beta carotene converted to vitamin A
Definition
intestine
Term
Which mineral is involved in blood clot formation
Definition
Calcium
Term
Vitamin K triggers the liver to synthesize which step of the blood-clotting cascade
Definition
Prothrombin
Term
What are the best dietary sources of vitamin K
Definition
Dark green, leafy vegetables
Term
Identify two possible causes of vitamin K deficiency
Definition
High doses of antibiotics and long-term diarrhea. Bacteria responsible for the synthesis of vitamin K in the intestinal tract are excreted with diarrhea
Term
What is the biochemical role of pantothenic acid in the body?
Definition
A constituent of coenzyme A in energy metabolism
Term
What are the best dietary sources of thiamin
Definition
Pork, wheat germ, and legumes
Term
The dietary deficiency disease megaloblastic or macrocytic anemia is a deficiency of what vitamin
Definition
Folate
Term
What is the role of vitamin E in lipid protection?
Definition
Vitamin E acts as an antioxidant in lipid protection by preventing oxidation of PUFAs and other lipids
Term
What is the active form of vitamin D
Definition
1,25-dihydroxycholecalciferol (calcitriol) is the active form of vitamin D; 25-hydroxycholecalciferol (calcidol) is the inactive form of D2
Term
Cholesterol is necessary for proper functioning of the body because it is a precursor to which vitamin
Definition
Vitamin D; dehydrocholesterol in the skin is synthesized from cholesterol in the presence of UV light
Term
How is the daily requirement of niacin affected by the intake of protein and typtophan
Definition
There is an inverse relationship of tryptophan to niacin. As protein intake increases, tryptophan increases. Thus the need for niacin decreases as the body is able to make its own niacin. 1 mg niacin = 60 mg tryptophan
Term
What other vitamin is affected when niacin deficiency exists
Definition
Riboflavin is affected since both are H+ carriers; remember FAD/NAD, "think cousins"
Term
Biotin is considered a coenzyme in which metabolic pathway
Definition
Fatty acid synthesis; there is significant CO2 transfer activity in putting these long chains together
Term
What vitamin plays a role in collagen formation?
Definition
Vitamin C, by converting proline to hydroxyproline. The sequence is proline-hydroxyproline-collagen
Term
Identify two key signs of vitamin A deficiency
Definition
Night blindness and keratinization of the skin
Term
Which two food groups are rich in nutrients that are important in overall cancer prevention
Definition
Fruits and vegetables; high fiber, vitamins A and C
Term
What vitamin is known to prevent neural tube defects?
Definition
Folate; legumes are rich source of folic acid.
Term
Resting energy expenditure is affected by
Definition
Body surface area, body composition, hormonal factors, gender, age, fever, pregnancy, lactation, extremes in environmental temperature
Term
Thiamine pyrophosphate (TTP) is closely linked to
Definition
Carbohydrate metabolism
Term
Name three recommendations for the prevention of osteoporosis
Definition
Weight bearing exercise where exercise stimulates bone-forming (osteoblast) activity & moves calcium back into bone. Estrogen and calcium are also known to prevent osteoporosis.
Term
Immobility causes what type of bone activity
Definition
Increases loss of calcium and protein from the body; stimulates osteoclast activity
Term
Name two or more factors that adversely influence iron absorption
Definition
Tannins, inorganic acids (tea and coffee) adversely influence iron absorption; calcium supplements or excess milk consumption interfere with iron absorption
Term
Which mineral is involved in the transportation of lipids through the body's lymph and blood systems
Definition
Phosphorus
Term
How does gastrin aid in iron absorption
Definition
Gastrin enhances iron absorption by increasing HCl to the stomach. the conversion of ferric to ferrous iron requires an acidic environment.
Term
Name two minerals widely used in carbohydrate metabolism
Definition
Magnesium and phosphorus
Term
What is hemosiderosis
Definition
The excess accumulation of iron
Term
What mineral deficiency may lead to hypoguesia
Definition
Zinc
Term
What factor found in meat enhances the absorption of iron from legumes
Definition
The MFP factor; Meat, Fish, Poultry Factor
Term
Most food iron is in the oxidized form of __
Definition
Ferric iron (+3)
Term
The reduced form of iron is ___
Definition
Ferrous iron (+2)
Term
What is the storage form of iron
Definition
Ferritin
Term
Which serum mineral has the greatest impact on bone
Definition
Phosphorus
Term
Name five risk factors for osteoporosis
Definition
Increasing age, female, North European heritage, immobility, reduced calcium in the diet
Term
Which serum concentration is most important to the deposition of hydroxyapatite in bone matrix
Definition
A 1:1 ratio of phosphorus and calcium
Term
Which mineral interferes with the absorption of iron?
Definition
zinc, iron and zinc compete for transport
Term
The lack of which mineral has an effect on carbohydrates?
Definition
Chromium
Term
Which two nutrients are a part of the glucose tolerance factor
Definition
Niacin and chromium
Term
Which minerals functions include the control of the rhythm/contraction of the heart
Definition
Calcium
Term
Identify four sources of oxalic acid
Definition
Chocolate, cranberries, rhubarb, and spinach
Term
Oxalic acid is known to bind with which mineral
Definition
Calcium
Term
What is the primary function of flouride
Definition
Flouride is helpful in preventing dental caries in children and adults
Term
Name two minerals important for energy production
Definition
Copper and iron
Term
Identify which areas of the country have a high iodine content in the soil
Definition
Those geographical areas influenced by sea water at one time in history; coastal areas
Term
What is the process by which sodium is transported
Definition
Active transport which requires energy
Term
What are the best food sources of phosphorus
Definition
Meat and dairy products
Term
Which calcium supplement contains the most calcium
Definition
calcium carbonate
Term
What ion is found in intracellular fluid
Definition
Potassium
Term
What ion is found in extracellular fluid
Definition
Sodium
Term
Name four nutrients found in broccoli
Definition
vitamin A, vitamin C, potassium, calcium
Term
Name the sulfur-containing amino acids
Definition
cysteine and methionine
Term
Non-fat, dried milk powder is rich in what nutrient
Definition
Potassium, 3.2 oz provides 1552 mg
Term
At what age does the AI for calcium change for children from 800 to 1300mg
Definition
At 9 years
Term
In a prolonged fasting or starvation state, what does the brain rely upon to meet its energy
Definition
Ketones
Term
What hormone regulates sodium reabsorption
Definition
Aldosterone
Term
What is the limiting amino acid in grains
Definition
lysine
Term
What is the limiting amino acid in legumes
Definition
methionine
Term
What age group has the highest protein need based on kilograms of bodyweight
Definition
infant
Term
Which hormone stimulates protein synthesis
Definition
Growth Hormone
Term
Which macronutrient increases serotonin release
Definition
carbohydrates
Term
Identify four factors that affect nitrogen balance negatively.
Definition
illness, weight loss, immobilization, wasting disease
Term
Which food is designated as the protein standard
Definition
Egg; also categorized high-biological value protein
Term
The ability to absorb intact proteins occurs at what life stage?
Definition
A newborn has the ability to absorb intact proteins.
Term
___ is the pressure at the capillary membrane caused by dissolved protein in the plasma
Definition
Oncotic or colloidal pressure
Term
Pepsin and trypsin are needed for the hydrolysis of which macronutrient
Definition
Peptide bonds to form polypeptides and amino acids
Term
Which food product has the greatest protein digestibility coefficient
Definition
milk, it is completely digested without waste
Term
name the monosaccharides
Definition
glucose, fructose, galactose
Term
Name the disaccharides
Definition
sucrose, lactose, maltose
Term
When aspartame is used in a product, what must be on the label?
Definition
contains phenylalanine; necessary for individuals with PKU
Term
What is the average consumption of fiber per day by healthy adults in the US
Definition
12-15 g per day
Term
What is the recommended amount of fiber for a healthy adult per day?
Definition
25-38g per day
Term
Name one dairy-based food a lactose intolerant person can tolerate
Definition
parmesean cheese- lactose in whey is lost during processing
Term
Appetite is controlled by what center in the brain
Definition
hypothalamus
Term
Impaired kidney function can cause what type of abnormal fluid shift
Definition
Fluid shift from the interstitial spaces to the plasma resulting in circulatory congestion
Term
What is the function of the hormone glucagon
Definition
Converts glycogen to glucose
Term
Which organ produces the enzyme lactose
Definition
The small intestine
Term
What two organs release lipase for fat digestion
Definition
pancreas and stomach
Term
___ is the mechanism for carrier-facilitated absorption from higher to lower concentration, utilized by water-soluble nutrients
Definition
passive diffusion
Term
gastric proteolysis requires what substance in order to convert proteins to peptides
Definition
Hydrochloric acid
Term
What type of fatty acids are carried by chylomicrons to the lymphtic system and are NOT absorbed in the portal system
Definition
long chain fatty acids
Term
Which oil is highest in monosaturated fatty acids
Definition
Olive oil(77%) and canola oil (43%)
Term
Which oil is highest in polyusaturated fatty acids?
Definition
Safflower and corn oil
Term
Identify four states wherein ketone bodies are produces
Definition
uncontrolled diabetes, starvation, fasting, decreased carbohydrate intake
Term
What is lecithin
Definition
a phospholipid
Term
What is the first step in the digestion of triglycerides
Definition
lingual lipase splits some fatty acids from triglycerides to form diglycerides
Term
What is the target organ for the hormone cholecystokinin
Definition
the gallbladder bile is released in response to this hormone
Term
when isocaloric amounts of omega-3 fatty acids are substituted for saturated fatty acids, what change in lipid profile usually occurs
Definition
decrease in triglycerides with little change in total cholesterol
Term
What three vitamins are needed for the end product of glycolysis to enter the Kreb's cycle for energy transformation
Definition
Niacin, thiamin, riboflavin
Term
Indirect calorimetry measures energy expenditure by what process
Definition
Amount of oxygen consumed and carbon dioxide released
Term
Identify the only endocrine and exocrine gland
Definition
pancreas
Term
Fatty acids cannot increase blood glucose level due to what irreversible step at the entrance of the Kreb's cycle
Definition
The step of pyruvate to acetyl CoA
Term
Lipolysis and gluconeogenesis are stimulated by which three hormones
Definition
Epinephrine, norepinephrine, and glucagon
Term
What is the most practical way to determine energy balance
Definition
Monitor bodyweight for gain or loss
Term
What is the source of energy used by the brain after prolonged starvation
Definition
Ketones
Term
What is the most variable factor in determining calorie requirement
Definition
Body size, dependent on sex and age
Term
Which hormone has the greatest affect on BMR
Definition
Thyroxine (T4)
Term
Which hormone inhibits gluconeogenesis
Definition
Insulin
Term
Which hormone promotes glucogenesis
Definition
glucagon
Term
What is the cori cycle
Definition
Recycles lactic acid to glucose
Term
Tissue deprived of oxygen during exercise has an accumulation of
Definition
lactic acid
Term
What is the specific dynamic action/thermal effect of food?
Definition
The energy expended when food is digested absorbed and metabolized
Term
Food labels must list which nutrients other than fuel nutrients
Definition
iron, vitamin a, sodium, calcium, vitamin c
Term
What replaced the US RDA on food labels
Definition
% Daily Value
Term
The calorie content of a food must be reduced by what percent in order to be classified as a "reduced calorie food"
Definition
25%
Term
What is the main function of the Food and Nutrition Board of the National Research Council
Definition
Acts as an advisory board on nutrition to US agencies and establishes the RDA
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