Nursing Elites

1. Which of the following is a characteristic of essential fatty acids?

• A. They can come from both animal and plant sources.
• B. They are not manufactured by the body.
• C. They are not manufactured by the body.
• D. They are manufactured by the body.

Correct answer: B

Rationale: The correct answer is B: Essential fatty acids are not manufactured by the body. These fatty acids must be obtained through the diet because the body cannot synthesize them. Choice A is incorrect because essential fatty acids can come from both animal and plant sources, not just from an animal source. Choice C is the correct characteristic of essential fatty acids. Choice D is incorrect because essential fatty acids are not produced by the body.

2. Which condition may benefit from branched chain amino acids (leucine, isoleucine, and valine)?

• A. cancer-related malnutrition
• B. marasmus
• C. cardiovascular disease
• D. severe depression

Correct answer: A

Rationale: Branched chain amino acids, such as leucine, isoleucine, and valine, are essential in preventing muscle breakdown. Therefore, they may be particularly important for a patient with cancer-related malnutrition, where maintaining muscle mass is crucial. Marasmus is a severe form of malnutrition characterized by energy deficiency, not specifically related to cancer. Cardiovascular disease and severe depression do not have a direct correlation with the need for branched chain amino acids to prevent muscle breakdown.

3. Which tissue has the highest rate of protein turnover?

• A. Skin
• B. Intestinal mucosa
• C. Muscle
• D. Adipose tissue

Correct answer: B

Rationale: The correct answer is B: Intestinal mucosa. The intestinal mucosa has the highest rate of protein turnover due to its rapid cell renewal. The skin, muscle, and adipose tissue do not exhibit protein turnover rates as high as the intestinal mucosa. Skin cells turnover relatively slower compared to the rapid renewal of intestinal mucosa cells. Muscles have a moderate rate of protein turnover, while adipose tissue has a lower turnover rate compared to the other tissues mentioned.

4. 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.

5. 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.

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