Nutritional Sciences 132

EXAM 2

Fall 2008

Directions

This exam includes 50 questions of equal weight. Check that you have all of the questions. You also need a computer answer sheet color-coded to match your question set.

Use ONLY a No. 2 pencil.

Write name and identification number on the computer answer sheet in the appropriate spaces, filling in the appropriate circles.

Answer all questions on the computer answer sheet by filling in the circles. Choose the ONE best answer for each question.

If necessary to change an answer, erase completely.

Turn in your answer sheet at the back door. Show your question set, which you may then keep.

You must turn in your answer sheet at the end of the 50-minute exam period. You are not allowed extra time to fill in ID or transfer answers from question set to answer sheet. You are expected to do that within the exam period

 

THIS IS A WHITE EXAM


 

 

1.      Which is likely to be the best source of saturated fat?

 

a)            olive oil
b)            beef
c)            vegetable oil
d)            oatmeal

e)            fish

2.         Which will likely elevate blood total cholesterol and low-density lipoproteins (LDL) to the greatest extent?

 

a)            polyunsaturated fat
b)            monounsaturated fat          
c)            saturated fat
d)            dietary cholesterol
e)            none of the above.

3.      High levels of which one are most closely associated with greater risk of heart disease?

 

a)            low-density lipoproteins
b)            high-density lipoproteins
c)            chylomicrons
d)            total cholesterol

e)            very low-density lipoproteins

4.      Proteins are a class of compounds differentiated from other macronutrients by which of the following characteristics?

 

a)            They contain nitrogen, provide 4 kcals/gram in energy.
b)            They are made up of 20 amino acids, 9 of which are essential.
c)            They number in the millions of variations, depending on the sequence of amino acids.
d)            Amino acids are coded for by DNA.
e)            All of the above.


5.      Triglycerides are:

 

a)            Glycerol and three fatty acids.
b)            Lipids
c)            Fats
d)            None of the above.

e)            All of the above.

6.         The liver transports triglyceride in:

 

a)            Low density lipoprotein.
b)            Very low density lipoprotein
c)            Chylomicrons.
d)            High density lipoprotein

e)            None of the above.

7.         Prevention of chronic disease starts with:

 

a)            Exercise, high fiber, low monounsaturated fat intake and sparing use of alcohol, salt and sugar.
b)            Salt and sugar.
c)            Exercise, high fiber, very high polyunsaturated fat intake and sparing use of alcohol, salt and sugar.

d)            Exercise, high fiber, low saturated fat intake and sparing use of alcohol, salt and sugar.

e)            None of the above.

8.      The thermic effect of food consumes about _______ percent of ingested energy.

 

a)            10
b)            20
c)            0.10
d)            0.20

e)            None of the above.

9.      An athlete in elite-level training for an endurance sport will probably expend an amount of energy equivalent to what percent of their basal metabolic rate in physical activity?

 

a)            0-25% BMR
b)            25-50% BMR
c)            50-125% BMR
d)           125- 200% BMR

10.       Which of the following statements best describes the obese condition?

 

a)            Obesity is a chronic disease whose cause is psychological.
b)            Obesity is a chronic disease whose cause is genetic.
c)            Obesity is a chronic disease whose cause is genetic and psychological.
d)            Obesity is a chronic disease whose cause is genetic and environmental.

11.       Essential fatty acid

 

a)            is a phospholipid
b)            can be made from carbohydrate in the diet
c)            can be made from protein in the diet
d)            can be made from non-essential fatty acids in the diet

e)            none of the above is correct

12.       In what form do lipids circulate in the blood stream?

 

a)            triglycerides
b)            lecithin
c)            plaque
d)            lipoproteins

e)            aqualipids

13.    Which describe(s) how molecules made of amino acids can function in the body?

 

a)            speed up biochemical reactions
b)            act as chemical messengers
c)            destroy foreign proteins
d)            regulate fluid balance

e)            all of the above

14.    A person with a "thrifty metabolism"

 

a)            burns calories at a high rate while at rest
b)            wastes little food in preparation
c)            uses energy very efficiently.
d)            does not readily store excess food energy

e)            excretes few waste products

15.    Which of the following is likely to improve the LDL/HDL ratio, in terms of the prevention of atherosclerosis?

         a)            polyunsaturated fat
b)            monounsaturated fat 
c)            fish oils
d)            tropical oils

e)            omega- 4 fats

16.    Protein deficiency can cause

 

a)            neurotransmitter stimulation
b)            poor immune function
c)            kwashiorkor
d)            both a and b
e)            both b and c

17.       Which fatty acids are clear liquids at cold temperatures?

 

a)            saturated fat
b)            monounsaturated fat 
c)            tropical oils
d)            polyunsaturated oils

e)            hydrogenated fats

18.    Which is the most common form of naturally occurring fats we consume?

 

a)            hydrogenated fats
b)            free fatty acids
c)            triglycerides
d)            phospholipids

e)            sterols

19.    Which sequence of events best describes the cooking, digestion, and absorption of protein (as in a hard-boiled egg)?

 

a)            Denaturation by heat-- denaturation by acid and protease in stomach and large intestine-- absorbed in large intestine as amino acids and dipeptides.
b)            Chemical breakdown in mouth-- denaturation by acid and protease in stomach-- absorbed in stomach as smaller proteins
c)            Denaturation by heat-- denaturation by acid and protease in stomach and small intestine-- absorbed in small intestine as amino acids and dipeptides.
d)            Chemical breakdown in mouth-- further chemical breakdown in stomach-- absorbed as small proteins in stomach.

20.    An amino acid is considered essential if

 

a)            it can only be made in the body.
b)            it can be used in gluconeogenesis.
c)            it cannot be made in the body.
d)            it is necessary for the production of cell membranes.
e)            it performs a vital function in the body.

21.       Identify which of the following is a typical body response to extended severe energy deprivation:

 

a)            Expends more energy than normal as the body senses the person’s attempt to lose weight.
b)            Conserves energy by lowering basal metabolism.
c)            No difference in energy usage; energy just come from the body’s stores instead of from food.
d)            none of the above.

22.    For diagnostic purposes, the American Psychological Association defines eating disorders as:

 

a)            psychological disorders
b)            multifactorial diseases
c)            extreme dieting
d)            malnutrition
e)            nutritional disorders

23.       Which groups of vegans should take special care in planning their diets?

 

a)            Elderly people and teenage boys
b)            Teenage girls and pregnant women
c)            Middle-aged men and women
d)            Pregnant women and very young children

24.    Which group needs the most protein per unit of body weight?

a)            young children
b)            elderly
c)            teens
d)            adults
e)            vegans

25.    The strongest evidence of a causal relationship between dietary fat intake and the development of cancer comes from

 

a)            animal studies
b)            epidemiological studies
c)            human clinical trials
d)            correlations between national fat intakes and cancer incidence

26.    Which phrases relate to the indicated condition?

 

a)            heart attack: brain death, atherosclerosis in blood vessels of the heart
b)            heart attack: myocardial infarction, obstruction from a clot
c)            stroke: MI, blood vessels of the brain
d)            stroke: atherosclerosis in the vessels through which blood leaves the heart

27.    Which of the following would be the most desirable situation and would be the most likely to reduce your risk of heart disease?

 

a)            increased levels of total cholesterol in your blood
b)            an increased intake of saturated fat
c)            an increased level of HDL cholesterol in your blood
d)            a change in egg consumption from 4 per week to 3 per week

28.       The first chemical challenge to proteins during digestion occurs in the

 

a)            stomach
b)            mouth
c)            small intestine
d)            large intestine

e)            liver

29.       Which is NOT a health risk associated with obesity discussed in lecture?

 

a)            ulcers
b)            arthritis
c)            type II diabetes
d)            heart disease

e)            cancer

30.    To lose a pound of fat per week, you need to:

 

a)            Expend 500 kcals more per day than you consume.
b)            Expend 1000 kcals more per day than you consume.
c)            Go on a diet of 1500 kcals/day if you are a man.

d)            Go on a diet of 1200 kcals/day if you are a woman.

e)            both c and d are correct.

31.        Your basal (or resting) metabolic rate is most reliably and directly related to

 

a)            how much you eat.
b)            your usual level of physical activity.
c)            changes in body fatness.

d)            your lean body mass.

32.         Basal metabolism is

a)            the energy needed to digest food.
b)            the reactions that sustain key life processes.
c)            the reactions that release energy for movement.
d)            storage of nutrients for future use.

 

33.      Which type of body fat distribution is at greatest risk of heart disease, type II diabetes and hypertension?

a)            “apple” shape
b)            “banana” shape
c)            “pear” shape
d)            “kumquat” shape
e)            “potato” shape

34.      Which has NOT been known to produce cardiac arrhythmias through electrolyte imbalance?

 

a)            prolonged hot weather exercise
b)            anorexia nervosa
c)            bulimia nervosa
d)            binge eating disorder
e)           
none of the above

35.      Which lipoprotein contains the highest proportion of cholesterol?

a)            Low Density Lipoprotein (LDL)
b)            Chylomicrons
c)            Very Low Density Lipoprotein (VLDL)
d)            Ultra-high Density Lipoprotein (UDL)
e)           
Moderate Density Lipoprotein (MDL)

36.    Which vegetable oil is the best source of omega-3 fatty acids?

 

a)            sesame
b)            corn
c)            coconut
d)            canola
e)           
safflower

37.      Which is NOT a function of lipid?

 

a)            enhances food flavor
b)            primary storage form of energy in the body
c)            component of cell membranes
d)            primary source of energy for the brain
e)           
source material for steroid hormones

38.    Which of the following is NOT synthesized from cholesterol?

 

a)         vitamin D
b)         estrogen
c)         bile
d)         steroid hormones

e)         insulin

 

39.    Based on what you know from this class, which eating disorder is most likely to have lowered metabolism as a consequence?


a)         anorexia nervosa
b)         binge eating disorder
c)         obsessive-compulsive disorder
d)         bulimia nervosa

e)         pica

40.      Based on what we’ve said in lecture, which eating disorder in this list cannot be placed on a behavioral continuum with the others?

 

a)         anorexia nervosa
b)         binge eating disorder
c)         pica
d)         bulimia nervosa

e)         none of the above

41.    In which eating disorder are you most likely to see arthritis as a complication?

 

a)         anorexia nervosa
b)         binge eating disorder
c)         bulimia nervosa
d)         pica

e)         none of the above

42.    Based on what we’ve said in class, which condition carries with it the highest risk of dental problems?

 

a)         pellagra
b)         obesity
c)         heart disease
d)         bulimia nervosa

e)         iron-deficiency anemia

43.   Which is a characteristic of anorexia nervosa?

 

a)           lunago
b)           hyperthermia
c)           amenorrhea
d)           both a and b

e)          both a and c

44.   Which is NOT an example of disordered eating?

 

a)            eating when hungry
b)            repetitive fad dieting
c)            inability to eat in public
d)            fat or sugar phobias
e)            a starve-overeat cycle

45.      Which is NOT a potential effect of an eating disorder?

 

a)            negative effect on health and performance
b)            long-term illness that may terminate on athletic career
c)            greater speed and strength
d)            bone loss

e)            death

46.    Which is most likely to involve a dramatic loss of body weight?

 

a)         anorexia nervosa
b)         binge eating disorder
c)         bulimia nervosa
d)         none of the above

47.   Why does carbohydrate have a protein-sparing effect?

 

a)         Glucose replaces amino acids in protein sequence in a situation of having a limiting amino acid.
b)         Protein is the primary energy source of the body, but carbohydrate provides an alternative.
c)         Carbohydrate intake prevents gluconeogenesis.
d)         Both a and c.
e)         none of the above

48.   Which is most likely to result from consuming an incomplete protein as a sole protein source?

 

a)         inadequate protein synthesis
b)         increased gluconeogenesis
c)         increased glycogen synthesis
d)         lower blood sugar
e)         an excess of essential amino acids

49.   Which of these events occurs because of ischemia?

 

a)            myocardial infarction
b)            atherosclerosis
c)            stroke
d)            angina
e)            a, c, and d

50.   Which type of body fat distribution is at greatest risk of heart disease, type II diabetes, and hypertension?

 

a)            “apple” shape
b)            “banana” shape
c)            “pear” shape
d)            “kumquat” shape
e)            “potato” shape