Nokea
Protein-energy malnutrition (PEM) may be responsible for the increased incidence of noma and necrotizing ulcerative gingivitis (NUG) because these conditions are associated with depressed immune responses caused by nutritional deficiencies.
- A. Both the statement and the reason are correct and related
- B. Both the statement and the reason are correct but are not related
- C. The statement is correct, but the reason is not correct
- D. The statement is not correct, but the reason is correct
Correct Answer: A
Rationale: The corrected question highlights that protein-energy malnutrition weakens the immune system, making individuals more susceptible to conditions like noma and NUG, which are linked to compromised immunity. Choice A is correct because the statement and reason are both accurate and directly related. Protein-energy malnutrition does result in depressed immune responses, which can predispose individuals to noma and NUG. Choice B is incorrect because the statement and reason are indeed related. Choice C is incorrect as both the statement and reason are accurate. Choice D is also incorrect as the statement is correct and directly supports the reason provided.
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What is the primary function of antioxidants in the diet?
- A. Provide energy
- B. Support muscle growth
- C. Neutralize free radicals
- D. Increase blood sugar
Correct Answer: C
Rationale: The primary function of antioxidants in the diet is to neutralize free radicals. Free radicals can cause cellular damage, leading to various chronic diseases. Antioxidants help combat this oxidative stress by neutralizing free radicals. Choices A, B, and D are incorrect because antioxidants do not provide energy, support muscle growth, or increase blood sugar; their main role is in combating oxidative stress.
In order to establish and maintain successful breastfeeding, which practice should a lactating mother try to follow?
- A. Initiate breastfeeding within 24 hours of birth
- B. Breastfeed on a schedule of every 2 to 3 hours
- C. Give a pacifier to an infant between feedings
- D. Find a breastfeeding support group to troubleshoot problems
Correct Answer: D
Rationale: The correct answer is D. Finding a breastfeeding support group is crucial for a lactating mother to establish and maintain successful breastfeeding. This group can offer valuable advice, tips, and encouragement, helping the mother troubleshoot any issues that may arise during breastfeeding. Choices A, B, and C are incorrect because breastfeeding is a natural process that should not be overly scheduled, and giving a pacifier between feedings can interfere with establishing proper breastfeeding techniques.
Each statement accurately describes the physical effects of food on periodontal health, except one. Which is the exception?
- A. Supragingival plaque biofilm adhesion is influenced by frequent consumption of monosaccharides
- B. Supragingival plaque biofilm adhesion is influenced by frequent consumption of disaccharides
- C. Poor nutrition has an adverse effect on the periodontium
- D. Chewing soft, spongy foods stimulates salivary flow
Correct Answer: D
Rationale: The correct answer is D. Chewing soft, spongy foods does not stimulate salivary flow; rather, firm, fibrous foods like fruits and vegetables do. Soft foods can stick to teeth, promoting plaque buildup. Choices A, B, and C are accurate: Supragingival plaque biofilm adhesion is influenced by both monosaccharides and disaccharides, while poor nutrition can indeed have adverse effects on the periodontium.
Dietary fiber has been recommended for its possible benefits in reducing heart disease by lowering blood cholesterol. How is fiber thought to play its role in lowering blood cholesterol?
- A. Insoluble fiber binds with cholesterol in the large intestine and is excreted in feces
- B. Viscous fiber binds with bile in the intestine and is excreted in feces
- C. Soluble fiber binds with cholesterol in the blood and is excreted by the liver
- D. Insoluble fiber converts to bile in the large intestine and binds with cholesterol
Correct Answer: B
Rationale: The correct answer is B. Viscous (soluble) fiber binds with bile acids in the intestine, which are then excreted. The liver must use cholesterol to make more bile acids, thereby lowering blood cholesterol levels. Choice A is incorrect as insoluble fiber does not bind with cholesterol in the large intestine. Choice C is incorrect as soluble fiber does not directly bind with cholesterol in the blood. Choice D is incorrect as insoluble fiber does not convert to bile in the large intestine to bind with cholesterol.
Which of the following converts starch to disaccharides, and this reaction occurs in the _____?
- A. pancreatic amylases, small intestine
- B. brush border enzymes, small intestine
- C. luminal enzymes, large intestine
- D. pancreatic amylases, pancreas
Correct Answer: A
Rationale: The correct answer is A. Pancreatic amylases break down starch into disaccharides in the small intestine. This process occurs in the small intestine, not the large intestine or pancreas. Brush border enzymes act on disaccharides to break them down into monosaccharides, while luminal enzymes are not specifically involved in the conversion of starch to disaccharides.