Nokea
A common comorbidity in patients with Chronic Kidney Disease (CKD) is:
- A. Liver disease
- B. Malnutrition
- C. Acute renal failure
- D. Difficulty breathing
Correct Answer: B
Rationale: Malnutrition is a common comorbidity in patients with Chronic Kidney Disease (CKD). This is mainly due to factors such as dietary restrictions, poor appetite, and the body's increased nutritional needs as it struggles to deal with the disease. Liver disease (Choice A) is not typically associated directly with CKD, although both conditions may coexist in some patients. Acute renal failure (Choice C) is not a comorbidity but a severe and potentially lethal progression of CKD. Difficulty breathing (Choice D) is not a comorbidity but can be a symptom of severe kidney disease or other underlying conditions. However, malnutrition is more commonly observed in CKD patients compared to difficulty breathing.
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Which organ produces and secretes bicarbonate ions and insulin?
- A. Stomach
- B. Pancreas
- C. Large intestine
- D. Small intestine
Correct Answer: B
Rationale: The pancreas is the correct answer because it performs two vital functions: producing bicarbonate ions to neutralize stomach acid in the small intestine and secreting insulin to regulate blood glucose levels. The stomach is incorrect because its primary function is to break down and digest food, not produce bicarbonate ions or insulin. The large and small intestines are also incorrect because their primary functions are to absorb nutrients and water from food, rather than producing bicarbonate ions or insulin.
What is the digestive action of lipase?
- A. It breaks down carbohydrates
- B. It breaks down proteins
- C. It breaks down lipids
- D. It aids in fat digestion
Correct Answer: C
Rationale: Lipase is an enzyme that specifically breaks down lipids (fats) during the process of digestion, converting them into fatty acids and glycerol. This is why option C is the correct answer. Although option D is partially correct, it's less specific than option C. Lipase does not break down carbohydrates or proteins, so options A and B are incorrect.
What is the major diet-derived antioxidant found in cell membranes?
- A. B12
- B. beta-carotene
- C. vitamin E
- D. vitamin A
Correct Answer: C
Rationale: The correct answer is vitamin E. Vitamin E is the major antioxidant found in cell membranes, where it plays a crucial role in protecting them from oxidative damage. Although B12, beta-carotene, and vitamin A are important nutrients with specific functions in the body, they are not the primary antioxidants found in cell membranes. Vitamin E specifically localizes in cell membranes to neutralize free radicals and prevent lipid peroxidation, making it an essential antioxidant for cellular health.
Which type of lipid is solid at room temperature?
- A. Cholesterol
- B. Phospholipid
- C. Saturated fat
- D. Trans fat
Correct Answer: C
Rationale: Saturated fats, such as those found in butter and lard, are typically solid at room temperature due to the lack of double bonds, which allows the fat molecules to pack closely together. Cholesterol (Choice A) is a steroid, not a fat, and while it's solid at room temperature, it doesn't fit the general category of 'lipid' in the context of this question. Phospholipids (Choice B) are a major component of all cell membranes and can be both solid and liquid at room temperature depending on their composition. Trans fats (Choice D) can also be solid or liquid at room temperature, but they are not typically referred to as 'lipids' in a general sense.
What is a disadvantage of using a food frequency questionnaire?
- A. It does not influence the food choices of the consumer
- B. It is not affected by seasonal changes in the diet
- C. It is not effective for monitoring short-term changes in food intake
- D. It does not take too long to obtain the results
Correct Answer: C
Rationale: Option C is correct because a food frequency questionnaire is designed to capture a person's typical food intake over an extended period and is not suitable for monitoring short-term changes in diet. The questionnaire's purpose is to provide insights into long-term dietary patterns rather than immediate changes. Option A is incorrect as the questionnaire does not influence food choices; it merely records them. Option B is also incorrect because, while seasonal changes can impact food availability and thereby influence diet, the questionnaire itself is not affected by these changes. Lastly, option D is incorrect as the time to obtain results from a food frequency questionnaire would depend on the respondent's speed and accuracy rather than being intrinsically linked to the questionnaire.