Nokea
Begins carb digestion in the mouth:
- A. pepsin
- B. salivary amylase
- C. CCK
- D. secretin
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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What is the most likely demonstration of cardiac cachexia?
- A. Decreased physical activity
- B. Weight loss and tissue wasting
- C. Poor urine output and tissue edema
- D. Cardiac arrhythmia and wet lung sounds
Correct Answer: B
Rationale: Cardiac cachexia is a condition characterized by severe weight loss and tissue wasting. This typically occurs in patients suffering from heart failure due to an increased energy expenditure and reduced appetite, which is why choice B is the correct answer. The other choices are incorrect as they do not accurately describe the symptoms of cardiac cachexia. Decreased physical activity (choice A) can be a result of many conditions, not specifically cardiac cachexia. Poor urine output and tissue edema (choice C) are more indicative of kidney problems rather than cardiac cachexia. Finally, cardiac arrhythmia and wet lung sounds (choice D) are symptoms related to other cardiac conditions, not specifically to cardiac cachexia.
Each statement is true regarding oral exposure to fermentable carbohydrates, except one. Which is the exception?
- A. Longer exposure leads to an increased risk of demineralization
- B. Longer exposure increases the opportunity for remineralization
- C. The Stephan curve illustrates pH changes within plaque after rinsing with a sugar solution
- D. The critical pH at which enamel decalcification occurs is 5.5 or less
Correct Answer: B
Rationale: All the statements above are accurate about oral exposure to fermentable carbohydrates, except for option B. In fact, longer exposure to these carbohydrates decreases the opportunity for remineralization. This is because the process of demineralization, in which minerals are lost from the tooth enamel, is sped up by the presence of fermentable carbohydrates. The Stephan curve (option C) is a graph that demonstrates how the pH of dental plaque changes after a sugar rinse, usually dropping (becoming more acidic), which can lead to enamel decalcification. Option D is also accurate, as a pH of 5.5 or lower is the critical point at which enamel starts to decalcify.
What is one of the best nutritional actions a caregiver can take to help a patient with Alzheimer's disease maintain appropriate body weight?
- A. Thicken liquids to prevent choking
- B. Supervise food planning and mealtimes
- C. Assist the person in completing a grocery checklist
- D. Feed the person their meals and snacks
Correct Answer: B
Rationale: The correct answer is B, 'Supervise food planning and mealtimes'. This action ensures the patient with Alzheimer's disease maintains an appropriate diet and body weight, thus reducing the risk of malnutrition. While choices A, 'Thicken liquids to prevent choking', C, 'Assist the person in completing a grocery checklist', and D, 'Feed the person their meals and snacks', might be beneficial in certain circumstances, they do not directly contribute to the maintenance of appropriate body weight as effectively as supervising food planning and mealtimes does.
What is the digestive action of bile?
- A. It breaks down carbohydrates
- B. It breaks down proteins
- C. It breaks down lipids
- D. It aids in fat digestion
Correct Answer: D
Rationale: Bile, which is produced by the liver and stored in the gallbladder, aids in the digestion of fats. It does this by emulsifying the fats, which makes them easier for the digestive enzymes, such as lipase, to break down. While choices A, B, and C could be seen as partially correct since fats are a type of lipid and the process of breaking down fats could be seen as breaking down lipids, the most accurate answer is D, as the primary function of bile is to aid in fat digestion, not the digestion of all types of lipids or the digestion of proteins or carbohydrates.
Which factor contributes to the development of bone diseases in patients with Chronic Kidney Disease (CKD) due to retention?
- A. Iron
- B. Sodium
- C. Potassium
- D. Phosphorus
Correct Answer: D
Rationale: The correct answer is phosphorus. Retention of phosphorus in patients with Chronic Kidney Disease (CKD) contributes to the development of bone disorders, including osteodystrophy, because it disrupts the balance of calcium and phosphorus in the body. This imbalance leads to a variety of bone diseases. The other options - iron, sodium, and potassium - while important in the overall metabolic function, are not directly linked to the development of bone diseases in CKD patients due to retention.