Nclex Nutrition Practice Questions Related

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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.