Nokea
Each nonnutritive sweetener can be recommended to patients with phenylketonuria, except one. Which one is the exception?
- A. Cyclamate
- B. Acesulfame-K
- C. Saccharin
- D. Aspartame
Correct Answer: D
Rationale: The correct answer is D, Aspartame. Aspartame contains phenylalanine, which is contraindicated for individuals with phenylketonuria (PKU), a genetic disorder that impairs phenylalanine metabolism. Therefore, patients with PKU should avoid aspartame. Choices A, B, and C (Cyclamate, Acesulfame-K, Saccharin) are considered safe for individuals with PKU as they do not contain phenylalanine and can be recommended as alternatives to sugar for these patients.
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How is the equalization of solute concentration of intracellular fluids (ICFs) and extracellular fluids (ECFs accomplished?
- A. Semipermeable membranes.
- B. Hydration.
- C. Osmotic pressure.
- D. Perspiration.
Correct Answer: C
Rationale: The correct answer is C, osmotic pressure. Osmotic pressure within the body equalizes the solute concentration of ICFs and ECFs by shifting small amounts of water in the direction of higher concentration solute. Semipermeable membranes separate one fluid compartment from another and do not directly equalize solute concentrations. Hydration and perspiration are important elements of fluid balance but do not directly achieve the equalization of solute concentrations between ICFs and ECFs, which is primarily regulated by osmotic pressure.
Vitamin deficiencies, especially the B-complex vitamins, seldom occur in isolation. Folate, a B-complex vitamin, is the exception because it functions separately from other vitamins.
- A. Both statements are true.
- B. Both statements are false.
- C. The first statement is true; the second is false.
- D. The first statement is false; the second is true.
Correct Answer: C
Rationale: The first statement is true; the second is false. If a deficiency of one vitamin is suspected, symptoms of other vitamin B deficiencies also may be present. Folate deficiencies usually occur with other nutrient deficiencies. Specifically, folate functions in conjunction with vitamins B12 and C in maintaining normal levels of mature red blood cells.
Each of the following describes the physiologic roles of water, except one. Which is the exception?
- A. Acts as a solvent for chemical reactions.
- B. Maintains stability of body fluids.
- C. Enables transport of nutrients and excretion of waste.
- D. Regulates temperature by pooling as perspiration on skin.
Correct Answer: D
Rationale: The correct answer is D. Water regulates body temperature by evaporating as perspiration from the skin, not by pooling. When sweat evaporates from the skin, it takes away heat, which helps cool the body. Choices A, B, and C are correct because water acts as a solvent for chemical reactions, maintains the stability of body fluids, and enables the transport of nutrients and excretion of waste, respectively.
Scurvy is caused by a deficiency of which vitamin?
- A. Vitamin A
- B. Vitamin D
- C. Vitamin E
- D. Vitamin K
Correct Answer: C
Rationale: Scurvy is caused by a deficiency of vitamin C, not vitamin E. The symptoms of scurvy include spontaneous gingival hemorrhaging, perifollicular petechiae, follicular hyperkeratosis, diarrhea, fatigue, depression, and cessation of bone growth. Vitamin A (Choice A) is important for vision and immune function, Vitamin D (Choice B) is essential for bone health, and Vitamin K (Choice D) is necessary for blood clotting. However, none of these vitamins are associated with scurvy.
Each of the following is a function of vitamin A, except one. Which is the exception?
- A. Prevention of night blindness
- B. Growth of soft tissues and bone
- C. Maintenance of more than 200 genes
- D. Integrity of body openings and their linings
Correct Answer: C
Rationale: The correct answer is C. Maintenance of more than 200 genes is not a function of vitamin A; instead, it is a function of Vitamin D. Vitamin A plays a crucial role in the prevention of night blindness by aiding in the production of the visual pigment rhodopsin. It also supports the growth of soft tissues and bone, as well as the integrity of body openings and their linings. Choice C is incorrect because the maintenance of genes is primarily associated with Vitamin D, not Vitamin A.