Nokea
Patients with this chronic nutrient deficiency may feel tired, weak, and irritable while being unable to pinpoint why. Hypertension, heart attack, stroke, kidney stones, and osteoporosis are associated with the chronic deficiency of which nutrient?
- A. Zinc
- B. Iron
- C. Sodium
- D. Potassium
Correct Answer: D
Rationale: The correct answer is D: Potassium. Chronic potassium deficiency can lead to hypertension, heart attack, stroke, kidney stones, and osteoporosis. Patients experiencing this deficiency may feel tired, weak, and irritable without knowing the cause. Choice A (Zinc) is incorrect as zinc deficiency presents with different symptoms. Choice B (Iron) deficiency is associated with anemia symptoms, not the conditions listed. Choice C (Sodium) deficiency typically manifests as muscle cramps, weakness, and confusion, not the conditions described in the question.
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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.
What physiologic role does calcium play in the body?
- A. Blood clotting, transmission of nerve impulses, muscle contraction and relaxation
- B. Calcium homeostasis, structural integrity of heart muscle
- C. No known metabolic function, caries-preventing properties
- D. ATP energy release; metabolism of fats, carbohydrates, proteins; regulates acid-base balance.
Correct Answer: A
Rationale: The correct answer is A: 'Blood clotting, transmission of nerve impulses, muscle contraction and relaxation.' Calcium plays a crucial role in various physiological functions such as blood clotting, transmission of nerve impulses, muscle contraction and relaxation, membrane permeability, and activation of certain enzymes. Choice B is incorrect because while calcium is involved in calcium homeostasis, it is not the only role it plays in the body. Choice C is incorrect as calcium indeed has several known metabolic functions, and it is not solely for preventing caries. Choice D is also incorrect as the functions mentioned are primarily carried out by other nutrients and not specifically by calcium.
Each statement is true of vitamin K, except one. Which is the exception?
- A. Vitamin K is produced in the gut.
- B. Vitamin K functions as a catalyst for the synthesis of blood-clotting factors.
- C. Vitamin K maintains prothrombin levels.
- D. Vitamin K absorption increases with high levels of vitamin E supplementation.
Correct Answer: D
Rationale: The correct answer is D. Vitamin K absorption decreases with high levels of vitamin E supplementation because in larger amounts, vitamin E acts as an anticoagulant. Vitamin K is not produced in the gut but can be obtained from food sources or supplements. Vitamin K is essential for the synthesis of blood-clotting factors and is crucial in maintaining prothrombin levels, which is vital for proper blood clotting. The incorrect choice, D, is misleading as high levels of vitamin E supplementation hinder vitamin K absorption due to its anticoagulant properties. Dental hygienists should be aware of the importance of vitamin K in blood clotting, especially when treating patients who are on anticoagulant medications for conditions like stroke prevention.
Each statement is true of rickets, except one. Which is the exception?
- A. Rickets is being diagnosed more frequently in the United States.
- B. Rickets is caused by vitamin C deficiency.
- C. Tachetic deformities such as bow legs or knock-knees develop.
- D. A narrow and distorted chest occurs.
Correct Answer: B
Rationale: Rickets is caused by vitamin D deficiency, not vitamin C deficiency. It usually occurs in children who are 1 to 3 years old. The name rickets came from the word 'wrikken,' meaning 'to bend or twist.' Common manifestations of rickets include tachetic deformities like bow legs or knock-knees, a narrow and distorted chest, and failure of the epiphyses of bones to develop normally, resulting in twisted and warped bones. While the diagnosis of rickets may be increasing in the United States, it is not caused by a lack of vitamin C.
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.