Sickle cell disease is an example of an inherited mistake in the amino acid sequence.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: The statement is TRUE. Sickle cell disease is caused by a genetic mutation in the hemoglobin gene, leading to an abnormal amino acid sequence. This results in the production of abnormal hemoglobin molecules, causing red blood cells to become sickle-shaped. This inherited condition is a classic example of a genetic error affecting the amino acid sequence, making choice A the correct answer. Choices B, C, and D are incorrect as they do not accurately reflect the nature of sickle cell disease.
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Which enzyme digests fiber in the large intestine?
- A. salivary amylase
- B. pancreatic amylase
- C. cellulase
- D. none of the above
Correct Answer: D
Rationale: The correct answer is 'none of the above.' Human digestive enzymes like salivary amylase and pancreatic amylase cannot digest fiber. Instead, fiber is fermented by gut bacteria in the large intestine. Cellulase, which is an enzyme produced by some animals and microorganisms, can break down cellulose found in plants, but it is not a human digestive enzyme, making it an incorrect choice in this context.
Which type of medication is most likely to induce xerostomia?
- A. Antibiotics
- B. Diuretics
- C. Local anesthetics
- D. Anticholinergics
Correct Answer: D
Rationale: The correct answer is D, Anticholinergics. Anticholinergic medications commonly cause xerostomia by inhibiting saliva production, leading to dry mouth. Antibiotics (choice A) are not typically associated with xerostomia. Diuretics (choice B) increase urine production but do not directly affect saliva production. Local anesthetics (choice C) are used to numb specific areas during dental procedures and do not induce xerostomia.
What describes a criterion used to diagnose diabetes?
- A. a plasma glucose concentration of 100 mg/dL or higher after a fast of at least 12 hours
- B. a casual blood sample of 200 mg/dL or higher in a person with classic symptoms
- C. a plasma glucose concentration measured two hours after a 200-gram glucose load is 400 mg/dL or higher
- D. a HbA1C higher than 5 percent
Correct Answer: B
Rationale: A casual blood sample of 200 mg/dL or higher in a person with classic symptoms is a diagnostic criterion for diabetes. This choice aligns with the typical clinical presentation of diabetes and is a key diagnostic indicator. Choices A, C, and D do not accurately reflect the established criteria for diagnosing diabetes, making them incorrect. Choice A pertains to a fasting plasma glucose level, Choice C involves a glucose challenge test, and Choice D refers to HbA1C levels, which are used for monitoring blood sugar control over time, not for diagnosing diabetes.
Which food has the highest calcium content?
- A. soy products
- B. milk
- C. cereal grains
- D. dark green vegetables
Correct Answer: B
Rationale: The correct answer is B, milk. Milk is known for being one of the best dietary sources of calcium, essential for bone health and various bodily functions. Soy products, cereal grains, and dark green vegetables are good sources of calcium as well, but milk generally has a higher calcium content compared to these options.
A patient with renal insufficiency should limit the intake of which of the following nutrients?
- A. Phosphorus
- B. Potassium
- C. Sodium
- D. Calcium
Correct Answer: A
Rationale: In patients with renal insufficiency, impaired kidney function can lead to difficulty in excreting phosphorus. High phosphorus levels can result in further complications such as bone and heart problems. Therefore, limiting the intake of phosphorus is crucial. Potassium and sodium restrictions may also be necessary in renal insufficiency, but the primary concern related to nutrients is phosphorus in this scenario. Calcium, while important for bone health, does not typically need to be restricted in renal insufficiency unless there is a specific medical reason to do so.