Nokea
What is the initial major sign of acute renal failure?
- A. Oliguria
- B. Hematuria
- C. Proteinuria
- D. Glycosuria
Correct Answer: A
Rationale: Oliguria, or reduced urine output, is often the initial major sign of acute renal failure. This reduction in urine output indicates that the kidneys are not functioning properly. Hematuria (blood in urine), proteinuria (presence of protein in urine), and glycosuria (presence of glucose in urine) are not typically the initial major signs of acute renal failure. While they may be present in certain conditions, oliguria is the most common and critical indicator of acute renal failure.
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Which of the following is not a desirable blood lipid value?
- A. low total cholesterol
- B. high LDL
- C. high HDL
- D. low blood triglycerides
Correct Answer: B
Rationale: The correct answer is B. High levels of LDL (low-density lipoprotein) cholesterol are undesirable as they are associated with an increased risk of cardiovascular disease. Therefore, low total cholesterol (choice A), high HDL (choice C), and low blood triglycerides (choice D) are considered desirable blood lipid values. Low total cholesterol is beneficial as high levels can increase the risk of heart disease. High HDL cholesterol is considered good as it helps remove LDL cholesterol from the arteries. Low blood triglycerides are also preferred as high levels are associated with an increased risk of heart disease.
Bones continuously lose and gain minerals. This ongoing process is called?
- A. reorganization
- B. reorienting
- C. demineralizing
- D. remodeling
Correct Answer: D
Rationale: The correct answer is D, 'remodeling.' Remodeling is the process by which bones continuously lose and gain minerals, maintaining bone strength and integrity over time. 'Reorganization' (choice A), 'reorienting' (choice B), and 'demineralizing' (choice C) do not accurately describe the process of bones continuously losing and gaining minerals.
What is the function of the gallbladder?
- A. to store bile
- B. to produce bile
- C. to digest bile
- D. to modify bile to a liquid form
Correct Answer: A
Rationale: The correct answer is A: "to store bile." The gallbladder acts as a reservoir for bile produced by the liver. It releases bile into the small intestine to aid in the digestion of fats. Choice B is incorrect because the liver produces bile, not the gallbladder. Choice C is incorrect as the gallbladder does not digest bile but stores and releases it for digestion. Choice D is incorrect because bile is already in liquid form; the gallbladder does not modify it to a liquid state.
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.
For a patient on a ketogenic diet, which macronutrient is primarily increased?
- A. Carbohydrates
- B. Protein
- C. Fats
- D. Fiber
Correct Answer: C
Rationale: The correct answer is C: Fats. A ketogenic diet is characterized by high fat intake, moderate protein intake, and very low carbohydrate intake. This diet aims to shift the body's metabolism to use fat as the primary source of energy instead of carbohydrates. Increasing fat intake while reducing carbohydrates is essential for achieving and maintaining a state of ketosis. Therefore, choices A, B, and D are incorrect as they do not align with the macronutrient adjustments required for a ketogenic diet.