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The federal government regulates dietary supplements through the United States Food and Drug Administration (FDA). The regulations for dietary supplements are not the same as those for prescription or over-the-counter drugs. In general, the regulations for dietary supplements are less strict. To begin with, a manufacturer does not have to prove the safety and effectiveness of a dietary supplement before it is marketed. A manufacturer is permitted to say that a dietary supplement addresses a nutrient deficiency, supports health, or is linked to a particular body function (such as immunity), if there is research to support the claim. Such a claim must be followed by the words “This statement has not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.â€Also, manufacturers are expected to follow certain good manufacturing practices (GMPs) to ensure that dietary supplements are processed consistently and meet quality standards. Requirements for GMPs went into effect in 2008 for large manufacturers and are being phased in for small manufacturers through 2010.Once a dietary supplement is on the market, the FDA monitors safety and product information, such as label claims and package inserts. If it finds a product to be unsafe, it can take action against the manufacturer and/or distributor and may issue a warning or require that the product be removed from the marketplace. The Federal Trade Commission (FTC) is responsible for regulating product advertising; it requires that all information be truthful and not misleading. The federal government has taken legal action against a number of dietary supplement promoters or Web sitesthat promote or sell dietary supplements because they have made false or deceptive statements about their products or because marketed products have proven to be unsafe.
What is the meaning of the phrase 'phased in' as it is used in the third paragraph?
- A. stunned into silence
- B. confused
- C. implemented in stages
- D. legalized
Correct Answer: C
Rationale: 'Phased in' means implemented in stages, referring to the gradual implementation of good manufacturing practices. In the provided extract, it mentions that requirements for good manufacturing practices (GMPs) were phased in for small manufacturers through 2010, indicating a gradual implementation process. The other choices, 'stunned into silence,' 'confused,' and 'legalized,' do not accurately reflect the meaning of 'phased in' in the context of the paragraph.
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Lub-dub! Lub-dub! Lub-dub! This sound is made by the rapid contracting and extending of the chamber doors on the inside of theheart. This ventricular contracting injects roughly 70 mL of blood into a vascular system with a given volume at differing pressure.Blood pressure refers to the pressure in the arterial system; and it is typically taken in the brachial artery of the arm because the pressure at different places along the circulatory route is different. Blood pressure is simply the force that the blood exerts in all directions within any given area and is the basis for the movement of blood from the heart, through the body, and back to the heart. This pressure is commonly expressed as a ratio of the systolic pressure over the diastolic pressure.The systolic pressure or “high peak†pressure takes place within the arterial system as ventricles contract and force blood into the arteries. The diastolic pressure or “low peak†pressure takes place within this arterial system just before the next ventricular contraction.An increase in blood pressure can occur if the arterial walls lose some of their elasticity with age or disease.
What is the meaning of the word 'elasticity' in the last paragraph?
- A. Something that is able to resist and be flexible
- B. Something that is like plastic
- C. Something that is dynamic and electrifying
- D. Something that is silly
Correct Answer: A
Rationale: 'Elasticity' refers to the ability of the arterial walls to resist and be flexible, which affects blood pressure. In the provided extract, it is mentioned that an increase in blood pressure can occur if the arterial walls lose some of their elasticity with age or disease. This demonstrates that elasticity refers to the property of being able to resist and be flexible, supporting choice A as the correct answer. The other choices, B, C, and D, do not accurately reflect the concept of elasticity in the context of arterial walls and blood pressure.
The body is composed of systems that have evolved and diversified in order to maintain the natural functions and processes they regulate. One such system that has these regulators is the body's cardiovascular system. The body's pump, which regulates the flow of vitally needed oxygen to all cells of the body, as well as the discard of carbon dioxide and other waste products, is the heart. Because blood pressure varies at different points within the body, differing components are needed to keep the body's blood pressure regulated. Three of the basic components are baroreceptors, chemoreceptors, and the kidneys.<p>Baroreceptors are stretch receptors composed of fine branching nerve endings and are contained along the walls of the arteries near the heart and in other areas of the body as well. Impulses are related to this stretching along the arterial walls, which causes these baroreceptors to send out even more impulses to the heart, arteries, and veins, causing the blood pressure to go either up or down.Chemoreceptors are located along the walls of the arteries and monitor changes in oxygen level, carbon dioxide, and pH. Just think! A fall in oxygen causes receptors to send impulses to raise the blood pressure.The kidneys play a role in regulating blood pressure by absorbing salts and water and removing wastes. Hormones secreted by the adrenal cortex cause the kidney to keep or let go of any salt and water. This has an influence on blood volume and consequently on blood pressure.
What is a major difference in the way baroreceptors and chemoreceptors work from the way the kidneys work?
- A. Baroreceptors and chemoreceptors send impulses from the arteries, while the kidneys control blood volume.
- B. Baroreceptors and chemoreceptors both work to help maintain blood volume, whereas the kidneys take care of salts, water, and waste removal.
- C. Baroreceptors and chemoreceptors must work together to control blood pressure, whereas the kidneys work with the adrenal cortex.
- D. Baroreceptors and chemoreceptors are both located near the adrenal cortex, whereas the kidneys are located near the heart.
Correct Answer: A
Rationale: The correct answer is A. Baroreceptors and chemoreceptors send impulses from the arteries, while the kidneys control blood volume. Baroreceptors and chemoreceptors are responsible for monitoring blood pressure by sensing changes in pressure, oxygen levels, carbon dioxide levels, and pH within the arteries. They send out impulses to raise or lower blood pressure accordingly. On the other hand, the kidneys play a crucial role in regulating blood volume by absorbing salts and water and removing waste products. This key difference highlights that while baroreceptors and chemoreceptors are involved in monitoring and regulating blood pressure, the kidneys primarily focus on controlling blood volume. Choice B is incorrect because it inaccurately states that baroreceptors and chemoreceptors help maintain blood volume, which is not their primary function. Choice C is incorrect as it provides an inaccurate comparison between the roles of baroreceptors, chemoreceptors, and the kidneys. Choice D is incorrect as it wrongly associates the location of baroreceptors and chemoreceptors with the adrenal cortex, which is not accurate.
Foodborne illnesses are contracted by eating food or drinking beverages contaminated with bacteria, parasites, or viruses. Harmful chemicals can also cause foodborne illnesses if they have contaminated food during harvesting or processing. Foodborne illnesses can cause symptoms ranging from upset stomach to diarrhea, fever, vomiting, abdominal cramps, and dehydration. Most foodborne infections are undiagnosed and unreported, though the Centers for Disease Control and Prevention estimates that every year about 76 million people in the United States become ill from pathogens in food. About 5,000 of these people die.Harmful bacteria are the most common cause of foodborne illness. Some bacteria may be present at the point of purchase. Raw foods are the most common source of foodborne illnesses because they are not sterile; examples include raw meat and poultry contaminated during slaughter. Seafood may become contaminated during harvest or processing. One in 10,000 eggs may be contaminated with Salmonella inside the shell. Produce, such as spinach, lettuce, tomatoes, sprouts, and melons, can become contaminated with Salmonella, Shigella, or Escherichia coli (E. coli). Contamination can occur during growing, harvesting, processing, storing, shipping, or final preparation. Sources of produce contamination vary, as these foods are grown in soil and can become contaminated during growth, processing, or distribution. Contamination may also occur during food preparation in a restaurant or a home kitchen. The most common form of contamination from handled foods is the calicivirus, also called the Norwalk-like virus.When food is cooked and left out for more than two hours at room temperature, bacteria can multiply quickly. Most bacteria don't produce an odor or change in color or texture, so they can be impossible to detect. Freezing food slows or stops bacteria's growth, but does not destroy the bacteria. The microbes can become reactivated when the food is thawed. Refrigeration also can slow the growth of some bacteria. Thorough cooking is required to destroy the bacteria.
What is the subject of the passage?
- A. foodborne illnesses
- B. the dangers of uncooked food
- C. bacteria
- D. proper food preparation
Correct Answer: A
Rationale: The correct answer is A: 'foodborne illnesses.' The passage discusses how foodborne illnesses are contracted by consuming contaminated food or beverages, the symptoms they can cause, common sources of contamination like bacteria, viruses, and chemicals, and preventive measures. While the passage mentions dangers associated with uncooked food, bacteria, and proper food preparation, the primary focus is on foodborne illnesses caused by various contaminants. Choice B, 'the dangers of uncooked food,' is incorrect as it is a narrower focus compared to the broader topic of foodborne illnesses. Choice C, 'bacteria,' is incorrect as it is one of the contaminants discussed in relation to foodborne illnesses but not the central subject of the passage. Choice D, 'proper food preparation,' is incorrect as it is mentioned in the passage but not as the main subject; rather, it is discussed as a preventive measure to avoid foodborne illnesses.
Searching for medical information can be confusing, especially for first-timers. However, if you are patient and stick to it, you can find a wealth of information. Your community library is a good place to start your search for medical information. Before going to the library, you may find it helpful to make a list of topics you want information about and questions you have. Your list of topics and questions will make it easier for the librarian to direct you to the best resources. Many community libraries have a collection of basic medical references. These references may include medical dictionaries or encyclopedias, drug information handbooks, basic medical and nursing textbooks, and directories of physicians and medical specialists (listings of doctors). You may also find magazine articles on a certain topic. Look in the Reader's Guide to Periodical Literature for articles on health and medicine from consumer magazines.Infotrac, a CD-ROM computer database available at libraries or on the Web, indexes hundreds of popular magazines and newspapers, as well as medical journals such as the Journal of the American Medical Association and New England Journal of Medicine.Your library may also carry searchable computer databases of medical journal articles, including MEDLINE/PubMed or the Cumulative Index to Nursing and Allied Health Literature. Many of the databases or indexes have abstracts that provide a summary of each journal article. Although most community libraries don't have a large collection of medical and nursing journals, your librarian may be able to get copies of the articles you want. Interlibrary loans allow your librarian to request a copy of an article from a library that carries that particular medical journal. Your library may charge a fee for this service. Articles published in medical journals can be technical, but they may be the most current source of information on medical topics.
What is the meaning of the word 'technical' as it is used in the fourth paragraph?
- A. requiring expert knowledge
- B. incomplete
- C. foreign
- D. plagiarized
Correct Answer: A
Rationale: The correct answer is 'A: requiring expert knowledge.' In the context provided, 'technical' refers to articles that demand expert knowledge to understand. The passage mentions that articles published in medical journals can be technical, meaning they are complex and require specialized expertise to comprehend. Choice B, 'incomplete,' is incorrect as 'technical' does not imply incompleteness. Choices C and D, 'foreign' and 'plagiarized,' are also incorrect as they do not align with the context of the passage.
Beep!…Beep!…Beep! is the audible rhythmic sound made as the strength of the heart muscle is measured. The signal cadence has a characteristic record that varies in every individual. This record is called an electrocardiogram, or ECG.In the body, an array of systemic neural responses constantly occur, emitting electric currents. The electric currents can be detected on the surface of the body, and if a person is hooked to an amplifier, these impulses are recorded by an electrocardiograph. Most of the information obtained is about the heart because the heart sends out electric currents in waves. This “wave of excitation†spreads through the heart wall and is accompanied by electric changes. The wave takes place in three distinct steps.Initially, the “wave of excitation†accompanied by an electric change lasts for approximately 1 to 2 seconds after the contraction of the cardiac muscle. The electric impulses are discharged rhythmically from the sinoatrial (SA) node, the pacemaker of the heart. This spread of excitation over the muscle of the atrium indicates that the atrium has contracted.Next, the peak of the ECG reading is due to the atrioventricular (AV) node, causing the ventricle to become excited.<p>Finally, the ventricles relax, and any changes in the wave indicate to trained medical staff any abnormalities within the heart.
What is the best summary of the passage?
- A. Electric currents within the body are due to electrostatic charges set off by the heart. Medical staff are trained to recognize any abnormalities within the heart.
- B. Every individual has unique electric currents on the surface of the body. The ECG measures and records these electric currents.
- C. The ECG systematically and rather quickly measures the stages at which the 'wave of excitation' occurs within the heart and records them. This wave has three distinct steps that spread from the SA node to the AV node.
- D. The ECG measures the electric currents within the body. These currents are detected on the surface of the body when the body is connected to an amplifier.
Correct Answer: C
Rationale: The correct summary of the passage is option C. The passage explains how the ECG systematically measures and records the 'wave of excitation' that occurs within the heart in three distinct steps, spreading from the SA node to the AV node. This summary effectively captures the main focus of the passage. Option A is incorrect because it only mentions the detection of electric currents in the body and recognizing abnormalities by medical staff, missing the key information about the 'wave of excitation' and its stages. Option B is incorrect as it focuses solely on the measurement and recording of unique electric currents on the body's surface, neglecting the specific process described in the passage. Option D is also incorrect as it provides a general description of how the ECG measures electric currents without emphasizing the specific stages of the 'wave of excitation' as detailed in the passage.