Transcript Q36to42

Questions 36 - 42
Fat and Protein
36. Fat Digestion
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52
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30
Which treatment would LEAST likely affect the uptake
of fatty acids into the epithelial cells of the small
intestine after a SINGLE fat meal?
A. Co-consumption of a drug which prevents emptying of the gall
bladder
would prevent efficient digestion of fat
B. Co-consumption of a drug to prevent the formation of bile salts
in the liver
bile salts already in the gall bladder
C. Substituting 50% of the fat in the meal with Olestra
only half the fat would be available
D. Co-consumption of a pancreatic lipase inhibitor with the meal
would not be able to digest the fat
E. Co-consumption of a compound that prevents the formation of
micelles
would not be able to emulsify the fat – lipase wont work
37. Chylomicrons
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Which statement BEST DESCRIBES
chylomicrons?
A. Lipoproteins that carry dietary fat to the peripheral tissues
looking good!
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13
19
3
9
B. Discs of phosopholipid that mop up loose cholesterol in the
blood stream
a description of HDL
C. Milky droplets formed from the churning of a lipid/salt mixture in
the small intestine
chyme
D. Microscopic droplets excreted by tissues that have too much
cholesterol
no such thing
E. An emulsion of fat and protein in the stomach
not sure that this exits
38. Fate of Dietary Fat
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Which statement regarding the disposal of
dietary fat is CORRECT?
A. Fat is transported around the bloodstream in micelles made
from bile salts
lipoproteins made from phospholipid
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12
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B. Very Low Density Lipoproteins (VLDL) transport dietary fat from
this is chylomicrons
the intestine to the liver
C. Unsaturated fat goes to the liver, but saturated fat goes to the
peripheral tissues
not distinguished
D. Lipoproteins are taken up into cells before being acted on by
lipoprotein lipase
all the hydrolysis in capillaries
E. Peripheral tissues encounter dietary fat before the liver
chylomicrons delivered via the lymph
39. LDL metabolism
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What would be a consequence of taking a drug
that inhibited Low Density Lipoprotein (LDL)
uptake?
A.
A decrease in the rate of cholesterol synthesis by the
peripheral tissues. rate UP, no LDL-chol coming in
B.
An increase in the concentration of LDL in the bloodstream
C.
Decreased intestinal absorption of cholesterol
D.
Decreased intestinal absorption of fat
E.
Prevention of bile salt synthesis
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seems obvious – genetic defect too
5
no relevance
no relevance
perhaps less, liver takes up LDL?
40. Role of HDL
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Which statement BEST DESCRIBES the role of
High Density Lipoprotein (HDL)?
HDL different & LDL already fat depleted
A. HDL is formed by the removal of fat from LDL
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16
B. HDL is assembled in the peripheral tissues and is secreted into
the bloodstream
made in the liver – but close
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C. HDL is assembled in the peripheral tissues and is secreted into
the lymphatic circulation
wrong in both ways
D. A high HDL:LDL ratio is positively correlated with heart disease
opposite… but positively unfair really
E. HDL is produced by the liver and picks up cholesterol from the
periphery
exactly
41. Essential Amino Acids
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Which statement is CORRECT?
A. Essential amino acids are made into protein but non-essential
amino acids are used for energy
all proteins contain a mix
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7
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B. Consumption of a large amount of non-essential amino acids
will not counteract insufficient consumption of essential amino
acids
horrid double negative (sorry) – but true
C. Essential amino acids are only found in animal products
no – but some plant products deficient in specific essentials
D. Aspartate, glutamate and alanine are all essential amino acids
easy to work out that all are NON-essential
E. A deficiency in one essential amino acid intake will increase the
storage of the other 19 amino acids
a deficiency in just one aa makes ANY protein synthesis hard
42. Disposal of excess amino acids
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Which statement BEST DESCRIBES the fate of amino
groups derived from the catabolism of amino acids in
muscle?
most come out as alanine
A. The amino groups are mainly excreted from the muscle as ammonia
so no
B. The amino groups are mainly excreted from the muscle as urea
urea made in liver
C. The amino groups become linked to pyruvate for transport to the liver
yes, aminated pyruvate is alanine
D. The amino groups are stored on pre-existing proteins by converting
glutamate residues in proteins to glutamine
would change the protein function!
E. The amino groups are stored on pre-existing polynucleotides by
converting thymine bases to cytosine
similarly crazy!