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Nutrition 101
        Exam Review
          Session

      TAs: Helen Corless and
       Delma Bettancourt




Powerpoint Templates
                       Page 1
Chapter 2
        Planning a
       Healthy Diet


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                       Page 2
Which of the following is a health
claim?
      a) Builds strong bones
      b) Diets adequate in calcium may
         reduce the risk of osteoperosis
      c) Excellent source of calcium




             Powerpoint Templates
                                    Page 3
Which of the following is a health
claim?
      a) Builds strong bones
      b) Diets adequate in calcium may
         reduce the risk of osteoperosis
      c) Excellent source of calcium




             Powerpoint Templates
                                    Page 4
Explanation:
    A health claim characterizes the
    relationship between a nutrient in a
    food and a disease/health-related
    condition

    A structure-function claim characterizes
    the relationship between a nutrient or
    other substance in a food and its role in
    the body; cannot mention a disease or
    symptom; no FDA approval needed

    A nutrient claim characterizes the
    quantity of a nutrient in a food
            Powerpoint Templates
                                     Page 5
Lets try some more…




    Powerpoint Templates
                           Page 6
« Good source of fiber » is which
of the following?
       a) Health claim
       b) Structure-function claim
       c) Nutrient claim




             Powerpoint Templates
                                    Page 7
« Good source of fiber » is which
of the following?
       a) Health claim
       b) Structure-function claim
       c) Nutrient claim




             Powerpoint Templates
                                    Page 8
« Boosts the immune system » is
which of the following?
       a) Health claim
       b) Structure-function claim
       c) Nutrient claim




             Powerpoint Templates
                                    Page 9
« Boosts the immune system » is
which of the following?
       a) Health claim
       b) Structure-function claim
       c) Nutrient claim




             Powerpoint Templates
                                    Page 10
Chapter 3
    Digestion,
  Absorption, and
    Transport

Powerpoint Templates
                       Page 11
After food leaves the stomach it
heads into which part of the
digestive system?

        a) Esophagus
        b) Pancreas
        c) Small Intestine
        d) Large Intestine




             Powerpoint Templates
                                    Page 12
After food leaves the stomach it
heads into which part of the
digestive system?

        a) Esophagus
        b) Pancreas
        c) Small Intestine
        d) Large Intestine




             Powerpoint Templates
                                    Page 13
Explanation:
    Remember, the anatomy of the
    digestive system occurs in this order:

    Mouth
    Esophagus
    Stomach
    Small Intestine
    Large Intestine
    Rectum
    Anus




            Powerpoint Templates
                                    Page 14
The periodic contraction of
circular muscles in the small
intestine is called:

        a) Sphinter spasms
        b) Peristalsis
        c) Segmentation
        d) Colonic churning
        e) Mastication



             Powerpoint Templates
                                    Page 15
The periodic contraction of
circular muscles in the small
intestine is called:

        a) Sphinter spasms
        b) Peristalsis
        c) Segmentation
        d) Colonic churning
        e) Mastication



             Powerpoint Templates
                                    Page 16
Explanation:
    Segmentation is the periodic
    squeezing of circular muscles in the
    intestines that helps to mix chyme
    and promote contact with digestive
    juices and absorbing cells of the
    intestinal wall.

    Peristalsis is wavelike muscular
    contractions of the GI tract that help
    push its contents along. Mastication
    is another word for chewing…and I
    made up those other two


            Powerpoint Templates
                                     Page 17
Which of the following is not a
role of sphincters:

     a) Preventing reflux (back flow)
     b) Controlling movement of contents
        through GI tract
     c) Segmentation
     d) Preventing anal leakage




             Powerpoint Templates
                                    Page 18
Which of the following is not a
role of sphincters:

     a) Preventing reflux
     b) Controlling movement of contents
        through GI tract
     c) Segmentation
     d) Preventing anal leakage




             Powerpoint Templates
                                    Page 19
Explanation:
    Sphincters located throughout the GI
    tract open and close periodically to
    control the movement of contents
    during digestion.

    Important sphincters to be aware of:
    upper & lower esophageal
    sphincters, pyloric sphincter,
    ileocecal valve, and anal sphincter.

    Segmentation is the periodic
    squeezing of circular muscles in the
    intestines that helps to mix chyme.

            Powerpoint Templates
                                    Page 20
Saliva plays a role in all but which
of the following:

     a) Making food easy to swallow
     b) Digestion of protein
     c) Sensation of taste
     d) Protection




             Powerpoint Templates
                                    Page 21
Saliva plays a role in all but which
of the following:

     a) Making food easy to swallow
     b) Digestion of protein
     c) Sensation of taste
     d) Protection




             Powerpoint Templates
                                    Page 22
Explanation:
    Saliva mixes with food,
    moistening it to make it easier
    to swallow. Also, by
    suspending the food in solution,
    saliva enables food to react
    with taste buds. Saliva also
    helps protect against tooth
    decay by neutralizing acid. No
    protein digestion takes place in
    the mouth.

          Powerpoint Templates
                                 Page 23
Carbohydrate digestion takes
place in:

    a) Mouth
    b) Stomach
    c) Small Intestine
    d) Both a and c




             Powerpoint Templates
                                    Page 24
Carbohydrate digestion takes
place in:

    a) Mouth
    b) Stomach
    c) Small Intestine
    d) Both a and c




             Powerpoint Templates
                                    Page 25
Explanation:
    An enzyme in the saliva called
    salivary amylase initiates the
    digestion of carbohydrate in the
    mouth. This enzyme is
    deactivated in the stomach, so
    no carbohydrate digestion
    occurs in the stomach.
    Pancreatic and intestinal
    enzymes continue carbohydrate
    digestion in the small intestine.

           Powerpoint Templates
                                  Page 26
The strong acidity in the stomach
does all but which of the
following…
     a) Prepares protein for digestion
     b) Activates salivary amylase
     c) Activates stomach enzymes
     d) Prevents bacterial growth




              Powerpoint Templates
                                     Page 27
The strong acidity in the stomach
does all but which of the
following…
     a) Prepares protein for digestion
     b) Activates salivary amylase
     c) Activates stomach enzymes
     d) Prevents bacterial growth




              Powerpoint Templates
                                     Page 28
Explanation:
    Salivary amylase is digested in
    the stomach along with other
    proteins.

    Stomach enzymes, however,
    work most efficiently in this
    highly acidic environment.

    Stomach cells protect
    themselves from damage by
    secreting mucus.
          Powerpoint Templates
                                 Page 29
What is the function of bile in
digestion?

     a) Breaks down fat
     b) Neutralizes acidic chyme
     c) Enhances protein absorption
     d) Emulsifies fat




             Powerpoint Templates
                                    Page 30
What is the function of bile in
digestion?

     a) Breaks down fat
     b) Neutralizes acidic chyme
     c) Enhances protein absorption
     d) Emulsifies fat




             Powerpoint Templates
                                    Page 31
Explanation:
    Bile is not an enzyme and does
    not break down fat (that is the
    role of pancreatic and intestinal
    lipases). Rather, bile is an
    emulsifier that brings fats into
    suspension in water, preparing
    them for digestion.

    Bicarbonate-rich juices released
    by the pancreas into the small
    intesting are responsible for
    neutralizing the acidic chyme.
           Powerpoint Templates
                                  Page 32
Where is bile produced?


    a) Liver
    b) Gallbladder
    c) Pancreas
    d) Small Intestine




             Powerpoint Templates
                                    Page 33
Where is bile produced?


    a) Liver
    b) Gallbladder
    c) Pancreas
    d) Small Intestine




             Powerpoint Templates
                                    Page 34
Explanation:
    Bile is produced in the liver and
    stored in the gallbladder. Bile
    is secreted into the small
    intestine when the presence of
    fat triggers the release of CCK,
    which signals the gallbladder to
    contract.




           Powerpoint Templates
                                  Page 35
The majority of absorption occurs
in the…

     a) Stomach
     b) Small Intestine
     c) Liver
     d) Large Intestine




              Powerpoint Templates
                                     Page 36
The majority of absorption occurs
in the…

     a) Stomach
     b) Small Intestine
     c) Liver
     d) Large Intestine




              Powerpoint Templates
                                     Page 37
Explanation:
    The majority of absorption
    occurs in the small intestine
    (this includes macronutrients
    as well as vitamins and
    minerals).

    The many folds and villi of the
    small intestine dramatically
    increase its surface area,
    facilitating nutrient absorption.

           Powerpoint Templates
                                  Page 38
Explanation:
            Intestinal folds:



                                  Microvilli:




        Villi:


           Powerpoint Templates
                                            Page 39
Once absorbed, water soluble
nutrients and smaller products of
fat digestion…
     a) Cluster to form chylomicrons
     b) Enter the blood stream and travel
        to the heart
     c) Enter the hepatic portal vein and
        travel to the liver
     d) Enter the lymph and bypass the
        liver

             Powerpoint Templates
                                    Page 40
Once absorbed, water soluble
nutrients and smaller products of
fat digestion…
     a) Cluster to form chylomicrons
     b) Enter the blood stream and travel
        to the heart
     c) Enter the hepatic portal vein and
        travel to the liver
     d) Enter the lymph and bypass the
        liver

             Powerpoint Templates
                                    Page 41
Explanation:
    Water-soluble nutrients and smaller
    products of fat digestion are released
    directly into the bloodstream and are
    guided directly to the liver via the
    hepatic portal vein.

    Because they are insoluble in water,
    larger fats and fat soluble vitamins
    cluster together with certain proteins
    to form chylomicrons. Chlyomicrons
    cannot pass into capillaries, so
    instead they are released into the
    lymphatic system, bypassing the
    liver and entering the bloodstream
    near thePowerpoint Templates
              heart.
                                    Page 42
Powerpoint Templates
                       Page 43
Chapter 4
        The
   Carbohydrates:
  Sugars, Starches
     and Fibers


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                       Page 44
How much energy does 1 gram of
carbohydrate provide?

    a) 4 kCal
    b) 7 kCal
    c) 9 kCal




                Powerpoint Templates
                                       Page 45
How much energy does 1 gram of
carbohydrate provide?

    a) 4 kCal
    b) 7 kCal
    c) 9 kCal




                Powerpoint Templates
                                       Page 46
Explanation:
    Carbohydrate, as well as protein,
    provides 4 kCal/gram.

    Fat provides 9 kCal/gram

    Alcohol provide 7 kCal/gram (but
    remember we don’t consider alcohol
    to be a nutrient)




            Powerpoint Templates
                                    Page 47
The Atkins Diet is an example of
a…

     a) Low fat diet
     b) Low carb diet
     c) Low protein diet




              Powerpoint Templates
                                     Page 48
The Atkins Diet is an example of
a…

     a) Low fat diet
     b) Low carb diet
     c) Low protein diet




              Powerpoint Templates
                                     Page 49
Explanation:
    The Atkins Diet recommends that
    carbohydrates should make up 15%
    of your total daily energy intake.

    This is very low, considering the RDA
    for carbohydrates is 45-65% of total
    daily energy intake.

    Ketosis is thus a risk with the Atkins
    diet if the body does not get enough
    carbohydrate for fat digestion.



            Powerpoint Templates
                                     Page 50
Sucrose is a disaccharide
composed of which of the
following:
     a) Glucose and Glucose
     b) Glucose and Maltose
     c) Glucose and Fructose
     d) Glucose and Galactose
     e) None of the above




             Powerpoint Templates
                                    Page 51
Sucrose is a disaccharide
composed of which of the
following:
     a) Glucose and Glucose
     b) Glucose and Maltose
     c) Glucose and Fructose
     d) Glucose and Galactose
     e) None of the above




             Powerpoint Templates
                                    Page 52
Explanation:
    Sucrose, commonly known as table
    sugar, is composed of glucose and
    fructose.

    Sucrose = glucose + fructose
    Maltose = glucose + glucose
    Lactose = glucose + galactose

    *NOTE: all three of the disaccharides
    contain glucose!




            Powerpoint Templates
                                    Page 53
The type of reaction that occurs
when two molecules come
together to form a larger product:
     a) Combination
     b) Condensation
     c) Hydrophobic
     d) Hydrolysis




             Powerpoint Templates
                                    Page 54
The type of reaction that occurs
when two molecules come
together to form a larger product:
     a) Combination
     b) Condensation
     c) Hydrophobic
     d) Hydrolysis




             Powerpoint Templates
                                    Page 55
A condensation reaction is…


    a) Anabolic
    b) Catabolic




             Powerpoint Templates
                                    Page 56
A condensation reaction is…


    a) Anabolic
    b) Catabolic




             Powerpoint Templates
                                    Page 57
Explanation:
    Condensation is a type ofchemical
    reaction in which water is released as
    two molecules bond together.

      • It is an anabolic reaction because
      you are building something up.

    Hydrolysis is a type of chemical
    reaction in which a molecule is broken
    down into its individual parts (water is
    added to break the bond)

      • It is a catabolic reaction because
      you are breaking something apart
            Powerpoint Templates
                                     Page 58
Explanation:
 Example of a condensation reaction
     • Glucose and fructose coming
     together to produce sucrose
     • Glucose + Fructose = Sucrose +H20

 Example of a hydrolysis reaction
     • Galactose being broken down into its
     components glucose and lactose with
     the addition of H20
     • Galactose +H20 = Glucose+Galactose

      • NOTE: Hydrolysis reactions
      commonly occur during digestion
             Powerpoint Templates
                                    Page 59
Which of the following is not a
polysaccharide?

     a) Glycogen
     b) Starch
     c) Stachyose
     d) Fiber




             Powerpoint Templates
                                    Page 60
Which of the following is not a
polysaccharide?

     a) Glycogen
     b) Starch
     c) Stachyose
     d) Fiber




             Powerpoint Templates
                                    Page 61
Explanation:
 Stachyose is an example of an
 oligosaccharide. Oligosaccharides are short
 chain carbohydrates (3-10) and include
 raffinose, stachyose, and maltodextrin.

 Glycogen, starch and fiber are all
 polysaccharides, which are long chain
 carbohydrates (>10).
    • Glycogen: storage form of energy in
      animals
    • Starch: storage form of energy in plants
    • Fiber: contribute little to no energy to
      the body

             Powerpoint Templates
                                      Page 62
Which of the following is a good
source of glycogen in the diet?

     a) Meat
     b) Fruits & vegetables
     c) Grain products
     d) None of the above




              Powerpoint Templates
                                     Page 63
Which of the following is a good
source of glycogen in the diet?

     a) Meat
     b) Fruits & vegetables
     c) Grain products
     d) None of the above




              Powerpoint Templates
                                     Page 64
Explanation:
 Glycogen is the storage form of glucose in
 animals, however, it is found only to a
 limited extent in meats and not at all in
 plants -> food is NOT a significant source of
 this carbohydrate

      Instead, the body makes glycogen in
      the liver when excess glucose is
      consumed. Glycogen is formed via
      condensation reactions.

      Plants (fruits, vegetables, and grains)
      provide starch in the diet..
              Powerpoint Templates
                                       Page 65
When blood sugar is low, the
pancreas releases _____, which
triggers the liver to break down
______.
       a) insulin; glycogen
       b) insulin; fat
       c) glucagon; glycogen
       d) glucagon; fat




             Powerpoint Templates
                                    Page 66
When blood sugar is low, the
pancreas releases _____, which
triggers the liver to break down
______.
       a) insulin; glycogen
       b) insulin; fat
       c) glucagon; glycogen
       d) glucagon; fat




             Powerpoint Templates
                                    Page 67
Explanation:
 When blood glucose is low, the PANCREAS
 releases GLUCAGON which triggers the
 LIVER to break down GLYCOGEN and release
 glucose into the blood. As a result, blood
 glucose begins to rise.

 When blood glucose is high, the PANCREAS
 releases INSULIN which triggers…
      • Uptake of glucose into cells
      • Storage as glycogen in muscles and
        liver
      • Conversion of excess glucose into fat
        for storage

      *This isPowerpoint Templates homeostasis
               called glucose
                                          Page 68
Adequate intake of fiber does all
but which of the following …
     a) Fosters weight management
     b) Lowers blood cholesterol
     c) Provides significant energy to the
        body
     d) Helps prevent and control
        diabetes




              Powerpoint Templates
                                     Page 69
Adequate intake of fiber does all
but which of the following…
     a) Fosters weight management
     b) Lowers blood cholesterol
     c) Provides significant energy to the
        body
     d) Helps prevent and control
        diabetes




              Powerpoint Templates
                                     Page 70
Explanation:
    Fiber cannot be broken down by
    digestive enzymes in the body (do not
    recognize the bonds between
    monosaccharides in fiber).

    Fiber contributes no monosaccharides,
    and therefore little or no energy.

    Bacteria in the large intestine (colon)
    can ferment some fibers, generating
    short-chain fatty acids, which provide
    some usable energy to the cells of the
    colon…BUT this is not a significant
    amount.
            Powerpoint Templates
                                     Page 71
Which of the following is an
action of insoluble fiber in the
body?
      a) Lowers blood cholesterol by
         binding bile
      b) Slows glucose absorption
      c) Yields small fat molecules after
         fermentation that the colon can
         use for energy
      d) Provides bulk and feeling of
         fullness
             Powerpoint Templates
                                    Page 72
Which of the following is an
action of insoluble fiber in the
body?
      a) Lowers blood cholesterol by
         binding bile
      b) Slows glucose absorption
      c) Yields small fat molecules after
         fermentation that the colon can
         use for energy
      d) Provides bulk and feeling of
         fullness
              Powerpoint Templates
                                     Page 73
Explanation:
    Insoluble fibers do not dissolve in
    water, do not form gels, and are less
    readily fermented. They promote
    bowel movements, alleviate
    constipation, and prevent diverticular
    disease.

    Soluble fibers do dissolve in water,
    form gels, and are easily digested by
    bacteria in the colon. They are most
    often associated with protecting
    against heart disease and diabetes by
    lowering blood cholesterol and glucose
    levels, respectively.
            Powerpoint Templates
                                    Page 74
Glucose and galactose are
absorbed in the small intestine
by…
     a) Simpe diffusion
     b) Facilitated diffusion
     c) Active diffusion
     d) Active transport




              Powerpoint Templates
                                     Page 75
Glucose and galactose are
absorbed in the small intestine
by…
     a) Simpe diffusion
     b) Facilitated diffusion
     c) Active diffusion
     d) Active transport




              Powerpoint Templates
                                     Page 76
Explanation:
    Glucose and galactose enter the cells
    lining the small intestine by active
    transport (requires carrier molecule
    and energy).

    Fructose is absorbed by facilitated
    diffusion (requires carrier molecule,
    but no energy)

    Disaccharides are not absorbed until
    they are broken down into
    monosaccharides by intestinal
    enzymes on the outer membranes of
    the intestinal cells.
            Powerpoint Templates
                                     Page 77
If a person does not replenish
depleted glycogen stores by
eating carbohydrate, the body
breaks down ____ to make
glucose:
         a) Fat
         b) Protein
         c) Ketones
         d) None of the above


            Powerpoint Templates
                                   Page 78
If a person does not replenish
depleted glycogen stores by
eating carbohydrate, the body
breaks down ____ to make
glucose:
         a) Fat
         b) Protein
         c) Ketones
         d) None of the above


            Powerpoint Templates
                                   Page 79
Explanation:
   When glycogen stores are depleted &
   inadequate carbohydrate is consumed,
   body proteins are broken down (mostly
   from the liver & skeletal muscles) to
   make glucose to fuel the brain and other
   special cells

   This conversion of protein to glucose is
   called GLUCONEOGENESIS.

   Fat cannot be converted to glucose to
   any significant extent.


            Powerpoint Templates
                                     Page 80
Explanation:
   When there is an inadequate
   carbohydrate supply, fat takes an
   altermative metabolic pathway, where
   fat fragments combine to form KETONE
   BODIES.

   Ketone bodies provide an alternate fuel
   source during starvation, but when their
   production exceeds their use, they
   accumulate in the blood causing
   KETOSIS

   Ketosis is a dangerous condition because
   it disrupts the body’s acid-base balance.
           Powerpoint Templates
                                    Page 81
The condition in which the body’s
cells become resistant to insulin
is called…
     a) Hyperglycemia
     b) Hypoglycemia
     c) Type 1 Diabetes
     d) Type 2 Diabetes




             Powerpoint Templates
                                    Page 82
The condition in which the body’s
cells become resistant to insulin
is called…
      a) Hyperglycemia
      b) Hypoglycemia
      c) Type 1 Diabetes
      d) Type 2 Diabetes




             Powerpoint Templates
                                    Page 83
Explanation:
   Type 2 Diabetes is a metabolic disorder
   in which the cells fail to respond to
   insulin; this condition tends to occur as a
   consequence of obesity

   Type 1 Diabetes is a metabolic disorder
   in which the pancreas fails to produce
   insulin (autoimmune)

   Hypoglycemia refers to a state produced
   by an abnormally low blood glucose
   concentration


            Powerpoint Templates
                                     Page 84
TRUE OR FALSE: Sugar alcohols
provide no calories.

    a) True
    b) False




               Powerpoint Templates
                                      Page 85
TRUE OR FALSE: Sugar alcohols
provide no calories.

    a) True
    b) False




               Powerpoint Templates
                                      Page 86
Explanation:
   Products containing sugar alcohols claim
   to be ‘sugar free’ on their labels, but in
   this case, ‘sugar free’ does not mean free
   of kcalories.

   Sugar alcohols do provide calories, but
   fewer than sugars do.

   Because sugar alcohols yield energy,
   they are sometimes referred to as
   nutritive sweeteners.



            Powerpoint Templates
                                     Page 87

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Nutrition 101 Exam Review Slides

  • 1. Nutrition 101 Exam Review Session TAs: Helen Corless and Delma Bettancourt Powerpoint Templates Page 1
  • 2. Chapter 2 Planning a Healthy Diet Powerpoint Templates Page 2
  • 3. Which of the following is a health claim? a) Builds strong bones b) Diets adequate in calcium may reduce the risk of osteoperosis c) Excellent source of calcium Powerpoint Templates Page 3
  • 4. Which of the following is a health claim? a) Builds strong bones b) Diets adequate in calcium may reduce the risk of osteoperosis c) Excellent source of calcium Powerpoint Templates Page 4
  • 5. Explanation: A health claim characterizes the relationship between a nutrient in a food and a disease/health-related condition A structure-function claim characterizes the relationship between a nutrient or other substance in a food and its role in the body; cannot mention a disease or symptom; no FDA approval needed A nutrient claim characterizes the quantity of a nutrient in a food Powerpoint Templates Page 5
  • 6. Lets try some more… Powerpoint Templates Page 6
  • 7. « Good source of fiber » is which of the following? a) Health claim b) Structure-function claim c) Nutrient claim Powerpoint Templates Page 7
  • 8. « Good source of fiber » is which of the following? a) Health claim b) Structure-function claim c) Nutrient claim Powerpoint Templates Page 8
  • 9. « Boosts the immune system » is which of the following? a) Health claim b) Structure-function claim c) Nutrient claim Powerpoint Templates Page 9
  • 10. « Boosts the immune system » is which of the following? a) Health claim b) Structure-function claim c) Nutrient claim Powerpoint Templates Page 10
  • 11. Chapter 3 Digestion, Absorption, and Transport Powerpoint Templates Page 11
  • 12. After food leaves the stomach it heads into which part of the digestive system? a) Esophagus b) Pancreas c) Small Intestine d) Large Intestine Powerpoint Templates Page 12
  • 13. After food leaves the stomach it heads into which part of the digestive system? a) Esophagus b) Pancreas c) Small Intestine d) Large Intestine Powerpoint Templates Page 13
  • 14. Explanation: Remember, the anatomy of the digestive system occurs in this order: Mouth Esophagus Stomach Small Intestine Large Intestine Rectum Anus Powerpoint Templates Page 14
  • 15. The periodic contraction of circular muscles in the small intestine is called: a) Sphinter spasms b) Peristalsis c) Segmentation d) Colonic churning e) Mastication Powerpoint Templates Page 15
  • 16. The periodic contraction of circular muscles in the small intestine is called: a) Sphinter spasms b) Peristalsis c) Segmentation d) Colonic churning e) Mastication Powerpoint Templates Page 16
  • 17. Explanation: Segmentation is the periodic squeezing of circular muscles in the intestines that helps to mix chyme and promote contact with digestive juices and absorbing cells of the intestinal wall. Peristalsis is wavelike muscular contractions of the GI tract that help push its contents along. Mastication is another word for chewing…and I made up those other two Powerpoint Templates Page 17
  • 18. Which of the following is not a role of sphincters: a) Preventing reflux (back flow) b) Controlling movement of contents through GI tract c) Segmentation d) Preventing anal leakage Powerpoint Templates Page 18
  • 19. Which of the following is not a role of sphincters: a) Preventing reflux b) Controlling movement of contents through GI tract c) Segmentation d) Preventing anal leakage Powerpoint Templates Page 19
  • 20. Explanation: Sphincters located throughout the GI tract open and close periodically to control the movement of contents during digestion. Important sphincters to be aware of: upper & lower esophageal sphincters, pyloric sphincter, ileocecal valve, and anal sphincter. Segmentation is the periodic squeezing of circular muscles in the intestines that helps to mix chyme. Powerpoint Templates Page 20
  • 21. Saliva plays a role in all but which of the following: a) Making food easy to swallow b) Digestion of protein c) Sensation of taste d) Protection Powerpoint Templates Page 21
  • 22. Saliva plays a role in all but which of the following: a) Making food easy to swallow b) Digestion of protein c) Sensation of taste d) Protection Powerpoint Templates Page 22
  • 23. Explanation: Saliva mixes with food, moistening it to make it easier to swallow. Also, by suspending the food in solution, saliva enables food to react with taste buds. Saliva also helps protect against tooth decay by neutralizing acid. No protein digestion takes place in the mouth. Powerpoint Templates Page 23
  • 24. Carbohydrate digestion takes place in: a) Mouth b) Stomach c) Small Intestine d) Both a and c Powerpoint Templates Page 24
  • 25. Carbohydrate digestion takes place in: a) Mouth b) Stomach c) Small Intestine d) Both a and c Powerpoint Templates Page 25
  • 26. Explanation: An enzyme in the saliva called salivary amylase initiates the digestion of carbohydrate in the mouth. This enzyme is deactivated in the stomach, so no carbohydrate digestion occurs in the stomach. Pancreatic and intestinal enzymes continue carbohydrate digestion in the small intestine. Powerpoint Templates Page 26
  • 27. The strong acidity in the stomach does all but which of the following… a) Prepares protein for digestion b) Activates salivary amylase c) Activates stomach enzymes d) Prevents bacterial growth Powerpoint Templates Page 27
  • 28. The strong acidity in the stomach does all but which of the following… a) Prepares protein for digestion b) Activates salivary amylase c) Activates stomach enzymes d) Prevents bacterial growth Powerpoint Templates Page 28
  • 29. Explanation: Salivary amylase is digested in the stomach along with other proteins. Stomach enzymes, however, work most efficiently in this highly acidic environment. Stomach cells protect themselves from damage by secreting mucus. Powerpoint Templates Page 29
  • 30. What is the function of bile in digestion? a) Breaks down fat b) Neutralizes acidic chyme c) Enhances protein absorption d) Emulsifies fat Powerpoint Templates Page 30
  • 31. What is the function of bile in digestion? a) Breaks down fat b) Neutralizes acidic chyme c) Enhances protein absorption d) Emulsifies fat Powerpoint Templates Page 31
  • 32. Explanation: Bile is not an enzyme and does not break down fat (that is the role of pancreatic and intestinal lipases). Rather, bile is an emulsifier that brings fats into suspension in water, preparing them for digestion. Bicarbonate-rich juices released by the pancreas into the small intesting are responsible for neutralizing the acidic chyme. Powerpoint Templates Page 32
  • 33. Where is bile produced? a) Liver b) Gallbladder c) Pancreas d) Small Intestine Powerpoint Templates Page 33
  • 34. Where is bile produced? a) Liver b) Gallbladder c) Pancreas d) Small Intestine Powerpoint Templates Page 34
  • 35. Explanation: Bile is produced in the liver and stored in the gallbladder. Bile is secreted into the small intestine when the presence of fat triggers the release of CCK, which signals the gallbladder to contract. Powerpoint Templates Page 35
  • 36. The majority of absorption occurs in the… a) Stomach b) Small Intestine c) Liver d) Large Intestine Powerpoint Templates Page 36
  • 37. The majority of absorption occurs in the… a) Stomach b) Small Intestine c) Liver d) Large Intestine Powerpoint Templates Page 37
  • 38. Explanation: The majority of absorption occurs in the small intestine (this includes macronutrients as well as vitamins and minerals). The many folds and villi of the small intestine dramatically increase its surface area, facilitating nutrient absorption. Powerpoint Templates Page 38
  • 39. Explanation: Intestinal folds: Microvilli: Villi: Powerpoint Templates Page 39
  • 40. Once absorbed, water soluble nutrients and smaller products of fat digestion… a) Cluster to form chylomicrons b) Enter the blood stream and travel to the heart c) Enter the hepatic portal vein and travel to the liver d) Enter the lymph and bypass the liver Powerpoint Templates Page 40
  • 41. Once absorbed, water soluble nutrients and smaller products of fat digestion… a) Cluster to form chylomicrons b) Enter the blood stream and travel to the heart c) Enter the hepatic portal vein and travel to the liver d) Enter the lymph and bypass the liver Powerpoint Templates Page 41
  • 42. Explanation: Water-soluble nutrients and smaller products of fat digestion are released directly into the bloodstream and are guided directly to the liver via the hepatic portal vein. Because they are insoluble in water, larger fats and fat soluble vitamins cluster together with certain proteins to form chylomicrons. Chlyomicrons cannot pass into capillaries, so instead they are released into the lymphatic system, bypassing the liver and entering the bloodstream near thePowerpoint Templates heart. Page 42
  • 44. Chapter 4 The Carbohydrates: Sugars, Starches and Fibers Powerpoint Templates Page 44
  • 45. How much energy does 1 gram of carbohydrate provide? a) 4 kCal b) 7 kCal c) 9 kCal Powerpoint Templates Page 45
  • 46. How much energy does 1 gram of carbohydrate provide? a) 4 kCal b) 7 kCal c) 9 kCal Powerpoint Templates Page 46
  • 47. Explanation: Carbohydrate, as well as protein, provides 4 kCal/gram. Fat provides 9 kCal/gram Alcohol provide 7 kCal/gram (but remember we don’t consider alcohol to be a nutrient) Powerpoint Templates Page 47
  • 48. The Atkins Diet is an example of a… a) Low fat diet b) Low carb diet c) Low protein diet Powerpoint Templates Page 48
  • 49. The Atkins Diet is an example of a… a) Low fat diet b) Low carb diet c) Low protein diet Powerpoint Templates Page 49
  • 50. Explanation: The Atkins Diet recommends that carbohydrates should make up 15% of your total daily energy intake. This is very low, considering the RDA for carbohydrates is 45-65% of total daily energy intake. Ketosis is thus a risk with the Atkins diet if the body does not get enough carbohydrate for fat digestion. Powerpoint Templates Page 50
  • 51. Sucrose is a disaccharide composed of which of the following: a) Glucose and Glucose b) Glucose and Maltose c) Glucose and Fructose d) Glucose and Galactose e) None of the above Powerpoint Templates Page 51
  • 52. Sucrose is a disaccharide composed of which of the following: a) Glucose and Glucose b) Glucose and Maltose c) Glucose and Fructose d) Glucose and Galactose e) None of the above Powerpoint Templates Page 52
  • 53. Explanation: Sucrose, commonly known as table sugar, is composed of glucose and fructose. Sucrose = glucose + fructose Maltose = glucose + glucose Lactose = glucose + galactose *NOTE: all three of the disaccharides contain glucose! Powerpoint Templates Page 53
  • 54. The type of reaction that occurs when two molecules come together to form a larger product: a) Combination b) Condensation c) Hydrophobic d) Hydrolysis Powerpoint Templates Page 54
  • 55. The type of reaction that occurs when two molecules come together to form a larger product: a) Combination b) Condensation c) Hydrophobic d) Hydrolysis Powerpoint Templates Page 55
  • 56. A condensation reaction is… a) Anabolic b) Catabolic Powerpoint Templates Page 56
  • 57. A condensation reaction is… a) Anabolic b) Catabolic Powerpoint Templates Page 57
  • 58. Explanation: Condensation is a type ofchemical reaction in which water is released as two molecules bond together. • It is an anabolic reaction because you are building something up. Hydrolysis is a type of chemical reaction in which a molecule is broken down into its individual parts (water is added to break the bond) • It is a catabolic reaction because you are breaking something apart Powerpoint Templates Page 58
  • 59. Explanation: Example of a condensation reaction • Glucose and fructose coming together to produce sucrose • Glucose + Fructose = Sucrose +H20 Example of a hydrolysis reaction • Galactose being broken down into its components glucose and lactose with the addition of H20 • Galactose +H20 = Glucose+Galactose • NOTE: Hydrolysis reactions commonly occur during digestion Powerpoint Templates Page 59
  • 60. Which of the following is not a polysaccharide? a) Glycogen b) Starch c) Stachyose d) Fiber Powerpoint Templates Page 60
  • 61. Which of the following is not a polysaccharide? a) Glycogen b) Starch c) Stachyose d) Fiber Powerpoint Templates Page 61
  • 62. Explanation: Stachyose is an example of an oligosaccharide. Oligosaccharides are short chain carbohydrates (3-10) and include raffinose, stachyose, and maltodextrin. Glycogen, starch and fiber are all polysaccharides, which are long chain carbohydrates (>10). • Glycogen: storage form of energy in animals • Starch: storage form of energy in plants • Fiber: contribute little to no energy to the body Powerpoint Templates Page 62
  • 63. Which of the following is a good source of glycogen in the diet? a) Meat b) Fruits & vegetables c) Grain products d) None of the above Powerpoint Templates Page 63
  • 64. Which of the following is a good source of glycogen in the diet? a) Meat b) Fruits & vegetables c) Grain products d) None of the above Powerpoint Templates Page 64
  • 65. Explanation: Glycogen is the storage form of glucose in animals, however, it is found only to a limited extent in meats and not at all in plants -> food is NOT a significant source of this carbohydrate Instead, the body makes glycogen in the liver when excess glucose is consumed. Glycogen is formed via condensation reactions. Plants (fruits, vegetables, and grains) provide starch in the diet.. Powerpoint Templates Page 65
  • 66. When blood sugar is low, the pancreas releases _____, which triggers the liver to break down ______. a) insulin; glycogen b) insulin; fat c) glucagon; glycogen d) glucagon; fat Powerpoint Templates Page 66
  • 67. When blood sugar is low, the pancreas releases _____, which triggers the liver to break down ______. a) insulin; glycogen b) insulin; fat c) glucagon; glycogen d) glucagon; fat Powerpoint Templates Page 67
  • 68. Explanation: When blood glucose is low, the PANCREAS releases GLUCAGON which triggers the LIVER to break down GLYCOGEN and release glucose into the blood. As a result, blood glucose begins to rise. When blood glucose is high, the PANCREAS releases INSULIN which triggers… • Uptake of glucose into cells • Storage as glycogen in muscles and liver • Conversion of excess glucose into fat for storage *This isPowerpoint Templates homeostasis called glucose Page 68
  • 69. Adequate intake of fiber does all but which of the following … a) Fosters weight management b) Lowers blood cholesterol c) Provides significant energy to the body d) Helps prevent and control diabetes Powerpoint Templates Page 69
  • 70. Adequate intake of fiber does all but which of the following… a) Fosters weight management b) Lowers blood cholesterol c) Provides significant energy to the body d) Helps prevent and control diabetes Powerpoint Templates Page 70
  • 71. Explanation: Fiber cannot be broken down by digestive enzymes in the body (do not recognize the bonds between monosaccharides in fiber). Fiber contributes no monosaccharides, and therefore little or no energy. Bacteria in the large intestine (colon) can ferment some fibers, generating short-chain fatty acids, which provide some usable energy to the cells of the colon…BUT this is not a significant amount. Powerpoint Templates Page 71
  • 72. Which of the following is an action of insoluble fiber in the body? a) Lowers blood cholesterol by binding bile b) Slows glucose absorption c) Yields small fat molecules after fermentation that the colon can use for energy d) Provides bulk and feeling of fullness Powerpoint Templates Page 72
  • 73. Which of the following is an action of insoluble fiber in the body? a) Lowers blood cholesterol by binding bile b) Slows glucose absorption c) Yields small fat molecules after fermentation that the colon can use for energy d) Provides bulk and feeling of fullness Powerpoint Templates Page 73
  • 74. Explanation: Insoluble fibers do not dissolve in water, do not form gels, and are less readily fermented. They promote bowel movements, alleviate constipation, and prevent diverticular disease. Soluble fibers do dissolve in water, form gels, and are easily digested by bacteria in the colon. They are most often associated with protecting against heart disease and diabetes by lowering blood cholesterol and glucose levels, respectively. Powerpoint Templates Page 74
  • 75. Glucose and galactose are absorbed in the small intestine by… a) Simpe diffusion b) Facilitated diffusion c) Active diffusion d) Active transport Powerpoint Templates Page 75
  • 76. Glucose and galactose are absorbed in the small intestine by… a) Simpe diffusion b) Facilitated diffusion c) Active diffusion d) Active transport Powerpoint Templates Page 76
  • 77. Explanation: Glucose and galactose enter the cells lining the small intestine by active transport (requires carrier molecule and energy). Fructose is absorbed by facilitated diffusion (requires carrier molecule, but no energy) Disaccharides are not absorbed until they are broken down into monosaccharides by intestinal enzymes on the outer membranes of the intestinal cells. Powerpoint Templates Page 77
  • 78. If a person does not replenish depleted glycogen stores by eating carbohydrate, the body breaks down ____ to make glucose: a) Fat b) Protein c) Ketones d) None of the above Powerpoint Templates Page 78
  • 79. If a person does not replenish depleted glycogen stores by eating carbohydrate, the body breaks down ____ to make glucose: a) Fat b) Protein c) Ketones d) None of the above Powerpoint Templates Page 79
  • 80. Explanation: When glycogen stores are depleted & inadequate carbohydrate is consumed, body proteins are broken down (mostly from the liver & skeletal muscles) to make glucose to fuel the brain and other special cells This conversion of protein to glucose is called GLUCONEOGENESIS. Fat cannot be converted to glucose to any significant extent. Powerpoint Templates Page 80
  • 81. Explanation: When there is an inadequate carbohydrate supply, fat takes an altermative metabolic pathway, where fat fragments combine to form KETONE BODIES. Ketone bodies provide an alternate fuel source during starvation, but when their production exceeds their use, they accumulate in the blood causing KETOSIS Ketosis is a dangerous condition because it disrupts the body’s acid-base balance. Powerpoint Templates Page 81
  • 82. The condition in which the body’s cells become resistant to insulin is called… a) Hyperglycemia b) Hypoglycemia c) Type 1 Diabetes d) Type 2 Diabetes Powerpoint Templates Page 82
  • 83. The condition in which the body’s cells become resistant to insulin is called… a) Hyperglycemia b) Hypoglycemia c) Type 1 Diabetes d) Type 2 Diabetes Powerpoint Templates Page 83
  • 84. Explanation: Type 2 Diabetes is a metabolic disorder in which the cells fail to respond to insulin; this condition tends to occur as a consequence of obesity Type 1 Diabetes is a metabolic disorder in which the pancreas fails to produce insulin (autoimmune) Hypoglycemia refers to a state produced by an abnormally low blood glucose concentration Powerpoint Templates Page 84
  • 85. TRUE OR FALSE: Sugar alcohols provide no calories. a) True b) False Powerpoint Templates Page 85
  • 86. TRUE OR FALSE: Sugar alcohols provide no calories. a) True b) False Powerpoint Templates Page 86
  • 87. Explanation: Products containing sugar alcohols claim to be ‘sugar free’ on their labels, but in this case, ‘sugar free’ does not mean free of kcalories. Sugar alcohols do provide calories, but fewer than sugars do. Because sugar alcohols yield energy, they are sometimes referred to as nutritive sweeteners. Powerpoint Templates Page 87