560E Flashcards

1
Q

Waist circumference for a male that is greater than ____ is considered indicative of increased risk of metabolic syndrome and CVD.

a. 30
b. 35
c. 40
d. 45

A

c. 40

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2
Q

Waist circumference for a female that is greater than ____ is considered indicative of increased risk of metabolic syndrome and CVD.

a. 30
b. 35
c. 40
d. 45

A

b. 35

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3
Q

A waist/hip ratio of less than 1 is ideal.

True/False

A

True

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4
Q

BIA is based on difference in electrolyte content within fatty tissues.

True/false

A

FALSE….it is based on difference in electrolyte content between fat and fat free tissues

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5
Q

The following are ways to assess which disorder?

Hills/valley in hands
Chair Test
DEXA
BIA
Grip test
Creatine excretion
A

SARCOPENIA

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6
Q

Visceral fat is anti-inflammatory.

True/false

A

FALSE, it’s pro-inflammatory

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7
Q

Inflammation is associated with dysmetabolism and vascular conditions.
True/False

A

True

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8
Q

Waist circumference and W/H ratio are not CVD event predictors.

True False

A

FALSE, they are.

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9
Q

Dark red urine is like from bleeding in the…..

bladder
urethra
kidneys
liver

A

kidneys

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10
Q

Bright red urine is likely from bleeding due to

kidney disease
bladder infection UTI
stones

A

UTI

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11
Q

Dark yellow urine is usually seen in …

infections
kidney failure
increased levels of urobilinogen or bilirubin

A

increased levels of urobilinogen or bilirubin

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12
Q

Rhubarb can turn urine….., while beets can turn it….

red, brown
green, brown
brown, green
brown, red

A

brown, red

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13
Q

Sweet smell of urine indicates UTI.

T/F

A

False….indicates ketoacidosis

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14
Q

Foul odor of urine indicates UTI

T/F

A

True

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15
Q

Diets high in fruits and vegetables produce urine that is _____.

alkaline
acidic

A

alkaline

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16
Q

Meats produce urine that is more

alkaline
acidic

A

acidic

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17
Q

Protein is a sensitive indicator of kidney functioning.

T/F

A

True

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18
Q

Specific gravity is used to evaluate _____ power of kidneys

pH balancing
excretory
calcitriol producing

A

excretory

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19
Q

Elevated ___ indicates obstruction of bile duct by gallstones.

bilirubin
casts
leukocytes

A

bilirubin

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20
Q

Urobilinogen is bile transformed in bowel by bacteria, some of which is excreted by kidneys.

T/F

A

True

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21
Q

Do crystals indicate likely stone formation?

A

Yes

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22
Q

Cellular (from degenerated cells) and Hyaline (from protein) are types of:

infections
casts
leukocytes
crystals

A

casts

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23
Q

BUN is an indirect measure of renal function and GFR.

T/F

A

True

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24
Q

Which peptide connects the alpha and beta chains of proinsulin?

a-peptide
b-peptide
c-peptide
d-peptide

A

c-peptide

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25
Q

C-peptide accurately reflect islet cell function. and correlates with insulin levels (except in obese patients and insulinomas).

T/F

A

True

26
Q

Assessing Insulin Resistance and monitoring diabetes can be done with the following:

A1c > 6.5
Fasting blood glucose
Glucose tolerance
HDL <35 
TG >250
CRP >3
All of the above
A

all

27
Q

HDL should be below 35

T/F

A

False…this level would be higher risk for CVD. Males should be > 45 and females > 55

28
Q

TGs should be < 160 for men and < 135 for women

T/F

A

True

29
Q

How many of the following criteria need to be met for MetSyndrome? All, 3, 4

Elevated WC (35 for women, 40 for men)
Elevated TGs (>150)
Low HDL (<35)
High BP (> 130/85)
High fasting blood sugar (>100)
A

3 of these are required to determine MetSyn

30
Q

Endothelial dysfunction is a combination of inflammation and oxidative stress.

T/F

A

True

31
Q

Total protein is measured as albumin and globulin.

T/F

A

True

32
Q

Lipids are classified by:

size
volume
density
shape

A

density

33
Q

LDL particle size is the least important lipoprotein predictor of CV events.

True/False

A

FALSE…it’s the MOST important

34
Q

Ferritin is most sensitive to determine IDA.

True/False

A

True

35
Q

Ferritin should be used in conjunction with TIBC and other markers because it can be elevated due to infection/inflammation and liver disease.

True/False

A

True

36
Q

What is a measurement of all proteins available for binding iron?

Protoporphyrin
Transferrin
TIBC
Serum iron

A

TIBC

37
Q

Which is the largest quantity of iron binding proteins?

Protoporphyrins
Transferrins
Ferritins
Ceruloplasmins

A

Transferrin

38
Q

Serum iron is better for diagnosing iron overload than deficiency.

T/F

A

True

39
Q

PTH regulates blood____ levels.

thyroid hormone
calcium
magnesium
phosphorous

A

Calcium

40
Q

Plasma zinc is not bound by anything

T/F

A

False,…bound by albumin

41
Q

RBC zinc contains 10x less zinc than plasma

T/F

A

False, 10x more

42
Q

Metallothionen regulates which mineral metabolism?

A

zinc. copper

43
Q

Which mineral affects Delta-6-Desaturase (active in LA to GLA conversion)?

Magnesium
Zinc
Copper
Iron

A

Zinc

44
Q

Copper is necessary for normal iron metabolism and RBC synthesis

T/F

A

True

45
Q

Zinc deficiency can exacerbate IDA

t/F

A

True

46
Q

WBCs could be low due to iron/B12 deficiency, and stress/hormonal issues.

T/F

A

True

47
Q

high platelets COULD indicate iron deficiency

True/False

A

True

48
Q

Low platelets could indicate b12/folate deficiency

true/false

A

True

49
Q

Changes in cortisol output would be expected with HPA abnormalities.

T/F

A

True

50
Q

Adrenal fatigue is not related to HPA abnormalities.

True/False

A

FALSE

51
Q

AST is specific for liver disease.

T/F

A

False, not by itself…combined with ALT

52
Q

AST/ALT ratio > 1 can indicate liver disease

True/False

A

True

53
Q

TBARS (Thiobarbituric acid reactive substances) is used to measure:

RBC health
Thyroid antibodies
lipid peroxidation products
glutathione status

A

lipid peroxidation products

54
Q

Which would have the least effect on TBARS?

B6
CoQ10
Vit C
Vit E

A

B6

55
Q

Functional tests which assess oxidative changes in lipids can assess status of which:

Vit A
Vit C
vit E
vit D

A

Vitamin E

56
Q

Angular stomatitis and cheliosis (dry, cracking, ulcerated lips) are caused by deficiencies of:

B6
B2
B3
All

A

All

57
Q

Atrophic lingual papillae and glossitis have these common deficiencies:

B2, B3, B9, B12
B1, B2, B3, B5
B2, b3,B5, B12

A

B2, B3, B9, B12

58
Q

Glossitis is caused by lack of B2, B3, B9, b12 and…

Vit A
Vit C
Protein
B6

A

B6

59
Q

Atrophic lingual papillae is caused by lack of B2, B3, B9, B12 and … (2 answers)

B6
Protein
Iron
B1

A

protein, iron

60
Q

Systolic BP of 120-139 combined with diastolic 80-99 is:

Normal
Prehypertensive
Stage 1 htn
stage 2 htn

A

Pre-HTN

61
Q

BP of 140/90 to 159/99 is:

Stage 1 HTN
Stage 2

A

Stage 1 HTN

62
Q

BP > 160/100 is

Stage 1 HTN
Stage 2 HTN
Stage 3 HTN

A

Stage 2