560E Additional Info (+) Flashcards

1
Q

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

A

40 inches

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2
Q

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

A

35 inches

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3
Q

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

A

1

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4
Q

BIA is based on difference in electrolyte content between ____ and ______ tissues.

A

fat / fat-free

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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 ____________.

A

pro-inflammatory

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7
Q

__________ is associated with dysmetabolism and vascular conditions.

A

Inflammation

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8
Q

CVD event predictors (2)

A

Waist circumference

W/H ratio

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9
Q

Dark red urine is likely due to bleeding in the ______.

A

kidneys

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10
Q

Bright red urine is likely from bleeding due to ______.

A

UTI

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11
Q

Dark yellow urine is usually seen in _________.

A

increased levels of urobilinogen or bilirubin

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12
Q

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

A

brown, red

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13
Q

Sweet smell of urine indicates _________.

A

ketoacidosis

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14
Q

Foul odor of urine indicates _________.

A

UTI

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15
Q

In terms of pH, diets high in fruits and vegetables produce urine that is ____________.

A

alkaline

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16
Q

Meats produce urine that is more ____________.

A

acidic

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17
Q

________ is a sensitive indicator of kidney functioning.

A

Protein

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18
Q

Specific gravity is used to evaluate _________ power of kidneys.

A

excretory

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19
Q

Elevated _________ indicates obstruction of the bile duct by gallstones.

A

bilirubin

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20
Q

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

A

Urobilinogen

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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 __________.

A

urinary casts

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23
Q

BUN is an indirect measure of ______ and ______.

A

renal function and GFR

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24
Q

Which peptide connects the alpha and beta chains of proinsulin?

A

C-peptide

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25
__________ accurately reflects islet cell function and correlates with insulin levels (except in obese patients and insulinomas).
C-peptide
26
Assessing Insulin Resistance and monitoring diabetes can be done with the following tests (6):
``` A1c > 6.5 Fasting blood glucose Glucose tolerance (OGTT) HDL < 35 TG > 250 CRP > 3 ```
27
HDL should be _____ for males and _____ for females.
> 45 (males) and > 55 (females)
28
TGs should be _____ for men and ______ for women
< 160 (males) and < 135 (females)
29
3 out of these 5 criteria need to be met for MetSyndrome diagnosis:
``` Elevated WC (> 35 females, > 40 for males) Elevated TGs (> 150) Low HDL (< 40 males, < 50 females) High BP (> 130/85) High fasting blood sugar (>100) ```
30
Endothelial dysfunction is a combination of ________ and __________.
inflammation and oxidative stress
31
Total protein is measured as ______ and ______.
albumin and globulin
32
Lipids are classified by _________.
density
33
LDL particle size is the _______ important lipoprotein predictor of CV events.
MOST
34
Ferritin is most sensitive to determine _______.
IDA
35
Ferritin should be used in conjunction with TIBC and other markers because it can be elevated due to __________ and _________.
infection/inflammation and liver disease.
36
What is a measurement of all proteins available for binding iron?
TIBC
37
Which iron-binding protein exists in the largest quantity?
Transferrin
38
________ is better for diagnosing iron overload than deficiency.
Serum iron
39
PTH regulates blood ________ levels.
calcium
40
Plasma zinc is bound by ________.
albumin
41
________ contains 10x more zinc than plasma
RBC zinc
42
Metallothionen regulates which mineral metabolism?
zinc and copper
43
Which mineral affects Delta-6-Desaturase (active in LA to GLA conversion)?
Zinc
44
________ is necessary for normal iron metabolism and RBC synthesis.
Copper
45
Zinc deficiency can exacerbate ________.
IDA (iron deficiency anemia)
46
WBCs could be low due to _______, and _______ issues.
iron/B12 deficiency and stress/hormonal issues
47
______ platelets could indicate iron deficiency
High
48
______ platelets could indicate b12/folate deficiency
Low
49
Changes in _______ output would be expected with HPA abnormalities.
Cortisol
50
__________ is related to HPA abnormalities.
Adrenal fatigue
51
Is AST specific for liver disease?
Not by itself, combined with ALT.
52
AST/ALT ratio ______ can indicate liver disease.
> 1
53
TBARS (Thiobarbituric acid reactive substances) is used to measure:
lipid peroxidation products
54
``` Which would have the least effect on TBARS? B6 CoQ10 Vit C Vit E ```
B6
55
Functional tests which assess oxidative changes in lipids can assess status of ________.
Vitamin E
56
Angular stomatitis and cheliosis (dry, cracking, ulcerated lips) are caused by deficiencies of:
B2, B3 and B6
57
Atrophic lingual papillae and glossitis have these common deficiencies:
B2, B3, B9, and B12
58
Glossitis is caused by a lack of B2, B3, B9, B12 and...
B6
59
Atrophic lingual papillae is caused by a lack of B2, B3, B9, B12, _______ and _______.
protein, iron
60
Systolic BP of 120-139 combined with diastolic 80-99 is:
Pre-HTN
61
BP of 140/90 to 159/99 is:
Stage 1 HTN
62
BP > 160/100 is:
Stage 2 HTN