Ch 12 Flashcards

1
Q

Which of the following nutrients is crucial in maintaining blood health?

A) thiamin
B) folate
C) phosphorus
D) calcium

A

B) folate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Which of the following cells are key to our immune function?

A) erythrocytes
B) leukocytes
C) osteoclasts
D) osteocytes

A

B) leukocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The most common mineral deficiency worldwide is:

A) calcium.
B) vitamin B12.
C) iron.
D) folate.

A

C) iron.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The oxygen-carrying protein found in our red blood cells is called:

A) myoglobin.
B) hemoglobin.
C) iron.
D) hemosiderin.

A

B) hemoglobin.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

The oxygen-carrying protein used to transport oxygen in muscle is called:

A) myoglobin.
B) hemoglobin.
C) iron.
D) ferritin.

A

A) myoglobin.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

The “meat factor” is:

A) a substance found in meat, fish, and poultry that enhances iron absorption.
B) a substance found in meat that enhances folate absorption.
C) a coenzyme involved in the metabolism of protein and fat.
D) the increased need for protein by the mother during pregnancy.

A

A) a substance found in meat, fish, and poultry that enhances iron absorption.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which of the following will impair iron absorption?

A) low amounts of stomach acid
B) low dietary intake of iron
C) iron-deficiency anemia
D) chronic blood loss

A

A) low amounts of stomach acid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Iron absorption is enhanced by:

A) polyphenols.
B) fiber.
C) phytates.
D) vitamin C.

A

D) vitamin C.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Insufficient intake of iron will FIRST affect the body’s ___ levels.

A) hemoglobin
B) hephaestin
C) transferrin
D) ferritin

A

D) ferritin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

The two storage forms of iron are ferritin and:

A) ceruloplasmin.
B) transferrin.
C) hemosiderin.
D) hephaestin.

A

C) hemosiderin.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

The majority of the body’s iron is found in:

A) ferritin.
B) hemoglobin.
C) ferroportin.
D) transferrin.

A

B) hemoglobin.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Which of the following is the BEST source of heme iron?

A) fish
B) spinach
C) fortified bread
D) beans

A

A) fish

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Stage I of iron deficiency is also called:

A) iron-deficiency erythropoiesis.
B) iron depletion.
C) iron-deficiency anemia.
D) microcytic anemia.

A

B) iron depletion.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which of the following is a positively-charged trace mineral?

A) calcium
B) zinc
C) sodium
D) chloride

A

B) zinc

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Which of the following aids in zinc absorption?

A) chicken
B) tomato
C) spinach
D) whole wheat bread

A

A) chicken

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Zinc is a structural component of the DNA-binding proteins that help regulate gene expression. These proteins are known as:

A) zinc blocks.
B) zinc enzymes.
C) zinc coenzymes.
D) zinc fingers.

A

D) zinc fingers.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Approximately what is the highest rate of absorption of dietary zinc?

A) 5%
B) 10%
C) 35%
D) 80%

A

C) 35%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

The copper-containing protein found in the blood that oxidizes iron for transport is:

A) ferritin.
B) transferrin.
C) ceruloplasmin.
D) ferric copper.

A

C) ceruloplasmin.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

A majority of zinc is carried by ___ in the blood.

A) transferrin
B) albumin
C) lipoproteins
D) chylomicron

A

B) albumin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Copper is absorbed from the:

A) mouth.
B) stomach.
C) small intestine.
D) large intestine.

A

C) small intestine.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

After absorption, which blood protein binds copper for transport to the liver?

A) transferrin
B) albumin
C) globulin
D) hemoglobin

A

B) albumin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Which of the following individuals is MOST likely to have a copper deficiency?

A) an adult vegan
B) premature infant fed milk-based formula
C) adolescent female gymnast
D) adolescent male long-distance runner

A

B) premature infant fed milk-based formula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Which disorder is associated with copper toxicity?

A) Wilson’s disease
B) anemia
C) beriberi
D) rickets

A

A) Wilson’s disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Which of the following individuals would be MOST at risk for a vitamin K deficiency?

A) a 55-year-old menopausal woman
B) a 16-year-old who drinks 4-5 cans of soda each day
C) a 30-year-old with Crohn’s disease
D) a 6-year-old who doesn’t eat any vegetables

A

C) a 30-year-old with Crohn’s disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

The primary sources of folate in the American diet are:

A) milk and dairy products.
B) fresh fruits and vegetables.
C) meat, fish, and poultry.
D) enriched ready-to-eat cereals and bread products.

A

D) enriched ready-to-eat cereals and bread products.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Which form of folate is found in most supplements?

A) folic acid
B) folate
C) five hydroxy folate
D) prefolate

A

A) folic acid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

How does folate function in maintaining blood health?

A) Folate is essential for synthesis of new red blood cells.
B) Folate is essential for the synthesis of heme iron.
C) Folate acts as a coenzyme in blood coagulation.
D) Folate is essential for iron oxidation.

A

A) Folate is essential for synthesis of new red blood cells.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

During stage II of folate deficiency, the lack of folate results in:

A) low levels of methionine.
B) copper toxicity.
C) iron deficiency.
D) high levels of homocysteine.

A

D) high levels of homocysteine.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Folate deficiency during pregnancy is associated with:

A) Down’s syndrome.
B) gestational diabetes.
C) neural tube defects.
D) pellagra.

A

C) neural tube defects.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

During the fourth and final stage of folate deficiency, the body can experience:

A) pernicious anemia.
B) iron-deficiency anemia.
C) macrocytic anemia.
D) microcytic anemia.

A

C) macrocytic anemia.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Stage II folate deficiency is called:

A) folate-deficiency erythropoiesis.
B) folate-deficiency anemia.
C) folate depletion.
D) negative folate balance.

A

C) folate depletion.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Consumption of high levels of folate supplements can mask a(n) ___ deficiency.

A) niacin
B) vitamin B6
C) iron
D) vitamin B12

A

D) vitamin B12

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Vitamin B12 is also called:

A) ascorbic acid.
B) cyanocobalamin.
C) folate.
D) pyradoxal.

A

B) cyanocobalamin.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Vitamin B12 plays a role in the formation of red blood cells as a component of coenzymes that:

A) synthesize heme.
B) assist with DNA synthesis.
C) assist in the coagulation of blood.
D) assist in iron oxidation.

A

B) assist with DNA synthesis.

35
Q

Which nutrient requires intrinsic factor for absorption?

A) ascorbic acid
B) cyanocobalamin
C) zinc
D) potassium

A

B) cyanocobalamin

36
Q

Who is MOST likely to be vitamin B12 deficient?

A) an ovo-lacto vegetarian
B) a vegan
C) an adult female who eats chicken and tuna
D) an adult male who eats hamburgers

A

B) a vegan

37
Q

Vitamin B6 is essential for the synthesis of:

A) T cells.
B) memory cells.
C) heme iron.
D) non-heme iron.

A

C) heme iron.

38
Q

Prothrombin and factor VII are:

A) hormones that regulate the pH of the blood.
B) proteins that are involved in the coagulation of blood.
C) cofactors of energy metabolism.
D) transport proteins that aid in the absorption of iron.

A

B) proteins that are involved in the coagulation of blood.

39
Q

Inadequate intrinsic factor is associated with:

A) pernicious anemia.
B) sickle-cell anemia.
C) neural tube defects.
D) thalassemia.

A

A) pernicious anemia.

40
Q

Which of the following is part of the innate branch of the immune system?

A) stomach acid
B) complement proteins
C) corticosteroids
D) lymphocytes

A

A) stomach acid

41
Q

Antigen-sensitized cells that remain in circulation for long periods of time are called:

A) platelets.
B) erythrocytes.
C) leukocytes.
D) memory cells.

A

D) memory cells.

42
Q

To reduce the chances of having a baby with neural tube defects, all women of child bearing potential should ensure they have an adequate intake of which vitamin?

A) niacin
B) folate
C) ascorbic acid
D) cyanocobalamin

A

B) folate

43
Q

Pernicious anemia is classified as a type of ___ anemia.

A) macrocytic
B) microcytic
C) blood
D) autoimmune

A

A) macrocytic

44
Q

Which of the following is part of the innate immune system?

A) T cells
B) B cells
C) plasma cells
D) natural killer cells

A

D) natural killer cells

45
Q

Which of the following nutrients is a coenzyme for glutathione peroxidase?

A) selenium
B) copper
C) ascorbic acid
D) zinc

A

A) selenium

46
Q

Which iron transporter helps regulate intestinal iron absorption and release?

A) hephaestin
B) ferroportin
C) platelets
D) ferritin

A

B) ferroportin

47
Q

Red blood cells are also called:

A) platelets.
B) leukocytes.
C) enterocytes.
D) erythrocytes.

A

D) erythrocytes.

48
Q

The cell fragments found in blood that help form clots and stop bleeding are called:

A) platelets.
B) plasma.
C) erythrocytes.
D) leukocytes.

A

A) platelets.

49
Q

Which component of blood is fluid and necessary for maintaining adequate blood volume?

A) erythrocyte
B) leukocyte
C) platelet
D) plasma

A

D) plasma

50
Q

In the United States, accidental overdose of ___ is the most common cause of poisoning deaths in children under age six.

A) copper
B) iron
C) lead
D) zinc

A

B) iron

51
Q

The second stage of iron deficiency, in which the body experiences a decrease in the transport of iron, is called:

A) iron-deficiency erythropoiesis.
B) iron-deficiency anemia.
C) iron depletion.
D) hemochromatosis.

A

A) iron-deficiency erythropoiesis.

52
Q

The small red blood cells that characterize microcytic anemia cannot transport adequate oxygen or allow for enough:

A) enzymes to be produced.
B) production of growth hormones.
C) transfer of electrons to produce energy.
D) plasma to be produced.

A

C) transfer of electrons to produce energy.

53
Q

The cells of the specific immune system attack which of the following targets?

A) plasma
B) macrophages
C) antibodies
D) antigens

A

D) antigens

54
Q

Which type of white blood cell can become either a memory cell or a plasma cell to be used in a specific immune response?

A) T cell
B) B cell
C) natural killer cell
D) erythrocyte

A

B) B cell

55
Q

Which type of white blood cells fight infection by killing body cells that contain viruses or other harmful non-self substances?

A) erythrocytes
B) cytotoxic T cells
C) B cells
D) antigens

A

B) cytotoxic T cells

56
Q

Anti-serum delivers immediate protection when administered after a snake bite by providing:

A) antibodies to attack the snake venom.
B) a small amount of snake venom to activate specific immunity.
C) neutrophils to attack the snake venom.
D) undifferentiated B cells.

A

A) antibodies to attack the snake venom.

57
Q

Vaccinations help the body develop immunity to a disease by providing:

A) a flood of the specific microbe to cause the disease.
B) cytotoxic T cells to attack the microbes.
C) helper T cells to activate other immune cells.
D) a small amount of antigen of a specific microbe to activate the specific immune response.

A

D) a small amount of antigen of a specific microbe to activate the specific immune response.

58
Q

How does protein-energy malnutrition affect the immune system?

A) suppresses nonspecific immune responses
B) has no effect on the immune system
C) diminishes immune response to antigens
D) enhances specific immune responses

A

C) diminishes immune response to antigens

59
Q

How does excessive vitamin A intake affect the immune system?

A) enhances immune response
B) has no effect on the immune system
C) suppresses immune response
D) inhibits enzyme synthesis

A

C) suppresses immune response

60
Q

Vitamins C and E protect the cell membrane from damage by:

A) natural killer cells.
B) reactive oxygen species molecules.
C) erythrocytes.
D) cytotoxic T cells.

A

B) reactive oxygen species molecules.

61
Q

A(n) ___ deficiency results in a diminished amount of the growth factor needed for immune cells to multiply.

A) copper
B) zinc
C) selenium
D) iron

A

A) copper

62
Q

Excessive amounts of which trace mineral can act as a potent oxidant that damages the membranes of immune cells?

A) selenium
B) calcium
C) zinc
D) iron

A

D) iron

63
Q

Which nutrient deficiency causes viruses to multiply over a longer period of time and to mutate into more pathogenic strains?

A) zinc
B) selenium
C) iron
D) copper

A

B) selenium

64
Q

A sign of a copper deficiency is a lack of ___ circulating in the blood.

A) erythrocytes
B) leukocytes
C) neutrophils
D) transferrin

A

C) neutrophils

65
Q

Decreased immunocompetence is an indicator of malnutrition.

A

True

66
Q

Heme iron is absorbed better than non-heme iron.

A

True

67
Q

Too much iron is toxic.

A

True

68
Q

Iron is a major mineral.

A

False

69
Q

Non-heme iron is found only in plant-based foods.

A

False

70
Q

The iron found in red meat is poorly absorbed compared with the iron found in spinach.

A

False

71
Q

Hemoglobin consists of non-heme iron.

A

False

72
Q

Calcium aids iron absorption.

A

False

73
Q

Both excessive and insufficient intakes of zinc can impair immune function.

A

True

74
Q

High zinc intake enhances the absorption of copper and iron.

A

False

75
Q

Copper is a major mineral that is ubiquitous in food.

A

False

76
Q

Without adequate vitamin K, blood does not clot properly.

A

True

77
Q

Individuals with Crohn’s disease are at a high risk of becoming vitamin K-deficient.

A

True

78
Q

Vitamin K is synthesized by bacteria in the large intestine.

A

True

79
Q

Folic acid is the form of folate found in most foods.

A

False

80
Q

Diets rich in folate are associated with elevated blood levels of the amino acid homocysteine.

A

False

81
Q

Obesity has been associated with an increase in infection and delayed wound healing.

A

True

82
Q

Excess vitamin A may suppress the immune system.

A

True

83
Q

Lack of circulating neutrophils is a classic sign of copper toxicity.

A

False