Final Exam Review Flashcards
What are the 4 principles of biomedical ethics?
- Respect of Autonomy
-Is the patient “autonomous”? Meaning they able to make their own fully informed choices. If the patient isn’t, is their next-of-kin autonomous?
-The patient or next-of-kins decisions must be respected. A person has the right to deny treatment, but not to insist upon it. - Beneficence (ben - IF - ah - sense)
-Healthcare professionals should always act in a way that benefits the patient. This can be physical, mental, emotional, or spiritual.
-What are the benefits of each course of action? Is one “way” clearly more beneficial? - Non-Maleficence (mal - IF - ah - sense)
-Avoid causing harm.
-All treatment involves some harm, even if minimal, but the harm should not outweigh the benefits of treatment. They harm could be physical, mental, emotional, or spiritual.
-What are the harms of each course of action? Is one way clearly more harmful? - Justice
-Patients in similar positions should be treated in a similar manner, or at least fairly. Are there precedents? A precedent is a previous, similar type of case.
-Cost and other resources must be considered, as our health care systems does not have bottomless funds.
Evidence Based Medicine (EBM)
Practitioners: Doctors,nurses, clinicians, and therapists, etc.
Pros:
-Everything is fit for a certain patients values.
-Safer
Cons:
-May not align with beliefs.
-Time consuming for practioners to stay up to date.
Examples of test and treatments:
-physiotherapy
-complementary medicine
CAM
Practitioners: Chiropractics, homeopathy, massages, etc.
Pros:
- Less formal.
-More comfortable.
Cons:
-Not a lot of research.
-Not regulated
Examples of test and treatments:
-Acupuncture
-Massage
-Meditation
Traditional Medicine
Practitioners: Elders
Pros:
-Aligns with most religions (comfortable).
-There is a variety that suits different people.
Cons:
-Not evidence based or regulated.
Examples of test and treatments:
-Herbal medicine
-Homeopathy
-Naturopathy
What are the 6 essential nutrients? Which of them are macronutrients and which are micronutrients?
Three Macronutrients: provide energy (calories)
-Carbohydrates
-Lipids (fats and oils)
-Proteins
Two Micronutrients:
-Vitamins
-Minerals
Essential for ALL body functions:
-Water
Define metabolism and differentiate between catabolic and anabolic reactions.
Metabolism: includes all of the reactions of your body breaking down food and energy being released and absorbed
Catabolic Reactions: breaks down nutrients into simpler molecules and release energy. RELEASE energy.
Anabolic: uses energy to build new living tissues. ABSORB energy.
What are the 4 characteristics of a healthy diet?
- Adequate: providing enough nutrients, fibres, and energy.
- Moderate: the right amount of food.
- Balanced: the right combination of foods to provide proper nutrients.
- Varied: eating many different types of food each day.
What 4 categories of info are found on a food label?
- Nutrition facts
- Ingredients list
- Nutrition claims
- Health claims
Understand how you can rate a food’s “processed” level as A-F.
A being not processed at all and F meaning very processed. The in-between letters slowly going up the processed level.
Ex) A- Apple, F- Hotdog
What are the main guidelines or tips of the Canada food guide?
-Having plenty of fruits and vegetables.
-Eat protein foods.
-Make water your drink of choice.
-Choose whole grain foods.
How is a serving size different from a portion?
Portion size is the amount of food you choose to put on your plate and actually eat. Serving size is the amount of a specific food or drink that people typically consume or how much is recommended to eat.
Describe what nutrient density is and list an example of something that has high nutrient density and something that has low.
Nutrient Density: A relative amount of nutrients per calorie of food.
Low ex) frozen foods
High ex) fruits
Know the daily recommended % of carbohydrates, lipids, and proteins.
Carbs - 45%-65%
Lipids - 20%-35%
Proteins - 10%-35%
What is BMI, why isn’t it always an accurate measurement of fitness or health?
BMI: Body Mass Index
It isnt always an acurate measurement because:
-it can’t tell the difference between muscle mass and fat
-It doesnt factor in where fat is stored.
-It doesnt factor in your age, metabolism, or acitivity level.
List some high carb foods.
-Corn
-Banana
-Potato
-Oats
-Wheat
Differentiate between simple and complex carbohydrates and monosaccharides and disaccharides.
-Simple carbs are found in everything from table sugar to fruit, while complex carbs, or starches, come from whole grains and vegetables like sweet potatoes.
-Monosaccharides are made of one simple sugar subunit (mono = one), while disaccharides are made of two simple sugar subunits (di = two).
Glucose (Monosaccharide)
-It is the most abundant sugar molecule in our diet and is a good energy source.
-Added sugar
(Look at diagram)
Fructose (Monosaccharide)
-It is the sweetest natural sugar and is found in fruit, high-fructose corn syrup, vegetables, wheat, etc.
-Natural sugar
(Look at diagram)
Galactose (Monosaccharide)
-It does not occur alone in foods, it binds with glucose to form lactose.
-Simple sugar
-Added sugar
(Look at diagram)
Lactose (Disaccharide)
-Glucose + Galactose
- It is commonly found in dairy products and sugar.
Maltose (Disaccharide)
-Glucose + Glucose
-It is commonly found in starch molecules.
(Look at diagram)
Sucrose (Disaccharide)
-Glucose + Fructose
-It is commonly found in sugar came, sugar beets, honey, etc.
(Look at diagram)
Starch (Polysaccharides)
(Look at sketch)
-It is made of glucose.
-Stored in plants.
-It is found in grains, legumes, and tubers.
Glycogen (Polysaccharides)
(Look at sketch)
-It is made of glucose.
-Stored in liver and muscles of animals.
-It can’t be found in foods.
Fiber (Polysaccharides)
(Look at sketch)
-Made of glucose.
-Stored in structure of leaves, stems, and plants.
-Can be found in grains, rice, seeds, etc.
Describe the reasons why we need carbohydrates.
-Carbs are an excellent source of energy. They provide 4 kcal (calories) of energy per gram.
-Our brain, red blood cells, and other nervous tissues depend mostly on glucose.
What are the benefits of fiber in our diet?
-Can enhance weight loss because we feel full.
-May reduce the risk of colon cancer.
-Reduce risk of diverticulosis.
-May reduce risk of heart disease.
-May lower the risk of type 2 diabetes.
Understand how blood glucose levels are regulated - what insulin and glucagon are and how they work.
-If glucose is needed for immediate energy it is released to the bloodstream. If it is not needed for immediate energy is will be stored as glycogen in the liver and muscles. Between meals the liver is constantly working to convert between glucose and glycogen to maintain proper levels of glucose in the blood.
-When eating meals, our blood levels rise due to insulin (assist glucose) being released by the pancreas.
-When you have not eaten in sometime, blood glucose levels will decrease and the pancreas will release a hormone called glucagon.
Glucagon: Stimulates breakdown of glycogen in liver into glucose for energy. Produces “new “ glucose from amino acids floating in blood and/or tissues such as muscles. Essentially, it eats away at your own body for food.
Hypoglycemia
It is when blood glucose levels fall lower than normal levels which can leave someone feeling shaky and hungry.
It can happen to:
-To diabetics who aren’t getting proper treatment.
-To non-diabetics whose pancreas secretes too much insulin after a high carb meal. The body clears glucose out of the blood to quickly.
Gluconeogenesis
Without sufficient carbs, the body will make its own glucose by breaking down protein in the blood or tissue. It creates new glucose but also breaks down protein in areas like the muscle, heart, liver, kidneys, etc.
glycemic index.
The potential of foods to raise blood glucose levels. Foods with a high glycemic index trigger the hormone insulin causing the blood glucose to rise. Foods with high GI are less healthy than low GI foods for this reason.
What is Ketosis? Why is it important? What is Ketoacidosis and why is it dangerous?
-Without proper carbs, the body breaks down stored fat in a process called Ketosis which produces a fuel called Ketones. If it continues for a long period, too many ketones in the blood can lead to ketoacidosis.
-Ketoacidosis interferes harmfully with the body such as high blood acidity, loss of lean body mass, damages body tissues, can lead to a coma and death.
What is a unique characteristic of lipids?
They are insoluble in water.
What’s the difference between a fat and an oil?
-Fats are solid lipids
ex)butter
-Oils are liquid lipids
-olive oil
Triglyceride
A molecule consisting of three fatty acids attached to three-carbon glycerol backbone.
(sketch)
Saturated Fatty Acids (Triglyceride)
-They have hydrogen atoms surrounding every carbon in the chain.
-They have no double bonds.
-Some examples are butter, cream, and lard.
(diagram)
Monounsaturated Fatty Acids (Triglyceride)
-They lack hydrogen atoms in one region.
-They have one double bond.
-Some examples are olive oil and canola oil.
(diagram)
Polyunsaturated Fatty Acids (Triglyceride)
-They lack hydrogen atoms in multiple locations.
-They have two or more double bonds.
-Some examples are safflower oil, and walnuts.
(diagram)
Hydrogenation process
Pressurized hydrogen molecules are inserted at diagonally opposite sides of the double bonds of unsaturated fatty acids. It converts liquid fats (oils) into a semisolid (spreadable) or solid form.
Unsaturated -> Trans
What does trans mean
Opposite sides of the chain.
Phospholipids
Consist of two fatty acids and a glycerol backbone with another compound that contains phosphate.
(sketch)
Sterols
A type of lipid found in foods containing four fused rings of carbon atoms.
(sketch)
How much energy does fat provide for us?
20_35%
Why do we need fat?
It is our fuel when at rest or during low intense activities.
How much fat should we eat?
What is a hidden or visible fat?
Hidden- Fats added to processed or prepared foods to improve texture or taste, which we may not be aware of, or that occur naturally.
Ex)Cookies, hot dog, chips, etc.
Visible- Fats we can see in foods or can easily have been added to foods.
EX) Butter, salad dressing, chicken skin, etc.
What are the building blocks of protein?
Amino acids
How many amino acids are there and how many are essential and non essential?
There are 20 amino acids. 9 are essential 11 and non essential.
Essential Amino Acids
Is an amino acid that our bodies cannot produce at all or cannot produce in sufficient amounts to meet what our body needs. Therefore, we obtain essential amino acids from food.
complete proteins
Foods that contain all nine essential amino acids
Know what primary, secondary, and tertiary structures of protein refer to.
Primary- Sequential order of amino acids.
Secondary- Spiral shape due to twist and turns of the amino acid chain. Hydrogen boding along the twist spiral adds to its stability.
Tertiary- Further folding into a unique 3-dimensional shape.
(diagram)
What determines the function of a protein?
The shape
What is Denaturation? Give an example
When proteins lose shape when subjected to: heat, acids and bases, heavy metals, and other damaging substances.
Ex)Cooked egg whites or curdled milk
Enzymes and hormones are types of proteins. What do each of the do?
Enzyme- speed up chemical reactions.
Hormones- chemical messengers in the body.
What id the RDA of protein? What happens if we have too much or too little? Can it be stored?
-0.8 per kg of body weight per day or 10-35% of their total energy intake.
-Too much can lead to high cholesterol and heart disease, possible bone loss, and kidney disease.
-Too little can lead to bone and muscle mass, swelling, stunt growth, etc.
-It can’t be stored
Define tissue and be able to list and describe the 4 main types.
Tissue - Is a collection of similar cells that act together to perform a function.
-Epithelial tissue - tissue that covers and lines much of the body (Ex. skin mucous, and membranes).
-Connective tissue - tissue that is found all over the body and primarily holds things together and provides structure (Ex. cartilage, fat).
-Muscle tissue - tissue that provides means for movement by and within the body (Ex. skeletal: voluntary and attached to bones, Cardiac: involuntary and found in the heart, Smooth: involuntary and found in hollow organs.)
-Nervous tissue - tissue that transmits “messages” and is made of neurons and neuroglia.
Organ
Is 2 or more types of tissue organized in a way that can do a task that the tissues can’t do on their own.
Anatomy
Is the study of the internal and external structures of the human body.
Physiology
Focuses on the function and vital processes of the various structure making up the human body. Is the study of how an anatomical structure actually functions.
Anterior
Toward the front.
-The belly button in on the anterior surface of the body.
Posterior
Toward the back.
-The patient had a bump on the posterior part of her head.
Medial
Toward the middle.
-The nose is medial to the eyes.
Superior
Toward the top.
-The nose is superior to the mouth.
Lateral
Towards the side.
-The eyes are lateral to the nose.