Nutrition and Alcohol Flashcards

1
Q

___ refers to the average daily nutrient intake level estimated to meet the requirement of 50% of healthy individual

A

EAR

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2
Q

___ refers to the average daily dietary intake level that is sufficient to meet >95% of all individuals

A

RDA

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3
Q

___ is arbitrarily set in the absence of scientific evidence to calculate an EAR or RDA

A

Adequate Intake

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4
Q

BMR comprise what percent of the BMR

A

60%

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5
Q

Thermic effect of food contributes how many percent in the BMR?

A

10%

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6
Q

___ refers to the increase in blood glucose after a test dose of CHO compared with that after an equivalent amount of glucose

A

Glycemic index

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7
Q

[Kwahiorkor/Marasmus]

Edema
stunted
enlarged fatty liver
skin lesions
depigmented
very low plasma protein
A

kwashiorkor

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8
Q

[Kwahiorkor/Marasmus]

no edema
stunted growth
extreme muscle wasting
weakness
anemia
A

marasmus

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9
Q

What is the cut-off for AP normal BMI?

A

18.5 to 22.9

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10
Q

Ketogenic diet, the CHO is less than ____

A

50g/da

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11
Q

What are the effects of ketogenic diet?

A
  1. Reduction in appetite
  2. Reduction in lipogenesis and increased lipolysis
  3. Greater metabolic efficiency in consuming fats
  4. Increased metabolic cost of gluconeogenesis and thermic effect of proteins
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12
Q

What muscle fibers are predominantly used by sprinters?

A

Type II

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13
Q

What muscle fibers are used by marathon runners

A

Type I

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14
Q

What enzyme is used to convert ethanol to acetaldehyde?

A

Alcohol dehydrogenase

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15
Q

What enzyme converts s Acetaldehyde to Acetate

A

Aldehyde dehydrogenase

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16
Q

What inhibits aldehyde dehydrogenase

A

Disulfram

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17
Q

[Ethanol metabolism]

causes flushing, tachycardia, hyperventilation, nausea

A

Acetaldehyde

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18
Q

What alternate pathway for ethanol metabolism that is induced especially in chronic alcoholics?

A

Microsomal ethanol oxidation system

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19
Q

MEOS has a ___ Km for ethanol concentrations are high

A

KM is higher for ethanol

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20
Q

MEOS occurs in which part of the cell?

A

Smooth endoplasmic reticulum

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21
Q

What CYP 450 enzyme is needed for MEOS?

A

CYP2E1

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22
Q

Aside from acetaldehyde, MEOS produce

A

NADPH

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23
Q

What are the metabolic effects of alcoholism

A
  1. Hypoglycemia
  2. Lactic acidosis - due to high NADH
  3. Ketoacidosis
  4. Hyperuricemia - due to lactate accumulation
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24
Q

What vitamin is inhibited in chronic alcoholism

A

Thiamin deficiency

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25
Q

Alcoholic Liver disease is due to

A

Imbalance between hepatic TAG synthesis and VLDL secreation

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26
Q

Alcohol-induced hepatitis is due to

A

acetaldehyde and free-radical generation

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27
Q

[Vitamins]

What is the most oxidized form of vitamin A?

A

retinoic acid

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28
Q

[Vitamins]

what is the storage form of vitamin A

A

retinyl esters

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29
Q

[Vitamins]

What form of vitamin A is a component of rhodopsin?

A

11-cis retinal

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30
Q

[Vitamins]

What form of viamin A supports gametogenesis

A

Retinol and Retinal

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31
Q

[Vitamins]

What for of vitamin A regulates growth and development

A

Retinoid acid

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32
Q

[Vitamins]

What is the first sign of vitamin A deficiency?

A

loss of sensitivity to green light

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33
Q

[Vitamins]

The final active form of vitamin D is a produced in ____

A

kidney

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34
Q

What is the final active form of vitamin D

A

1,25 dihydroxyvitamin D

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35
Q

[Vitamins]

What form of Vitamin D is commonly added to milk and butter?

A

Vitamin D2

36
Q

[Vitamins]

What form of vitamin D is normally found in the skin?

A

7-dehydrocholesterol

37
Q

[Vitamins]

What hormones inhibit Ca excretion in the kidneys?

A

PTH
Calcitonin
Calcitriol

38
Q

[Vitamins]

What hormone directly affects Ca absorption in the intestine?

A

Calcitriol

39
Q

[Vitamins]

Fat soluble vitamin which maintains fluidity of cell membrane

A

Vitamin E

40
Q

[Vitamins]

Fat soluble vitamins that is least toxic

A

Vitamin E

41
Q

[Vitamins]

Vitamin K synthesized by bacteria is called

A

Menaquinone

42
Q

What is the function of vitamin K

A

Gamma carboxylation of glutamate in clotting factos (9,10,7,2 Protein C, S)

43
Q

[Vitamins]

What is the active form of B1?

A

Thiamine pyrophosphate

44
Q

[Vitamins]

Thiamine pyrophosphate is a coenzyme for what reactions?

A
  1. Pyruvate dehydrogenase
  2. Alpha-ketoglutarate dehydrogenase
  3. BCAA dehydrogenase
  4. Transketolase

basta lahat ng dehydrogenases

45
Q

[Vitamins: B1 deficiency]

Confusion, ataxia, nystagmus, ophthalmoplegia

A

Wernicke Encephalopathy

46
Q

[Vitamins: B1 deficiency]

Amnesia, confabulation, hallucination

A

Korsakoff

47
Q

[Vitamins: Water Soluble]

causes seborrheic dermatitis, cheilosis, angular stomatitis, desquamation of the tongue

A

B2 deficiency

48
Q

[Vitamins: Water Soluble]

Can be synthesized from tryptophan

A

Niacin

49
Q

[Vitamins: Water Soluble]

Can be used to treat hyperlipidemia

A

Niacin

50
Q

[Vitamins: Water Soluble]

can be a source of ADP-Ribose for nucleoprotein involved in DNA repair

A

niacin

51
Q

[Vitamins: Water Soluble]

Niacin can be synthesized in the body in a process that requires what vitamins

A

Vitamin B6

B6 deficiency will lead to secondary deficiency in niacin

52
Q

[Vitamins: Water Soluble]

what are the possible etiologies of Niacin deficiency

A
  1. Corn-based diet
  2. Hartnup disease
  3. Carcinoid syndrome
  4. Isoniazid use
53
Q

[Vitamins: Water Soluble]

Part of Coenzyme A

A

pantothenic acid

54
Q

[Vitamins: Water Soluble]

can cause nutritional melalgia if deficient

A

Vitamin B5

Also called burning foot syndrome

55
Q

[Vitamins: Water Soluble]

form of pyridoxine if taken from meat

A

pyridoxal and pyridoxamine

56
Q

[Vitamins: Water Soluble]

pyridoxine are needed as coenzyme in these processes

A
  1. Transamination of amino acid
  2. Decarboxylation of glutamate and histidine
  3. ALA synthase
  4. Cystathione synthase
  5. Synthesis of niacin from tryptophan
  6. Glycogen phosphorylase
57
Q

[Vitamins: Water Soluble]

deficiency

can cause glossitis and neuropathy

can also be due to isoniazid toxcitiy

A

B6

58
Q

[Vitamins: Water Soluble]

toxic levels can cause sensory neruropathy

A

vitamin B6

59
Q

[Vitamins: Water Soluble]

receives one-carbon fragments from donors and transfers them to intermediates

A

Folic acid (Tetrahydrofolate)

60
Q

[Vitamins: Water Soluble]

What converts folate to dihydrofolate?

A
  1. NADH

2. Dihydrofolate

61
Q

The most reduced form of folate derivative is

A

N5-methyl-FH4

62
Q

Which amino acids can transfer 1 carbon groups to FH4

A

serine, glycine, histidine, formate

63
Q

The 1 carbon group that FH4 receives can then be transferred to

A
  1. Purine precursors
  2. dUMP to produce thymine
  3. Glycine to form serine
  4. Glycine to form serine
    5 Vitamin B12 to homocysteine to form methionine
64
Q

What accumulates in methyl folate trap?

A

5-methyl-TH4

65
Q

Cobalamin is a coenzyme for what enzymes

A
  1. Methionine synthase

2. Methylmalonyl CoA

66
Q

What is the coenzyme for copper and iron-containing hydroxylases?

A

Ascorbic acid

67
Q

What is vitamin B7?

A

Biotin

68
Q

Biotin is a coenzyme for what enzymes?

A
  1. Pyruvate carboxylase
  2. Acetyl CoA carboxylase
  3. Propionyl CoA carboxylase
69
Q

[Specific test for vitamin deficiency]

Vitamin B1

A

Erythrocyte transketolase activity assay

70
Q

[Specific test for vitamin deficiency]

Vitamin B6

A

Erythrocyte transaminase assay

71
Q

[Specific test for vitamin deficiency]

Vitamin B12

A

Schilling test/ methymalonic acid test

72
Q

[Specific test for vitamin deficiency]

Folate

A

FIGlu

73
Q

[Minerals]

What is the storage form of iron

A

ferritin

74
Q

[Minerals]

partially denatured derivative of ferritin; predominates when tissue stores are high

A

hemosiderin

75
Q

[Minerals]

iron transport protein in plasma

A

transferrin

76
Q

[Minerals]

When iron becomes scarce

A
  1. Storage iron is mobilized firs
  2. Impairment of hemoglobin synthesis
  3. Impairment of iron-containing enzymes
77
Q

What is the CBC picture of IDA

A
  1. Decrease total plasma iron
  2. Decrease Transferrin
  3. Serum ferritin
  4. Increase TIBC
78
Q

What is the CBC of picture of hemochromatosis

A
  1. Increase total plasma iron
  2. Increase transferrin saturation
  3. Increase serum ferritin
    4.
79
Q

[Minerals]

Carbonic anhydrase, cytoplasmic superoxide dismutase, alcohol dehydrogenase, carboxypeptidases, DNA and RNA polymerase

A

Zinc

80
Q

[Minerals]

What is the role of zinc fingers

A

serves as a structural role by stabilizing small loops in the polypeptide

81
Q

[Minerals]

inherited disease due to impaired intestinal zinc absorption

A

Acrodermatitis enteropathica

Tx: high doses of oral

82
Q

[Minerals]

X-linked recessive disorder due to deficiency of ATP-dependent membrane transporter for copper

A

Menkes syndrome

83
Q

[Minerals]

copper accumulation in liver and brain resulting to liver disease

hepatilenticular degeneration, KF rings, unusually low levels of 3-methylhistidine in urine

A

Wilson disease

84
Q

[Minerals]

excess can cause psychosis and parkinsonism

A

manganese madness

85
Q

[Minerals]

used by xanthine oxidase

A

molybdenum

86
Q

[Minerals]

can cause cardiomyopathy, endemic in some parts of china

A

selenium