Nutrition Exam II — Ch 5 Mastering Nutrition

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How many different forms of lipids are commonly found in food?

Three types of lipids—triglycerides, phospholipids, and sterols—are commonly found in food.

Which of the three lipids commonly found in foods are used to manufacture cell membranes?

Phospholipids– Phospholipids function as protective membranes both in and surrounding cells, also known as the "lipid bilayer."

True or False– Triglycerides are the most common lipid found in foods.

True

Which of the following statements regarding the structure of triglycerides is TRUE?

A. Fatty acid chains in a triglyceride molecule, which contain a single double bond, are referred to as monounsaturated fatty acids.

B. Unsaturated fatty acids have only one shape, referred to as a cis configuration, which bends at the double bond.

C. Fatty acid chains in a triglyceride molecule with more than one double bond are referred to as saturated fatty acids.

D. A triglyceride consists of a fatty acid with three glycerol molecules attached.

A Triglycerides consist of three fatty acids attached to a three-carbon glycerol backbone. A carbon chain that contains only single bonds is said to be a saturated fat. This refers to the fact that the fatty acids are saturated with as many hydrogens as possible. Saturated fats are found mostly in animal products and are solid at room temperature. Fatty acids with one double bond are known as monounsaturated fats; those with multiple double bonds are called polyunsaturated fats. A double bond indicates a point of unsaturation in the fatty acid.

Which of the following describes lipids?

organic nutrients that are insoluble in water

What is the primary form of fat in the diet?

triglycerides

A triglyceride is comprised of

three fatty acids and one glycerol.

A fatty acid that contains a chain of ten carbons and one double bond is a

monounsaturated, medium-chain fatty acid.

Which of the following fatty acids is generally solid at room temperature?

saturated

Which of the following foods are rich sources of monounsaturated fatty acids?

olive oil and cashew nuts

Which of the following foods contain a large quantity of saturated fatty acids?

palm kernel and coconut oils

Which of the following is a rich source of polyunsaturated fatty acids?

corn oil

Saturated fats are

found in whole milk and beef.

The process of adding hydrogen to an unsaturated fatty acid and creating a more solid fat is called

hydrogenation.

Which of the following statements is TRUE about trans fatty acids?

They are found only in plant products.
They are made by the body in large quantities.
They are created during the hydrogenation process.
They decrease the risk of developing heart disease.

They are created during the hydrogenation process.

Which of the following ingredients would alert you to the likely presence of trans fatty acids in a product?

vitamin E
liquid corn oil
partially hydrogenated vegetable oil
lecithin

partially hydrogenated vegetable oil

Which of the following is a rich source of omega-6 fatty acids?

leafy green vegetables
margarine made from corn or safflower oil
flax seed oil
salmon

margarine made from corn or safflower oil

Which of the following is TRUE about essential fatty acids?

The body produces essential fatty acids.
No vegetables contain essential fatty acids.
Consumption of essential fatty acids raises an individual’s risk for cardiovascular disease.
We need to obtain omega-3 fatty acids and omega-6 fatty acids from food.

We need to obtain omega-3 fatty acids and omega-6 fatty acids from food.

Why are phospholipids NOT essential nutrients?

Phospholipids serve no useful function in the human body.
Phospholipids are not naturally found in the healthy body.
Beneficial GI bacteria produce phospholipids.
Our bodies manufacture phospholipids.

Our bodies manufacture phospholipids.

Which of the following statements is FALSE about sterols?

Cholesterol is the most common sterol found in the human diet.
The human body produces sterols.
Sterols contain a glycerol backbone and one fatty acid.
Sterols are found in both plant and animal foods.

Sterols contain a glycerol backbone and one fatty acid.

Sex hormones and adrenal hormones are substances derived from which class of lipid?

triglycerides
fatty acids
sterols
phospholipids

sterols

One of the two essential fatty acids is alpha-linolenic acid. What is the other one?

cholesterol
butyric
cis
linoleic

linoleic

Eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) can be derived in limited quantities from

linoleic acid.
trans fat.
alpha-linolenic acid.
cholesterol.

alpha-linolenic acid.

Which of the following statements is FALSE regarding the process of hydrogenation?

Hydrogenation creates trans fatty acids.
Hydrogenation creates a "heart healthy" product.
Hydrogenation is the process in which hydrogen atoms are added to double bonds.
Hydrogenation makes a product more solid at room temperature.

Hydrogenation creates a "heart healthy" product.

The major form of fat in both food and the body is

phospholipids.
sterols.
glycerols.
triglycerides.

triglycerides.

Which of the following types of fat is required to be listed on the Nutrition Facts Panel by the U.S. Food and Drug Administration?

phospholipids
trans fatty acids
essential fatty acids
sterols

trans fatty acids

Which of the following are excellent sources of unsaturated fats?

beans and rice
full-fat dairy products
meat
nuts and nut butters

nuts and nut butters

The most common sterol in our diet is

olestra.
cholesterol.
phytosterol.
stanol.

cholesterol.

How many double bonds does a saturated fatty acid contain between carbons?

none
one
two
more than two

none

Every carbon atom in a saturated fat is saturated with ___________.

cortisol
insulin
hydrogen
cholesterol

hydrogen

Which group of foods is a good source of polyunsaturated fats?

Whole grains, beans, quinoa
Butter, whole milk, eggs
Cashews, olive oil, canola oil
Corn oil, walnuts, Safflower oil, tuna

Corn oil, walnuts, Safflower oil, tuna

An example of a compound synthesized from cholesterol is ________.

pancreatic lipase
vitamin D
insulin
vitamin B12

vitamin D

Lipids can be either solid or liquid at room temperature.

True
False

True

Only plants can synthesize cholesterol.

True
False

False

In general, animal-based fats are high in saturated fats.

True
False

True

Short- and medium-chain fatty acids are absorbed and transported more quickly than long-chain fatty acids.

True
False

True

Saturated fatty acids can occur in either a cis or trans shape.

True
False

False

Even if the Nutrition Facts panel states 0 g trans fats, the product could still have 1/2 g of trans fat per serving.

True
False

True

Saturated fats are typically liquid at room temperature.

True
False

False

The term "monounsaturated" describes a fatty acid containing one double bond between two carbon atoms along the chain.

True
False

True

Lipids with a glycerol backbone and two fatty acids with a phosphate group are known as sterols.

True
False

False

Several recent research studies have indicated people who eat an ounce or two of nuts each day in addition to their usual diet did NOT gain weight as would be expected from their increased caloric intake.

True
False

True

Fat provides ______ kcals of energy per gram.

12
7
9
4

9

Where in the body are the majority of triglycerides stored for future energy needs?

lipoproteins
adipose tissue
liver
beta cells of the pancreas

adipose tissue

How many Calories does 25 grams of fat provide?

23 kilocalories
2,250 kilocalories
225 kilocalories
100 kilocalories

225 kilocalories

During exercise, which of the following triggers the breakdown of stored fat?

insulin
lipoprotein lipase
estrogen
adrenaline

adrenaline

Yesterday Nadia consumed 250 grams of carbohydrate, 75 grams of protein, and 60 grams of fat. What percentage of Calories of her day’s intake came from fat?

29%
13%
35%
15%

29%

What role do polyunsaturated fatty acids play in the brain and spinal cord?

They block the production of vessel-clogging cholesterol.
They regulate calcium within normal ranges.
They help transmit information between cells of the brain and spinal cord.
They deplete the brain’s glycogen levels.

They help transmit information between cells of the brain and spinal cord

A meal containing 10 g of fat provides _____ kcal from fat.

100
70
40
90

90

Fat is the most energy-dense of all the macronutrients.

True
False

True

Fat is digested and absorbed by the same process that digests and absorbs carbohydrates and proteins.

False
True

False

Most of the triglycerides in food reach the stomach without being chemically digested.

True
False

True

Which of the following statements is false?

Once absorbed, dietary fat is transported from the intestinal cells to the blood through the lymph fluid.
Bile plays a role in digestion.
Significant chemical digestion begins in the duodenum.
Fats are nonessential nutrients.

Fats are nonessential nutrients.

Lipids enter the bloodstream directly after digestion.

True
False

False

Which enzyme is responsible for the majority of the digestions of lipids?

pancreatic lipase
gastric lipase
bile
lingual lipase

Pancreatic Lipase

What are micelles?

emulsifiers used to break fat globules into small droplets during digestion
a type of lipoprotein needed to absorb lipids
lipid-digesting enzymes located in the small intestine
clusters of fatty acids, monoglycerides, and other lipids surrounded by bile salts that transport lipids across the cell membrane of the villi

clusters of fatty acids, monoglycerides, and other lipids surrounded by bile salts that transport lipids across the cell membrane of the villi

Which of the following organs does NOT assist in the digestion of lipids?

liver
large intestine
gallbladder
pancreas

large intestine

The vast majority of fat digestion and absorption occurs in the

small intestine.
stomach.
large intestine.
liver.

small intestine.

To facilitate the digestion of dietary fats, the gallbladder stores and releases a substance known as

hydrochloric acid.
lipase.
bile.
bicarbonate.

bile

Which lipoprotein transports dietary fat out of the small intestine?

chylomicron
sterol
low-density lipoprotein (LDL)
phospholipid

chylomicron

Fat leaves the chylomicron and moves into adipose cells when the chylomicron comes into contact with

insulin.
adrenaline.
lipoprotein lipase.
trypsin.

lipoprotein lipase.

Fatty acids released from storage travel in the blood attached to the protein

lysine.
albumin.
cysteine.
methionine.

albumin.

The spherical compounds made up of bile and phospholipids that transport dietary fat into the intestinal mucosal cells are the

salivary enzymes.
micelles.
chylomicrons.
albumins.

micelles.

Fatty acids can be used _______ by cells for energy.

eventually
immediately
partially
occasionally

immediately

The gallbladder, liver, and _______ assist in fat digestion.

spleen
large intestine
pancreas
stomach

pancreas

Fat is digested more easily than carbohydrate or protein.

True
False

False

The enzyme ___________________, secreted in the stomach, begins the digestion of some triglycerides.

Gastric lipase

The most common fat in foods are made up of three fatty acids attached to a three-carbon glycerol backbone and are called _______________

Triglycerides

This enzyme, which breaks down triglycerides into monoglycerides and free fatty acids, is called ___________

Pancreatic lipase

__________ are carriers made up of bile and phospholipids that can trap monoglycerides and fatty acids and transport digested fats from food to the enterocytes.

Micelles

When fat enters the small intestine, the gallbladder releases an emulsifier called __________ to break up the large fat globules into smaller fat droplets.

Bile

The _________ releases bile into the small intestine.

gallbladder

__________ is a lipid with a multiple-ring structure, and is an important component of cell membranes.

Cholesterol

_______ are phospholipids that are used to make bile.

Lecithins

_______ are lipoproteins produced in the enterocyte that carry fats and cholesterol from the intestine through the lymph system and to the bloodstream.

Chylomicrons

Which of the following food items would contain the highest amount of saturated fat?

steamed broccoli
canola oil
skim milk
butter

butter

The Acceptable Macronutrient Distribution Range (AMDR) for fat is what percentage of total energy intake?

no more than 35%
no more than 15%
no more than 50%
no more than 20%

no more than 35%

Which of the following foods contains hidden fats?

chocolate cake
olive oil
zucchini
butter

chocolate cake

Which of the following species of fish would likely contain the highest levels of contaminants?

flounder
swordfish
mahi-mahi
salmon

swordfish

Which of the following health problems has been associated with consumption of fat replacers?

elevated blood cholesterol levels
mild gastrointestinal discomfort
hypertension
allergies

mild gastrointestinal discomfort

Which of the following is a fat replacer?

saccharin
trans fat
olestra
phosphate

olestra

How much trans fat is recommended in the diet?

as little as possible
20% of total energy intake
9% of total energy intake
3% of total energy intake

as little as possible

The label on a box of chocolate cookies claims that they are "low-fat." By law, each serving must contain

at least 50% less fat as compared to a standard serving.
less than 0.5 grams of fat.
3 grams or less of fat.
at least 25% less fat as compared to a standard serving.

3 grams or less of fat.

Which of the following is a rich source of monounsaturated fatty acids, yet neutral in flavor, making it a good choice for cooking oil?

corn oil
canola oil
coconut oil
butter

canola oil

One of your friends is trying to decrease his intake of saturated fat. Which of the following items would you recommend he choose to add to his coffee?

half-and-half
fat-free milk or 1% milk
nondairy creamer
whipping cream

fat-free milk or 1% milk

Which of the following will help keep saturated fat intake at a healthy level?

keeping cholesterol intake below 300 mg/day
avoiding fatty fish, such as salmon
choosing hydrogenated vegetable shortening instead of butter
eating fewer than 1,500 cal per day

keeping cholesterol intake below 300 mg/day

Diets extremely low in fat may be deficient in ________.

calories
energy
beneficial bacteria
essential fatty acids

essential fatty acids

The recommended intake of saturated fats is less than ________ of total energy intake.

10 to 35 percent
20 to 35 percent
10 to 15 percent
7 to 10 percent

7 to 10 percent

To increase intake of omega-3 fatty acids, include fish, canola oil, ground flax seeds, or _____ in your diet.

dairy foods
red meat
walnuts
cheese

walnuts

High fat intake is especially difficult to avoid if you regularly eat ___________.

fast food
fruit and fruit drinks
whole grains
dessert

fast food

The Acceptable Macronutrient Distribution Range (AMDR) for fat is ______ of total energy.

35 to 55 percent
20 to 35 percent
30 to 45 percent
7 to 10 percent

20 to 35 percent

People attempting to lose weight will be most successful if they limit their consumption of fat to less than 15% of kilocalories.

True
False

False

Americans consume adequate amounts of linoleic acid but not enough ALA, EPA, or DHA.

True
False

True

Women are advised to avoid all fish products during pregnancy.

True
False

False

Invisible or "hidden" fats are ones that are translucent at room temperature.

True
False

False

Studies show that the use of fat replacers will reduce the risk of cardiovascular disease and obesity.

True
False

False

The human body cannot make cholesterol; thus, it is an essential nutrient we must consume in our diet in moderation.

True
False

False

Which of the following foods is the best source of monounsaturated fatty acids?

corn oil
skim milk
peanut oil
sour cream

peanut oil

Which of the following foods is the best source of polyunsaturated fatty acid?

steak
avocado
corn oil
olive oil

corn oil

Which of the following foods contains primarily saturated fats?

olive oil
peanuts
skim milk
butter

butter

Foods contain only one type of fatty acid, either saturated or unsaturated, but never both.

True
False

False

Which type of fatty acid is most common in animal-based foods, such as steak, butter, and milk?

polyunsaturated fat
saturated fat
monounsaturated fat

saturated fat

Research has found the strongest association between dietary fat intake and what type of cancer?

colon
breast
prostate
lung

prostate

Diets high in trans and what other type of fatty acid contribute to chronic diseases, including heart disease and cancer?

linoleic
saturated
polyunsaturated
monounsaturated

saturated

The main ingredient in many current fat blockers is ________.

sucrose
cholesterol
chitosan
glycerol

chitosan

Fat blockers are said to decrease the amount of fat absorbed in the ________.

pancreas
stomach
small intestine
abdomen

small intestine

Which class of lipoproteins contains the MOST protein compared to lipid?

low-density lipoproteins
high-density lipoproteins
very-low-density lipoproteins
chylomicrons

high-density lipoproteins

Which of the following statements regarding lipoproteins is TRUE?

Low-density lipoproteins (LDLs) are formed in the small intestines to transport absorbed dietary lipids.
As the very low-density lipoproteins (VLDLs) deposit triglycerides in the cells, they become denser and are classified as low-density lipoproteins (LDLs).
Plaque is a build-up of lipoproteins in the bloodstream.
The enzyme lingual lipase is responsible for removing triglycerides transported by the LDL.

As the very low-density lipoproteins (VLDLs) deposit triglycerides in the cells, they become denser and are classified as low-density lipoproteins (LDLs).

Cholesterol transported from the cells to the liver by HDL can then be used to synthesize bile.

False
True

True

The study on cholesterol levels and memory indicates that people at age 55 with low levels of HDL had a __________% increased risk for memory loss.

27
40
53
55

27

What should be avoided or eliminated from the diet to improve blood levels of good cholesterol?

cranberry juice
trans and saturated fats
canola or peanut oils
poly- and monounsaturated fats

trans and saturated fats

Dr. Johnson states that __________ is the most important lifestyle change to improve cholesterol levels.

exercising regularly
quitting smoking
avoiding trans fats
losing weight

exercising regularly

Atherosclerosis is a disease of narrowing of the _______.

arteries
sinus passages
brain stem
esophagus

arteries

Hypertension (high blood pressure) signals an increased risk of heart attack and ________.

cancer
diabetes
stroke
osteoporosis

stroke

Which is the correct sequence of events in the development of atherosclerosis?

Inflammation, arterial injury, plaque formation, fatty streak formation
Arterial injury, fatty streak, plaque formation, inflammation
Inflammation, arterial injury, fatty streak, plaque formation
Arterial injury, inflammation, fatty streak, plaque formation

Arterial injury, inflammation, fatty streak, plaque formation

What is not a common form of cardiovascular disease (CVD)?

Diabetes
Hypertension
Stroke
Coronary heart disease

Diabetes

How does atherosclerosis contribute to the development of cardiovascular disease?

Lipid buildup leads to impaired blood flow.
Accumulation of plaque decreases blood-clotting ability.
It leads to elevated circulating blood glucose levels.
Decreased cholesterol circulation leads to decreased oxygen circulation.

Lipid buildup leads to impaired blood flow.

Very-low-density lipoproteins (VLDLs) primarily transport _____ to the body’s cells.

triglycerides
micronutrients
lymph
proteins

triglycerides

Very-low-density lipoproteins (VLDLs) primarily transport _____ to the body’s cells.

triglycerides
micronutrients
lymph
proteins

triglycerides

________, which transports cholesterol to cells of the body, has the highest cholesterol content of lipoproteins.

Chylomicrons
High-density lipoproteins (HDLs)
Very-low-density lipoproteins (VLDLs)
Low-density lipoproteins (LDLs)

Low-density lipoproteins (LDLs)

Making which dietary change can help lower LDL cholesterol levels?

Decrease dietary saturated fat intake
Decreasing dietary intake of fiber
Eat most calories at one meal, preferably before 6:00 p.m.
Increase alcohol consumption to two to three drinks per day for cardiovascular benefits

Decrease dietary saturated fat intake

The DASH diet can be helpful in reducing risk for CVD by ____.

lowering blood lipid levels and lowering blood pressure
lowering blood glucose
increasing dietary sodium
decreasing diastolic, but not systolic, blood pressure

lowering blood lipid levels and lowering blood pressure

What is the leading cause of death in the United States?

diabetes
heart disease
infection
cancer

heart disease

An optimal systolic blood pressure reading would be less than

60 mmHg.
120 mmHg.
80 mmHg.
200 mmHg.

120 mmHg.

You would be diagnosed with true hypertension if your systolic blood pressure was greater than or equal to 140 mmHg or your diastolic blood pressure was greater than or equal to

90 mmHg.
120 mmHg.
140 mmHg.
160 mmHg.

90 mmHg.

Which of the following is a modifiable risk factor for cardiovascular disease?

being overweight
gender
age
family history

being overweight

A nonspecific marker of inflammation associated with cardiovascular disease is

HDL-cholesterol.
hypertension.
C-reactive protein (CRP).
LDL-cholesterol.

C-reactive protein (CRP).

What lifestyle changes can a person take to improve his or her blood lipid profile?

decrease intake of soluble fiber
decrease amount of physical activity
lower intake of saturated fat and trans fat
maintain lower-than-normal body weight

lower intake of saturated fat and trans fat

The production of endogenous very-low-density-lipoproteins (VLDL) is decreased by

exercise.
simple sugars.
dietary cholesterol.
extra Calories.

exercise.

A desirable total blood cholesterol level, associated with a reduced risk for cardiovascular disease, is less than

300 mg/dL.
40 mg/dL.
200 mg/dL.
100 mg/dL.

200 mg/dL.

The National Institutes of Health (NIH) recommends a reduction in dietary sodium intake to how many mg per day?

less than 3,600
less than 3,300
less than 200
less than 2,300

less than 2,300

Which of the following sequences BEST summarizes the gradual development of atherosclerosis?

blood vessel inflammation, heart attack damages arteries, tissue damage, immune response, lipids accumulate, plaque forms

excess dietary cholesterol, plaque accumulation, blood vessel inflammation, blood glucose increase, immune response, cell damage

artery cells injured, inflammation, blood lipids accumulate, fatty streaks form, plaque accumulates, diminished blood flow, tissue damage

plaque ruptures blood vessels, immune response, inflammation, cholesterol accumulation, vessels narrow and harden, plaque repairs damage

artery cells injured, inflammation, blood lipids accumulate, fatty streaks form, plaque accumulates, diminished blood flow, tissue damage

Brad has recently increased his weekly intake of omega-3 fatty acids. Over time, which of the following effects would he likely NOT experience?

reduction in blood triglycerides
increase in risk for cardiovascular disease
increase in HDLs
reduction in inflammation

increase in risk for cardiovascular disease

Hypertension is often a sign of underlying atherosclerosis.

True
False

True

Primary or essential hypertension, accounting for approximately 45-55% of people, is hereditary.

True
False

True

High blood levels of LDL-cholesterol increase the risk of heart disease.

True
False

true

High blood levels of HDL-cholesterol is associated with a low risk for coronary artery disease.

True
False

true

Minimizing your intake of unsaturated fatty acids as much as possible will lower your risk of heart disease.

True
False

False

Diabetes decreases an individual’s risk for developing heart disease.

True
False

false

Fatty streaks in blood vessels indicate the presence of atherosclerosis.

True
False

true

Plaque minimizes the accumulation of cholesterol at the sites of damaged blood vessels.

True
False

false

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