Exam 5: The Lipids Fats and Oils

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Vignette #1 Jack has just returned from the hospital where his father is recovering from a heart attack. The doctors told Jack that his dad's atherosclerosis is very serious. Jack and his wife, Melanie, are worried about Jack's father and also are starting to think about Jack's risk of having heart disease in his lifetime. He sets up an appointment at his doctor's office and has his blood lipid levels evaluated for the first time. Let's see if you can answer some of the questions that Jack and Melanie have. Jack's results from his blood lipid level test are as follows:   Vignette #1 Jack has just returned from the hospital where his father is recovering from a heart attack. The doctors told Jack that his dad's atherosclerosis is very serious. Jack and his wife, Melanie, are worried about Jack's father and also are starting to think about Jack's risk of having heart disease in his lifetime. He sets up an appointment at his doctor's office and has his blood lipid levels evaluated for the first time. Let's see if you can answer some of the questions that Jack and Melanie have. Jack's results from his blood lipid level test are as follows:     Which statement accurately describes Jack's test results? Which statement accurately describes Jack's test results?

(Multiple Choice)
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What lipid is an essential fatty acid?

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The human body can synthesize all the fatty acids it needs from carbohydrate, fat, or protein.

(True/False)
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Health experts advise that you decrease consumption of foods rich in _____ and increase the intake of _____ to achieve a more healthful balance.

(Multiple Choice)
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Describe the "French paradox" as it applies to low rates of heart disease.

(Essay)
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Which oil is highest in saturated fats?

(Multiple Choice)
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Glycerol and_____ diffuse easily into intestinal cells, which release them into capillaries without further processing.

(Multiple Choice)
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Prior to menopause, estrogen may protect women from cardiovascular disease.

(True/False)
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Monounsaturated fats are better than polyunsaturated fats in the diet because they ____.

(Multiple Choice)
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A high-fiber diet is typically high in dietary cholesterol.

(True/False)
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Vignette #2 Bob is committed to losing weight but knows little about nutrition. He has heard his friends discussing types of fat, such as saturated and unsaturated. He has no idea what the terms mean or how they relate to his health and diet. He also has read that the most important improvement a person can make in his or her diet is to eat less cholesterol. Let's answer these questions and help Bob understand this topic better. A characteristic of saturated fats is that they ____.

(Multiple Choice)
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Match the term with the short phrase or description that best matches it.
lecithin
a fatty acid that cannot be synthesized in the body in amounts sufficient to meet physiological need
monounsaturated fatty acid
a phospholipid
oxidized LDL cholesterol
a fatty acid containing one point of unsaturation
Correct Answer:
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Premises:
Responses:
lecithin
a fatty acid that cannot be synthesized in the body in amounts sufficient to meet physiological need
monounsaturated fatty acid
a phospholipid
oxidized LDL cholesterol
a fatty acid containing one point of unsaturation
LDL
a fatty acid with one or more points of unsaturation
cholesterol
one of the polyunsaturated fatty acids that is essential for human beings
VLDL
a fatty acid in which two or more points of unsaturation occur
essential fatty acid
carries cholesterol to body cells
foam cells
polyunsaturated fatty acids that have their end-most double bonds after the third carbon in the chain
unsaturated fatty acid
clusters of lipids associated with protein that serve as transport vehicles for lipids in blood and lymph
free radicals
one of the sterols
polyunsaturated fatty acid
cells from the immune system containing scavenged oxidized LDL cholesterol that are thought to initiate arterial plaque formation
trans fatty acid
highly toxic compounds created in the body as a result of chemical reactions that involve oxygen
lipoproteins
the cholesterol in LDLs that is attacked by reactive oxygen molecules inside the walls of the arteries
saturated fatty acid
a type of lipoprotein that transports newly digested fat from the intestine through lymph and blood
linoleic acid
carries fats packaged or made by the liver to various tissues in the body
omega-6 fatty acids
carries cholesterol in the blood back to the liver for recycling or disposal
HDL
a type of fatty acid created when an unsaturated fat is hydrogenated
chylomicron
polyunsaturated fatty acids that have their end-most double bonds after the sixth carbon in the chain
omega-3 fatty acids
a fatty acid carrying the maximum possible number of hydrogen atoms
(Matching)
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Vignette #2 Bob is committed to losing weight but knows little about nutrition. He has heard his friends discussing types of fat, such as saturated and unsaturated. He has no idea what the terms mean or how they relate to his health and diet. He also has read that the most important improvement a person can make in his or her diet is to eat less cholesterol. Let's answer these questions and help Bob understand this topic better. Bob knows he needs to take in fewer calories to lose weight. Bob should be aware that ____.

(Multiple Choice)
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Phospholipids can help fats cross cell membranes because ____.

(Multiple Choice)
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Long-chain fatty acids are water soluble and travel freely in blood and lymph.

(True/False)
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Sue overate by 500 calories each day on her recent cruise to the Bahamas. If Sue gained one pound of body fat as a result, how long was her cruise?

(Multiple Choice)
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Joy decides to cook dinner with less fat tonight and instead of two tablespoons of butter, she uses one tablespoon on her baked potato. Approximately how many grams of fat did Joy remove from her meal?

(Multiple Choice)
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An optimal LDL-cholesterol level is ____, while an optimal HDL-cholesterol level is ____.

(Multiple Choice)
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Compare and contrast the following lipoproteins: LDL, HDL, VLDL, and chylomicrons. Include their functions in the body and the correlation between high or low levels and heart disease risk.

(Essay)
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As the amount of _____ in a lipoprotein increases, its _____ also increases.

(Multiple Choice)
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