Deck 17: Metabolism and Energetics
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Deck 17: Metabolism and Energetics
1
Performance in endurance sports improves if muscles have large stores of
A)nucleic acids.
B)protein reserves.
C)lipid reserves.
D)amino acids.
E)carbohydrate reserves.
A)nucleic acids.
B)protein reserves.
C)lipid reserves.
D)amino acids.
E)carbohydrate reserves.
E
2
The synthesis of new organic molecules,involving the formation of new chemical bonds,is called
A)glycolysis.
B)catabolism.
C)anabolism.
D)differentiation.
E)lipolysis.
A)glycolysis.
B)catabolism.
C)anabolism.
D)differentiation.
E)lipolysis.
C
3
About 40% of the energy released through catabolism is used to convert ADP to ATP.What happens to the remaining 60% of energy?
A)It is destroyed during the catabolic activities.
B)It is used to convert RNA to DNA.
C)It is immediately used in anabolic processes.
D)It escapes as heat to warm the tissues.
E)It transforms into mechanical energy.
A)It is destroyed during the catabolic activities.
B)It is used to convert RNA to DNA.
C)It is immediately used in anabolic processes.
D)It escapes as heat to warm the tissues.
E)It transforms into mechanical energy.
D
4
When actively contracting,skeletal muscles catabolize glucose,but at rest they rely on which of the following?
A)proteins
B)glycogen
C)nucleic acids
D)fatty acids
E)amino acids
A)proteins
B)glycogen
C)nucleic acids
D)fatty acids
E)amino acids
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5
Which of the following is the first intermediate formed in the citric acid cycle?
A)coenzyme A
B)pyruvate
C)FADH2
D)citric acid
E)oxygen
A)coenzyme A
B)pyruvate
C)FADH2
D)citric acid
E)oxygen
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6
Which of the following may not be used for gluconeogenesis because their breakdown produces acetyl CoA?
A)fatty acids
B)complex carbohydrates
C)glycerol
D)nucleic acids
E)glycogen
A)fatty acids
B)complex carbohydrates
C)glycerol
D)nucleic acids
E)glycogen
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7
Place the following steps of the electron transport system (ETS)and ATP formation in the correct order. 1.Movement of hydrogen ions provides energy to ATP synthesis.
2.Electrons from FADH2 pass to coenzyme Q.
3.Electrons are transported to respiratory complex III.
4.ADP combines with P to form ATP.
5.Electrons from NADH pass to coenzyme Q.
6.Electrons combine with oxygen and hydrogen ions to form water molecules.
A)6,3,5,2,4,1
B)5,2,3,6,1,4
C)1,2,6,4,3,5
D)4,6,1,3,5,2
E)2,3,6,5,4,1
2.Electrons from FADH2 pass to coenzyme Q.
3.Electrons are transported to respiratory complex III.
4.ADP combines with P to form ATP.
5.Electrons from NADH pass to coenzyme Q.
6.Electrons combine with oxygen and hydrogen ions to form water molecules.
A)6,3,5,2,4,1
B)5,2,3,6,1,4
C)1,2,6,4,3,5
D)4,6,1,3,5,2
E)2,3,6,5,4,1
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8
During glycolysis in the cytoplasm,the cell gains how many molecules of ATP for each glucose molecule broken down to pyruvate?
A)2
B)4
C)30
D)36
E)38
A)2
B)4
C)30
D)36
E)38
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9
Most cells generate ATP and other high-energy compounds by breaking down carbohydrates,especially
A)ribose.
B)galactose.
C)sucrose.
D)fructose.
E)glucose.
A)ribose.
B)galactose.
C)sucrose.
D)fructose.
E)glucose.
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10
Regarding the citric acid cycle,which molecule participates in a complex reaction involving NAD and coenzyme A within the mitochondrion?
A)pyruvate
B)citric acid
C)ATP
D)oxygen
E)FADH2
A)pyruvate
B)citric acid
C)ATP
D)oxygen
E)FADH2
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11

The ion(s)or molecule(s)labeled B is (are)
A)CO2.
B)H2O.
C)O2.
D)H+.
E)2H.
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12
Cyanide poisoning quickly leads to death because it blocks the final cytochrome molecule in the electron transport system.Why is this blockage lethal?
A)All hydrogen ion pumps deactivate.
B)NADH molecules cannot give off their electrons.
C)FADH2 molecules cannot give off their electrons.
D)Electrons cannot transfer to oxygen.
E)Coenzyme Q disassociates and becomes nonfunctional.
A)All hydrogen ion pumps deactivate.
B)NADH molecules cannot give off their electrons.
C)FADH2 molecules cannot give off their electrons.
D)Electrons cannot transfer to oxygen.
E)Coenzyme Q disassociates and becomes nonfunctional.
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13
Gluconeogenesis is the synthesis of glucose from precursor molecules such as
A)sucrose.
B)glycerol.
C)fructose.
D)glycogen.
E)galactose.
A)sucrose.
B)glycerol.
C)fructose.
D)glycogen.
E)galactose.
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14

The ion(s)or molecule(s)labeled C is (are)
A)CO2.
B)H2O.
C)O2.
D)H+.
E)2H.
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15
In the liver and skeletal muscles,glucose molecules are stored as
A)triglycerides.
B)fatty acids.
C)pyruvate.
D)sucrose.
E)glycogen.
A)triglycerides.
B)fatty acids.
C)pyruvate.
D)sucrose.
E)glycogen.
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16
Carbohydrate metabolism involves the reactants,glucose plus oxygen,and the resultant products
A)pyruvate and nitrogen.
B)carbon dioxide and water.
C)water and sucrose.
D)nitrogen and hydrogen.
E)water and pyruvate.
A)pyruvate and nitrogen.
B)carbon dioxide and water.
C)water and sucrose.
D)nitrogen and hydrogen.
E)water and pyruvate.
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17
In the electron transport system (ETS),which of the following are pumped into the intermembrane space,providing the concentration gradient essential for the generation of ATP?
A)oxygen molecules
B)water molecules
C)ATP molecules
D)hydrogen ions
E)cytochromes
A)oxygen molecules
B)water molecules
C)ATP molecules
D)hydrogen ions
E)cytochromes
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18
The sum of all of the chemical reactions occurring within the human body is called
A)glycolysis.
B)oxidation.
C)catabolism.
D)anabolism.
E)metabolism.
A)glycolysis.
B)oxidation.
C)catabolism.
D)anabolism.
E)metabolism.
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19
For each molecule of glucose processed,a typical cell gains ________ molecules of ATP.
A)2-3
B)6-8
C)15-16
D)30-32
E)60-64
A)2-3
B)6-8
C)15-16
D)30-32
E)60-64
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20

The ion(s)or molecule(s)labeled A is (are)
A)CO2.
B)H2O.
C)O2.
D)H+.
E)2H.
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21
Molecules that carry excess cholesterol from peripheral tissues to the liver for storage or secretion in the bile are called
A)low-density lipoproteins (LDLs).
B)high-density lipoproteins (HDLs).
C)fatty acids.
D)steroids.
E)chylomicrons.
A)low-density lipoproteins (LDLs).
B)high-density lipoproteins (HDLs).
C)fatty acids.
D)steroids.
E)chylomicrons.
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22

The ion(s)or molecule(s)labeled G is (are)
A)CO2.
B)H2O.
C)O2.
D)H+.
E)2H.
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23

The ion(s)or molecule(s)labeled D is (are)
A)CO2.
B)H2O.
C)O2.
D)H+.
E)2H.
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24
Due to an enzyme defect,individuals with phenylketonuria cannot convert the amino acid phenylalanine to
A)urea.
B)tyrosine.
C)ketones.
D)serotonin.
E)ATP.
A)urea.
B)tyrosine.
C)ketones.
D)serotonin.
E)ATP.
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25
Which is accurate regarding ketoacidosis?
A)Blood pH may drop below 7.05.
B)Blood pH may rise to 9.05.
C)Blood pH is not affected.
D)Increased alkalinity of body tissues occurs.
E)Conditions do not ever become so severe that coma results.
A)Blood pH may drop below 7.05.
B)Blood pH may rise to 9.05.
C)Blood pH is not affected.
D)Increased alkalinity of body tissues occurs.
E)Conditions do not ever become so severe that coma results.
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26
Which of the following delivers cholesterol to peripheral tissues?
A)triglycerides
B)low-density lipoproteins
C)high-density lipoproteins
D)free fatty acids
E)glycerol groups
A)triglycerides
B)low-density lipoproteins
C)high-density lipoproteins
D)free fatty acids
E)glycerol groups
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27

The ion(s)or molecule(s)labeled F is (are)
A)CO2.
B)H2O.
C)O2.
D)H+.
E)2H.
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28
In transamination,the amino group of an amino acid is transferred to
A)ammonia.
B)urea.
C)another carbon chain.
D)a molecule in the glycolytic pathway.
E)acetyl CoA.
A)ammonia.
B)urea.
C)another carbon chain.
D)a molecule in the glycolytic pathway.
E)acetyl CoA.
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29
Which of the following is the maximum "healthy" cholesterol level in a typical 19-year-old male?
A)230 mg/dL
B)185 mg/dL
C)200 mg/dL
D)350 mg/dL
E)250 mg/dL
A)230 mg/dL
B)185 mg/dL
C)200 mg/dL
D)350 mg/dL
E)250 mg/dL
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30
Beta-oxidation
A)occurs in the mitochondria and is a series of reactions that break down fatty acids.
B)breaks down proteins into two-carbon fragments that can be metabolized by the citric acid cycle.
C)yields large amounts of ATP,while requiring coenzyme A,NAD,and FAD.
D)occurs during glycolysis and generates NAD and FAD molecules.
E)is the final step of the citric acid cycle where hydrogen ions enter the electrons transport system.
A)occurs in the mitochondria and is a series of reactions that break down fatty acids.
B)breaks down proteins into two-carbon fragments that can be metabolized by the citric acid cycle.
C)yields large amounts of ATP,while requiring coenzyme A,NAD,and FAD.
D)occurs during glycolysis and generates NAD and FAD molecules.
E)is the final step of the citric acid cycle where hydrogen ions enter the electrons transport system.
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31
Glycerol enters the citric acid cycle after enzymes in the cytosol convert it to
A)glucose.
B)pyruvate.
C)glycogen.
D)LDL/HDL.
E)cholesterol.
A)glucose.
B)pyruvate.
C)glycogen.
D)LDL/HDL.
E)cholesterol.
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32
Lipids that can diffuse easily across plasma membranes are called
A)triglycerides.
B)steroids.
C)albumins.
D)high-density lipoproteins.
E)free fatty acids.
A)triglycerides.
B)steroids.
C)albumins.
D)high-density lipoproteins.
E)free fatty acids.
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33
Protein catabolism is an impractical source of quick energy because
A)the major byproduct is hydrogen,which cells cannot use for energy.
B)proteins are unimportant to cellular homeostasis.
C)the body cannot synthesize any of the amino acids,which it needs.
D)proteins are catabolized much too easily,resulting in homeostatic imbalance.
E)proteins are more difficult to catabolize than are complex carbohydrates or lipids.
A)the major byproduct is hydrogen,which cells cannot use for energy.
B)proteins are unimportant to cellular homeostasis.
C)the body cannot synthesize any of the amino acids,which it needs.
D)proteins are catabolized much too easily,resulting in homeostatic imbalance.
E)proteins are more difficult to catabolize than are complex carbohydrates or lipids.
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34
Lipid catabolism yields 1.3 times as much ATP compared to aerobic glucose metabolism.So why is lipid catabolism not the prime source of ATP in the human body?
A)Most people do not have enough lipid reserves.
B)Water-soluble enzymes cannot easily get to the lipid droplets.
C)Lipid catabolism occurs in the cytosol where oxygen availability is limited.
D)Lipid catabolism occurs primarily during times of starvation.
E)Lipid catabolism produces large amounts of nitrogenous wastes,which are taxing on the liver.
A)Most people do not have enough lipid reserves.
B)Water-soluble enzymes cannot easily get to the lipid droplets.
C)Lipid catabolism occurs in the cytosol where oxygen availability is limited.
D)Lipid catabolism occurs primarily during times of starvation.
E)Lipid catabolism produces large amounts of nitrogenous wastes,which are taxing on the liver.
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35
A cell produces how many ATP molecules from the breakdown of one 18-carbon fatty acid molecule?
A)4
B)16
C)120
D)32
E)60
A)4
B)16
C)120
D)32
E)60
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36
Which of the following is never catabolized for energy,even in cells dying of starvation?
A)DNA
B)proteins
C)rRNA
D)tRNA
E)mRNA
A)DNA
B)proteins
C)rRNA
D)tRNA
E)mRNA
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37
The process of deamination produces
A)keto acids.
B)high levels of proteins.
C)an ammonium ion.
D)acetyl CoA.
E)B vitamins.
A)keto acids.
B)high levels of proteins.
C)an ammonium ion.
D)acetyl CoA.
E)B vitamins.
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38

The ion(s)or molecule(s)labeled E is (are)
A)CO2.
B)H2O.
C)O2.
D)H+.
E)2H.
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39
Synthesis of ________ occurs only in cells preparing for mitosis or meiosis.
A)ribosomal RNA (rRNA)
B)cholesterol
C)messenger RNA (mRNA)
D)DNA
E)transfer RNA (tRNA)
A)ribosomal RNA (rRNA)
B)cholesterol
C)messenger RNA (mRNA)
D)DNA
E)transfer RNA (tRNA)
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40
Lipogenesis of steroids and almost all fatty acids begins with
A)glucose.
B)amino acids.
C)fatty acids.
D)acetyl CoA.
E)succinyl CoA.
A)glucose.
B)amino acids.
C)fatty acids.
D)acetyl CoA.
E)succinyl CoA.
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41
________ are inorganic ions released through electrolytes,such as sodium chloride.
A)Minerals
B)Enzymes
C)Water-soluble vitamins
D)Essential proteins
E)Fat-soluble vitamins
A)Minerals
B)Enzymes
C)Water-soluble vitamins
D)Essential proteins
E)Fat-soluble vitamins
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42
Which of the following comprise the best source of vitamin C?
A)milk and meat
B)bread and potatoes
C)vegetables
D)citrus fruits
E)breads and cheeses
A)milk and meat
B)bread and potatoes
C)vegetables
D)citrus fruits
E)breads and cheeses
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43
Which of the following is a complete protein source?
A)corn
B)spinach
C)rice
D)eggs
E)oranges
A)corn
B)spinach
C)rice
D)eggs
E)oranges
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44
________ is a trace mineral that is a component of hemoglobin,myoglobin,and cytochromes.
A)Magnesium
B)Calcium
C)Zinc
D)Copper
E)Iron
A)Magnesium
B)Calcium
C)Zinc
D)Copper
E)Iron
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45
Which of the following is a trace mineral?
A)chloride
B)sodium
C)calcium
D)iron
E)magnesium
A)chloride
B)sodium
C)calcium
D)iron
E)magnesium
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46
Which of the following is a major anion in body fluids,primarily excreted through urine and sweat?
A)sodium
B)chloride
C)potassium
D)calcium
E)zinc
A)sodium
B)chloride
C)potassium
D)calcium
E)zinc
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47
Which fat-soluble vitamin is synthesized in skin that is exposed to sunlight?
A)vitamin K
B)vitamin E
C)vitamin B6 (pyridoxine)
D)vitamin D
E)vitamin C
A)vitamin K
B)vitamin E
C)vitamin B6 (pyridoxine)
D)vitamin D
E)vitamin C
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48
Nucleotides from RNA
A)are deaminated to form ammonia.
B)can provide sugars for glycolysis,in order to form ATP.
C)can be used to synthesize proteins.
D)cannot be used as a source of energy in place of ATP.
E)cannot be recycled.
A)are deaminated to form ammonia.
B)can provide sugars for glycolysis,in order to form ATP.
C)can be used to synthesize proteins.
D)cannot be used as a source of energy in place of ATP.
E)cannot be recycled.
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49
Which bulk mineral is a major cation in body fluids and is essential for normal membrane function?
A)calcium
B)iron
C)sodium
D)chloride
E)phosphorus
A)calcium
B)iron
C)sodium
D)chloride
E)phosphorus
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50
A mineral that is a necessary cofactor for hemoglobin synthesis is
A)zinc.
B)copper.
C)cobalt.
D)iodine.
E)silicon.
A)zinc.
B)copper.
C)cobalt.
D)iodine.
E)silicon.
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51
A bulk mineral that is essential for normal muscle and neuron function as well as for bone structure is
A)sodium.
B)potassium.
C)calcium.
D)magnesium.
E)selenium.
A)sodium.
B)potassium.
C)calcium.
D)magnesium.
E)selenium.
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52
This mineral is a cofactor of the carbonic anhydrase enzyme system.
A)chloride
B)calcium
C)copper
D)zinc
E)magnesium
A)chloride
B)calcium
C)copper
D)zinc
E)magnesium
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53
The natural dietary sources for vitamin B12 (cobalamin)are
A)fruits only.
B)meats and milk.
C)vegetables only.
D)breads and potatoes.
E)leafy vegetables.
A)fruits only.
B)meats and milk.
C)vegetables only.
D)breads and potatoes.
E)leafy vegetables.
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54
An ion that is a necessary component of high-energy compounds,nucleic acids,and bone matrix is
A)chloride.
B)sulfate.
C)phosphate.
D)bicarbonate.
E)iodide.
A)chloride.
B)sulfate.
C)phosphate.
D)bicarbonate.
E)iodide.
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55
The vitamin that is a constituent of coenzyme FAD is
A)thiamine (B1).
B)riboflavin (B2).
C)niacin (nicotinic acid).
D)folate (B9).
E)cobalamin (B12).
A)thiamine (B1).
B)riboflavin (B2).
C)niacin (nicotinic acid).
D)folate (B9).
E)cobalamin (B12).
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56
The vitamin that is required for the synthesis of visual pigments is
A)vitamin A.
B)vitamin B.
C)vitamin C.
D)vitamin D.
E)vitamin E.
A)vitamin A.
B)vitamin B.
C)vitamin C.
D)vitamin D.
E)vitamin E.
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57
The vitamin that is essential for liver synthesis of prothrombin and other clotting factors is
A)vitamin A.
B)vitamin B.
C)vitamin E.
D)vitamin C.
E)vitamin K.
A)vitamin A.
B)vitamin B.
C)vitamin E.
D)vitamin C.
E)vitamin K.
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58
Which of the following is a fat-soluble vitamin?
A)vitamin K
B)vitamin C
C)vitamin B6
D)niacin
E)riboflavin
A)vitamin K
B)vitamin C
C)vitamin B6
D)niacin
E)riboflavin
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59
Hypovitaminosis of vitamin B12 can cause pernicious anemia,however,hypervitaminosis can cause
A)polycythemia.
B)possible lethal CNS alterations.
C)hypotension.
D)kidney stones.
E)itching and tingling sensations.
A)polycythemia.
B)possible lethal CNS alterations.
C)hypotension.
D)kidney stones.
E)itching and tingling sensations.
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60
The vitamin that functions as part of coenzyme A is
A)pantothenic acid (B5).
B)nicotinic acid (B3).
C)folic acid (B9).
D)cobalamin (B12).
E)riboflavin (B2).
A)pantothenic acid (B5).
B)nicotinic acid (B3).
C)folic acid (B9).
D)cobalamin (B12).
E)riboflavin (B2).
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61
The vitamin that is a coenzyme in amino acid and lipid metabolism is
A)vitamin B6 (pyridoxine).
B)vitamin B5 (pantothenic acid).
C)vitamin B2 (riboflavin).
D)vitamin B9 (folic acid).
E)niacin (nicotinic acid).
A)vitamin B6 (pyridoxine).
B)vitamin B5 (pantothenic acid).
C)vitamin B2 (riboflavin).
D)vitamin B9 (folic acid).
E)niacin (nicotinic acid).
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62
Mucosal deterioration is a sign of hypovitaminosis for vitamins C,B2,and
A)B3.
B)A.
C)D.
D)K.
E)C.
A)B3.
B)A.
C)D.
D)K.
E)C.
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63
An average individual has a basal metabolic rate (BMR)of about
A)400 cal/hr.
B)3680 cal/hr.
C)70 cal/hr.
D)7000 cal/day.
E)145 cal/hr.
A)400 cal/hr.
B)3680 cal/hr.
C)70 cal/hr.
D)7000 cal/day.
E)145 cal/hr.
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64
The daily average water requirement for humans is
A)250 ml.
B)2500 ml.
C)500 ml.
D)1500 ml.
E)1000 ml.
A)250 ml.
B)2500 ml.
C)500 ml.
D)1500 ml.
E)1000 ml.
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65
Which water-soluble vitamin must first be bound to the intrinsic factor secreted by the gastric mucosa before it can be absorbed by the intestinal epithelium?
A)vitamin B2 (riboflavin)
B)vitamin C (ascorbic acid)
C)vitamin B12 (cobalamin)
D)vitamin B5 (pantothenic acid)
E)vitamin B6 (pyridoxine)
A)vitamin B2 (riboflavin)
B)vitamin C (ascorbic acid)
C)vitamin B12 (cobalamin)
D)vitamin B5 (pantothenic acid)
E)vitamin B6 (pyridoxine)
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66
Which of the following processes of heat transfer is the result of heat loss to the air that overlies the surface of an object?
A)radiation
B)conduction
C)evaporation
D)condensation
E)convection
A)radiation
B)conduction
C)evaporation
D)condensation
E)convection
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67
The direct transfer of energy through physical contact is called
A)evaporation.
B)condensation.
C)convection.
D)radiation.
E)conduction.
A)evaporation.
B)condensation.
C)convection.
D)radiation.
E)conduction.
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68
A patient complains of blurred vision and fatigue.A diagnostic exam reveals that she has been taking megadoses of ________ supplements.
A)vitamin K
B)vitamin E
C)vitamin C
D)vitamin A
E)vitamin D
A)vitamin K
B)vitamin E
C)vitamin C
D)vitamin A
E)vitamin D
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69
A Calorie unit used in food is equal to the amount of energy necessary to raise the temperature of 1 kilogram of water ________ degree(s)Celsius.
A)1
B)2
C)10
D)100
E)1,000
A)1
B)2
C)10
D)100
E)1,000
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70
Which of the following minerals is a cofactor for some enzymes and is a mineral whose primary route of excretion is through feces and trace amounts in urine?
A)chloride
B)copper
C)iron
D)manganese
E)calcium
A)chloride
B)copper
C)iron
D)manganese
E)calcium
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71
An example of nonshivering thermogenesis occurs when epinephrine from the adrenal glands immediately increases the breakdown of glycogen in the
A)heart and lungs.
B)liver and skeletal muscles.
C)kidneys and pancreas.
D)skin and accessory glands.
E)hypothalamus and pons.
A)heart and lungs.
B)liver and skeletal muscles.
C)kidneys and pancreas.
D)skin and accessory glands.
E)hypothalamus and pons.
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72
Charlie has a blood test that shows a normal level of LDLs but an elevated level of HDLs in his blood.Since his family has a history of cardiovascular disease,he wonders if he should modify his lifestyle.What should one advise him to do or not to dow?
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73
Which of the following activities expends the most calories per hour?
A)speed walking
B)jogging
C)slow walking
D)competitive swimming
E)climbing stairs
A)speed walking
B)jogging
C)slow walking
D)competitive swimming
E)climbing stairs
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74
Beriberi is a degenerative disease caused by a deficiency of ________,having the effects of muscle weakness and CNS and cardiovascular problems including heart disease.
A)vitamin B1 (thiamine)
B)vitamin B12 (cobalamin)
C)vitamin C (ascorbic acid)
D)niacin (nicotinic acid)
E)vitamin B2 (riboflavin)
A)vitamin B1 (thiamine)
B)vitamin B12 (cobalamin)
C)vitamin C (ascorbic acid)
D)niacin (nicotinic acid)
E)vitamin B2 (riboflavin)
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75
The heat-loss and heat-gain centers of the body are found in which of the following?
A)hippocampus
B)medulla oblongata
C)hypothalamus
D)pons
E)cerebellum
A)hippocampus
B)medulla oblongata
C)hypothalamus
D)pons
E)cerebellum
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76
During times of increased body temperature,which of the following physiological responses is most likely to occur?
A)Vasomotor center is stimulated.
B)Sweat glands decrease their secretions.
C)Respiratory centers are inhibited.
D)Nonshivering thermogenesis is inhibited.
E)Shivering thermogenesis is stimulated.
A)Vasomotor center is stimulated.
B)Sweat glands decrease their secretions.
C)Respiratory centers are inhibited.
D)Nonshivering thermogenesis is inhibited.
E)Shivering thermogenesis is stimulated.
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77
The vitamin that is a coenzyme in amino acid and nucleic acid metabolism is
A)vitamin B5 (pantothenic acid).
B)vitamin B6 (pyridoxine).
C)vitamin B9 (folic acid).
D)vitamin C (ascorbic acid).
E)vitamin K.
A)vitamin B5 (pantothenic acid).
B)vitamin B6 (pyridoxine).
C)vitamin B9 (folic acid).
D)vitamin C (ascorbic acid).
E)vitamin K.
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