Enterocyte Amino Acid Absorption and Kwashiorkor Disease

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Questions and Answers

What is the main component that makes each amino acid unique?

  • Acid (carboxylic acid)
  • Side group (correct)
  • Amino group (nitrogen)
  • Carbon skeleton

When dietary amino acids are absorbed, what is one of their fates besides liver synthesis?

  • Converted to vitamins
  • Stored in adipose tissue
  • Oxidized for energy (correct)
  • Excrete through urine

How does the utilization of amino acids differ from carbohydrates and fats?

  • Amino acids are stored in muscle tissue
  • Amino acids are stored in the liver
  • Amino acids are stored as glycogen
  • Amino acids are not stored like carbohydrates and fats (correct)

What is the physiological significance of the free amino acid pool in the body?

<p>To maintain the ratio of amino acids for protein synthesis (A)</p> Signup and view all the answers

How many essential amino acids are there, and which pair is considered conditionally essential?

<p>9 essential; phenylalanine to tyrosine (A)</p> Signup and view all the answers

How many amino acids are classified as non-essential?

<p>10 (A)</p> Signup and view all the answers

Where does the process of transamination occur?

<p>In the liver (D)</p> Signup and view all the answers

What is the general reaction for producing a new amino acid from an amino acid and a keto acid?

<p>Amino acid + keto acid = new amino acid (D)</p> Signup and view all the answers

What is the primary structure of a protein defined as?

<p>The literal sequence of amino acids (B)</p> Signup and view all the answers

In which part of the digestive system does the chemical digestion of amino acids start?

<p>Stomach (C)</p> Signup and view all the answers

How are dietary proteins primarily absorbed in the small intestine?

<p>As amino acids and dipeptides (A)</p> Signup and view all the answers

Where do pancreatic proteases cleave dietary proteins into amino acids and oligopeptides?

<p>Small intestine (B)</p> Signup and view all the answers

What enzyme is responsible for facilitating the removal of ammonia groups from amino acids?

<p>Glutamate dehydrogenase (B)</p> Signup and view all the answers

What is the main purpose of the urea cycle?

<p>To maintain nitrogen balance (B)</p> Signup and view all the answers

Which condition can lead to elevated ammonia levels and subsequently hepatic encephalopathy?

<p>Liver disease (A)</p> Signup and view all the answers

What clinical measurement is commonly used to assess urea levels in the blood?

<p>Blood urea nitrogen (BUN) (B)</p> Signup and view all the answers

In which organ does glutamine act as an ammonia scavenger?

<p>Kidney (C)</p> Signup and view all the answers

What condition is associated with negative nitrogen balance?

<p>Sepsis (B)</p> Signup and view all the answers

Which process describes the conversion of glucose to pyruvate in the muscle?

<p>Glycolysis (A)</p> Signup and view all the answers

Which amino acid acts as a major gluconeogenic amino acid?

<p><strong>Alanine</strong> (D)</p> Signup and view all the answers

Where are branched-chain amino acids primarily catabolized?

<p>Peripheral tissue (skeletal muscle) (B)</p> Signup and view all the answers

Why are branched-chain amino acids oxidized primarily outside the liver?

<p>Peripheral tissues have higher energy requirements (C)</p> Signup and view all the answers

What is the main cause of kwashiorkor disease?

<p>Protein deficiency with normal caloric intake (C)</p> Signup and view all the answers

What are the primary symptoms of kwashiorkor?

<p>Edema, muscle wasting, immune dysfunction, and poor growth (A)</p> Signup and view all the answers

Which of the following is NOT associated with kwashiorkor?

<p>Hyperalbuminemia (A)</p> Signup and view all the answers

How is the amino acid pool in the human body maintained?

<p>Proteolysis (C)</p> Signup and view all the answers

What is the fate of nitrogen after the degradation of amino acids?

<p>Excreted as urea (A)</p> Signup and view all the answers

Which enzyme facilitates the transamination of alanine?

<p>Aminotransferases (A)</p> Signup and view all the answers

What does elevated AST and ALT indicate in a liver function test?

<p>Liver disease or damage (D)</p> Signup and view all the answers

What are the primary treatments for kwashiorkor?

<p>Nutritional rehabilitation and therapeutic feeding programs (A)</p> Signup and view all the answers

What is the main function of amino acids in the gut?

<p>Serving as a source of energy (B)</p> Signup and view all the answers

Where is the majority of the free amino acid pool located in the body?

<p>Circulating in the blood (A)</p> Signup and view all the answers

What is the physiological significance of glutamine in the kidney, besides fuel?

<p>Buffering excess ammonia (B)</p> Signup and view all the answers

During fasting, what is the major site contributing to the amino acid pool?

<p>Muscles (C)</p> Signup and view all the answers

What can a pure protein meal promote in terms of hormone secretion?

<p>Little insulin and glucagon release (D)</p> Signup and view all the answers

Where is glutamine primarily used as a source of energy?

<p>Gut (enterocytes) (B)</p> Signup and view all the answers

What can a hypercatabolic state be caused by?

<p>Surgery, trauma, burns, and septic stress (B)</p> Signup and view all the answers

What percentage of ATP does the catabolism of branched chain amino acids (BCAAs) produce?

<p>~20-25% (C)</p> Signup and view all the answers

"Besides serving as fuel, what can oxidation of BCAAs produce in muscles?"

<p>Glutamine and alanine (C)</p> Signup and view all the answers

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