Health Science Quiz: Digestive Disorders and Metabolism
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Questions and Answers

What is the primary risk associated with persistent vomiting, irrespective of the underlying cause?

  • Increased risk of bacterial infections in the digestive tract.
  • Weakening of intestinal muscles leading to constipation.
  • Development of food intolerances.
  • Significant dehydration and electrolyte imbalance. (correct)
  • A patient experiencing frequent constipation alongside minimal fluid intake is most at risk for what?

  • Severe abdominal pain due to irritable bowel syndrome.
  • Increased susceptibility to bacterial infections.
  • Esophageal damage.
  • Intestinal blockage and diverticula formation. (correct)
  • Which approach is most appropriate for managing Irritable Bowel Syndrome (IBS)?

  • Stress management, dietary adjustments, and medications. (correct)
  • Strict adherence to a high-fiber, high-fluid diet.
  • Surgical intervention to correct intestinal muscle contractions.
  • Eliminating all medications to prevent further irritation.
  • What is the primary concern regarding the long-term usage of medications like aspirin and ibuprofen?

    <p>Erosion of the stomach's mucosal lining. (D)</p> Signup and view all the answers

    A patient presents with dehydration following a bout of diarrhea and vomiting. What is the most important treatment to administer?

    <p>Fluid and electrolyte replacement. (D)</p> Signup and view all the answers

    What is the primary role of nephrons within the kidneys?

    <p>To filter blood and maintain fluid balance in the body. (A)</p> Signup and view all the answers

    During the metabolism of nutrients in the presence of oxygen, what is the initial product formed?

    <p>Acetyl-CoA (C)</p> Signup and view all the answers

    What is the main function of the glomerulus within the nephron?

    <p>Ultra-filtering blood to initiate urine production. (D)</p> Signup and view all the answers

    Which of the following is the most likely nutritional consequence of experiencing dry mouth?

    <p>Decreased food intake because of changes in taste and difficulty swallowing. (C)</p> Signup and view all the answers

    Which metabolic process directly produces carbon dioxide and electrons from Acetyl-CoA?

    <p>Citric Acid Cycle (Krebs Cycle) (D)</p> Signup and view all the answers

    What is the primary cause of ulcers as described in the provided information?

    <p>Infection of the stomach by <em>H. pylori</em> bacteria (C)</p> Signup and view all the answers

    What is the Acceptable Macronutrient Distribution Range (AMDR) for carbohydrates, based on total energy intake?

    <p>45 to 65% (C)</p> Signup and view all the answers

    Why are foods with 'empty Calories' considered less nutritious?

    <p>They provide energy primarily from added sugars or unhealthy fats, with minimal vitamins and minerals. (D)</p> Signup and view all the answers

    Which dietary modification is generally recommended to manage heartburn associated with gastroesophageal reflux disease (GERD)?

    <p>Consuming liquids mainly between instead of with meals (A)</p> Signup and view all the answers

    How do added sugars differ from the sugars naturally found in fruits, such as a kiwi, according to the content?

    <p>Added sugars are introduced during food processing, while fruit sugars are inherent to the food. (D)</p> Signup and view all the answers

    What potential issue can arise from tooth decay and gum disease that directly impacts nutrition?

    <p>Reduced ability to chew, leading to reduced nutrient absorption. (D)</p> Signup and view all the answers

    According to dietary recommendations, what is the suggested primary source of carbohydrates?

    <p>Unrefined carbohydrate sources (C)</p> Signup and view all the answers

    What is the recommended Daily Value (DV) for fiber intake?

    <p>≥ 28 g (D)</p> Signup and view all the answers

    What is the primary difference between disaccharides and oligosaccharides in terms of their composition?

    <p>Disaccharides are composed of two monosaccharides, while oligosaccharides contain less than ten. (A)</p> Signup and view all the answers

    If someone is experiencing heartburn, belching and chest pain, what condition might they be suffering from?

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

    Which process describes the linking of two monosaccharides to form a disaccharide?

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

    What is the most likely treatment for ulcers, as described in the provided information?

    <p>Antibiotics to treat infection. (C)</p> Signup and view all the answers

    What is the consequence of refining carbohydrates?

    <p>Separation of carbohydrates from vitamins, minerals, and fiber. (B)</p> Signup and view all the answers

    What is the most likely cause of gastroesophageal reflux disease (GERD)?

    <p>Acid leaking into the esophagus. (B)</p> Signup and view all the answers

    Why is dietary fiber indigestible by human enzymes, and what benefit does it provide?

    <p>It includes certain complex carbohydrates that human enzymes cannot digest, shown to have health/physiological benefits. (D)</p> Signup and view all the answers

    What is the most likely advice a doctor would give to someone suffereing from a hiatal hernia?

    <p>Reduce meal size. (B)</p> Signup and view all the answers

    How does soluble fiber contribute to managing cholesterol levels in the body?

    <p>By promoting the production of bile acids, which are then excreted, thus reducing cholesterol. (A)</p> Signup and view all the answers

    Why is maintaining blood glucose levels within a narrow range crucial for overall health?

    <p>To ensure a constant supply of energy to the brain and other cells, and to prevent damage from high or low levels. (D)</p> Signup and view all the answers

    Which of the following scenarios would likely result in the highest glycemic response?

    <p>Consuming a sugary drink on an empty stomach. (D)</p> Signup and view all the answers

    How does undigested lactose lead to the symptoms experienced by individuals with lactose intolerance?

    <p>It ferments in the large intestine, producing gases and drawing water in, which causes bloating, cramping, and diarrhea. (C)</p> Signup and view all the answers

    Why can't the glucose from muscle glycogen be used to increase blood glucose levels?

    <p>Muscle cells lack the enzyme needed to convert muscle glycogen back into glucose that can be released into the bloodstream. (D)</p> Signup and view all the answers

    What distinguishes whole grains from refined grains in terms of nutrient composition?

    <p>Whole grains include the bran and germ, contributing fibre, vitamins, and vegetable oils, whereas refined grains are mostly endosperm. (B)</p> Signup and view all the answers

    Why are refined grains in Canada often enriched with vitamins and minerals?

    <p>To compensate for nutrients lost during the refining process. (B)</p> Signup and view all the answers

    Considering the information provided, what is a likely consequence of a diet high in refined carbohydrates?

    <p>A lower intake of fiber, magnesium, and other micronutrients compared to a diet rich in whole grains. (A)</p> Signup and view all the answers

    How does the Canadian Food Guide address the consumption of whole versus refined grains?

    <p>It suggests that at least half of grain servings should be whole grains. (A)</p> Signup and view all the answers

    Based on the nutrient comparison table, which of the following statements is true?

    <p>Brown rice has a higher magnesium content compared to white rice. (C)</p> Signup and view all the answers

    A food product is labelled as 'enriched'. What does this indicate about the product's composition?

    <p>Nutrients have been added to the product to replace those lost during processing. (D)</p> Signup and view all the answers

    Which part of the grain is primarily retained in refined grains like corn flakes and puffed rice?

    <p>The endosperm, which is mainly composed of starch. (A)</p> Signup and view all the answers

    How does the consumption of refined carbohydrates, such as those found in desserts and sweetened beverages, relate to overall dietary intake in Canada?

    <p>They constitute a significant percentage of total daily caloric intake, largely from added sugars. (B)</p> Signup and view all the answers

    Flashcards

    Common Digestive Problems

    Health conditions affecting food digestion including vomiting, diarrhea, and constipation.

    Vomiting

    Forceful expulsion of stomach contents due to infections, medications, or food allergies.

    Diarrhea

    Frequent loose or liquid bowel movements caused by infections, medications, or food intolerance.

    Constipation

    Infrequent or difficult bowel movements often due to low fiber and fluid intake.

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    Irritable Bowel Syndrome (IBS)

    A digestive disorder with symptoms like cramping, bloating, and changes in bowel habits.

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    Dry Mouth

    A condition caused by disease or medication leading to difficulty in chewing and swallowing.

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    Consequences of Dry Mouth

    Results in decreased food intake, increased tooth decay, and gum disease.

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    Gastroesophageal Reflux Disease (GERD)

    A condition caused by stomach acid leaking into the esophagus, causing discomfort.

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    Consequences of GERD

    Leads to heartburn, ulcers, chest pain, and increased cancer risk.

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    Hiatal Hernia

    A condition where part of the stomach pushes through the diaphragm, potentially causing GERD.

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    Ulcers

    Open sores in the stomach caused by infection from H. pylori bacteria.

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    Consequences of Ulcers

    Can lead to pain, bleeding, and abdominal infections.

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    Treatment for Ulcers

    Typically involves antibiotics, antacids, and dietary changes.

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    Free Sugars

    Sugars added to food or found in honey, syrups, and juices.

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    Added Sugars

    Sugars included in processed foods beyond their natural state.

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    Simple Carbohydrates

    Carbohydrates made of single sugar molecules called monosaccharides.

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    Disaccharides

    Carbohydrates formed by linking two monosaccharides, like sucrose.

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    Dietary Fibre

    Complex carbohydrates that cannot be digested, aiding health.

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    Acetyl-CoA Formation

    Nutrients like glucose are metabolized into Acetyl-CoA in the presence of oxygen.

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    Citric Acid Cycle

    Acetyl-CoA undergoes the Citric Acid Cycle to produce carbon dioxide and electrons.

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    Electron Transport Chain

    Electrons from the Citric Acid Cycle are shuttled to form water and ATP.

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    Function of Nephrons

    Nephrons filter blood in kidneys and maintain fluid balance.

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    Glomerulus Role

    The glomerulus is a ball of capillaries that ultrafilters blood to produce urine.

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    Reabsorption in Nephrons

    Nephrons reabsorb essential compounds like salts and glucose during filtration.

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    Carbohydrate AMDR

    The Acceptable Macronutrient Distribution Range for carbohydrates is 45 to 65% of energy intake.

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    Whole Foods vs. Refined Carbs

    Whole foods contain natural carbohydrates, unlike refined ones that lack nutrients.

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    Refined Carbohydrates

    Foods that have been processed to alter or remove original components.

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    Whole Grains

    Grains that retain their bran, germ, and endosperm, rich in fiber and nutrients.

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    Endosperm

    The innermost part of grains that contains starch and some protein.

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    Fibre

    A plant-based carbohydrate that aids in digestion and has many health benefits.

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    Nutrient Comparison

    Whole grains provide more fiber and vitamins than refined grains.

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    Fortification of Refined Grains

    Refined grains may be enriched with B vitamins and iron post-processing.

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    Canada's Food Guide Suggestion

    Half of grain servings should consist of whole grains for better health.

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    Soluble Fibre

    Fibre that dissolves in water; found in oats, apples, beans.

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    Insoluble Fibre

    Fibre that does not dissolve; aids digestion and moves quickly.

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    Glycemic Index

    Ranking of foods based on their effect on blood glucose levels.

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    Lactose Intolerance

    Inability to digest lactose due to low lactase enzyme.

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    Study Notes

    Microbes and Health/Disease

    • Microbes influence host health, impacting inflammation levels, immune function, and the epithelial barrier.
    • Unhealthy bacteria lead to excess inflammation, impaired immune function, and damage to the epithelial barrier.
    • Healthy bacteria contribute to a healthy level of inflammation, proper immune function, and a healthy epithelial barrier.
    • An altered gut environment is associated with disease states.

    Common Digestive Problems

    • Dry Mouth: Disease or medications can cause dry mouth, impacting chewing, swallowing, and nutrient absorption.
    • Dental Pain and Tooth Loss: Conditions like tooth decay and gum disease damage teeth, reducing food intake and nutrient absorption.
    • Heartburn and GERD (Gastroesophageal Reflux Disease): Stomach acid leaking into the esophagus, due to factors like overeating, stress, pregnancy, or hiatal hernias, can cause pain, ulcers and increased cancer risk.
    • Hiatal Hernia: Pressure on the abdomen from prolonged coughing, vomiting, or straining during bowel movements can cause pain.
    • Ulcers: Infections with H. pylori bacteria, chronic use of drugs like aspirin or ibuprofen, or GERD can damage the lining of the stomach or duodenum causing pain, bleeding, and potential infections.

    Digestive Problems - Nutritional Consequences and Treatment/Management

    • Vomiting: Bacterial/viral infections, medications, or other illnesses cause dehydration, electrolyte imbalances, and, if chronic, damage to the mouth, gums, esophagus, and teeth.
    • Diarrhea: Infections or other factors like medications/food intolerances cause dehydration and electrolyte imbalances
    • Constipation: Low fiber/fluid intake, or weak intestinal muscles, lead to discomfort, intestinal blockage, the formation of outpouchings in the intestinal wall (diverticula).
    • Irritable Bowel Syndrome (IBS): Muscle contractions in the intestines, that are stronger and/or last longer, slower, or weaker than normal, causing abdominal pain, bloating, gas, diarrhea, and constipation.
    • Pancreatic Disease: Conditions like cystic fibrosis or pancreatitis lead to malabsorption issues for fat, fat-soluble vitamins, vitamin B12 and reduced enzyme availability, influencing digestion.
    • Gallstones: Cholesterol, bile pigments, and calcium deposits in the gallbladder or bile duct cause pain, poor fat digestion, and absorption issues.

    Transporting Nutrients to Body Cells

    • Hepatic Portal Circulation: Blood vessels collect nutrient-rich blood, transporting it from digestive organs to the liver for filtering and processing.

    • Lymphatic System: Drains excess interstitial fluid from tissues, transporting fat-soluble substances and supporting immunity.

    • Movement of absorbed nutrients into blood and lymph occurs in the small intestine's villi.

    • Body cells: The cells are surrounded by a cell membrane; the membrane that surrounds the contents of the cell is described as permeable.

    • Cytosol: The fluid found within the cells.

    • Organelles: Cellular organs that carry out metabolic functions.

    • Mitochondria: Cellular organelles responsible for providing energy (ATP) for cellular activities.

    • Cellular components like lysosomes, Rough endoplasmic reticulum, Ribosomes, are described in relation to cellular structure.

    Metabolism of Nutrients

    • Metabolic Pathways: Reactions transforming food into usable products for the body.
    • Catabolic Pathways: Release energy trapped in chemical bonds by breaking down food sources, converting energy into ATP.
    • ATP (Adenosine Triphosphate): The primary energy currency of the cell, converted from energy from the catabolic process.
    • Cellular Respiration: The process where nutrients are broken down to produce ATP. Includes glycolysis, citric acid cycle, electron transport chain.

    Elimination of Metabolic Wastes

    • Wastes are expelled from the body through various organ systems: digestive, respiratory, urinary, and integumentary.
    • Kidneys are organs that filter blood, removing wastes like urea, and regulating fluid balance.
    • They produce urine, which is transported to the bladder for excretion.

    Carbohydrates: Sugar, Starches, and Fibre

    • AMDR (Acceptable Macronutrient Distribution Range) for carbohydrates: 45-65% of daily energy intake.
    • Carbohydrate sources: Primarily unrefined.
    • Sugar Intake: ≤20% of total carbs from added sugars.
    • Dietary Fiber: ≥28g/day.
    • Refined carbohydrates separate nutrients from vitamins, minerals, and fiber.
    • Whole grains are a good source of fiber and vitamins, as well as oils.
    • Whole and unrefined grains should comprise half of daily grain intake.
    • Refined grains are mostly starch and lack many vitamins and minerals.

    Free and Added Sugars

    • Free sugars: Sugars added to food during processing/preparation.
    • Added sugars: Sugars added to food during processing/preparation.
    • Empty kcalories: Foods that contribute to energy but no other nutritional value.

    Simple Carbohydrates

    • The basic unit is a monosaccharide.
    • The three common monosaccharides are glucose, galactose, and fructose.
    • Glucose is the primary energy source for the body.

    Disaccharides

    • Formed from two monosaccharides.
    • Sucrose (table sugar) is formed from glucose and fructose.
    • Lactose forms from galactose and glucose.
    • Maltose comes from two glucose molecules.

    Complex Carbohydrates

    • Many monosaccharides linked together.
    • Oligosaccharides: short chains (e.g., beans, onions).
    • Polysaccharides: long chains; include glycogen (animals) and starch/fiber (plants).

    Dietary Fibre

    • Certain complex carbohydrates cannot be digested by human enzymes.
    • Fiber cannot be absorbed by the body, yet many types have health benefits like promoting regularity, reducing cholesterol and promoting satiety (decreasing appetite).
    • Soluble fiber dissolves in water, while insoluble fiber does not.

    Blood Glucose Regulation

    • Glycemic Response measures how quickly and how high blood glucose rises after eating carbohydrates.
    • Glycemic Index is a ranking system depicting how foods affect blood glucose levels.
    • Insulin regulates high blood glucose.
    • Glucagon regulates low blood glucose.

    Lactose Intolerance

    • Lactose is a sugar in milk.
    • The enzyme lactase is needed to digest it.
    • Intolerance is marked by an inability to digest lactose in the small intestine due to low lactase.
    • Undigested lactose travels to the large intestine, where bacteria break it down.
    • This bacterial fermentation can cause discomfort, bloating, gas, abdominal/intestinal cramping, and diarrhea.

    Nutrient Differences between sweet and white potatoes

    • Sweet potatoes are a higher-nutrient and lower-calorie option than white potatoes.

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    Description

    This quiz covers essential topics in health science related to digestive disorders, metabolic processes, and renal function. Questions include risks of dehydration, treatment approaches for IBS, and the roles of nephrons. Test your knowledge on human physiology and nutrition.

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