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57 Cards in this Set

  • Front
  • Back
most important factor determining bmr?
body weight
energy from carbs?
4 kcal/g
digestion of carbs?
salivary and pancreatic amylase
brush border enzymes aka?
disaccharidases
lactose?
galactose + glucose
maltose?
glucose + glucose
sucrose?
fructose + glucose
transaminase function?
remove amine groups to form α ketoacid
protein energy?
4 kcal/g
deficiency of essential fatty acids?
scaly dermatitis, hair loss, poor wound healing
essential fatty acids and their functions?
linolenic acid (omega-3): cardioprotective;
linoleic acid (omega-6): required for synthesis of arachidonic acid
fat energy?
9 kcal/g
kwashiorkor?
inadequate protein intake with adequate caloric intake of mostly carbs --> decreased visceral protein
symptoms of kwashiorkor?
pitting edema and ascites; fatty liver (decreased apolipoproteins); diarrhea; anemia and defects in cmi
marasmus?
dietary deficiency of both proteins and calories --> decrease in somatic protein
most common cause of death in anorexia nervosa and bulimia nervosa?
ventricular arrhythmia
acid-base disturbance in bulimia nervosa?
hypokalemia and metabolic alkalosis
fat soluble vitamins?
A, D, E, K
differentiate jaundice from β carotene rich diet?
sclera remains white
clinical uses of vitamin A?
treatment of acne, acute promyelocytic leukemia
vit A deficiency?
impaired night vision, blindness, follicular hyperkeratosis, pneumonia, growth retardation, renal calculi
vit D functions?
increase reabsorption of calcium and phosphorus from intestines; bone mineralization; macrophage stem cell conversion to osteoclast
vit D deficiency?
pathologic fractures, excess osteoid, bow legs, tetany;
children: rickets;
adults: osteomalacia
vit E function?
antioxidant
vit E deficiency?
unusual but may occur with cystic fibrosis or abetalipoproteinemia; hemolytic anemia, peripheral neuropathy, degeneration of posterior column (poor joint sensation) and spinocerebellar tract (ataxia)
vit K functions?
procoagulants and anticoagulant production
vit K deficiency?
newborns: hemorrhagic disease of newborn;
adults: gi bleeding, ecchymoses, prolonged PT and PTT
water soluble vitamins?
thiamine (B1), riboflavin (B2), niacin (B3), pyridoxine (B6), cobalamin (B12), folic acid, biotin, ascorbic acid (C)
thiamine (B1) function?
cofactor in reaction that produce ATP
thiamine (B1) deficiency?
dry beriberi: peripheral neruopathy;
wernick-korsakoff syndrome;
wet beriberi: congestive cardiomyopathy with biventricular failure
riboflavin (B2) function?
citric acid cycle
riboflavin (B2) deficiency?
corneal neovascularization, glossitis, cheilosis, angular stomatitis
niacin (B3) function?
part of cofactors of oxidation-reduction reactions
niacin (B3) deficiency?
pellagra: diarrhea, dermatitis (hyperpigmentation), dementia
niacin and tryptophan?
tryptophan is used to synthesize niacin
pyridoxine (B6) function?
transamination, heme synthesis, neurotransmitter synthesis
pyridoxine (B6) deficiency?
sideroblastic anemia, convulsions, peripheral neuropathy
cobalamin (B12) function?
DNA synthesis and odd-chain fatty acid metabolism
cobalamin (B12) deficiency?
megaloblastic anemia, neurologic disease (posterior colum and lateral corticospinal tract demyelination), glossitis
folic acid function?
DNA synthesis
folic acid deficiency?
megaloblastic anemia without neurologic, glossitis
biotin function?
cofactor in carboxylase reactions
biotin deficiency?
dermatitis, alopecia, lactic acidosis
ascorbic acid (C) function?
hydroxylation of lysine and proline residues in collagen synthesis, antioxidant activity, reduces nonheme iron for absorption in duodenum, keeps FH4 in reduced form, cofactor for conversion of DA to NE
ascorbic acid (C) deficiency?
weak capillaries and venules, skin ecchymoses, perifollicular hemorrhage, corkscrew hairs, hemarthrosis, bleeding gums, anemia, loosened teeth, glossitis, poor wound healing
zinc function?
cofactor for metalloenzymes, growth and spermatogenesis in children
zinc deficiency?
poor wound healing, dysgeusia, anosmia, perioral rash, hypogonadism and growth retardation in children
copper function?
cofactor for ferroxidase (binds iron to transferrin), lysyl oxidase (cross-linking collagen and elastic tissue), tyrosinase (melanin synthesis)
copper deficiency?
microcytic anemia, aortic dissection, poor wound healing
iodine function?
synthesis of thyroid hormone
iodine deficiency?
goiter, hypothyroidism
chromium function?
maintains normal glucose
chromium deficiency?
impaired glucose tolerance, peripheral neuropathy
selenium function?
component of glutathion peroxidase
selenium deficiency?
muscle pain and weakness, diliated cardiomyopathy
fluoride function?
component of calcium hydroxyapatite in bone and teeth
fluoride deficiency?
dental caries