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