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Describe the 2 major pathways for metabolism of alcohol in the liver. How does the liver adapt when forced to metabolize high quantities of alcohol on a daily basis?

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Which of the following distinguishes aerobic metabolism from anaerobic metabolism?


A) Little or no oxygen is consumed.
B) Lactic acid is a major byproduct.
C) Energy is produced more slowly.
D) It yields energy for only short periods.

E) B) and D)
F) All of the above

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Approximately what percentage of alcohol in the body is eliminated via the urine and breath?


A) 1 percent
B) 2 percent
C) 10 percent
D) 25 percent

E) A) and B)
F) All of the above

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Which of the following accounts for the higher energy density of a fatty acid compared with the other energy-yielding nutrients?


A) Fatty acids have a lower percentage of hydrogen-carbon bonds.
B) Fatty acids have a greater percentage of hydrogen-carbon bonds.
C) Other energy-yielding nutrients have a lower percentage of oxygen-carbon bonds.
D) Other energy-yielding nutrients undergo fewer metabolic reactions, thereby lowering the energy yield.

E) A) and C)
F) B) and C)

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A person is observed to have fruity odour on their breath. Which of the following states is the most likely explanation?


A) ketosis
B) feasting
C) alkalosis
D) overnight fasting

E) A) and D)
F) B) and C)

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MATCHING a.NAD b.Urea c.MEOS d.Water e.Glucose f.Enzyme g.Glycogen h.Glycerol i.Ammonia j.Coenzyme k.Cori cycle l.Lactate m.Acetoacetate n.Acetyl-coA o.Pyruvate p.Glucogenic q.Gastric alcohol dehydrogenase r.Synthesis of pyruvate from glycogen s.Synthesis of cholesterol from acetate t.Synthesis of acetyl-coA from glucose -A coenzyme required for metabolism of alcohol

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Which of the following dietary nutrients would most rapidly reverse a state of ketosis in a starving person?


A) fat
B) protein
C) amino acids
D) carbohydrate

E) A) and C)
F) C) and D)

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Which of the following functions is (are) first to be affected when a person begins to drink alcohol?


A) speech and vision
B) judgment and reasoning
C) voluntary muscle control
D) respiration and heart function

E) C) and D)
F) A) and C)

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The Cori cycle involves the interconversion of which of the following pairs?


A) lactate and glucose
B) glucose and amino acids
C) pyruvate and citric acids
D) fatty acids and acetyl-coA

E) C) and D)
F) A) and B)

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Which of these is the immediate fate of excess dietary protein in the body?


A) storage
B) reduction
C) oxidation
D) deamination

E) B) and D)
F) C) and D)

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What minimum concentration of alcohol in the blood is usually fatal?


A) 0.5 percent
B) 1 percent
C) 5 percent
D) 50 percent

E) None of the above
F) C) and D)

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What type of diet is associated with the development of ketosis?


A) low fat
B) low carbohydrate
C) high protein
D) high energy

E) A) and B)
F) B) and C)

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Discuss ways in which the body's metabolism adapts to conditions of fasting/starvation. How do these adaptations affect the rate of weight loss when a person follows a low-kcalorie diet?

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How soon would death occur from starvation if the body was unable to shift to a state of ketosis?


A) approximately 3 days
B) approximately 3 weeks
C) approximately 6 weeks
D) 2 to 3 months

E) B) and C)
F) None of the above

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Approximately what percentage of all Canadians who consume alcohol would be considered heavy drinkers?


A) 5 percent
B) 10 percent
C) 15 percent
D) 20 percent

E) B) and C)
F) All of the above

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Binge drinking is defined as the consumption of how many ethanol-containing drinks within a couple of hours?


A) 1-2 drinks
B) 4-5 drinks
C) 6-9 drinks
D) more than 10 drinks

E) C) and D)
F) B) and C)

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In which of the following groups can all of the compounds serve as a precursor for oxaloacetate synthesis?


A) fat, starch, glucose
B) starch, glucose, protein
C) glucose, protein, fat
D) protein, fat, starch

E) None of the above
F) B) and C)

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MATCHING a.NAD b.Urea c.MEOS d.Water e.Glucose f.Enzyme g.Glycogen h.Glycerol i.Ammonia j.Coenzyme k.Cori cycle l.Lactate m.Acetoacetate n.Acetyl-coA o.Pyruvate p.Glucogenic q.Gastric alcohol dehydrogenase r.Synthesis of pyruvate from glycogen s.Synthesis of cholesterol from acetate t.Synthesis of acetyl-coA from glucose -A product of glycolysis

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Which of the following reactions is the body's first response to the absorption of abundant amounts of carbohydrate?


A) catabolism of body fat
B) catabolism of glycogen
C) synthesis and storage of glycogen
D) synthesis and storage of triglycerides

E) A) and C)
F) B) and C)

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Which of these organs is first to absorb alcohol after a person takes a drink?


A) colon
B) stomach
C) jejunum
D) duodenum

E) A) and C)
F) B) and D)

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