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Chapter 16 - Regulation of Organic Metabolism and Energy Balance

Chapter 16
Regulation of Organic Metabolism and Energy Balance
 

Multiple Choice Questions


 

1. Absorbed glucose is 


A. Stored as fat in skeletal muscle
B. Stored as glycogen in adipose tissue
C. Converted to fat in the liver
D. Utilized by most cells for energy
E. Converted to fat in the liver and utilized by most cells for energy

Bloom's Level: 1. Remember


Section 16A.01
Topic: Nutrition and Metabolism
 

2. After absorbing nutrients in the intestines, blood then travels to 


A. The liver which metabolizes many of the absorbed nutrients
B. The right atrium via the vena cava
C. The abdominal aorta for distribution to the tissues
D. The spleen so any ingested microbes can be destroyed

Bloom's Level: 1. Remember


Section 16A.01
Topic: Nutrition and Metabolism
 

3. Which of the following is not a fate of absorbed glucose? 


A. It is converted to glycogen by liver cells
B. It is converted to fatty acids and glycerol phosphate by adipose cells
C. It is converted to glycogen by muscle cells
D. It is converted to amino acids by liver cells
E. It is converted to fatty acids and glycerol phosphate by liver cells

Bloom's Level: 2. Understand


Section 16A.01
Topic: Nutrition and Metabolism
 

16-1
Chapter 16 - Regulation of Organic Metabolism and Energy Balance

4.  During the absorptive state of metabolism, the primary energy source for most of the
body's cells is ________, except for ________, which use ________ for energy.  
A.  Amino acids; brain cells; glucose
B.  Fatty acids; brain cells; glucose
C.  Glucose; liver cells; amino acids
D.  Glucose; liver cells; ketones
E.  Fatty acids; skeletal muscle cells; glucose

Bloom's Level: 1. Remember


Section 16A.01
Topic: Nutrition and Metabolism
 

5.  During the absorptive state of metabolism,  


A.  Liver glycogen is broken down to glucose, which is released into the blood
B.  Glycogen in muscle cells is broken down to glucose, which is used for energy
C.  Lipoprotein lipase breaks down triacylglycerols in adipose tissue capillaries
D.  Both liver glycogen is broken down to glucose, which is released into the blood and
glycogen in muscle cells is broken down to glucose, which is used for energy occur
E.  Both glycogen in muscle cells is broken down to glucose, which is used for energy and
lipoprotein lipase breaks down triacylglycerols in adipose tissue capillaries occur

Bloom's Level: 2. Understand


Section 16A.01
Topic: Nutrition and Metabolism
 

6.  Chylomicron triacylglycerols are  


A.  Readily absorbed by all cells, especially adipose cells
B.  Converted to monoglycerides and fatty acids by an enzyme inside cells
C.  Converted to monoglycerides and fatty acids by an enzyme in the capillaries
D.  Readily absorbed by all cells, especially adipose cells and converted to monoglycerides
and fatty acids by an enzyme inside cells
E.  Converted to monoglycerides and fatty acids by an enzyme inside cells and converted to
monoglycerides and fatty acids by an enzyme in the capillaries

Bloom's Level: 1. Remember


Section 16A.01
Topic: Nutrition and Metabolism
 

16-2
Chapter 16 - Regulation of Organic Metabolism and Energy Balance

7. The enzyme that converts chylomicron triacylglycerols into fatty acids is 
A. Pancreatic lipase
B. Pancreatic amylase
C. Lipoprotein lipase
D. Pepsin
E. Hexokinase

Bloom's Level: 1. Remember


Section 16A.01
Topic: Nutrition and Metabolism
 

8. Excess absorbed glucose is initially converted to triacylglycerides and very low density
lipoprotein by 
A. Adipose cells
B. Liver cells
C. Intestinal mucosa cells
D. Muscle cells
E. Lymphoid cells

Bloom's Level: 1. Remember


Section 16A.01
Topic: Nutrition and Metabolism
 

9. Excess dietary amino acids in a nongrowing person are 


A. Converted to protein for storage
B. Converted to fat for energy or storage
C. Excreted without being absorbed
D. Converted to protein for storage and converted to fat for energy or storage
E. All of the choices are correct.

Bloom's Level: 1. Remember


Section 16A.01
Topic: Nutrition and Metabolism
 

16-3
Chapter 16 - Regulation of Organic Metabolism and Energy Balance

10. During the absorptive state of metabolism, amino acids 


A. Are used for protein synthesis in most body cells
B. Are used for protein synthesis in the liver
C. May be converted to fat or glucose in the liver
D. Both are used for protein synthesis in most body cells and are used for protein synthesis in
the liver are correct
E. All of the choices are correct.

Bloom's Level: 1. Remember


Section 16A.01
Topic: Nutrition and Metabolism
 

11. Which of the following tissues is most dependent upon a constant blood supply of
glucose? 
A. Liver
B. Brain
C. Adipose tissue
D. Skeletal muscle
E. Cardiac muscle

Bloom's Level: 1. Remember


Section 16A.01
Topic: Nutrition and Metabolism
 

12. During the postabsorptive period, 


A. Glycogen in muscle cells is broken down to glucose, which is released into the blood
B. Liver glycogen is broken down to glucose, which is released into the blood
C. Triacylglycerols in adipose tissue are broken down to glucose by lipolysis
D. Both glycogen in muscle cells is broken down to glucose, which is released into the blood
and liver glycogen is broken down to glucose, which is released into the blood occur
E. Both glycogen in muscle cells is broken down to glucose, which is released into the blood
and triacylglycerols in adipose tissue are broken down to glucose by lipolysis occur

Bloom's Level: 2. Understand


Section 16A.01
Topic: Nutrition and Metabolism
 

16-4
Chapter 16 - Regulation of Organic Metabolism and Energy Balance

13.  Insulin  
A.  Increases the uptake and utilization of glucose by muscle and adipose tissue cells
B.  Increases the uptake and utilization of glucose by most nerve cells
C.  Decreases the uptake of amino acids by muscle cells
D.  Both increases the uptake and utilization of glucose by muscle and adipose tissue cells and
increases the uptake and utilization of glucose by most nerve cells are correct
E.  Both increases the uptake and utilization of glucose by muscle and adipose tissue cells and
decreases the uptake of amino acids by muscle cells are correct

Bloom's Level: 1. Remember


Section 16A.02
Topic: Nutrition and Metabolism
 

14.  As a result of binding to its receptor in skeletal muscle plasma membranes, insulin  
A.  Stimulates glycogen synthase
B.  Stimulates glycogen phosphorylase
C.  Inhibits the enzymes that mediate protein catabolism
D.  Both stimulates glycogen synthase and inhibits the enzymes that mediate protein
catabolism are correct
E.  Both stimulates glycogen phosphorylase and inhibits the enzymes that mediate protein
catabolism are correct

Bloom's Level: 2. Understand


Section 16A.02
Topic: Nutrition and Metabolism
 

15. With regard to fat metabolism, insulin increases 


A. The activity of lipoprotein lipase
B. The activity of intracellular lipase
C. Triacylglycerol synthesis by increasing glucose transport into adipose tissue cells
D. Both the activity of lipoprotein lipase and triacylglycerol synthesis by increasing glucose
transport into adipose tissue cells
E. Both the activity of intracellular lipase and triacylglycerol synthesis by increasing glucose
transport into adipose tissue cells

Bloom's Level: 2. Understand


Section 16A.02
Topic: Nutrition and Metabolism
 

16-5
Chapter 16 - Regulation of Organic Metabolism and Energy Balance

16. When plasma glucose concentration increases, the secretion of insulin is ________ and
the secretion of glucagon is ________. However, an increase in sympathetic activity will
cause ________ secretion of insulin and ________ secretion of glucagon. 
A. Decreased; increased; increased; decreased
B. Increased; decreased; decreased; increased
C. Increased; decreased; increased; decreased
D. Increased; increased; decreased; increased
E. Decreased; decreased; increased; unchanged

Bloom's Level: 1. Remember


Section 16A.02
Topic: Nutrition and Metabolism
 

17. Glucagon secretion is stimulated by 


A. Hypoglycemia
B. Hyperglycemia
C. High plasma concentration of epinephrine
D. Hypoglycemia and high plasma concentration of epinephrine
E. Hyperglycemia and high plasma concentration of epinephrine

Bloom's Level: 1. Remember


Section 16A.02
Topic: Nutrition and Metabolism
 

18. The major metabolic effects of glucagon include 


A. Promoting glycogenolysis and gluconeogenesis in the liver
B. Promoting lipolysis in adipose tissue
C. Promoting glucose uptake into skeletal muscle
D. Promoting glycogenolysis and gluconeogenesis in the liver and promoting lipolysis in
adipose tissue
E. All of the choices are correct.

Bloom's Level: 1. Remember


Section 16A.02
Topic: Nutrition and Metabolism
 

16-6
Chapter 16 - Regulation of Organic Metabolism and Energy Balance

19. Which of the following does not characterize the postabsorptive state? 


A. There is a substantial reduction in blood glucose concentration compared to the absorptive
state
B. Gluconeogenesis occurs
C. Glucose-sparing reactions occur
D. Insulin secretion is reduced
E. Glucagon secretion is increased

Bloom's Level: 2. Understand


Section 16A.02
Topic: Nutrition and Metabolism
 

20. The major metabolic effects of glucagon include 


A. Inhibiting glucose uptake by muscle cells
B. Promoting breakdown of proteins in skeletal muscle to yield amino acids
C. Promoting glycogenolysis and lipolysis
D. All of the choices are correct
E. None of the choices are correct.

Bloom's Level: 2. Understand


Section 16A.02
Topic: Nutrition and Metabolism
 

21. Gluconeogenesis 
A. Refers to the synthesis of glycogen in the muscle
B. Converts glucose to glycogen in the liver
C. Is stimulated by cortisol
D. Both refers to the synthesis of glycogen in the muscle and converts glucose to glycogen in
the liver are correct
E. Both refers to the synthesis of glycogen in the muscle and is stimulated by cortisol are
correct

Bloom's Level: 1. Remember


Section 16A.02
Topic: Nutrition and Metabolism
 

16-7
Chapter 16 - Regulation of Organic Metabolism and Energy Balance

22. Gluconeogenesis is stimulated by decreased levels of 


A. Epinephrine
B. Insulin
C. Glucocorticoids
D. Epinephrine and insulin
E. Insulin and glucocorticoids

Bloom's Level: 1. Remember


Section 16A.02
Topic: Nutrition and Metabolism
 

23. Which of the following acts to decrease blood glucose levels? 


A. Glucagon
B. Insulin
C. Growth hormone
D. Epinephrine
E. Cortisol

Bloom's Level: 1. Remember


Section 16A.02
Topic: Nutrition and Metabolism
 

24. Which of the following is most descriptive of a state of prolonged fasting? 


A. Insulin secretion would be low while the secretion of glucagon, ACTH, and cortisol would
be elevated
B. Brain metabolism will shift to reduce utilization of glucose and to increase oxidation of
ketones
C. Muscle protein will be broken down to provide substrates for hepatic and renal
gluconeogenesis
D. Both insulin secretion would be low while the secretion of glucagon, ACTH, and cortisol
would be elevated and brain metabolism will shift to reduce utilization of glucose and to
increase oxidation of ketones are correct
E. All of the choices are correct.

Bloom's Level: 2. Understand


Section 16A.02
Topic: Nutrition and Metabolism
 

16-8
Chapter 16 - Regulation of Organic Metabolism and Energy Balance

25. Cortisol 
A. Is required for cells to respond normally to hormones promoting gluconeogenesis and
lipolysis
B. Is permissive for insulin actions
C. In high amounts increases gluconeogenesis and inhibits glucose uptake
D. Both is required for cells to respond normally to hormones promoting gluconeogenesis and
lipolysis and is permissive for insulin actions are correct
E. Both is required for cells to respond normally to hormones promoting gluconeogenesis and
lipolysis and in high amounts increases gluconeogenesis and inhibits glucose uptake are
correct

Bloom's Level: 1. Remember


Section 16A.02
Topic: Nutrition and Metabolism
 

26. During fasting, ketones produced by the liver 


A. Are a waste product of amino acid metabolism
B. Can be used by the brain as an energy source
C. Are a by-product of anaerobic metabolism
D. Are converted to fatty acids and released into the blood
E. Are used to synthesize glucose by gluconeogenesis

Bloom's Level: 1. Remember


Section 16A.02
Topic: Nutrition and Metabolism
 

27. During exercise, 
A. Blood glucose levels fall dramatically
B. Epinephrine and glucagon stimulate glycogenolysis in liver cells
C. Decreased blood glucose and increased epinephrine stimulate insulin secretion
D. Epinephrine stimulates glucagon secretion and inhibits skeletal muscle uptake of glucose
E. Skeletal muscles increase their rate of utilization of fatty acids

Bloom's Level: 1. Remember


Section 16A.03
Topic: Nutrition and Metabolism
 

16-9
Chapter 16 - Regulation of Organic Metabolism and Energy Balance

28. Which event occurs during exercise but not during fasting? 


A. Increased breakdown of triacylglycerols
B. Increased glycogenolysis
C. Increased glucose uptake by muscle
D. Increased fatty acid oxidation
E. Increased cortisol secretion

Bloom's Level: 2. Understand


Section 16A.03
Topic: Nutrition and Metabolism
 

29. In Addison's disease, the adrenal cortices degenerate. What will be the metabolic
consequences to patients with this disease if they engage in strenuous physical activity or are
required to fast? 
A. Hepatic gluconeogenesis will be impaired
B. Skeletal muscle glycogenolysis will be impaired
C. Lipolysis will be unaffected
D. Both hepatic gluconeogenesis will be impaired and skeletal muscle glycogenolysis will be
impaired are correct
E. Both hepatic gluconeogenesis will be impaired and lipolysis will be unaffected are correct

Bloom's Level: 3. Apply


Section 16A.03
Topic: Nutrition and Metabolism
 

30. Which of the following is not a symptom that is associated with untreated IDDM? 
A. Hypoglycemia
B. Metabolic acidosis
C. Dehydration
D. Glucosuria (glucose in urine)
E. Elevated glucagon secretion

Bloom's Level: 1. Remember


Section 16 Clinical Case Study
Topic: Nutrition and Metabolism
 

16-10
Chapter 16 - Regulation of Organic Metabolism and Energy Balance

31. Untreated insulin-dependent diabetic subjects will die because of 


A. Intoxication due to the alcohol-like properties of ketones in their blood
B. Dehydration due to glycosuria and ketonuria, which causes reduced cerebral blood flow
C. Acidosis due to excessive levels of plasma ketones
D. Intoxication due to the alcohol-like properties of ketones in their blood and dehydration
due to glycosuria and ketonuria, which causes reduced cerebral blood flow
E. Dehydration due to glycosuria and ketonuria, which causes reduced cerebral blood flow
and acidosis due to excessive levels of plasma ketones

Bloom's Level: 3. Apply


Section 16 Clinical Case Study
Topic: Nutrition and Metabolism
 

32. Compared to a normal person, a person with untreated type I diabetes mellitus would
have 
A. Decreased glycogen stores in muscles
B. Increased appetite
C. Decreased blood pH
D. Decreased glycogen stores in muscles and decreased blood pH
E. All of the choices are correct.

Bloom's Level: 1. Remember


Section 16 Clinical Case Study
Topic: Nutrition and Metabolism
 

33. Symptoms of untreated insulin-dependent diabetes mellitus include 


A. Hyperglycemia
B. Reduced blood volume
C. Depressed respiration
D. Hyperglycemia and reduced blood volume
E. All of the choices are correct.

Bloom's Level: 1. Remember


Section 16 Clinical Case Study
Topic: Nutrition and Metabolism
 

16-11
Chapter 16 - Regulation of Organic Metabolism and Energy Balance

34. In subjects with noninsulin-dependent diabetes mellitus, 


A. Pancreatic beta cell responses to increased plasma glucose concentration are normal
B. Insulin target tissues have fewer than normal or abnormal insulin receptors
C. Increased exercise and caloric restriction generally improve their condition
D. Both pancreatic beta cell responses to increased plasma glucose concentration are normal
and insulin target tissues have fewer than normal or abnormal insulin receptors are correct
E. Both insulin target tissues have fewer than normal or abnormal insulin receptors and
increased exercise and caloric restriction generally improve their condition are correct

Bloom's Level: 3. Apply


Section 16 Clinical Case Study
Topic: Nutrition and Metabolism
 

35. Cholesterol is a 
A. Precursor of steroid hormones
B. Component of plasma membranes
C. Precursor of bile pigments
D. Both precursor of steroid hormones and component of plasma membranes are correct
E. All of the choices are correct.

Bloom's Level: 1. Remember


Section 16A.01
Topic: Nutrition and Metabolism
 

36. Cholesterol or its derivatives are directly involved in each of the following except 
A. Reproductive functions
B. Generation of energy
C. Absorption of fat-soluble vitamins
D. Regulation of metabolism
E. Plasma membrane functions

Bloom's Level: 1. Remember


Section 16A.01
Topic: Nutrition and Metabolism
 

16-12
Chapter 16 - Regulation of Organic Metabolism and Energy Balance

37. Which of the following statements regarding plasma cholesterol concentration and the
development of atherosclerosis is correct? 
A. It is preferable to have a high LDL:HDL ratio because LDL operate to remove cholesterol
from the peripheral tissues and carry it to the liver, which secretes it into the small intestine
B. It is preferable to have a low LDL:HDL ratio because HDL operate to remove cholesterol
from the peripheral tissues and carry it to the liver, which secretes it into the small intestine
C. It is preferable to have equal concentrations of LDL and HDL
D. Neither LDL nor HDL are involved in cholesterol regulation
E. Plasma cholesterol concentration has no relationship to atherosclerosis

Bloom's Level: 2. Understand


Section 16A.01
Topic: Nutrition and Metabolism
 

38. Which of the following leads to increase in the ratio of LDL:HDL? 


A. Estrogens
B. Smoking
C. Exercise
D. Estrogens and smoking
E. Estrogens and exercise

Bloom's Level: 1. Remember


Section 16A.01
Topic: Nutrition and Metabolism
 

39. The anabolic effects of insulin are accomplished by 


A. Increasing the number of glucose transporters on cell membranes
B. Increasing amino acid uptake by cells
C. Stimulating the secretion of IGF-I by liver cells
D. Increasing the number of glucose transporters on cell membranes and increasing amino
acid uptake by cells
E. All of the choices are correct.

Bloom's Level: 2. Understand


Section 16A.02
Topic: Nutrition and Metabolism
 

16-13
Chapter 16 - Regulation of Organic Metabolism and Energy Balance

40. Catabolic hormones or conditions include the following: 


A. Elevated plasma cortisol concentration
B. Hypothyroidism
C. Elevated plasma androgen concentrations
D. Elevated plasma cortisol concentration and hypothyroidism
E. All of the choices are correct.

Bloom's Level: 2. Understand


Section 16A.02
Topic: Nutrition and Metabolism
 

41. In the body, 


A. Most of the energy released during metabolism is used for doing work
B. The energy used for doing work is incorporated into ATP
C. Heat energy can be used for doing work
D. Both most of the energy released during metabolism is used for doing work and the energy
used for doing work is incorporated into ATP are correct
E. Both the energy used for doing work is incorporated into ATP and heat energy can be used
for doing work are correct

Bloom's Level: 1. Remember


Section 16B.01
Topic: Nutrition and Metabolism
 

42. Which of the following contribute the most to differences in the basal metabolic rate
among individuals? 
A. Sex, weight, age, and muscular activity
B. Age, height, and recent ingestion of food
C. Environmental temperature, body surface area, and emotional state
D. Sex, age, body surface area, and circulating levels of thyroid hormone
E. Environmental temperature, muscular activity, and emotional state

Bloom's Level: 1. Remember


Section 16B.01
Topic: Nutrition and Metabolism
 

16-14
Chapter 16 - Regulation of Organic Metabolism and Energy Balance

43. A person's lowest metabolic rate 


A. Occurs during sleep
B. Is referred to as the basal metabolic rate
C. Occurs during exercise
D. Occurs after a meal
E. Both occurs during sleep and is referred to as the basal metabolic rate are correct

Bloom's Level: 1. Remember


Section 16B.01
Topic: Nutrition and Metabolism
 

44.  The factor that increases metabolic rate to the greatest extent is increased  
A.  Skeletal muscle activity
B.  Mental activity
C.  Dietary caloric intake
D.  Environmental temperature
E.  Blood glucose levels

Bloom's Level: 1. Remember


Section 16B.01
Topic: Nutrition and Metabolism
 

45.  A person who is hypothyroid would be expected to  


A.  Have a higher than normal basal metabolic rate
B.  Have a less than normal tolerance for cold temperatures
C.  Be mentally and physically sluggish
D.  Both have a higher than normal basal metabolic rate and have a less than normal tolerance
for cold temperatures are correct
E.  Both have a less than normal tolerance for cold temperatures and be mentally and
physically sluggish are correct

Bloom's Level: 3. Apply


Section 16B.01
Topic: Nutrition and Metabolism
 

16-15
Chapter 16 - Regulation of Organic Metabolism and Energy Balance

46. If more calories are ingested in food than are expended by metabolism, 
A. A person will gain weight
B. A person will lose weight
C. A person will stay the same weight because the excess energy is destroyed
D. One cannot predict what will happen because only the calories associated with the
consumption of fat affect whether one gains or loses weight

Bloom's Level: 1. Remember


Section 16B.01
Topic: Nutrition and Metabolism
 

47. What factors affect the brain's control of food intake in a normal person? 
A. Increased plasma insulin inhibits food intake
B. The hormone leptin decreases appetite
C. Increased body temperature decreases food intake
D. Decreased plasma glucose concentration stimulates appetite
E. All of the choices are correct.

Bloom's Level: 2. Understand


Section 16B.02
Topic: Nutrition and Metabolism
 

48. Both IDDM and NIDDM subjects will experience increased appetite because 
A. The brain needs insulin and functional insulin receptors to utilize glucose
B. High levels of glucose in plasma stimulate appetite
C. Specific appetite/satiety centers in the hypothalamus are not able to obtain enough glucose
D. Of all of these things
E. Of none of these things

Bloom's Level: 3. Apply


Section 16B.02
Topic: Nutrition and Metabolism
 

16-16
Chapter 16 - Regulation of Organic Metabolism and Energy Balance

49. The thermoneutral zone is 


A. That area of the body that is midway between body core temperature and environmental
temperature
B. The temperature of the body core
C. The environmental temperature at which the body can regulate core temperature without
either increasing or decreasing heat production
D. That area of the body that is midway between body core temperature and environmental
temperature and the environmental temperature at which the body can regulate core
temperature without either increasing or decreasing heat production
E. The temperature of the body core and the environmental temperature at which the body can
regulate core temperature without either increasing or decreasing heat production

Bloom's Level: 1. Remember


Section 16B.03
Topic: Nutrition and Metabolism
 

50. The major means of increasing heat production in response to a cold environment is 
A. Vasoconstriction of blood vessels in the skin
B. Wearing warm clothing
C. Shivering thermogenesis and increased voluntary activity
D. Vasodilation of blood vessels in skin
E. Increasing food intake to elevate the metabolic rate

Bloom's Level: 1. Remember


Section 16B.03
Topic: Nutrition and Metabolism
 

51. The primary integrator of body temperature control reflexes is the 


A. Medullary cardiovascular center
B. Cerebral cortex
C. Thyroid gland
D. Hypothalamus
E. Adrenal medulla

Bloom's Level: 1. Remember


Section 16B.03
Topic: Nutrition and Metabolism
 

16-17
Chapter 16 - Regulation of Organic Metabolism and Energy Balance

52. Acclimatization to heat includes 


A. Increased production of sweat for any given increase in environmental temperature
B. Secretion of more concentrated sweat than before acclimatization
C. Increased production of aldosterone by the adrenal cortex
D. Increased production of sweat for any given increase in environmental temperature and
secretion of more concentrated sweat than before acclimatization
E. Increased production of sweat for any given increase in environmental temperature and
increased production of aldosterone by the adrenal cortex

Bloom's Level: 2. Understand


Section 16B.03
Topic: Nutrition and Metabolism
 

53. Endogenous pyrogen 
A. Is released by infection-fighting leukocytes
B. Acts on the temperature-integrating centers of the hypothalamus
C. Has actions that are enhanced by aspirin
D. Both is released by infection-fighting leukocytes and acts on the temperature-integrating
centers of the hypothalamus are correct
E. All of the choices are correct.

Bloom's Level: 1. Remember


Section 16B.03
Topic: Nutrition and Metabolism
 
 

True / False Questions


 

54. During the absorptive state, the body makes use of stored nutrients for energy. 
FALSE

Bloom's Level: 1. Remember


Section 16A.01
Topic: Nutrition and Metabolism
 

16-18
Chapter 16 - Regulation of Organic Metabolism and Energy Balance

55. The source of the triacylglycerol used for synthesis of very low density lipoproteins in the
liver is absorbed fatty acids and glycerol. 
FALSE

Bloom's Level: 1. Remember


Section 16A.01
Topic: Nutrition and Metabolism
 

56. Most of the glucose stored after a high-carbohydrate meal is stored in the form of
glycogen. 
FALSE

Bloom's Level: 1. Remember


Section 16A.01
Topic: Nutrition and Metabolism
 

57. Most of the triacylglycerols absorbed as chylomicrons are ultimately stored as fat in the
adipose tissue. 
TRUE

Bloom's Level: 1. Remember


Section 16A.01
Topic: Nutrition and Metabolism
 

58. During the absorptive state, there is net synthesis of fat, glycogen, and protein, but this
process is reversed during the postabsorptive state. 
TRUE

Bloom's Level: 1. Remember


Section 16A.01
Topic: Nutrition and Metabolism
 

16-19
Chapter 16 - Regulation of Organic Metabolism and Energy Balance

59. Most of the energy used by the body during fasting is provided by gluconeogenesis. 
FALSE

Bloom's Level: 1. Remember


Section 16A.01
Topic: Nutrition and Metabolism
 

16-20
Chapter 16 - Regulation of Organic Metabolism and Energy Balance

60. Fatty acids released by lipolysis of triacylglycerol in adipose tissue travel in the plasma as
VLDL. 
FALSE

Bloom's Level: 1. Remember


Section 16A.01
Topic: Nutrition and Metabolism
 

61. The major energy sources for non-nervous tissue during the postabsorptive period are
fatty acids and ketones. 
TRUE

Bloom's Level: 1. Remember


Section 16A.01
Topic: Nutrition and Metabolism
 

62. Insulin has no effect on the carrier-mediated transport of glucose in the liver; therefore,
insulin does not stimulate the uptake of glucose by that organ. 
FALSE

Bloom's Level: 1. Remember


Section 16A.02
Topic: Nutrition and Metabolism
 

63. The effects of insulin in any given cell on membrane transport and on enzyme activity are
mediated by the same receptor. 
TRUE

Bloom's Level: 1. Remember


Section 16A.02
Topic: Nutrition and Metabolism
 

16-21
Chapter 16 - Regulation of Organic Metabolism and Energy Balance

64. Insulin inhibits the enzymes in the liver that catalyze reactions leading to
gluconeogenesis. 
TRUE

Bloom's Level: 1. Remember


Section 16A.02
Topic: Nutrition and Metabolism
 

65. The metabolic events characteristic of the absorptive state can be attributed to the
presence of large amounts of insulin in the blood, whereas the events of the postabsorptive
state can be attributed largely to decreased insulin levels. 
TRUE

Bloom's Level: 1. Remember


Section 16A.02
Topic: Nutrition and Metabolism
 

66. The most important of the glucose-counterregulatory controls in normal circumstances is


epinephrine. 
FALSE

Bloom's Level: 1. Remember


Section 16A.02
Topic: Nutrition and Metabolism
 

67. The chemoreceptors for the reflexes that stimulate sympathetic activity and epinephrine
secretion in response to hypoglycemia are located in the carotid and aortic bodies. 
FALSE

Bloom's Level: 1. Remember


Section 16A.02
Topic: Nutrition and Metabolism
 

16-22
Chapter 16 - Regulation of Organic Metabolism and Energy Balance

68. Pituitary growth hormone has effects on protein metabolism similar to those of insulin,
but its effects on carbohydrate and lipid metabolism are similar to those of elevated cortisol. 
TRUE

Bloom's Level: 1. Remember


Section 16A.02
Topic: Nutrition and Metabolism
 

69. During stress, elevated levels of plasma cortisol stimulate the catabolism of muscle
protein and the conversion of alpha-keto acids to glucose in the liver. 
TRUE

Bloom's Level: 1. Remember


Section 16A.03
Topic: Nutrition and Metabolism
 

70. During exercise, glucose uptake by muscle cells is increased because of increased insulin
secretion. 
FALSE

Bloom's Level: 1. Remember


Section 16A.03
Topic: Nutrition and Metabolism
 

71. The primary fuel source for most cells in untreated insulin-dependent diabetes is alpha-
keto acids. 
FALSE

Bloom's Level: 1. Remember


Section 16 Clinical Case Study
Topic: Nutrition and Metabolism
 

16-23
Chapter 16 - Regulation of Organic Metabolism and Energy Balance

72. Metabolic acidosis caused by excessive blood levels of ketones is one of the most serious
consequences of untreated insulin-dependent diabetes. 
TRUE

Bloom's Level: 1. Remember


Section 16 Clinical Case Study
Topic: Nutrition and Metabolism
 

73. One serious consequence of insulin lack is the decreased ability of the brain to take up
glucose efficiently, a condition that can lead to brain dysfunction and death. 
FALSE

Bloom's Level: 1. Remember


Section 16 Clinical Case Study
Topic: Nutrition and Metabolism
 

74. The excretion of glucose in the urine of a diabetic patient is a result of the inability of the
kidney tubules to reabsorb glucose in the absence of insulin. 
FALSE

Bloom's Level: 1. Remember


Section 16 Clinical Case Study
Topic: Nutrition and Metabolism
 

75. Cholesterol is metabolized to bile salts in the liver. 


TRUE

Bloom's Level: 1. Remember


Section 16A.01
Topic: Nutrition and Metabolism
 

16-24
Chapter 16 - Regulation of Organic Metabolism and Energy Balance

76. Plasma cholesterol concentration is not homeostatically regulated, but instead depends


solely on the intake of cholesterol in the diet. 
FALSE

Bloom's Level: 1. Remember


Section 16A.01
Topic: Nutrition and Metabolism
 

16-25
Chapter 16 - Regulation of Organic Metabolism and Energy Balance

77. All other things being equal, a person who is hypothyroid will have a higher BMR than a
person whose thyroid function is normal. 
FALSE

Bloom's Level: 1. Remember


Section 16B.01
Topic: Nutrition and Metabolism
 

78. The calorigenic effect of thyroid hormones refers to their effect in increasing the rate at
which the body synthesizes protein and fat. 
FALSE

Bloom's Level: 1. Remember


Section 16B.01
Topic: Nutrition and Metabolism
 

79. When total-body energy balance is positive in an adult, energy is being stored as fat. 
TRUE

Bloom's Level: 1. Remember


Section 16B.01
Topic: Nutrition and Metabolism
 

80. Insulin is a satiety signal that suppresses appetite, whereas glucagon stimulates appetite. 
FALSE

Bloom's Level: 1. Remember


Section 16B.02
Topic: Nutrition and Metabolism
 

81. Anorexia nervosa is excessive thinness usually caused by hyperthyroidism. 


FALSE

Bloom's Level: 1. Remember


Section 16B.02
Topic: Nutrition and Metabolism
 

16-26
Chapter 16 - Regulation of Organic Metabolism and Energy Balance

16-27
Chapter 16 - Regulation of Organic Metabolism and Energy Balance

82. In response to cold stimuli, human beings increase their rate of heat production primarily
by increasing basal metabolic rate. 
FALSE

Bloom's Level: 1. Remember


Section 16B.03
Topic: Nutrition and Metabolism
 

83. The body's most effective mechanism for reducing heat loss is vasoconstriction of blood
vessels in the skin. 
TRUE

Bloom's Level: 1. Remember


Section 16B.03
Topic: Nutrition and Metabolism
 

84. Heat loss from evaporation occurs only when one is sweating. 


FALSE

Bloom's Level: 1. Remember


Section 16B.03
Topic: Nutrition and Metabolism
 

85. The reason high humidity plays such a significant role in increasing the discomfort felt on
very hot days is that it decreases the cooling properties of conduction. 
FALSE

Bloom's Level: 1. Remember


Section 16B.03
Topic: Nutrition and Metabolism
 

16-28
Chapter 16 - Regulation of Organic Metabolism and Energy Balance

86. Receptors for the regulation of body temperature are heat and cold receptors in the skin,
the CNS, and internal organs. 
TRUE

Bloom's Level: 1. Remember


Section 16B.03
Topic: Nutrition and Metabolism
 

16-29
Chapter 16 - Regulation of Organic Metabolism and Energy Balance

87. The integrating centers for temperature-regulating reflexes are located in the brain stem. 
FALSE

Bloom's Level: 1. Remember


Section 16B.03
Topic: Nutrition and Metabolism
 

88. Fever differs from other forms of hyperthermia in that it results from resetting the
hypothalamic "thermostat" to a higher level. 
TRUE

Bloom's Level: 1. Remember


Section 16B.03
Topic: Nutrition and Metabolism
 

16-30

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