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Williams Essentials of Nutrition and

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Chapter 8: Energy Balance
Schlenker & Long: Williams’ Essentials of Nutrition & Diet Therapy: 10th
Edition

MULTIPLE CHOICE

1. After digestion and absorption, food provides an available source of energy to tissues if it is
converted into:
1. amino acids.
2. fatty acids.
3. glucose.
4. glycogen.
ANS: 3 PTS: 1 DIF: Easy REF: p. 167
MSC: Type of Question: Knowledge

2. An example of electrical energy in the body is:


1. growth of new tissues.
2. regulation of body temperature.
3. transmitting nerve impulses.
4. contraction of muscles.
ANS: 3 PTS: 1 DIF: Medium REF: p. 167
MSC: Type of Question: Knowledge

3. The chemical compound that provides energy for body functions in the cell is:
1. glucose.
2. triglyceride.
3. adenosine triphosphate.
4. thyroid-stimulating hormone.
ANS: 3 PTS: 1 DIF: Medium REF: p. 169
MSC: Type of Question: Knowledge

4. The function of initiating and controlling the rate of chemical reactions is performed by:
1. enzymes and coenzymes.
2. vitamins and minerals.
3. amino acids.
4. fatty acids.
ANS: 1 PTS: 1 DIF: Medium REF: p. 169
MSC: Type of Question: Knowledge

5. The substances that serve as chemical messengers to help regulate and control enzyme activity
are:
1. keto acids.
2. minerals.
3. vitamins.
4. hormones.
ANS: 4 PTS: 1 DIF: Medium REF: p. 169
MSC: Type of Question: Knowledge

6. The hormone that controls the metabolic rate of the body is:
1. insulin.
2. thyroid-stimulating hormone.
3. epinephrine.
4. cortisone.
ANS: 2 PTS: 1 DIF: Medium REF: p. 169
MSC: Type of Question: Knowledge

7. The unit of measurement used by nutritionists to describe the energy content of food is the:
1. kilocalorie (kcalorie or kcal).
2. kilogram.
3. ounce.
4. milligram.
ANS: 1 PTS: 1 DIF: Easy REF: p. 170
MSC: Type of Question: Knowledge

8. The caloric values found in food composition tables have been determined by:
1. direct calorimetry.
2. indirect calorimetry.
3. laboratory observation.
4. controlled reaction rates.
ANS: 1 PTS: 1 DIF: Medium REF: p. 170
MSC: Type of Question: Knowledge

9. The total number of calories in a snack containing 10 g of carbohydrate, 2 g of protein, and 5


g of fat is:
1. 17.
2. 68.
3. 78.
4. 93.
ANS: 4
Carbohydrate contains 4 kcal per gram, protein contains 4 kcal per gram, and fat contains 9
kcal per gram. Therefore the snack would contain (10  4) + (2  4) + (5  9) = 40 + 8 + 45 =
93 kcal.

PTS: 1 DIF: Hard REF: p. 170


MSC: Type of Question: Application

10. The term that describes the amount of energy needed by the body for maintenance of life
while at rest is:
1. basal metabolism.
2. respiratory quotient.
3. nitrogen balance.
4. homeostasis.
ANS: 1 PTS: 1 DIF: Medium REF: p. 170
MSC: Type of Question: Knowledge
11. Metabolically active tissues in the body include the heart, brain, and:
1. skin.
2. esophagus.
3. spleen.
4. kidney.
ANS: 4 PTS: 1 DIF: Medium REF: p. 170
MSC: Type of Question: Knowledge

12. Doctors may determine whether cell metabolism is occurring at normal rates by measuring:
1. body weight.
2. waist-to-hip ratio.
3. serum iron levels.
4. thyroid function.
ANS: 4 PTS: 1 DIF: Medium REF: p. 171
MSC: Type of Question: Knowledge

13. Of the following, the factor that is most significant in determining a person’s basal metabolic
rate (BMR) is:
1. age.
2. sex.
3. amount of lean body mass.
4. amount of body fat.
ANS: 3 PTS: 1 DIF: Medium REF: p. 171
MSC: Type of Question: Knowledge

14. A factor that contributes to women having lower basal metabolism requirements than men is:
1. menstruation.
2. greater surface area.
3. gender-specific hormones.
4. smaller proportion of muscle mass to fat.
ANS: 4 PTS: 1 DIF: Medium REF: p. 171
MSC: Type of Question: Knowledge

15. BMR:
1. increases in pregnancy but not in lactation.
2. increases in lactation but not in pregnancy.
3. increases in pregnancy and lactation.
4. decreases in pregnancy and lactation.
ANS: 3 PTS: 1 DIF: Medium REF: p. 172
MSC: Type of Question: Knowledge

16. Factors that increase BMR include:


1. fever.
2. starvation.
3. aging.
4. muscle wasting.
ANS: 1 PTS: 1 DIF: Medium REF: p. 172
MSC: Type of Question: Knowledge

17. The term that describes the effect of food intake on metabolic rate is:
1. thermic effect of food (TEF).
2. metabolic rate of food.
3. catabolism.
4. thermogenesis.
ANS: 1 PTS: 1 DIF: Hard REF: p. 172
MSC: Type of Question: Knowledge

18. The TEF refers to the fact that:


1. some foods take longer to digest than others.
2. certain foods stimulate the gastrointestinal tract more than others.
3. the presence of food in the stomach starts the process of digestion.
4. digestion, absorption, and metabolism of food require energy.
ANS: 4 PTS: 1 DIF: Hard REF: p. 172
MSC: Type of Question: Knowledge

19. If a person is expending 1.0 kcal/min, he or she is probably:


1. lying down.
2. walking.
3. swimming.
4. running.
ANS: 1
Typical resting energy expenditures are 0.8 to 1.0 kcal/min for women, and 1.1 to 1.3
kcal/min for men. Walking increases this amount several times, and more strenuous activities
such as swimming or running increase it even more.

PTS: 1 DIF: Hard REF: p. 173


MSC: Type of Question: Application

20. A person’s total energy requirements are determined by adding the BMR, amount of daily
activity, and the:
1. amount of daily food intake.
2. amount of sleep required.
3. thermic effect of food.
4. degree of overweight.
ANS: 3 PTS: 1 DIF: Easy REF: p. 170
MSC: Type of Question: Knowledge

21. When energy intake continually exceeds energy expenditure, the result is:
1. diabetes.
2. anorexia.
3. malnutrition.
4. obesity.
ANS: 4 PTS: 1 DIF: Medium REF: p. 174
MSC: Type of Question: Knowledge
22. To calculate a person’s body mass index (BMI), the measurements that are needed are:
1. height and weight.
2. age and weight.
3. activity level and height.
4. gender and activity level.
ANS: 1 PTS: 1 DIF: Medium REF: p. 177
MSC: Type of Question: Knowledge

23. Severe obesity is indicated if BMI is greater than:


1. 25 kg/m2.
2. 30 kg/m2.
3. 35 kg/m2.
4. 40 kg/m2.
ANS: 3 PTS: 1 DIF: Medium REF: p. 178
MSC: Type of Question: Knowledge

24. The most important factor in determining whether a person is fat or lean is the person’s:
1. weight.
2. body mass index.
3. body composition.
4. gender.
ANS: 3 PTS: 1 DIF: Easy REF: p. 174
MSC: Type of Question: Knowledge

25. The percentage of body weight that consists of water in a person of normal body weight is
approximately:
1. 5% to 20%.
2. 20% to 35%.
3. 35% to 50%.
4. 50% to 65%.
ANS: 4 PTS: 1 DIF: Medium REF: p. 175
MSC: Type of Question: Knowledge

26. In healthy adult men, the percentage of total body weight accounted for by fat is:
1. 8% to 13%.
2. 13% to 21%.
3. 23% to 31%.
4. 36% to 40%.
ANS: 2 PTS: 1 DIF: Hard REF: p. 175
MSC: Type of Question: Knowledge

27. The minimum percentage body fat that supports reproduction in women is:
1. 3%.
2. 12%.
3. 20%.
4. 29%.
ANS: 3 PTS: 1 DIF: Hard REF: p. 175
MSC: Type of Question: Knowledge

28. Measurement of body fat and lean body mass using hydrostatic weighing is based on the fact
that body fat and lean tissue have different:
1. densities.
2. electrical conductivities.
3. metabolic activities.
4. protein contents.
ANS: 1 PTS: 1 DIF: Medium REF: p. 175
MSC: Type of Question: Knowledge

29. Resting metabolic rate (RMR) is often measured instead of BMR because:
1. RMR is more accurate.
2. BMR has too many variables.
3. BMR is only a theoretical concept.
4. RMR is easier to measure.
ANS: 4 PTS: 1 DIF: Medium REF: p. 171
MSC: Type of Question: Knowledge

30. Men generally require more energy for any given activity than women because:
1. they are taller.
2. their metabolism is less efficient.
3. they weigh more.
4. they have less body fat.
ANS: 3 PTS: 1 DIF: Medium REF: p. 171
MSC: Type of Question: Knowledge

31. The amount of total energy expenditure represented by the TEF is about:
1. 5%.
2. 10%.
3. 15%.
4. 20%.
ANS: 2 PTS: 1 DIF: Medium REF: p. 172
MSC: Type of Question: Knowledge

32. A health problem that has been linked to obesity is:


1. migraines.
2. diabetes.
3. hepatitis.
4. anemia.
ANS: 2 PTS: 1 DIF: Easy REF: p. 182
MSC: Type of Question: Knowledge

33. The main focus of weight management efforts should be:


1. development of healthy lifestyle habits.
2. decreasing energy intake.
3. increasing energy expenditure.
4. behavior modification therapy.
ANS: 1 PTS: 1 DIF: Medium REF: p. 180
MSC: Type of Question: Knowledge

34. An eating disorder that is a form of self-induced starvation is:


1. anorexia nervosa.
2. bulimia nervosa.
3. binge-eating disorder.
4. chronic dieting.
ANS: 1 PTS: 1 DIF: Easy REF: p. 183
MSC: Type of Question: Knowledge

35. An eating disorder characterized by gorging food and then inducing vomiting is called:
1. anorexia nervosa.
2. bulimia nervosa.
3. binge-eating disorder.
4. chronic dieting.
ANS: 2 PTS: 1 DIF: Easy REF: p. 183
MSC: Type of Question: Knowledge

36. The number of kcalories in 1 lb of body fat is:


1. 2000.
2. 2500.
3. 3000.
4. 3500.
ANS: 4 PTS: 1 DIF: Medium REF: p. 178
MSC: Type of Question: Knowledge

37. Someone may be considered overweight but not overfat if they have a high level of:
1. thyroid-stimulating hormone.
2. muscle tissue.
3. adipose tissue.
4. dietary control.
ANS: 2 PTS: 1 DIF: Easy REF: p. 174
MSC: Type of Question: Knowledge

38. Bone mineral density is greatest among:


1. African Americans.
2. Native Americans.
3. Caucasians.
4. Hispanics.
ANS: 1 PTS: 1 DIF: Medium REF: p. 176
MSC: Type of Question: Knowledge

39. A high waist-to-hip ratio is associated with:


1. android (apple) shape.
2. gynoid (pear) shape.
3. ectomorphic body type.
4. endomorphic body type.
ANS: 1 PTS: 1 DIF: Hard REF: p. 178
MSC: Type of Question: Knowledge

40. Abdominal fat is also known as:


1. adipose fat.
2. gynoid fat.
3. visceral fat.
4. essential fat.
ANS: 3 PTS: 1 DIF: Medium REF: p. 178
MSC: Type of Question: Knowledge

41. According to the Dietary Guidelines for Americans, the recommended amount of physical
activity on most days is at least:
1. 15 minutes.
2. 30 minutes.
3. 45 minutes.
4. 60 minutes.
ANS: 2 PTS: 1 DIF: Medium REF: p. 180
MSC: Type of Question: Knowledge

42. Someone with a BMI of 17 would be considered to be:


1. underweight.
2. normal weight.
3. overweight.
4. obese.
ANS: 1
Underweight is defined as body mass index less than 18.5.

PTS: 1 DIF: Easy REF: p. 178


MSC: Type of Question: Application

43. A person who is at high risk for underweight is:


1. a busy college student.
2. an older adult who lives alone.
3. a shift worker.
4. a mother with two young children.
ANS: 2
Older adults living alone may find it difficult or lack motivation to shop, cook, and eat,
placing them at high risk for underweight. College students, shift workers, and young mothers
are more likely to have good access to food and good appetites.

PTS: 1 DIF: Medium REF: p. 184


MSC: Type of Question: Application

44. The weight loss in patients with heart disease or cancer is called:
1. cachexia.
2. anorexia.
3. starvation.
4. malnutrition.
ANS: 1 PTS: 1 DIF: Medium REF: p. 184
MSC: Type of Question: Knowledge

45. Severe infection or fever may cause weight loss because:


1. they cause malabsorption.
2. energy requirements increase.
3. food cannot be properly digested.
4. they cause hormone imbalances.
ANS: 2 PTS: 1 DIF: Easy REF: p. 172
MSC: Type of Question: Knowledge

46. Someone who is trying to gain weight should eat:


1. only when they are hungry.
2. commercial liquid nutritional supplements.
3. three large meals each day.
4. several small meals each day.
ANS: 4 PTS: 1 DIF: Easy REF: p. 184
MSC: Type of Question: Knowledge

47. Parents can help decrease the likelihood that their children will develop eating disorders by:
1. limiting intake of snacks between meals.
2. ensuring that their school teaches good nutrition.
3. engaging in regular exercise together.
4. eating family meals together several times per week.
ANS: 4 PTS: 1 DIF: Easy REF: p. 182
MSC: Type of Question: Knowledge

48. An important type of metabolic chemical that is not used up in the reactions it causes is:
1. hormones.
2. enzymes.
3. coenzymes.
4. neurotransmitters.
ANS: 2 PTS: 1 DIF: Hard REF: p. 169
MSC: Type of Question: Knowledge

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