61.How would you respond to someone who states that white bread is just as nutritious as whole-wheat bread?
a.White bread is just as nutritious because it has been enriched with iron, niacin, riboflavin, thiamin, and folate.
b.Whole-wheat bread is preferable because it is likely to contain several nutrients not added to white bread.
c.Whole-wheat bread is higher in fiber content than white bread.
d.a and b
e.b and c
62.Which of the following would you recommend for a person with lactose intolerance?
a.large quantities of milk
b.moderate amounts of aged cheese
c.yogurt with live cultures
d.a and b
e.b and c
63.Lactose intolerance can cause nutritional complications because:
a.the person affected will not be able to consume adequate carbohydrate.
b.inadequate calcium intake from avoiding dairy products can affect bone development.
c.it happens most frequently in young children who then will consume inadequate protein.
d.it results in the inability to eat any types or amounts of dairy products.
64.Hormones play an important role in regulating blood glucose levels. For example:
a.insulin stimulates glycogen release from muscles for body cells to use for energy.
b.glucagon decreases the removal of glucose from the blood during stress.
c.epinephrine increases breakdown of liver glycogen to provide glucose in times of danger.
d.insulin reduces glucose uptake and storage among fat cells.
65.What recommendations would you provide to someone trying to improve his workout?
a.Eat a small snack rich in complex carbohydrates 75 min. before the workout.
b.Drink some extra fluid before the workout.
c.Avoid caffeine-containing beverages before the workout.
d.a and b
e.b and c
66.Researchers studying the health effects of the glycemic index of foods have found that:
a.individuals with diabetes can consume low-glycemic index foods to lower blood glucose levels.
b.intake of high-glycemic index foods has resulted in higher heart disease rates in many populations of the world.
c.identification of the glycemic index score can help a person separate the “good carbs” from “bad carbs.”
d.there is not enough evidence at this time to show that using the glycemic index to control carbohydrate intake is beneficial for health.
67.When considering the health impact of diabetes it is important to remember that:
a.it only affects a small number of people compared to other chronic diseases.
b.if poorly controlled it can damage major organs and tissues in the body.
c.type 2 diabetes is never seen in children so is not of concern for them.
d.type 1 diabetes can be prevented by controlling sugar intake in the diet.
68.One of the main reasons that obesity contributes to type 2 diabetes is because:
a.inflammation in the tissues triggers them to resist insulin.
b.excess glucose builds up in the tissues.
c.increased blood lipids result in more fat available for storage.
d.abnormally high levels of insulin remove too much glucose from the blood.
69.To provide adequate control of diabetes, one of the best dietary recommendations would be to:
a.exclude all foods that contain added sugar from the diet.
b.increase dietary protein intakes to substitute for reduced carbohydrate.
c.use only low-glycemic index foods.
d.ensure that the fiber intake from food sources is adequate.
70.Many people use products such as breath mints and chewing gum that contain sugar alcohols. Is this a good practice for health?
a.yes, because they contribute no calories
b.no, because their high glycemic load may affect people with diabetes
c.yes, because bacteria cannot metabolize sugar alcohols quickly enough to cause dental caries
d.no, because of side effects of gas, abdominal discomfort, and diarrhea when used even in small amounts
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