In women, elevated blood insulin levels reduce _____ and that prompts the ovaries to increase production of _____
a. luteinizing hormone; estrogen
b. luteinizing hormone; progesterone
c. sex hormone binding globulin; testosterone
d. sex hormone binding globulin; estrogen
e. gonadotropin releasing hormone; progesterone
c
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Jeremy's diet provides a total of 2200 kcalories, of which 40 percent of the energy is from fat and 20 percent is from protein. How many grams of carbohydrate are contained in the diet??
A) ?220 grams B) ?285 grams C) ?450 grams D) ?800 grams
Potatoes provide about half of the vitamin C consumed by Americans
a. True b. False Indicate whether the statement is true or false
Which of these foods has the lowest glycemic index?
a. Pretzels b. Couscous c. Honey d. Popcorn
?
JB is a 53-year-old male who has recently divorced. He has experienced periods of depression and decreased appetite. His family reports a history of heavy drinking habits and a 15 kg weight loss. He was previously diagnosed with cirrhosis and portal hypertension. Paracentesis and TIPS procedures were performed. JB's condition seems to have worsened; he complains of stomach pains, nausea, and vomiting at times. His abdomen is sore to touch and feels swollen. JB has developed ascites and pedal edema. His urinary output has decreased, and he continues to lose weight. JB also complains of pain when swallowing food. Because of JB's persistent symptoms, he's been admitted to a hospital. A referral to the SLP for an MBS was also ordered and resulted in dysphagia for which pureed diet was recommended. On day 2, JB still complains of nausea and no per os intake has been reported. The MD prescribed a dietary consultation. An RD is required to assess the patient and recommend alternate means of nutrition support, currently NPO. Ht: 5'11" Wt: 145 # UBW: 163# Dx: End-stage liver cirrhosis, dysphagiaPMH: alcoholic cirrhosis, portal hypertension Labs:Na: 134 Cl: 101 BUN: 4 Alb: 2.3 TG: 305 Transferrin: 101 NH4: 53 Glu: 139 AST: 45 ALT 48 Alk Phos: 40 Bilirubin: 2.1K: 5.2 CO2: 25 Cr: 1.8 H/H: 11/35 Diet: NPOMeds: Neomycin, Aldactone, Lasix, Reglan Because of JB's history of alcohol abuse, he is most likely at risk of which nutrient deficiency? A. potassium B. vitamin A C. sodium D. vitamin B6 E. vitamin E