How many calories in an Apple Pie?

 

Of course, there are many different apple pies, and many different serving portions  too!!!

So…let’s do the calculations with a “standar” apple pie…certainly not the best but it is standard, so standard that it is the same all around the world!

Of course, I am talking about the MacDonald Apple pie!

Nutrition facts of the Macdonald baked Apple pie (taken from the label):

Proteins 2g

Fat 13 g

Carbohydrates 32 g

Sodium 170 mg

How many calories are obtained when you eat 1 serving size of this pie?

About Tea and Toasts

 

A 70 year-old English lady that lives alone is admitted to the hospital for evaluation of a leg wound that is not healing properly. The patient also complains of pain in muscle and bones. On the examination, you find some hemorrhagic lesions in the skin, including ecchymosis in buttocks and both legs and petechiaes in other areas of the skin. The nails show splinter hemorrhages. When asked about her dietetic habits, the patient refers that she is too old to eat so much, so she has a very frugal lunch and dinners based mainly in tea and toasts.

Laboratory examinations show normal blood coagulation tests and Hemoglobin of 9.8 g/dL

 

The treatment for the condition described above should consist mainly in the administration of the following vitamin:

 

a)     Ascorbic Acid

b)     Biotin

c)      Folic Acid

d)     Pantothenic acid

e)     Niacin

f)       Vitamin B1

g)     Vitamin B2

h)    Vitamin B6

i)       Vitamin B12

j)       Vitamin D

k)     Vitamin E

l)       Vitamin K

Q: About Micronutrients and pregnancy

 

A very anxious 30 year-old female patient goes  to your office because she is late 10 days.  The patient tells you that she is trying to have a baby,  since in a former pregnancy, two years ago, she lost a baby that was born with anencephaly. You indicate pregnancy tests but they do not confirm pregnancy.

Even when the pregnancy test were negatives, which of the following micronutrients you should prescribe to this patient?

 

a)     Ascorbate

 

b)     Calcium

 

c)      Cianocobalamine

 

d)     Folate

 

e)     Iron

 

f)       Niacin

 

g)     Riboflavin

 

h)    Vitamin A

 

i)       Vitamin D

 

j)       Vitamin E

 

k)     Vitamin K