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


Q: About dry eyes, dry skin…


A 45-year-old, overweight male patient  presents to his physician complaining of dry skin with rash episodes, a sensation of dry eyes and lost of vision, mainly at night.  During  questioning,  he says he lost 60 lbs. during the previous year, following a very strict fat-free diet that he modified from some readings.


Which of the following liposoluble vitamins could be deficient in the patient and causing the above described symptoms?


a)     Vitamin A


b)     Vitamin D


c)      Vitamin E


d)     Vitamin F


e)     Vitamin K


Vitamin K and Newborns


Given that:


– Vitamin K is not easily transported from the mother to the fetus through the placenta

– Newborns have sterile intestines and cannot initially synthesize vitamin K.

– Human milk has very low concentrations of vitamin K,


some authors recommends that all newborns receive a single intramuscular dose of Vitamin K, since Vitamin K is a liposoluble vitamin necessary for:


a)     the prevention of oxidative damage


b)     Ca++ and phosphate metabolism


c)      the vision process


d)     the synthesis of some coagulation factors


e)     the differentiation of epithelial cells.



Q: About dietary lipids


Lipid Question No. 12


Which of the following statements concerning dietary lipids is correct?


a)     Corn oil and soybean oil are examples of fats rich in saturated fatty acids


b)     Triacylglycerols obtained from plants generally contain less unsaturated fatty acids than those from animals


c)      Olive oil is rich in saturated fats


d)     Unsaturated fatty acids in our body are usually trans.


e)     Fish triacylglycerols are richer in unsaturated fatty acids than triacylglycerols from other animals.


Q: About Red Blood Cell Bioenergetics


Which of the following metabolic pathways is the main source of energy for Red Blood Cells in anorexic patients?


a)     Anaerobic glycolysis


b)     Aerobic Glycolysis


c)      Beta-oxidation


d)     Ketolysis


e)     Pentose phosphate cycle.