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Energy Expenditure Quiz

Total questions: 92

Worksheet time: 46mins

Name
Class
Date
1.

Which of the following contributes the most to total energy expenditure?

a)

Physical activity

b)

Thermic effect of food

c)

Basal metabolism

d)

Adaptive thermogenesis

2.

What does a bomb calorimeter measure?

a)

Rate of food digestion

b)

Absorption of calories

c)

Heat released from burning food

d)

Physical energy during activity

3.

Which is NOT a component of energy expenditure?

a)

Thermic effect of food

b)

Basal metabolism

c)

Physical activity

d)

Water consumption

4.

What is the typical percentage of energy used for the thermic effect of food?

a)

5%

b)

10%

c)

25%

d)

50%

5.

Which source is used in Malaysia to obtain nutrient data for foods?

a)

USDA Food Composition

b)

EFSA Database

c)

Malaysian Food Composition Database (MYFCD)

d)

FAO Nutrient Atlas

6.

Which of the following is considered the gold standard method for measuring total energy expenditure?

a)

Direct calorimetry

b)

Doubly labeled water

c)

Harris-Benedict Equation

d)

Quick Method

7.

When energy intake equals energy output, the person is said to be in:

a)

Positive energy balance

b)

Negative energy balance

c)

Energy surplus

d)

Energy balance

8.

The Quick Method of estimating energy needs typically uses:

a)

Detailed food diary

b)

Body weight and activity factor

c)

Basal metabolic rate only

d)

Doubly labeled water test

9.

If a person’s TEI is 2000 kcal/day and 30% is from fat, how many kcal comes from fat?

a)

400 kcal

b)

500 kcal

c)

600 kcal

d)

700 kcal

10.

Which macronutrient provides the highest kcal per gram?

a)

Carbohydrate

b)

Protein

c)

Fat

d)

Water

11.

Which of the following methods measures heat released by the body to determine energy expenditure?

a)

Indirect calorimetry

b)

Direct calorimetry

c)

Respiratory quotient

d)

Doubly labeled water

12.

The basal metabolic rate (BMR) is typically measured:

a)

After exercise and a full meal

b)

While standing and active

c)

After an overnight fast and rest

d)

During intense physical activity

13.

What is the main difference between BMR and RMR?

a)

RMR is always higher because it's measured during sleep

b)

RMR uses stricter fasting criteria

c)

BMR is usually 10–20% lower than RMR

d)

RMR includes thermic effect of food

14.

Which software is commonly used in Malaysia for nutrient analysis?

a)

FitGen

b)

Nutritionist Pro

c)

HealthCalc

d)

MyMacros+

15.

If someone consumes more energy than they expend, they are in:

a)

Energy deficit

b)

Energy equilibrium

c)

Negative energy balance

d)

Positive energy balance

16.

The Schofield equation is used to estimate:

a)

Body fat percentage

b)

Resting metabolic rate

c)

Total water intake

d)

Protein requirement

17.

Which of the following contributes to adaptive thermogenesis?

a)

Carbohydrate metabolism

b)

Sleeping

c)

Injury or disease

d)

Water intake

18.

What is PAL 1.6 classified as?

a)

Sedentary

b)

Very active

c)

Active

d)

Moderately active

19.

How much energy (in kcal) is provided by 1 gram of protein?

a)

3 kcal

b)

4 kcal

c)

7 kcal

d)

9 kcal

20.

Which of the following is an appropriate 24-hour dietary recall tool?

a)

MRI

b)

BMR chart

c)

Dietary data survey

d)

Heart rate monitor

21.

Which equation is recommended for estimating BMR in Malaysian adults?

a)

Harris-Benedict

b)

WHO Equation

c)

Ismail et al. (1998)

d)

Cunningham Equation

22.

What is the energy value of 1 gram of fat?

a)

4 kcal

b)

7 kcal

c)

9 kcal

d)

11 kcal

23.

Which macronutrient has the highest thermic effect?

a)

Carbohydrate

b)

Protein

c)

Fat

d)

Water

24.

A person is considered sedentary if their PAL is:

a)

1.2

b)

1.4

c)

1.6

d)

1.8

25.

In dietary assessment, the '24-hour recall' method is useful to:

a)

Diagnose diabetes

b)

Estimate usual intake over time

c)

Record food intake for a day

d)

Measure fat metabolism

26.

The thermic effect of food includes energy used for:

a)

Sleeping

b)

Heat regulation

c)

Digestion and absorption

d)

Breathing

27.

Which of the following is NOT a predictive equation for estimating energy expenditure?

a)

Harris-Benedict

b)

Mifflin-St Jeor

c)

USDA food list

d)

Schofield

28.

What is the primary purpose of calculating total energy intake?

a)

To find water requirements

b)

To determine food allergies

c)

To estimate daily caloric consumption

d)

To evaluate taste preferences

29.

The thermic effect of protein is approximately:

a)

5%

b)

10%

c)

15–30%

d)

50%

30.

Which of the following includes PAL in the energy estimation?

a)

BMR formula

b)

Quick method

c)

Direct calorimetry

d)

Doubly labeled water

31.

An example of a food composition database used internationally is:

a)

BeSS Calorie Bank

b)

MYFCD

c)

USDA Database

d)

NutriCalc

32.

RMR is higher than BMR because:

a)

It is measured during sleep

b)

It requires strict fasting

c)

Physical activity is included

d)

It allows minimal food/activity before measurement

33.

A total energy intake (TEI) of 1800 kcal with 20% from protein equals how many grams of protein?

a)

90 g

b)

80 g

c)

70 g

d)

60 g

34.

The energy expenditure method that uses isotopes is known as:

a)

Respiratory quotient

b)

Bomb calorimetry

c)

Indirect calorimetry

d)

Doubly labeled water

35.

If a person’s BMR is 1200 kcal and PAL is 1.6, their total energy requirement is:

a)

1800 kcal

b)

1920 kcal

c)

2000 kcal

d)

2200 kcal

36.

Which of the following contributes least to total daily energy expenditure?

a)

Thermic effect of food

b)

Physical activity

c)

Basal metabolism

d)

Adaptive thermogenesis

37.

The term “energy balance” refers to:

a)

Balancing macronutrients

b)

Equal intake and output of energy

c)

Reaching a healthy BMI

d)

Balanced diet composition

38.

Which nutrient analysis software is used in Malaysian universities?

a)

FoodSoft

b)

NutriCalc

c)

MyNet

d)

HealthTrack

39.

What is the energy value of 1 gram of carbohydrate?

a)

2 kcal

b)

4 kcal

c)

6 kcal

d)

9 kcal

40.

What is a limitation of 24-hour dietary recall?

a)

It’s too expensive

b)

It requires lab tests

c)

It depends on memory

d)

It measures physical activity

41.

Which is the gold standard method for long-term measurement of energy expenditure in free-living individuals?

a)

Indirect calorimetry

b)

Harris-Benedict

c)

Doubly labeled water

d)

Quick method

42.

Basal metabolism typically accounts for what percent of total energy expenditure?

a)

10–20%

b)

25–35%

c)

50–65%

d)

70–90%

43.

The formula “weight (kg) / height (m²)” calculates:

a)

BMR

b)

PAL

c)

BMI

d)

TEI

44.

In which condition is adaptive thermogenesis likely to increase?

a)

Sleep

b)

Overeating

c)

Fever or injury

d)

Dehydration

45.

The total calories in a day from 50g CHO, 20g fat, and 30g protein is:

a)

500 kcal

b)

570 kcal

c)

610 kcal

d)

650 kcal

46.

What’s the energy yield (in kcal) of 1g of alcohol?

a)

4 kcal

b)

5 kcal

c)

7 kcal

d)

9 kcal

47.

What’s the energy yield (in kcal) of 1g of alcohol?

a)

4 kcal

b)

5 kcal

c)

7 kcal

d)

9 kcal

48.

Which energy estimation method considers body composition?

a)

Quick method

b)

Mifflin-St Jeor Equation

c)

Cunningham Equation

d)

Harris-Benedict

49.

The best method to assess energy expenditure in hospitalized patients is:

a)

24-hour recall

b)

Doubly labeled water

c)

Indirect calorimetry

d)

Quick method

50.

Which activity level is best described by PAL 2.0?

a)

Sedentary

b)

Moderately active

c)

Very active

d)

Lightly active

51.

What happens when energy intake is lower than energy expenditure?

a)

Weight gain

b)

Muscle gain

c)

Energy balance

d)

Weight loss

52.

What does TEF stand for?

a)

Total Energy Factor

b)

Thermic Effect of Food

c)

Thermic Energy Formula

d)

Total Energy Function

53.

The Ismail et al. (1998) equation for BMR is specifically developed for:

a)

Children under 5

b)

Athletes

c)

Malaysian adults

d)

Pregnant women

54.

What is the main advantage of using indirect calorimetry in clinical settings?

a)

It measures food temperature

b)

It’s quick and low cost

c)

It estimates energy expenditure via oxygen consumption

d)

It provides taste preference data

55.

The energy required to maintain vital body functions at rest is known as:

a)

Resting energy expenditure

b)

Basal metabolic rate

c)

Adaptive thermogenesis

d)

Physical activity level

56.

If a person consumes 1800 kcal/day and gets 60g fat, how many kcal are from fat?

a)

240 kcal

b)

360 kcal

c)

540 kcal

d)

600 kcal

57.

What does PAL stand for?

a)

Physical Activity Label

b)

Physical Adjustment Level

c)

Physical Activity Level

d)

Physical Aerobic Load

58.

Which of the following affects BMR the most?

a)

Vitamin C intake

b)

Age and muscle mass

c)

Hair color

d)

Salt consumption

59.

Which component has the lowest thermic effect?

a)

Fat

b)

Protein

c)

Carbohydrate

d)

Fibre

60.

What tool is commonly used to collect food intake information over 24 hours?

a)

Indirect calorimeter

b)

Dietary recall form

c)

PAL calculator

d)

Water displacement tool

61.

What is the kcal content of a meal containing 20g protein, 40g carbohydrate, and 10g fat?

a)

330 kcal

b)

430 kcal

c)

470 kcal

d)

510 kcal

62.

How much kcal would 70g of fat provide?

a)

280 kcal

b)

490 kcal

c)

560 kcal

d)

630 kcal

63.

Which is a limitation of using nutrient analysis software?

a)

It's completely inaccurate

b)

It can't be used in Malaysia

c)

It may lack local food items

d)

It’s faster than manual calculation

64.

Which of the following is not a component of energy out?

a)

Basal metabolism

b)

Physical activity

c)

Food choices

d)

Thermic effect of food

65.

TEF is highest when consuming which type of macronutrient?

a)

Fat

b)

Water

c)

Protein

d)

Sugar

66.

The Harris-Benedict equation estimates:

a)

Energy intake

b)

Nutrient distribution

c)

Basal metabolic rate

d)

Protein requirements

67.

Why is energy balance important?

a)

It prevents allergies

b)

It promotes muscle soreness

c)

It helps maintain body weight

d)

It increases bone size

68.

The best method to measure physical activity in free-living individuals is:

a)

Direct calorimetry

b)

Dietary recall

c)

Accelerometer or pedometer

d)

Food composition table

69.

Which condition would likely increase energy needs?

a)

Sleep

b)

Recovery from injury

c)

Rest

d)

Sedentary lifestyle

70.

An individual with low activity and minimal movement has a PAL of approximately:

a)

1.4

b)

1.6

c)

1.8

d)

2.0

71.

For macronutrient distribution, RNI recommends protein intake should be:

a)

5–10% of TEI

b)

10–20% of TEI

c)

20–35% of TEI

d)

35–50% of TEI

72.

Which is the most suitable method to measure BMR directly?

a)

24-hour recall

b)

Quick method

c)

Indirect calorimetry

d)

Dietary record

73.

What is the purpose of using nutrient composition databases?

a)

To estimate disease risk

b)

To predict hydration needs

c)

To calculate energy and nutrient intake

d)

To schedule meal times

74.

Which factor is NOT used when estimating BMR using predictive equations?

a)

Age

b)

Gender

c)

Physical activity

d)

Weight

75.

Which component of energy expenditure varies the most between individuals?

a)

Basal metabolism

b)

Physical activity

c)

Thermic effect of food

d)

Adaptive thermogenesis

76.

The thermic effect of fat is approximately:

a)

1–3%

b)

5–10%

c)

15–20%

d)

25–30%

77.

Which of the following methods is most accurate for measuring real-time oxygen use?

a)

Direct calorimetry

b)

Dietary record

c)

Indirect calorimetry

d)

Bomb calorimeter

78.

In the Quick Method, energy requirement is based on:

a)

BMR × age

b)

Weight × activity factor

c)

BMI × height

d)

Protein × fat ratio

79.

If a diet contains 55% carbohydrates, 15% protein, and 30% fat, it is:

a)

Too high in protein

b)

Balanced

c)

Too low in fat

d)

Excessive in carbohydrates

80.

What is the RNI (Recommended Nutrient Intake) protein percentage range for Malaysians?

a)

5–15%

b)

10–20%

c)

20–35%

d)

30–40%

81.

Which energy estimation method includes both BMR and activity factor?

a)

BMR-only method

b)

Quick method

c)

BMI formula

d)

Doubly labeled water

82.

Which database is commonly used internationally alongside MYFCD?

a)

BeSS Bank

b)

USDA

c)

WHO

d)

BMI Asia

83.

What is an example of an adaptive thermogenesis trigger?

a)

Eating a large meal

b)

Doing exercise

c)

Developing an infection

d)

Sleeping

84.

What is required before using the Schofield equation?

a)

Blood test results

b)

Physical activity log

c)

Age, gender, weight

d)

Calorimeter reading

85.

The term “energy in” refers to energy obtained from:

a)

Exercise

b)

Resting heart rate

c)

Food and beverages

d)

Vitamin supplements

86.

Which macronutrient has the lowest energy per gram?

a)

Fat

b)

Alcohol

c)

Protein

d)

Carbohydrate

87.

Energy from alcohol contributes how many kcal per gram?

a)

4 kcal

b)

5 kcal

c)

7 kcal

d)

9 kcal

88.

A person with a TEI of 2000 kcal and 20% from protein would consume how many grams of protein?

a)

100 g

b)

80 g

c)

60 g

d)

50 g

89.

What method gives total energy output but not component breakdown?

a)

Quick method

b)

Harris-Benedict

c)

Indirect calorimetry

d)

Doubly labeled water

90.

What condition would likely lower BMR?

a)

Fever

b)

Muscle loss

c)

Pregnancy

d)

Overeating

91.

A meal with 20g fat, 40g CHO, and 30g protein contains how many kcal?

a)

460 kcal

b)

510 kcal

c)

530 kcal

d)

550 kcal

92.

Why are activity factors added to BMR?

a)

To adjust for sleep hours

b)

To account for digestive losses

c)

To reflect daily energy expenditure

d)

To estimate height changes

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