Nursing Elites

1. Lysosomes are known as "suicide bags" of the cell. What enzymes do they contain?

• A. Hydrolytic enzymes
• B. Ligases (bonding enzymes)
• C. Transferases (molecule transfer)
• D. Oxidoreductases (redox reactions)

Correct answer: A

Rationale: Lysosomes are membrane-bound organelles containing hydrolytic enzymes responsible for breaking down various macromolecules, cellular waste, and foreign substances. These enzymes perform hydrolysis, a process where water molecules are used to break down larger molecules into smaller components. This function earned lysosomes the nickname 'suicide bags' as they can initiate cell death (apoptosis) by releasing their enzymes when needed. Ligases, transferases, and oxidoreductases are enzymes with different functions such as forming bonds, transferring molecules, and catalyzing redox reactions, respectively, which are not typically found in lysosomes. Therefore, the correct answer is A: 'Hydrolytic enzymes.'

2. What property of a wave remains unchanged when it passes from one medium to another with the same speed?

• A. Frequency
• B. Wavelength
• C. Amplitude
• D. Speed

Correct answer: d

Rationale: The speed of a wave remains constant when passing from one medium to another with the same speed.

3. What is the difference between exhalation (expiration) and inhalation (inspiration)?

• A. Exhalation involves active muscle contraction, while inhalation is passive.
• B. Inhalation brings in oxygen-rich air, while exhalation releases oxygen-depleted air.
• C. Exhalation occurs through the nose only, while inhalation can occur through the nose or mouth.
• D. Inhalation warms and humidifies air, while exhalation cools and dries air.

Correct answer: B

Rationale: Option B is the correct answer because inhalation is the process of breathing in, where the diaphragm and intercostal muscles contract to expand the chest cavity, allowing air to enter the lungs. This air is rich in oxygen, which is essential for cellular respiration. On the other hand, exhalation is the process of breathing out, where the diaphragm and intercostal muscles relax, causing the chest cavity to decrease in size and air to be expelled from the lungs. This air is depleted of oxygen as it has been used up during cellular respiration. Understanding the difference between inhaling oxygen-rich air and exhaling oxygen-depleted air is crucial for comprehending the respiratory system's function and the exchange of gases in the body.

4. Which part of the heart generates the QRS complex on an ECG?

• A. Sinoatrial node (SA node)
• B. Atrioventricular node (AV node)
• C. Bundle of His
• D. Ventricular muscle cells

Correct answer: D

Rationale: The correct answer is D, ventricular muscle cells. The QRS complex on an ECG represents the depolarization of the ventricles. This electrical activity is generated by the spread of impulses through the bundle branches and Purkinje fibers to the ventricular muscle cells. The SA node (option A) is responsible for initiating the electrical impulse in the heart, but it does not directly generate the QRS complex. The AV node (option B) delays the impulse to allow for proper coordination of atrial and ventricular contractions. The Bundle of His (option C) and its branches facilitate the conduction of the electrical signal from the AV node to the ventricles but do not generate the QRS complex directly.

5. What is the oxidation state of carbon in CH4?

• A. +1
• B. -1
• C. +2
• D. -4

Correct answer: d

Rationale: Each hydrogen atom has an oxidation state of +1, and the sum of oxidation states in CH4 is 0. Therefore, carbon has an oxidation state of -4.

6. The epiglottis is a small flap of cartilage located near the base of the tongue. What is its role during swallowing?

• A. Initiates the swallowing reflex
• B. Grinds food into smaller pieces
• C. Covers the trachea to prevent food aspiration
• D. Stores saliva for lubrication

Correct answer: C

Rationale: The epiglottis is a crucial anatomical structure that covers the trachea during swallowing to prevent food aspiration. When we swallow, the epiglottis folds over the trachea, directing food and liquids down the esophagus instead of entering the airway. This action helps to ensure that the food and liquids go to the stomach for digestion and not into the lungs, which can lead to aspiration pneumonia, a serious condition. Therefore, option C, 'Covers the trachea to prevent food aspiration,' is the correct role of the epiglottis during swallowing.

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