Nursing Elites

1. Saliva contains an enzyme that breaks down carbohydrates. What is the name of this enzyme?

• A. Pepsin
• B. Amylase
• C. Lipase
• D. Trypsin

Correct answer: B

Rationale: The correct answer is B: Amylase. Saliva contains the enzyme amylase, which is responsible for breaking down carbohydrates into simpler sugars like maltose and glucose. Pepsin (A) is an enzyme found in the stomach that breaks down proteins. Lipase (C) is an enzyme that breaks down fats, and trypsin (D) is another enzyme that breaks down proteins, but both of these are not found in saliva. Knowing the function of amylase in saliva helps in the digestion of carbohydrates, making it the correct answer.

2. What is the difference between emphysema and chronic bronchitis, both chronic obstructive pulmonary diseases (COPD)?

• A. Emphysema damages alveoli, while chronic bronchitis inflames airways.
• B. Emphysema causes coughing, while chronic bronchitis leads to shortness of breath.
• C. Emphysema is more reversible than chronic bronchitis.
• D. Emphysema affects only smokers, while chronic bronchitis can occur in non-smokers.

Correct answer: A

Rationale: The correct answer is A. Emphysema and chronic bronchitis are both types of COPD, but they have distinct characteristics. Emphysema is characterized by the destruction of the alveoli in the lungs, which impairs the exchange of oxygen and carbon dioxide. This damage to the alveoli leads to difficulty breathing and decreased lung function. On the other hand, chronic bronchitis involves inflammation and narrowing of the airways, leading to excessive mucus production and a persistent cough. While both conditions are chronic and progressive, emphysema primarily affects the alveoli, while chronic bronchitis primarily affects the airways. Understanding these differences is crucial for appropriate diagnosis and management of COPD.

3. Which type of muscle is characterized by involuntary contractions, is striated, and is primarily found in the heart?

• A. Skeletal muscle
• B. Smooth muscle
• C. Cardiac muscle
• D. Elastic muscle

Correct answer: C

Rationale: The correct answer is C: Cardiac muscle. Cardiac muscle is characterized by involuntary contractions, meaning it contracts without conscious control. It is striated, which refers to the striped appearance of muscle fibers under a microscope. Cardiac muscle is primarily found in the heart, where it plays a crucial role in pumping blood throughout the body. Skeletal muscle (option A) is also striated but is under voluntary control. Smooth muscle (option B) is non-striated and found in organs like the intestines. Elastic muscle (option D) is not a recognized type of muscle tissue.

4. Identify the type of clause in the sentence "When the clock struck midnight, the magic began."

• A. Main clause
• B. Subordinate clause
• C. Appositive clause
• D. Noun clause

Correct answer: B

Rationale: The "when" clause introduces additional information about the main sentence and acts as a subordinate clause.

5. During inhalation, which muscle contracts to increase the volume of the thoracic cavity, allowing air to flow into the lungs?

• A. Diaphragm
• B. Intercostal muscles
• C. Abdominal muscles
• D. Pectoral muscles

Correct answer: A

Rationale: The correct answer is A: Diaphragm. During inhalation, the diaphragm contracts and moves downward, increasing the volume of the thoracic cavity. This action creates a pressure difference between the lungs and the atmosphere, causing air to flow into the lungs. The intercostal muscles also play a role by expanding the ribcage, but the primary muscle responsible for increasing thoracic cavity volume during inhalation is the diaphragm. Abdominal muscles are involved in exhalation by contracting to push the diaphragm up, reducing thoracic cavity volume. Pectoral muscles are located in the chest and are not directly involved in the breathing process.

6. Which neurotransmitter is responsible for stimulating muscle contraction?

• A. Dopamine
• B. Acetylcholine
• C. Serotonin
• D. Norepinephrine

Correct answer: B

Rationale: Rationale: Acetylcholine is the neurotransmitter responsible for stimulating muscle contraction at the neuromuscular junction. When an action potential reaches the end of a motor neuron, acetylcholine is released into the synaptic cleft and binds to receptors on the muscle cell membrane, leading to muscle contraction. Dopamine, serotonin, and norepinephrine are neurotransmitters that have different functions in the nervous system and are not directly involved in stimulating muscle contraction.

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