Nursing Elites

1. Which of the following is an example of a commensal relationship between a microorganism and a human?

• A. Salmonella causing food poisoning
• B. taphylococcus aureus causing skin infections
• C. coli living in the gut
• D. Rabies virus causing neurological disease

Correct answer: C

Rationale: Rationale: A commensal relationship is a type of symbiotic relationship in which one organism benefits, while the other is neither harmed nor benefited. In this case, E. coli living in the gut is an example of a commensal relationship because it can benefit from the environment in the gut without causing harm to the human host. Option A, Salmonella causing food poisoning, is an example of a pathogenic relationship where the microorganism causes harm to the host. Option B, Staphylococcus aureus causing skin infections, is also an example of a pathogenic relationship where the microorganism causes harm to the host. Option D, Rabies virus causing neurological disease, is another example of a pathogenic relationship where the microorganism causes harm to the host.

2. What is kwashiorkor, a protein deficiency disease, characterized by?

• A. Muscle wasting
• B. Night blindness
• C. Scurvy
• D. Rickets

Correct answer: A

Rationale: Rationale: Kwashiorkor is a type of severe acute malnutrition caused by a deficiency of dietary protein. It is characterized by symptoms such as edema (swelling due to fluid retention), skin lesions, an enlarged liver with fatty infiltrates, and muscle wasting. Muscle wasting is a key feature of kwashiorkor due to the body breaking down muscle tissue to obtain essential amino acids for vital functions. Night blindness (option B) is a symptom of vitamin A deficiency, scurvy (option C) is caused by a lack of vitamin C, and rickets (option D) is a condition resulting from a deficiency of vitamin D, calcium, or phosphate.

3. A pressure vessel has a cylindrical body (diameter 10cm, height 20cm) with hemispherical ends (same diameter as the cylinder). What is its total surface area?

• A. 785 sq cm
• B. 1130 sq cm
• C. 1570 sq cm
• D. 2055 sq cm

Correct answer: D

Rationale: Calculate the surface area of the cylinder (base + lateral surface) and two hemispheres. Add them all up for the total surface area.

4. Which hormone, produced by the adrenal glands, prepares the body for a "fight or flight" response by increasing heart rate, dilating airways, and mobilizing energy stores?

• A. Cortisol
• B. Aldosterone
• C. Epinephrine
• D. Insulin

Correct answer: c

Rationale: The correct answer is C: Epinephrine. Epinephrine, also known as adrenaline, is the hormone produced by the adrenal glands that prepares the body for a 'fight or flight' response. It increases heart rate to pump more blood to muscles, dilates airways to improve oxygen intake, and mobilizes energy stores to provide immediate fuel for physical activity. Cortisol is a hormone involved in stress response and metabolism regulation, but it does not directly trigger the rapid physiological changes associated with 'fight or flight.' Aldosterone regulates salt and water balance, while insulin regulates blood sugar levels, neither of which are directly involved in preparing the body for a rapid response to danger or stress.

5. Which of the following is the main organ responsible for regulating sleep?

• A. Thalamus
• B. Hypothalamus
• C. Pituitary gland
• D. Pineal gland

Correct answer: B

Rationale: Rationale: The hypothalamus is the main organ responsible for regulating sleep. It plays a crucial role in controlling the body's circadian rhythm, which is the internal clock that regulates the sleep-wake cycle. The hypothalamus receives input from the eyes about light and darkness, which helps in determining when it is time to sleep or wake up. It also regulates the production of melatonin by the pineal gland, which is a hormone that helps control sleep patterns. While the thalamus is involved in relaying sensory information to the brain, the pituitary gland is responsible for producing and releasing hormones, and the pineal gland produces melatonin under the control of the hypothalamus.

6. Which of the following glands is NOT directly controlled by the pituitary gland?

• A. Thyroid gland
• B. Adrenal glands
• C. Pancreas (islets of Langerhans)
• D. Parathyroid glands

Correct answer: C

Rationale: The correct answer is C. The pituitary gland is often referred to as the 'master gland' because it secretes hormones that control the functions of other endocrine glands. The thyroid gland (A), adrenal glands (B), and parathyroid glands (D) are directly controlled by the pituitary gland through the release of specific hormones. However, the pancreas, specifically the islets of Langerhans (C), is not directly controlled by the pituitary gland. The pancreas is regulated by hormones such as insulin and glucagon, which are not secreted by the pituitary gland. Therefore, option C is the correct answer as it is not directly influenced by the pituitary gland's hormonal regulation.

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