1. St. Raphael Medical Center just opened its new Performance Improvement Department. Ms.

A. Make an interpretation about strengths and weaknesses
B. Identify the values of the department
C. Identify structure, process, outcome standards & criteria
D. Measure actual performances

Correct answer: B

Rationale: The correct answer is B: 'Identify the values of the department.' When a new department is established, it is important to define its core values, beliefs, and principles to guide its operations. This helps create a shared understanding among staff and stakeholders about the department's purpose and priorities. By identifying the values of the Performance Improvement Department at St. Raphael Medical Center, employees can align their actions with the department's mission and goals, fostering a cohesive and effective work environment. Options A, C, and D are not directly related to establishing the foundational values of a new department, making them less relevant in this context.

2. What is the "lock-and-key" model?

A. Protein folding
B. Enzyme-substrate interaction
C. Muscle contraction
D. Blood clotting

Correct answer: B

Rationale: Rationale: The "lock-and-key" model is a concept used to describe the specificity of the interaction between enzymes and their substrates. In this model, the enzyme's active site is like a lock that can only be opened by the specific substrate molecule, which acts as the key. This specific binding ensures that enzymes catalyze specific reactions and do not interact with other molecules indiscriminately. Protein folding (option A) refers to the process by which a protein adopts its functional three-dimensional structure, but it is not specifically related to the lock-and-key model. Muscle contraction (option C) and blood clotting (option D) are biological processes that involve complex mechanisms but are not directly related to the lock-and-key model of enzyme-substrate interaction.

3. The hormone responsible for milk production in the breasts after childbirth is:

A. Estrogen
B. Prolactin
C. Oxytocin
D. Relaxin

Correct answer: B

Rationale: The correct answer is B: Prolactin. Prolactin is the hormone responsible for milk production in the breasts after childbirth. It is produced by the pituitary gland and stimulates the alveoli in the breasts to produce milk. Estrogen plays a role in breast development during pregnancy but is not responsible for milk production. Oxytocin is responsible for the ejection of milk from the breasts during breastfeeding. Relaxin is a hormone that helps prepare the body for childbirth by relaxing the ligaments in the pelvis. Therefore, the hormone directly responsible for milk production after childbirth is prolactin.

4. Which type of transport allows for the movement of large molecules, such as proteins and polysaccharides, across the cell membrane?

A. Endocytosis
B. Exocytosis
C. Active transport
D. Facilitated diffusion

Correct answer: A

Rationale: Rationale: A) Endocytosis is the process by which cells engulf large molecules or particles by wrapping the cell membrane around them to form a vesicle that is brought into the cell. This mechanism allows for the movement of large molecules, such as proteins and polysaccharides, across the cell membrane. B) Exocytosis is the opposite process of endocytosis, where cells release large molecules or particles by fusing vesicles with the cell membrane to expel their contents out of the cell. C) Active transport is a process that requires energy to move molecules across the cell membrane against their concentration gradient. While active transport can move large molecules, it is not specifically designed for the transport of proteins and polysaccharides. D) Facilitated diffusion is a type of passive transport that involves the movement of molecules across the cell membrane with the help of transport proteins. While facilitated diffusion can assist in the movement of

5. The axial skeleton consists of bones in the:

A. Head, neck, and trunk
B. Arms and legs
C. Hands and feet
D. All of the above

Correct answer: A

Rationale: The correct answer is A: 'Head, neck, and trunk.' The axial skeleton includes the bones along the body's central axis, comprising the skull, vertebral column, rib cage, and sternum. These bones provide structural support and protect vital organs. Choices B and C are incorrect as the arms, legs, hands, and feet are part of the appendicular skeleton. Therefore, the axial skeleton primarily encompasses the head, neck, and trunk, making option A the correct choice.

6. Where does most of the chemical digestion and absorption of nutrients occur?

A. Mouth
B. Stomach
C. Small intestine
D. Large intestine

Correct answer: C

Rationale: Rationale: The small intestine is where most of the chemical digestion and absorption of nutrients occur in the digestive system. This is because the small intestine is lined with villi and microvilli, which increase the surface area available for absorption. Enzymes secreted by the pancreas and bile from the liver aid in breaking down food into smaller molecules that can be absorbed through the intestinal wall into the bloodstream. The stomach primarily functions in the mechanical breakdown of food and the initial stages of protein digestion, while the large intestine is mainly responsible for absorbing water and electrolytes from the remaining indigestible food particles. The mouth is involved in the initial mechanical breakdown of food through chewing and some chemical digestion of carbohydrates by salivary enzymes, but the majority of nutrient absorption occurs in the small intestine.