Nursing Elites

1. If a doctor diagnoses a patient with an impaired posterior pituitary gland, which of the following symptoms related to kidney function does the patient display?

• A. Thirst
• B. Tiredness
• C. Weight gain
• D. Concentrated urine

Correct answer: D

Rationale: When the posterior pituitary gland is impaired, there is decreased secretion of antidiuretic hormone (ADH). ADH plays a crucial role in regulating water reabsorption by the kidneys. A deficiency of ADH leads to the inability of the kidneys to concentrate urine, resulting in the production of dilute urine. Therefore, 'Concentrated urine' is the correct symptom associated with impaired posterior pituitary gland. Choices A, B, and C are incorrect. Thirst is more commonly associated with diabetes insipidus, tiredness could be a general symptom but not specifically related to kidney function, and weight gain is not a typical symptom of impaired posterior pituitary gland affecting kidney function.

2. How does RNA polymerase differ from DNA polymerase?

• A. Both enzymes are identical in function and structure.
• B. RNA polymerase does not require a primer to initiate RNA synthesis.
• C. RNA polymerase can synthesize both RNA and DNA.
• D. RNA polymerase can only synthesize RNA, unlike DNA polymerase.

Correct answer: B

Rationale: Rationale: A) This statement is incorrect. RNA polymerase and DNA polymerase are not identical in function and structure. They have different roles in the cell. B) This statement is correct. Unlike DNA polymerase, RNA polymerase does not require a primer to initiate RNA synthesis. RNA polymerase can start the synthesis of RNA de novo. C) This statement is incorrect. RNA polymerase is specialized for synthesizing RNA, not DNA. DNA polymerase is responsible for synthesizing DNA. D) This statement is correct. RNA polymerase can only synthesize RNA, while DNA polymerase is responsible for synthesizing DNA.

3. Parkinson's disease is a neurodegenerative disorder affecting which neurotransmitter?

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

Correct answer: A

Rationale: Parkinson's disease is primarily caused by the loss of dopamine-producing neurons in the brain. Dopamine is a neurotransmitter that plays a crucial role in coordinating movement. The reduction of dopamine levels leads to the characteristic motor symptoms of Parkinson's disease, such as tremors, rigidity, and bradykinesia. Choice B, acetylcholine, is involved in functions like muscle contraction and autonomic nervous system regulation but is not primarily affected in Parkinson's disease. Serotonin (Choice C) is involved in mood regulation and sleep, not the main neurotransmitter affected in Parkinson's disease. Glutamate (Choice D) is the major excitatory neurotransmitter in the central nervous system and is not primarily implicated in Parkinson's disease pathophysiology.

4. Sebaceous glands, located in the dermis, secrete an oily substance called:

• A. Sweat
• B. Sebum
• C. Cerumen
• D. Mucus

Correct answer: B

Rationale: Sebaceous glands are responsible for secreting an oily substance called sebum, not sweat, cerumen, or mucus. Sebum plays a vital role in lubricating and waterproofing the skin and hair, preventing them from drying out. Sweat glands produce sweat to regulate body temperature. Cerumen is the medical term for earwax, produced by ceruminous glands in the ear canal, while mucus is a slimy substance that protects and lubricates body tissues. Therefore, the correct answer is B: Sebum, as it is the oily substance secreted by sebaceous glands.

5. Urine, the liquid waste product of the body, travels from the kidneys to the bladder through tubes called:

• A. Ureters
• B. Urethra
• C. Nephrons
• D. Renal pelvis

Correct answer: A

Rationale: The correct answer is 'Ureters.' Ureters are tubes that connect each kidney to the bladder. They transport urine from the kidneys to the bladder for storage before excretion. The urethra, which is not the correct answer, is responsible for carrying urine from the bladder out of the body. Nephrons, another incorrect choice, are microscopic units within the kidneys that filter blood and produce urine. The renal pelvis, also an incorrect choice, is a structure in the kidney where urine collects before moving into the ureters for further passage to the bladder.

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