Nursing Elites

1. Which enzyme is secreted by the salivary glands?

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

Correct answer: D

Rationale: The correct answer is D, amylase. Amylase is an enzyme produced by the salivary glands that initiates the digestion of carbohydrates in the mouth. Pepsin (choice A) is produced in the stomach to digest proteins, trypsin (choice B) is produced in the pancreas to digest proteins, and sucrase (choice C) is produced in the small intestine to break down sucrose. Therefore, choices A, B, and C are incorrect in the context of an enzyme secreted by the salivary glands.

2. Which body organ is responsible for the metabolic processing of glucose?

• A. Large intestine.
• B. Gallbladder.
• C. Pancreas.
• D. Liver.

Correct answer: D

Rationale: The correct answer is the liver. The liver plays a central role in glucose homeostasis by metabolically processing glucose. The large intestine is primarily involved in absorbing water and electrolytes, not glucose. The gallbladder stores bile produced by the liver but is not directly involved in glucose metabolism. Although the pancreas produces insulin, a hormone that regulates blood sugar levels, the liver is mainly responsible for the metabolic processing of glucose.

3. Which condition may benefit from branched chain amino acids (leucine, isoleucine, and valine)?

• A. cancer-related malnutrition
• B. marasmus
• C. cardiovascular disease
• D. severe depression

Correct answer: A

Rationale: Branched chain amino acids, such as leucine, isoleucine, and valine, are essential in preventing muscle breakdown. Therefore, they may be particularly important for a patient with cancer-related malnutrition, where maintaining muscle mass is crucial. Marasmus is a severe form of malnutrition characterized by energy deficiency, not specifically related to cancer. Cardiovascular disease and severe depression do not have a direct correlation with the need for branched chain amino acids to prevent muscle breakdown.

4. What substance activates pepsinogen to pepsin?

• A. Bile
• B. Gastrin
• C. Secretin
• D. Hydrochloric acid

Correct answer: D

Rationale: The correct answer is D: Hydrochloric acid. Hydrochloric acid in the stomach plays a crucial role in converting pepsinogen into its active form, pepsin, which is necessary for digesting proteins. Bile (Choice A) is involved in the emulsification of fats, not in the activation of pepsinogen. Gastrin (Choice B) is a hormone that stimulates the secretion of gastric acid but does not directly activate pepsinogen. Secretin (Choice C) is a hormone that regulates the pH of the duodenum but is not responsible for the activation of pepsinogen.

5. Which option below is an example of a meal or snack that contains complementary proteins?

• A. an egg and cheese omelet
• B. a peanut butter sandwich
• C. trail mix with nuts and raisins
• D. mixed bean salad with green beans, kidney beans, and white beans

Correct answer: B

Rationale: The correct answer is B, a peanut butter sandwich. A peanut butter sandwich combines grains from the bread and proteins from the nuts in the peanut butter, providing complementary proteins. This combination offers all essential amino acids. Choices A, C, and D do not contain complementary proteins as they lack the combination of different protein sources necessary to provide a complete amino acid profile.

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