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. Where does gluconeogenesis occur?

• A. Muscles.
• B. Pancreas.
• C. Liver.
• D. Spleen.

Correct answer: C

Rationale: Gluconeogenesis mainly occurs in the liver. It is a process where glucose is synthesized from non-carbohydrate sources such as amino acids and glycerol. The liver is the primary site for gluconeogenesis due to the presence of key enzymes and substrates required for this process. Muscles do not play a significant role in gluconeogenesis, making choice A incorrect. The pancreas is involved in the regulation of blood sugar levels through insulin and glucagon but is not the primary site for gluconeogenesis, so choice B is incorrect. The spleen is not a major organ involved in glucose metabolism, making choice D incorrect.

3. In an analysis of the amino acid composition of foods, the amino acid occurring in the smallest amount is called:

• A. indispensable.
• B. dispensable.
• C. complementary.
• D. limiting.

Correct answer: D

Rationale: The correct answer is D, 'limiting.' In the analysis of the amino acid composition of foods, the amino acid that occurs in the smallest amount is referred to as the limiting amino acid. This term is used because when one essential amino acid is deficient, it limits the synthesis of proteins, making it crucial in determining protein quality. Choices A, B, and C are incorrect. 'Indispensable' and 'dispensable' refer to the essentiality of amino acids, and 'complementary' does not describe the concept of the amino acid occurring in the smallest amount.

4. Which type of carbohydrate helps maintain normal blood glucose levels during fasting periods?

• A. Glucose
• B. Galactose
• C. Dextrins
• D. Glycogen

Correct answer: D

Rationale: The correct answer is glycogen. Glycogen is a type of carbohydrate stored in the body that is broken down into glucose to help maintain blood glucose levels during fasting periods. Glucose (choice A) is the simplest form of sugar and is a product of carbohydrate digestion, not the stored form like glycogen. Galactose (choice B) is a monosaccharide found in dairy products. Dextrins (choice C) are intermediate products of starch digestion and not directly involved in maintaining blood glucose levels during fasting.

5. Which observation provides evidence that a person has good nutritional status?

• A. Small muscle mass.
• B. Normal weight-to-height ratio.
• C. Smooth tongue.
• D. Fragile skin.

Correct answer: B

Rationale: A normal weight-to-height ratio is a reliable indicator of good nutritional status as it suggests that the person is well-nourished and not underweight or overweight. Small muscle mass (choice A) can indicate malnutrition, a smooth tongue (choice C) can be a sign of vitamin deficiencies, and fragile skin (choice D) can be a sign of poor nutrition or other health issues, but they are not as direct indicators of good nutritional status as a normal weight-to-height ratio.

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