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. What are the major sources of energy for the body?

• A. Proteins and fats.
• B. Carbohydrates and fats.
• C. Proteins and carbohydrates.
• D. Vitamins and minerals.

Correct answer: B

Rationale: The correct answer is B: Carbohydrates and fats. Carbohydrates are the body's primary and most efficient source of energy, providing fuel for daily activities. Fats are also a significant energy source, especially during times of prolonged or intense exercise. Proteins are primarily used for building and repairing tissues, not as a major energy source. Vitamins and minerals are essential for various bodily functions but do not serve as direct sources of energy.

3. The major focus of nutritional recommendations in this century has shifted to:

• A. prevention and control of chronic diseases.
• B. improved sanitation and public health.
• C. prevention and control of infectious diseases.
• D. development of healthful foods using food technology.

Correct answer: A

Rationale: The correct answer is A: prevention and control of chronic diseases. In this century, nutritional recommendations have increasingly emphasized the importance of preventing and managing chronic diseases like obesity, diabetes, cardiovascular diseases, and cancer. Lifestyle factors such as diet play a significant role in the development of these conditions. Option B, improved sanitation and public health, although important for overall health, is not the primary focus of nutritional recommendations. Option C, prevention and control of infectious diseases, is also crucial but does not reflect the current major focus of nutritional recommendations. Option D, development of healthful foods using food technology, is a valid area of interest but is not the primary shift in focus observed in nutritional recommendations.

4. How is resistant starch digested in the colon?

• A. bacterial fermentation.
• B. pancreatic amylase.
• C. hydrochloric acid.
• D. villi and microvilli.

Correct answer: A

Rationale: In the colon, resistant starch is digested by bacterial fermentation. The correct answer is A. During this process, short-chain fatty acids are produced. Pancreatic amylase, as mentioned in choice B, is responsible for breaking down starch in the small intestine, not in the colon. Choice C, hydrochloric acid, functions in the stomach to aid in the digestion of proteins, not starch. Villi and microvilli, as stated in choice D, are structures in the small intestine that absorb nutrients; they do not participate in the digestion of resistant starch in the colon.

5. Protein is constantly being exchanged between which two components?

• A. tissue and plasma.
• B. the liver and the small intestine.
• C. blood and lymph.
• D. the heart and lungs.

Correct answer: A

Rationale: The correct answer is 'tissue and plasma.' Protein turnover involves the continuous exchange of proteins between body tissues and the bloodstream (plasma) as part of normal metabolic processes. This process ensures a balance in protein levels throughout the body. Choices B, C, and D are incorrect as they do not represent the primary sites for protein turnover in the body.

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