Nursing Elites

1. 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.

2. What is the main constituent of blood plasma, interstitial fluid, and intracellular fluid?

• A. potassium
• B. sodium
• C. water
• D. calcium

Correct answer: C

Rationale: The correct answer is C: water. Water is the main component of blood plasma, interstitial fluid, and intracellular fluid. It plays a crucial role in various bodily functions, including transporting nutrients, regulating body temperature, and maintaining cell structure. Choices A, B, and D are incorrect because while potassium, sodium, and calcium are essential electrolytes found in the body, they are not the main constituents of these fluids as water is.

3. Amino acids that can be synthesized by the body in sufficient amounts are known as:

• A. indispensable.
• B. dispensable.
• C. simple.
• D. complex.

Correct answer: B

Rationale: The correct answer is B, 'dispensable.' Dispensable amino acids are those that the body can synthesize in sufficient amounts, so they are not required to be obtained from the diet. Indispensable amino acids, on the other hand, are essential and must be obtained from the diet because the body cannot produce them in sufficient quantities. Choices C and D, 'simple' and 'complex,' are incorrect as they do not accurately describe amino acids in terms of synthesis by the body.

4. Which hormone is responsible for stimulating the gallbladder to contract and release bile?

• A. gastric lipase
• B. cholecystokinin
• C. vitamin D
• D. enterokinin

Correct answer: B

Rationale: Cholecystokinin (CCK) is the correct answer. It is the hormone responsible for stimulating the gallbladder to contract and release bile to aid in fat digestion. Gastric lipase (Choice A) is an enzyme that breaks down fats in the stomach, not a hormone involved in gallbladder function. Vitamin D (Choice C) is important for calcium absorption and bone health, but it is not directly related to gallbladder function. Enterokinin (Choice D) is a peptide hormone that affects smooth muscle contractions in the gastrointestinal tract, but it is not specifically responsible for stimulating the gallbladder to release bile.

5. The end products of digestion of macronutrients include fatty acids, amino acids, and:

• A. monosaccharides.
• B. polysaccharides.
• C. enzymes.
• D. cholesterol.

Correct answer: A

Rationale: The correct answer is A: monosaccharides. When macronutrients like carbohydrates are digested, they are broken down into simpler forms. Carbohydrates are broken down into monosaccharides, proteins into amino acids, and fats into fatty acids. Therefore, the end products of carbohydrate digestion are monosaccharides. Choices B, C, and D are incorrect because polysaccharides are larger carbohydrate molecules, enzymes are not the end products of digestion but rather aid in the process, and cholesterol is not a direct end product of macronutrient digestion.

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