Nursing Elites

1. Certain medications can suppress the immune system to treat autoimmune diseases or prevent organ rejection after transplants. What is a potential risk associated with immunosuppressive drugs?

• A. Increased risk of developing allergies
• B. Increased susceptibility to infections
• C. Both A and B
• D. Neither A nor B

Correct answer: B

Rationale: Immunosuppressive drugs work by suppressing the immune system's activity, which can increase the risk of infections as the body's ability to fight off pathogens is compromised. While allergies can be a side effect of some medications, the primary concern with immunosuppressive drugs is the increased susceptibility to infections. Therefore, the correct answer is B, increased susceptibility to infections. Choice A, 'Increased risk of developing allergies,' is incorrect as the primary risk associated with immunosuppressive drugs is not related to allergies. Choice C, 'Both A and B,' is incorrect as the main concern is the increased susceptibility to infections rather than developing allergies. Choice D, 'Neither A nor B,' is incorrect as there is a known risk of increased susceptibility to infections when using immunosuppressive drugs.

2. What is the term for the process of breaking a large molecule into smaller fragments by applying heat?

• A. Polymerization
• B. Hydrogenation
• C. Isomerization
• D. Pyrolysis

Correct answer: D

Rationale: Pyrolysis is the correct answer. It is the process of breaking down large molecules into smaller fragments by applying heat in the absence of oxygen. This results in the decomposition of molecules into simpler compounds. Polymerization, the process of synthesizing large molecules from smaller units, is incorrect as it is the opposite process. Hydrogenation involves adding hydrogen atoms to a compound, usually with a catalyst, which is not related to breaking down large molecules. Isomerization refers to rearranging atoms within a molecule to form isomeric compounds with the same molecular formula but different structural arrangements, which is also unrelated to the process described in the question.

3. Which of the following is a characteristic of unsaturated fatty acids?

• A. They are solid at room temperature.
• B. They contain only single bonds.
• C. They have a higher melting point.
• D. They contain double or triple bonds.

Correct answer: D

Rationale: The correct answer is D. Unsaturated fatty acids are characterized by the presence of double or triple bonds in their carbon chain. These bonds introduce kinks in the chain, preventing tight packing, and resulting in a lower melting point compared to saturated fatty acids. Choice A is incorrect because unsaturated fatty acids are typically liquid at room temperature due to their kinked structure. Choice B is incorrect because unsaturated fatty acids contain double or triple bonds, not only single bonds. Choice C is incorrect as unsaturated fatty acids have a lower melting point compared to saturated fatty acids.

4. What are the building blocks of proteins?

• A. Sugars
• B. Fatty acids
• C. Amino acids
• D. Nucleotides

Correct answer: C

Rationale: Proteins are macromolecules made up of long chains of amino acids. Amino acids are the building blocks of proteins and are linked together through peptide bonds to form polypeptide chains, which then fold into specific three-dimensional structures to carry out various functions in the body. Sugars (choice A) are the building blocks of carbohydrates, fatty acids (choice B) are the building blocks of lipids, and nucleotides (choice D) are the building blocks of nucleic acids like DNA and RNA. Therefore, the correct answer is amino acids (choice C), as they are specifically responsible for protein synthesis.

5. Which type of capillary is the most common and least permeable?

• A. Fenestrated capillaries
• B. Sinusoidal capillaries
• C. Continuous capillaries
• D. Discontinuous capillaries

Correct answer: C

Rationale: The correct answer is C, continuous capillaries. Continuous capillaries are the most common and least permeable type of capillary. They are found in most tissues, including muscle and the nervous system. Continuous capillaries have a continuous endothelium without fenestrations or large gaps, which limits the movement of substances across their walls. Choice A, fenestrated capillaries, have pores (fenestrations) in their endothelial cells, making them more permeable than continuous capillaries. Choice B, sinusoidal capillaries, have a discontinuous endothelium with large gaps between cells, making them more permeable and allowing larger molecules and cells to pass through compared to continuous capillaries. Choice D, discontinuous capillaries, are similar to sinusoidal capillaries with a discontinuous endothelium, allowing for enhanced permeability compared to continuous capillaries.

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