Nursing Elites

1. Diabetes mellitus is a chronic condition affecting blood sugar control. What is the main type of hormone deficiency associated with type 1 diabetes?

• A. Insulin
• B. Glucagon
• C. Estrogen
• D. Testosterone

Correct answer: A

Rationale: The correct answer is A: Insulin. Type 1 diabetes is characterized by the body's inability to produce insulin, the hormone responsible for regulating blood sugar levels. Insulin deficiency in type 1 diabetes leads to high blood sugar levels as the body cannot effectively utilize glucose for energy. Glucagon (Choice B) is a hormone that works opposite to insulin, raising blood sugar levels. Estrogen (Choice C) and testosterone (Choice D) are not directly involved in blood sugar control or the pathophysiology of type 1 diabetes.

2. What is a contraceptive method that uses hormones to prevent ovulation?

• A. Spermicide
• B. Barrier method (condom, diaphragm)
• C. Combined oral contraceptive pill
• D. Intrauterine device (IUD)

Correct answer: C

Rationale: The correct answer is the Combined oral contraceptive pill (C). This method contains hormones (estrogen and progestin) that prevent ovulation, making it an effective contraceptive. Spermicide (A) is a substance that kills sperm and does not use hormones to prevent ovulation. Barrier methods (B) like condoms and diaphragms physically block sperm but do not involve hormone-induced prevention of ovulation. Intrauterine devices (IUDs) (D) prevent pregnancy through different mechanisms, such as altering the uterine environment and preventing sperm from fertilizing the egg, not by hormone-induced prevention of ovulation.

3. What is the name of the muscular ring that controls the passage of food from the esophagus to the stomach?

• A. Pyloric sphincter
• B. Cardiac sphincter
• C. Ileocecal valve
• D. Sphincter of Oddi

Correct answer: B

Rationale: The correct answer is the Cardiac sphincter (lower esophageal sphincter). It is situated at the junction of the esophagus and the stomach, controlling the passage of food into the stomach. The cardiac sphincter opens and closes to regulate the flow of food and prevent reflux. The pyloric sphincter, on the other hand, is located between the stomach and the small intestine, not the esophagus and stomach. The ileocecal valve is positioned between the small and large intestines, while the Sphincter of Oddi is found in the duodenum, not between the esophagus and stomach.

4. Centrioles are structures involved in cell division. What is their specific role?

• A. Forming the nuclear envelope
• B. Replicating DNA
• C. Organizing microtubules during cell division
• D. Protein synthesis

Correct answer: C

Rationale: Centrioles are involved in organizing microtubules during cell division, specifically in forming the mitotic spindle. The mitotic spindle is crucial for the proper alignment and separation of chromosomes during cell division, ensuring the accurate distribution of genetic material to daughter cells. Choice A, forming the nuclear envelope, is incorrect as centrioles do not have a direct role in this process. Choice B, replicating DNA, is incorrect as centrioles are not involved in DNA replication. Choice D, protein synthesis, is incorrect as centrioles do not play a role in protein synthesis.

5. Which hormone is released by the adrenal glands in response to stress?

• A. Insulin
• B. Cortisol
• C. Adrenaline
• D. Glucagon

Correct answer: C

Rationale: Adrenaline is the correct answer. It is released by the adrenal glands in response to stress to prepare the body for the 'fight or flight' response. Adrenaline increases heart rate, dilates airways, and mobilizes energy stores to help the body deal with the perceived threat. Insulin (Choice A) is produced by the pancreas to regulate blood sugar levels, not in response to stress. Cortisol (Choice B) is another hormone released by the adrenal glands in response to stress, but it primarily helps regulate metabolism and immune response. Glucagon (Choice D) is also produced by the pancreas to increase blood sugar levels when they are low, not by the adrenal glands in response to stress.

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