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. During photosynthesis, plants capture sunlight and convert water and carbon dioxide into glucose and oxygen. This is an example of a:

• A. Decomposition reaction
• B. Combustion reaction
• C. Synthesis reaction
• D. Double displacement reaction

Correct answer: C

Rationale: This is an example of a synthesis reaction because simpler substances (water and carbon dioxide) are combined to form a more complex substance (glucose) in the presence of sunlight. Choice A (Decomposition reaction) involves breaking down a compound into simpler substances, which is the opposite of what happens in photosynthesis. Choice B (Combustion reaction) typically involves a substance reacting with oxygen to produce heat and light, not the formation of glucose and oxygen from simpler substances. Choice D (Double displacement reaction) involves an exchange of ions between two compounds, which is not what occurs in photosynthesis.

3. What is the term for the process of exchanging gases (oxygen and carbon dioxide) between the blood and the tissues?

• A. Inhalation
• B. Exhalation
• C. External respiration
• D. Internal respiration

Correct answer: C

Rationale: External respiration is the correct term for the process of exchanging gases (oxygen and carbon dioxide) between the blood and the tissues. It specifically refers to the exchange of gases that occurs in the lungs, where oxygen is absorbed into the bloodstream and carbon dioxide is released from the bloodstream to be exhaled. Inhalation and exhalation, choices A and B, are phases of the breathing process that involve the intake and expulsion of air into and out of the lungs, respectively. Internal respiration, choice D, is the process of gas exchange that happens at the cellular level between the blood and body tissues, not between the blood and the lungs or tissues as in external respiration. Therefore, external respiration is the most appropriate term for the described gas exchange process in the question.

4. Which of the following glands is NOT directly controlled by the pituitary gland?

• A. Thyroid gland
• B. Adrenal glands
• C. Pancreas (Islets of Langerhans)
• D. Parathyroid glands

Correct answer: C

Rationale: The pituitary gland, known as the master gland, regulates various endocrine glands by releasing specific hormones. The thyroid gland, adrenal glands, and parathyroid glands are directly controlled by the pituitary gland through hormones like thyroid-stimulating hormone (TSH), adrenocorticotropic hormone (ACTH), and parathyroid hormone (PTH) respectively. However, the pancreas, particularly the Islets of Langerhans, is not directly influenced by the pituitary gland. The pancreas is mainly governed by blood glucose levels and hormones such as insulin and glucagon, which play a crucial role in regulating blood sugar levels and metabolism. Therefore, the correct answer is C. Choice A, the thyroid gland, is controlled by the pituitary gland through TSH. Choice B, the adrenal glands, are regulated by the pituitary gland via ACTH. Choice D, the parathyroid glands, are under the direct control of the pituitary gland through PTH.

5. Which structure controls the hormones secreted by the pituitary gland?

• A. Hypothalamus
• B. Adrenal gland
• C. Testes
• D. Pancreas

Correct answer: A

Rationale: The correct answer is A: Hypothalamus. The hypothalamus controls the release of hormones from the pituitary gland. It acts as a master regulator of the endocrine system by producing releasing and inhibiting hormones that influence the secretion of hormones from the pituitary gland. Choice B, the Adrenal gland, is incorrect because while it plays a role in hormone production, it is not responsible for controlling the pituitary gland's hormones. Choice C, the Testes, and Choice D, the Pancreas, are also incorrect as they are not directly involved in controlling the hormones secreted by the pituitary gland.

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