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. Which of the following cations is found at the center of a heme?

• A. Cr (III)
• B. Cu (II)
• C. Iron (II)
• D. Iron (III)

Correct answer: C

Rationale: The correct answer is Iron (II) (Fe2+), which is the cation found at the center of a heme group. Heme contains an iron (II) ion that is coordinated within the porphyrin ring structure. This iron ion is crucial for the function of heme in binding and transporting oxygen in hemoglobin and myoglobin. Choice A (Cr (III)) is incorrect as chromium is not typically found at the center of a heme group. Choice B (Cu (II)) is incorrect as copper is not the cation typically present in heme. Choice D (Iron (III)) is also incorrect as heme predominantly contains iron (II) at its center, not iron (III).

3. Which of the following is a strong acid?

• A. Acetic acid (CH₃COOH)
• B. Hydrochloric acid (HCl)
• C. Citric acid
• D. Carbonic acid (H₂CO₃)

Correct answer: B

Rationale: Hydrochloric acid (HCl) is a strong acid because it completely ionizes in water to produce hydrogen ions, leading to a high concentration of H⁺ ions in solution. This characteristic makes it a strong acid. Acetic acid (CH₃COOH), citric acid, and carbonic acid (H₂CO₃) are weak acids as they only partially ionize in water, resulting in a lower concentration of H⁺ ions compared to strong acids. Therefore, hydrochloric acid is the correct choice as a strong acid.

4. The control center of the cell, containing genetic information (DNA), is the:

• A. Golgi apparatus
• B. Ribosome
• C. Nucleus
• D. Endoplasmic reticulum

Correct answer: C

Rationale: The correct answer is C, the nucleus. The nucleus is the control center of the cell and houses the genetic information in the form of DNA. The Golgi apparatus (choice A) is responsible for packaging and processing proteins, the ribosome (choice B) is involved in protein synthesis, and the endoplasmic reticulum (choice D) is involved in protein and lipid synthesis. Therefore, choices A, B, and D are not the correct answers as they do not house the genetic information or serve as the control center of the cell.

5. What is the ultimate end product of glucose breakdown in glycolysis?

• A. ATP
• B. NADPH
• C. Pyruvic acid
• D. Oxygen

Correct answer: C

Rationale: The ultimate end product of glucose breakdown in glycolysis is pyruvic acid. During glycolysis, glucose is broken down into pyruvic acid through a series of enzymatic reactions. ATP is produced as an energy carrier during glycolysis, but it is not the final end product. NADPH is not a direct product of glycolysis; it is mainly produced in the pentose phosphate pathway. Oxygen is not a product of glycolysis but is used as an electron acceptor in the electron transport chain of cellular respiration.

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