Nursing Elites

1. During antibiotic use, bacteria can evolve resistance. This is an example of:

• A. Coevolution (two species influencing each other's evolution)
• B. Convergent evolution (unrelated organisms evolving similar traits)
• C. Macroevolution (large-scale evolutionary change)
• D. Artificial selection acting on a natural process

Correct answer: D

Rationale: The process of bacteria evolving resistance to antibiotics due to the selective pressure exerted by the antibiotics is an example of artificial selection (human intervention selecting for certain traits) acting on a natural process (bacterial evolution). Antibiotic use creates a selective pressure that favors the survival and reproduction of bacteria with resistance traits, leading to the evolution of antibiotic-resistant strains. - Coevolution (option A) refers to the influence of two species on each other's evolution, which is not the case in the scenario described in the question. - Convergent evolution (option B) involves unrelated organisms evolving similar traits due to similar environmental pressures, which is not directly applicable to the situation of bacteria evolving resistance to antibiotics. - Macroevolution (option C) refers to large-scale evolutionary changes over long periods, which is not specifically demonstrated in the context of bacteria evolving resistance during antibiotic use.

2. A person wakes up with a fever. The body begins its response to locate the origin of the problem and fix it. What type of feedback mechanism is this?

• A. Equal
• B. Negative
• C. Neutral
• D. Positive

Correct answer: B

Rationale: This scenario describes a negative feedback mechanism. When the body detects a fever, it initiates responses to lower the temperature back to normal levels. Negative feedback mechanisms work to counteract changes and maintain homeostasis in the body. Choice A ('Equal') is incorrect as feedback mechanisms aim to restore balance, not maintain an equal state. Choice C ('Neutral') is incorrect as it does not describe the corrective nature of negative feedback. Choice D ('Positive') is incorrect as it would amplify the fever rather than regulate it.

3. Bile, a yellowish-green fluid, is stored in the gallbladder and released into the small intestine during digestion. What is the primary function of bile in digestion?

• A. Break down carbohydrates
• B. Break down proteins
• C. Emulsify fats
• D. Neutralize stomach acid

Correct answer: C

Rationale: The primary function of bile in digestion is to emulsify fats. Bile contains bile salts that help break down large fat globules into smaller droplets, increasing the surface area for enzymes to work on and aiding in the absorption of fats in the small intestine. Choices A, B, and D are incorrect because bile's main role is not to break down carbohydrates or proteins, nor to neutralize stomach acid; rather, it primarily assists in the digestion and absorption of fats through emulsification.

4. What are the phases of bacterial growth and infection?

• A. Lag, exponential, stationary, death
• B. Exponential, stationary, lag, death
• C. Stationary, exponential, lag, death
• D. Lag, stationary, exponential, death

Correct answer: A

Rationale: The correct answer is A: Lag, exponential, stationary, death. The phases of bacterial growth start with the lag phase where bacteria acclimate to their environment, followed by the exponential phase characterized by rapid growth. This is then followed by the stationary phase where growth slows as resources deplete, and finally, the death phase where the population declines. Choice B is incorrect as it has the order of phases mixed up. Choice C is incorrect as it also has the order of phases mixed up. Choice D is incorrect as it has the stationary phase occurring before the exponential phase, which is inaccurate.

5. 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.

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