Nursing Elites

1. Ectopic pregnancy is a serious condition that occurs when a fertilized egg implants outside the uterus. What is the most common location for an ectopic pregnancy?

• A. Ovary
• B. Fallopian tube
• C. Cervix
• D. Vagina

Correct answer: B

Rationale: The most common location for an ectopic pregnancy is the fallopian tube. This occurs when the fertilized egg implants and grows outside the uterus, typically in the fallopian tube. Ectopic pregnancies in other locations such as the ovary, cervix, or vagina are much rarer. The fallopian tube is the correct answer because it is the site where the fertilized egg may get stuck during its journey to the uterus, leading to implantation and growth outside the uterus. The ovary is not a common site for ectopic pregnancy, and implantation there can be life-threatening due to the risk of severe bleeding. The cervix and vagina are not typical sites for implantation of a fertilized egg, making them less likely locations for an ectopic pregnancy.

2. When sugar is heated, it breaks down into carbon and water vapor. This is an example of a:

• A. Combination reaction
• B. Decomposition reaction
• C. Double displacement reaction
• D. Single displacement reaction

Correct answer: B

Rationale: The correct answer is B: Decomposition reaction. When sugar is heated, it undergoes a decomposition reaction where it breaks down into simpler substances, carbon, and water vapor. In a decomposition reaction, a single compound breaks down into two or more simpler substances. This process is the opposite of a combination reaction where two or more substances combine to form a new compound. Choice A, Combination reaction, is incorrect because a combination reaction involves the combination of two or more substances to form a new compound, which is the opposite of what happens when sugar breaks down. Choices C and D, Double displacement reaction and Single displacement reaction, are incorrect as they involve different mechanisms where the atoms or ions of the reactants are exchanged, which is not the case in the breakdown of sugar into carbon and water vapor.

3. Which vitamin requires intrinsic factor for proper absorption?

• A. Vitamin A
• B. Vitamin C
• C. Vitamin D
• D. Vitamin B12

Correct answer: D

Rationale: Vitamin B12 requires intrinsic factor, a glycoprotein secreted by the parietal cells of the stomach, for proper absorption in the small intestine. Intrinsic factor binds to vitamin B12 and facilitates its absorption in the ileum. Deficiency in intrinsic factor can lead to pernicious anemia, a condition characterized by a lack of vitamin B12 absorption. Options A, B, and C are incorrect. Vitamin A is absorbed in the small intestine with the help of bile salts; Vitamin C is absorbed in the small intestine via active transport; Vitamin D is absorbed in the small intestine through a process involving bile salts and micelles. It is essential for students to understand this relationship as it highlights the importance of intrinsic factor in the absorption of specific vitamins and the consequences of its deficiency.

4. Which of the following describes the term allele?

• A. A specific form of a gene that can exist at a particular locus
• B. An inheritable variation of a gene
• C. A grouping of various genes
• D. Variations of complementary base pairs

Correct answer: B

Rationale: The correct answer is B. Alleles are different forms of a gene that can exist at a specific locus. They represent variations of a gene and are inheritable. Choice A is incorrect as it does not fully capture the concept of an allele, which is a specific form of a gene rather than a substitution. Choice C is incorrect as alleles are not a grouping of various genes but rather different forms of a single gene at a specific locus. Choice D is also incorrect as it does not accurately describe alleles; alleles are variations of genes, not base pairs.

5. Which type of fiber is insoluble and promotes gut motility?

• A. Pectin
• B. Cellulose
• C. Beta-gluca
• D. Guar gum

Correct answer: B

Rationale: A) Pectin is a soluble fiber found in fruits and vegetables. It forms a gel-like substance in the gut and can help lower cholesterol levels. B) Cellulose is an insoluble fiber found in plants, particularly in the cell walls of fruits, vegetables, and whole grains. It adds bulk to the stool and promotes gut motility by aiding in the movement of food through the digestive system. C) Beta-glucan is a soluble fiber found in oats and barley. It can help lower cholesterol levels and improve blood sugar control. D) Guar gum is a soluble fiber derived from guar beans. It can help with digestion and may have a role in managing blood sugar levels. In this case, the question specifically asks for the type of fiber that is insoluble and promotes gut motility, which is characteristic of cellulose.

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