Nursing Elites

1. Where is fat primarily digested, and where is protein primarily digested?

• A. Mouth; stomach
• B. Stomach; small intestine
• C. Small intestine; small intestine
• D. Small intestine; stomach

Correct answer: B

Rationale: The correct answer is B. Fats are primarily digested in the small intestine, where bile from the liver emulsifies fats for enzymatic digestion. The small intestine is where most of the absorption of nutrients occurs. Proteins, on the other hand, are mainly digested in the stomach by the enzyme pepsin under acidic conditions. The stomach's acidic environment helps denature proteins, making them more accessible to pepsin for digestion. Choices A, C, and D are incorrect because they do not accurately reflect the primary sites of fat and protein digestion in the human digestive system.

2. What is the dermis composed of?

• A. Adipose tissue
• B. Epithelial cells
• C. Connective tissue
• D. Muscle tissue

Correct answer: C

Rationale: The correct answer is C: Connective tissue. The dermis is primarily composed of connective tissue, which includes collagen and elastin fibers that provide strength and elasticity to the skin. It houses blood vessels, nerve endings, hair follicles, and glands, playing a crucial role in supporting the skin structure and function. Adipose tissue (choice A) is found in the subcutaneous layer beneath the dermis, providing insulation and energy storage. Epithelial cells (choice B) form the outermost layer of the skin called the epidermis. Muscle tissue (choice D) is not a significant component of the dermis but is found deeper in the body associated with movement and support.

3. Which of the following correctly matches a category of protein with a physiological example?

• A. Keratin is a structural protein
• B. Antigens are hormonal proteins
• C. Channel proteins are marker proteins
• D. Actin is a transport protein

Correct answer: A

Rationale: Keratin is indeed a type of structural protein found in the skin, hair, and nails of animals. It provides strength and protection, helping to maintain the overall structure of these tissues. The other choices are incorrect as antigens are not hormonal proteins but rather are involved in immune response, channel proteins are involved in facilitating the transport of ions or molecules across cell membranes, and actin is primarily involved in cell structure and movement, not as a transport protein.

4. What is meant by the term 'goiter'?

• A. Overproduction of cortisol from the adrenal glands
• B. Excessive growth of the thyroid gland
• C. Underproduction of parathyroid hormone (PTH)
• D. Deficiency of growth hormone from the pituitary gland

Correct answer: B

Rationale: A goiter is a condition characterized by the abnormal enlargement of the thyroid gland. This enlargement can be caused by various factors such as iodine deficiency, thyroid nodules, inflammation, or other thyroid disorders. It is not associated with the overproduction of cortisol (Choice A), underproduction of parathyroid hormone (Choice C), or deficiency of growth hormone (Choice D). Therefore, the correct answer is B, excessive growth of the thyroid gland.

5. Endotoxins are toxic substances released by:

• A. Viruses
• B. Bacteria (gram-positive)
• C. Bacteria (gram-negative)
• D. Parasites

Correct answer: C

Rationale: Endotoxins are toxic substances that are part of the outer membrane of the cell wall of gram-negative bacteria. These toxins are released when the bacteria are destroyed or during bacterial growth. Endotoxins can cause a variety of harmful effects in the host, including fever, inflammation, and septic shock. Viruses do not produce endotoxins; they are typically associated with producing viral proteins that can be toxic to host cells. Gram-positive bacteria produce exotoxins, which are different from endotoxins found in gram-negative bacteria. Parasites, though capable of causing diseases, are not typically associated with the production of endotoxins.

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