Nursing Elites

1. During lactation, where is lactose synthesized in the body?

• A. Liver
• B. Breast
• C. Kidney
• D. Pancreas

Correct answer: B

Rationale: The correct answer is B: Breast. Lactose is synthesized in the breast during lactation to produce breastmilk. The liver is responsible for various metabolic functions but does not synthesize lactose. The kidney's primary role is in filtering blood and regulating electrolytes, not lactose synthesis. The pancreas is involved in producing digestive enzymes and insulin, not lactose synthesis.

2. Pepsinogen secreted by the gastric cells is converted into pepsin by:

• A. enterokinase
• B. hydrochloric acid
• C. gastric lipase
• D. pancreatic lipase

Correct answer: B

Rationale: Pepsinogen is converted into its active form, pepsin, by hydrochloric acid in the stomach. Hydrochloric acid helps in unfolding the pepsinogen molecule to transform it into pepsin, which is crucial for protein digestion. Therefore, the correct answer is hydrochloric acid (choice B). Enterokinase (choice A) is an enzyme produced in the small intestine that activates trypsinogen into trypsin, not pepsinogen. Gastric lipase (choice C) is an enzyme that digests fats, not involved in converting pepsinogen to pepsin. Pancreatic lipase (choice D) is an enzyme produced by the pancreas that aids in breaking down fats in the small intestine, not part of the process of pepsin activation.

3. Which enzyme is produced by the parotid gland?

• A. Salivary amylase
• B. Sucrase
• C. Maltase
• D. Lactase

Correct answer: A

Rationale: The correct answer is A, Salivary amylase. Salivary amylase is an enzyme produced by the parotid gland that initiates starch digestion in the mouth. It helps break down starch into maltose, a simpler sugar. Choices B, C, and D are incorrect because sucrase, maltase, and lactase are enzymes involved in the digestion of disaccharides like sucrose, maltose, and lactose, respectively, in the small intestine, not in the saliva.

4. Proteins are absorbed primarily in the form of:

• A. fatty acids.
• B. disaccharides.
• C. amino acids.
• D. polypeptides.

Correct answer: C

Rationale: The correct answer is C: amino acids. Proteins are broken down by digestive enzymes into amino acids before being absorbed in the small intestine. Amino acids are the building blocks of proteins and are the form in which they are primarily absorbed. Choice A (fatty acids) is incorrect as fatty acids are the end products of fat digestion, not protein digestion. Choice B (disaccharides) is incorrect because disaccharides are sugars that are broken down into monosaccharides, not proteins. Choice D (polypeptides) is incorrect as proteins are broken down into amino acids and not absorbed as polypeptides.

5. How many kilocalories (kcal) are provided by a food containing 30 grams of carbohydrate?

• A. 90
• B. 120
• C. 180
• D. 270

Correct answer: B

Rationale: The correct answer is B: 120. Carbohydrates provide 4 kcal per gram, so 30 grams of carbohydrates will provide 120 kcal. This is calculated by multiplying the grams of carbohydrate (30) by the kcal per gram (4). Choices A, C, and D are incorrect because they do not reflect the correct calculation based on the energy content of carbohydrates.

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