Nursing Elites

1. Which hormone stimulates the gallbladder to contract?

• A. Secretin.
• B. Cholecystokinin (CCK).
• C. Gastrin.
• D. Gastric inhibitory polypeptide (GIP).

Correct answer: B

Rationale: Cholecystokinin (CCK) is the hormone responsible for stimulating the gallbladder to contract and release bile into the small intestine. Secretin primarily acts on the pancreas to stimulate the secretion of bicarbonate-rich fluid. Gastrin functions in the stimulation of gastric acid secretion, while Gastric inhibitory polypeptide (GIP) plays a role in inhibiting gastric acid secretion and stimulating insulin release.

2. Which nutrient has a protein-sparing effect?

• A. Glycerol
• B. Carbohydrate
• C. Nitrogen
• D. Fatty acids

Correct answer: B

Rationale: Carbohydrates have a protein-sparing effect, meaning that adequate carbohydrate intake can prevent the use of protein for energy. Glycerol, nitrogen, and fatty acids do not have a protein-sparing effect. Glycerol is a component of fats and oils, nitrogen is a component of proteins, and fatty acids are used primarily as an energy source.

3. What substance activates pepsinogen to pepsin?

• A. Bile
• B. Gastrin
• C. Secretin
• D. Hydrochloric acid

Correct answer: D

Rationale: The correct answer is D: Hydrochloric acid. Hydrochloric acid in the stomach plays a crucial role in converting pepsinogen into its active form, pepsin, which is necessary for digesting proteins. Bile (Choice A) is involved in the emulsification of fats, not in the activation of pepsinogen. Gastrin (Choice B) is a hormone that stimulates the secretion of gastric acid but does not directly activate pepsinogen. Secretin (Choice C) is a hormone that regulates the pH of the duodenum but is not responsible for the activation of pepsinogen.

4. What types of muscular movement occur in the intestine?

• A. Longitudinal and circular.
• B. Expulsion and traction.
• C. Tonus and clonus.
• D. Intermittent and continuous.

Correct answer: A

Rationale: The correct answer is A: Longitudinal and circular. Longitudinal and circular muscles are responsible for the movements that help propel food through the intestine. Choice B, expulsion and traction, is incorrect as these terms do not specifically relate to the types of muscular movement in the intestine. Choice C, tonus and clonus, refers to different types of muscle contractions and are not the primary movements in the intestine. Choice D, intermittent and continuous, does not accurately describe the specific types of muscular movement that occur in the intestine.

5. What is the mechanism that is essential for the absorption of monosaccharides?

• A. Phosphorylation
• B. Active transport
• C. Passive diffusion
• D. Facilitated diffusion

Correct answer: B

Rationale: Active transport is the mechanism essential for the absorption of monosaccharides in the intestine. This process requires energy to move molecules against their concentration gradient, allowing for the absorption of monosaccharides efficiently. Phosphorylation, the process of adding a phosphate group to a molecule, is not directly involved in the absorption of monosaccharides. Passive diffusion, a process that does not require energy, is not the primary mechanism for absorbing monosaccharides due to their large size. Facilitated diffusion, a type of passive transport that involves carrier proteins, is not the primary mechanism for monosaccharide absorption, as monosaccharides require active transport for efficient absorption.

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