Nursing Elites

1. The pancreas releases a number of digestive enzymes into the small intestine. Which of the following enzymes is NOT produced by the pancreas?

• A. Trypsin (protein digestion)
• B. Amylase (carbohydrate digestion)
• C. Lipase (fat digestion)
• D. Lactase (sugar digestion)

Correct answer: D

Rationale: Lactase is an enzyme responsible for breaking down lactose, a sugar found in dairy products, and it is produced by the small intestine, not the pancreas. The pancreas produces enzymes like trypsin for protein digestion, amylase for carbohydrate digestion, and lipase for fat digestion. Therefore, the correct answer is D. Choices A, B, and C are incorrect because trypsin, amylase, and lipase are indeed enzymes produced by the pancreas for the digestion of proteins, carbohydrates, and fats, respectively.

2. 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.

3. What is the primary function of the large intestine?

• A. absorbing digested material into the blood
• B. nutrient processing and metabolizing
• C. absorbing water and compacting material into solid waste
• D. bile production and storage

Correct answer: C

Rationale: The large intestine's primary function is to absorb water from undigested food remnants and compact them into solid waste (feces). This process helps regulate hydration levels in the body and aids in waste elimination. Choices A, B, and D are incorrect. Absorbing digested material into the blood is mainly done in the small intestine, nutrient processing and metabolizing occur in various parts of the digestive system, and bile production and storage are functions of the liver and gallbladder, not the large intestine.

4. Which structure in the heart is responsible for preventing the backflow of blood from the left ventricle into the left atrium?

• A. Aortic valve
• B. Pulmonary valve
• C. Tricuspid valve
• D. Mitral valve

Correct answer: D

Rationale: The mitral valve, also known as the bicuspid valve, is located between the left atrium and the left ventricle of the heart. Its primary function is to prevent the backflow of blood from the left ventricle into the left atrium during ventricular contraction. The aortic valve (A) prevents the backflow of blood from the aorta into the left ventricle, the pulmonary valve (B) prevents the backflow of blood from the pulmonary artery into the right ventricle, and the tricuspid valve (C) prevents the backflow of blood from the right ventricle into the right atrium. Understanding the functions of these heart valves is crucial in maintaining proper blood flow through the heart and preventing regurgitation of blood into the wrong chambers.

5. Which hormone, produced by the thyroid gland, plays a key role in regulating calcium levels in the blood by promoting calcium release from bones and increasing calcium reabsorption in the kidneys?

• A. Calcitonin
• B. Parathyroid hormone (PTH)
• C. Thyroxine
• D. Insulin

Correct answer: A

Rationale: Calcitonin, produced by the thyroid gland, is responsible for regulating calcium levels in the blood. It works by decreasing blood calcium levels through two main mechanisms: promoting calcium uptake by bones and decreasing calcium reabsorption in the kidneys. Parathyroid hormone (PTH), on the other hand, increases blood calcium levels by promoting calcium release from bones and increasing calcium absorption in the intestines. Thyroxine, another thyroid hormone, primarily regulates metabolism and has no direct influence on calcium levels. Insulin, produced by the pancreas, is involved in regulating blood sugar levels and is not related to calcium homeostasis.

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