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 muscular pouch in the upper left abdomen stores food after swallowing and begins mechanical and chemical digestion?

• A. Esophagus
• B. Stomach
• C. Small intestine
• D. Large intestine

Correct answer: B

Rationale: The correct answer is B: Stomach. The stomach is the muscular pouch in the upper left abdomen that stores food after swallowing and begins mechanical and chemical digestion. It secretes gastric juices containing enzymes and hydrochloric acid to break down food particles. The esophagus is a muscular tube that carries food from the mouth to the stomach, while the small intestine and large intestine are primarily involved in the absorption of nutrients and water, respectively. Therefore, the stomach is the organ responsible for the described functions, making it the correct answer in this context.

3. Autoimmune diseases occur when the immune system mistakenly attacks healthy body tissues. What is a potential cause of autoimmune diseases?

• A. Deficiency in essential vitamins and minerals
• B. Exposure to environmental toxins
• C. Breakdown in immune cell self-tolerance mechanisms
• D. All of the above

Correct answer: C

Rationale: Autoimmune diseases result from a breakdown in immune cell self-tolerance mechanisms, leading to the immune system mistakenly attacking healthy body tissues. While deficiencies in essential vitamins and minerals or exposure to environmental toxins can impact overall health, they are not direct causes of autoimmune diseases. Deficiency in essential vitamins and minerals may weaken the immune system, making it more susceptible to various health issues but does not directly cause autoimmune diseases. Exposure to environmental toxins can trigger immune responses, but autoimmune diseases specifically stem from the breakdown of self-tolerance mechanisms within immune cells. Therefore, the correct answer is a breakdown in immune cell self-tolerance mechanisms.

4. What is the primary function of the lymphatic system?

• A. To transport oxygen throughout the body
• B. To filter blood and remove waste
• C. To fight infection and remove excess fluid
• D. To transport hormones

Correct answer: C

Rationale: The correct answer is C: 'To fight infection and remove excess fluid.' The lymphatic system plays a crucial role in the body's immune response by fighting infections through lymphocytes and removing excess fluid from tissues, maintaining fluid balance. It does not primarily transport oxygen, filter blood, or transport hormones. While the lymphatic system is involved in lipid absorption and transport, its primary functions are related to immunity and fluid balance.

5. What is involved in the involuntary reflex arc that withdraws your hand from a hot object?

• A. Central nervous system only
• B. Peripheral nervous system only
• C. Both CNS and PNS
• D. Sensory neurons only

Correct answer: C

Rationale: The involuntary reflex arc that withdraws your hand from a hot object involves both the central nervous system (CNS) and the peripheral nervous system (PNS). When your hand touches a hot object, sensory neurons in the PNS detect the heat and send signals to the spinal cord in the CNS. The spinal cord processes this information and sends a signal back through motor neurons in the PNS to move your hand away from the hot object. This coordinated response requires the collaboration of both the CNS and PNS to protect the body from harm. Choice A is incorrect because the reflex arc involves more than just the central nervous system. Choice B is incorrect because the reflex arc involves more than just the peripheral nervous system. Choice D is incorrect because the reflex arc also involves motor neurons, not just sensory neurons.

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