Nursing Elites

1. What is the term for the production of glucose from protein, lactate, or glycerol?

• A. glycolysis
• B. gluconeogenesis
• C. glycogenolysis
• D. glucogenesis

Correct answer: B

Rationale: Gluconeogenesis is the correct term for the production of glucose from non-carbohydrate sources such as protein, lactate, or glycerol. Choice A, glycolysis, is the process of breaking down glucose into pyruvate. Choice C, glycogenolysis, is the breakdown of glycogen into glucose. Choice D, glucogenesis, is not a recognized term in biochemistry.

2. What is the muscle layer on the outside of the intestinal wall called?

• A. serosa
• B. mucosa
• C. submucosa
• D. muscularis mucosae

Correct answer: A

Rationale: The correct answer is A: serosa. The serosa is the outermost layer of the intestinal wall, providing a protective covering. Choice B, mucosa, is the innermost layer responsible for absorption. Choice C, submucosa, lies beneath the mucosa and contains blood vessels and nerves. Choice D, muscularis mucosae, is a smooth muscle layer located within the mucosa, helping to create folds in the intestinal lining to increase surface area for absorption.

3. Plasma lipoproteins contain varying amounts of:

• A. ascorbic acid.
• B. triglycerides.
• C. lecithin.
• D. glucose.

Correct answer: B

Rationale: The correct answer is B: triglycerides. Plasma lipoproteins, such as LDL and HDL, contain triglycerides, cholesterol, and other fats. Ascorbic acid (choice A) is not typically found in plasma lipoproteins; it is a form of vitamin C. Lecithin (choice C) is a phospholipid found in cell membranes but is not a major component of plasma lipoproteins. Glucose (choice D) is a type of sugar and is not a primary component of plasma lipoproteins.

4. What substance acts as an emulsifier and helps absorb digested fat?

• A. bile
• B. trypsin
• C. lipase
• D. cholecystokinin (CCK)

Correct answer: A

Rationale: The correct answer is A: bile. Bile acts as an emulsifier, breaking down fats into smaller droplets to aid in digestion and absorption. Trypsin is a digestive enzyme that acts on proteins, not fats. Lipase is an enzyme that breaks down fats, but it doesn't act as an emulsifier. Cholecystokinin (CCK) is a hormone that stimulates the release of digestive enzymes, including lipase, but it is not directly involved in emulsification.

5. The type of protein-energy malnutrition (PEM) that develops when the diet lacks protein is called:

• A. kwashiorkor.
• B. marasmus.
• C. anemia.
• D. beriberi.

Correct answer: A

Rationale: The correct answer is A: kwashiorkor. Kwashiorkor is a form of protein-energy malnutrition that arises due to a protein-deficient diet. This condition leads to symptoms such as edema, skin lesions, and fatty liver. Choice B, marasmus, is a form of PEM caused by overall malnutrition (protein and calorie deficiency), resulting in severe wasting and muscle loss. Choice C, anemia, is a condition characterized by a deficiency of red blood cells or hemoglobin, not specifically related to protein deficiency. Choice D, beriberi, is a disease caused by thiamine (Vitamin B1) deficiency, not a form of PEM related to protein deficiency.

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