Nursing Elites

1. 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.

2. What is the primary nutritional function of the large intestine?

• A. Absorption of fats.
• B. Excretion of waste products.
• C. Excretion of bacteria.
• D. Absorption of water.

Correct answer: D

Rationale: The correct answer is D: Absorption of water. The primary nutritional function of the large intestine is to absorb water from the indigestible food residue that enters it from the small intestine. This absorption of water helps to form solid waste, which is then eliminated from the body. Choices A, B, and C are incorrect because the large intestine is not primarily responsible for the absorption of fats, excretion of waste products, or excretion of bacteria. While the large intestine does play a role in waste elimination and contains bacteria beneficial for digestion, its main function in terms of nutrition is the absorption of water.

3. The valve that controls the passage of chyme from the small intestine into the cecum is called the:

• A. ileocecal valve.
• B. pyloric valve.
• C. cardiac valve.
• D. hepatic valve.

Correct answer: A

Rationale: The correct answer is A: ileocecal valve. The ileocecal valve is located between the small intestine and the cecum, controlling the passage of chyme. The pyloric valve (choice B) is located between the stomach and the small intestine, regulating the passage of food from the stomach to the small intestine. The cardiac valve (choice C) refers to the valve between the esophagus and the stomach. The hepatic valve (choice D) is not a correct term related to the passage of chyme from the small intestine into the cecum.

4. What is the function of chylomicrons?

• A. Produced in the hepatic system.
• B. Composed of triglycerides and cholesterol only.
• C. Absorbed in the large intestine.
• D. Cleared from the blood by lipoprotein lipase.

Correct answer: D

Rationale: Chylomicrons are particles that transport dietary fats from the small intestine to cells in the body. They are cleared from the bloodstream by lipoprotein lipase, an enzyme that breaks down triglycerides in chylomicrons into fatty acids and glycerol. This process allows fats to be absorbed by the body. Choices A, B, and C are incorrect because chylomicrons are not formed in the hepatic system, they are composed of various lipids including triglycerides and cholesterol, and they are absorbed in the small intestine, not the large intestine.

5. After absorption, the end products of carbohydrate and protein digestion enter the:

• A. enterohepatic circulation.
• B. gastrointestinal circulation.
• C. common bile duct.
• D. portal blood system.

Correct answer: D

Rationale: The correct answer is D: portal blood system. After absorption, carbohydrates and proteins are transported via the portal blood system to the liver for further processing and distribution to the rest of the body. Choices A, B, and C are incorrect. Enterohepatic circulation refers to the recycling of compounds between the liver and the intestines, not the direct route for absorbed nutrients. Gastrointestinal circulation is a vague and non-specific term, not specifically related to the transport of absorbed nutrients. The common bile duct is involved in transporting bile from the liver and gallbladder to the small intestine, not the end products of carbohydrate and protein digestion.

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