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. Where are the parotid, submandibular, and sublingual glands found?

• A. mouth
• B. stomach
• C. pancreas
• D. duodenum

Correct answer: A

Rationale: The parotid, submandibular, and sublingual glands are the main salivary glands located in the mouth. They play a crucial role in producing saliva, which aids in digestion. The stomach (choice B) is where gastric juices are produced, the pancreas (choice C) secretes digestive enzymes into the small intestine, and the duodenum (choice D) is the first part of the small intestine where most chemical digestion occurs. Therefore, the correct answer is the mouth (choice A) as it is where these salivary glands are situated.

3. Which monosaccharide only occurs naturally in foods in combination with another sugar as a disaccharide?

• A. Fructose.
• B. Galactose.
• C. Sucrose.
• D. Maltose.

Correct answer: B

Rationale: The correct answer is B, galactose. Galactose naturally occurs in foods only when it is combined with glucose to form lactose, a disaccharide found in milk. Fructose is a monosaccharide found in fruits and honey. Sucrose is a disaccharide composed of glucose and fructose, commonly known as table sugar. Maltose is a disaccharide formed by the combination of two glucose molecules.

4. Individual nutrients are characterized by their ability to:

• A. work independently.
• B. fulfill specific metabolic roles.
• C. influence weight loss.
• D. improve mental status.

Correct answer: B

Rationale: The correct answer is B: 'fulfill specific metabolic roles.' Nutrients play essential roles in specific metabolic processes in the body such as energy production, tissue repair, and growth. Choice A, 'work independently,' is incorrect as nutrients often work synergistically rather than alone. Choice C, 'influence weight loss,' is incorrect as while some nutrients may support weight loss indirectly through metabolic processes, it is not their primary characteristic. Choice D, 'improve mental status,' is also incorrect as while some nutrients are important for brain health, their primary role is not specifically to improve mental status.

5. Which hormone is responsible for stimulating the gallbladder to contract and release bile?

• A. gastric lipase
• B. cholecystokinin
• C. vitamin D
• D. enterokinin

Correct answer: B

Rationale: Cholecystokinin (CCK) is the correct answer. It is the hormone responsible for stimulating the gallbladder to contract and release bile to aid in fat digestion. Gastric lipase (Choice A) is an enzyme that breaks down fats in the stomach, not a hormone involved in gallbladder function. Vitamin D (Choice C) is important for calcium absorption and bone health, but it is not directly related to gallbladder function. Enterokinin (Choice D) is a peptide hormone that affects smooth muscle contractions in the gastrointestinal tract, but it is not specifically responsible for stimulating the gallbladder to release bile.

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