Nursing Elites

1. 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.

2. What are the actions involved in the process of digestion?

• A. thermal and chemical.
• B. chemical and segmental.
• C. muscular and chemical.
• D. mechanical and thermal.

Correct answer: C

Rationale: The correct answer is C: 'muscular and chemical.' In the process of digestion, muscular movements help in mixing and propelling food along the digestive tract, while chemical breakdowns involving enzymes and acids break down food into smaller molecules for absorption. Choices A, B, and D are incorrect as thermal, segmental, and mechanical actions are not the primary actions involved in the digestion process.

3. Amino acids that can be synthesized by the body in sufficient amounts are known as:

• A. indispensable.
• B. dispensable.
• C. simple.
• D. complex.

Correct answer: B

Rationale: The correct answer is B, 'dispensable.' Dispensable amino acids are those that the body can synthesize in sufficient amounts, so they are not required to be obtained from the diet. Indispensable amino acids, on the other hand, are essential and must be obtained from the diet because the body cannot produce them in sufficient quantities. Choices C and D, 'simple' and 'complex,' are incorrect as they do not accurately describe amino acids in terms of synthesis by the body.

4. Pepsinogen secreted by the gastric cells is converted into pepsin by:

• A. enterokinase
• B. hydrochloric acid
• C. gastric lipase
• D. pancreatic lipase

Correct answer: B

Rationale: Pepsinogen is converted into its active form, pepsin, by hydrochloric acid in the stomach. Hydrochloric acid helps in unfolding the pepsinogen molecule to transform it into pepsin, which is crucial for protein digestion. Therefore, the correct answer is hydrochloric acid (choice B). Enterokinase (choice A) is an enzyme produced in the small intestine that activates trypsinogen into trypsin, not pepsinogen. Gastric lipase (choice C) is an enzyme that digests fats, not involved in converting pepsinogen to pepsin. Pancreatic lipase (choice D) is an enzyme produced by the pancreas that aids in breaking down fats in the small intestine, not part of the process of pepsin activation.

5. In addition to poor eating habits, a factor that often contributes to marginal nutritional status is:

• A. dependence on caffeine.
• B. acute illness.
• C. low income.
• D. size of the family unit.

Correct answer: C

Rationale: Low income is a significant factor contributing to marginal nutritional status due to limited access to nutritious food. While dependence on caffeine or acute illness can impact health, they are not as directly linked to marginal nutrition as low income. The size of the family unit may affect food distribution within the household but is not as directly related to marginal nutritional status as low income.

Similar Questions