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. How is the enzyme trypsin activated?

• A. By zymogen.
• B. By bile.
• C. By gastrin.
• D. By enterokinase.

Correct answer: D

Rationale: The correct answer is D: By enterokinase. Trypsin is activated by enterokinase, an enzyme secreted by the small intestine. Enterokinase plays a crucial role in converting trypsinogen into its active form, trypsin. Choices A, B, and C are incorrect because trypsin is specifically activated by enterokinase, not by zymogen, bile, or gastrin.

3. Mucus is produced by the salivary glands and the:

• A. intestinal glands.
• B. esophageal glands.
• C. pineal gland.
• D. islets of Langerhans.

Correct answer: A

Rationale: Mucus is produced by the salivary glands to moisten food and aid in swallowing. Additionally, the intestinal glands secrete mucus to protect the lining of the intestines. The other choices, esophageal glands, pineal gland, and islets of Langerhans, are not involved in the production of mucus in the digestive system.

4. A protein that contains all the essential amino acids in the proper proportions is called:

• A. simple
• B. indispensable
• C. complete
• D. complementary

Correct answer: C

Rationale: A complete protein is the term used to describe a protein that contains all the essential amino acids required by the body in the right proportions. This makes choice C the correct answer. Choice A, 'simple,' is incorrect as it does not reflect the concept of essential amino acids. Choice B, 'indispensable,' while related to importance, does not specifically address the presence of all essential amino acids. Choice D, 'complementary,' is also incorrect as it refers to combining proteins to achieve a complete amino acid profile, rather than describing a protein that already contains all essential amino acids.

5. How does a nursing infant receive antibodies from its mother?

• A. Through anabolism and catabolism.
• B. Through the absorption of antibodies.
• C. Through the absorption of amino acids and synthesis of antibodies.
• D. Through genetic inheritance.

Correct answer: B

Rationale: A nursing infant receives antibodies from its mother through the absorption of antibodies present in breast milk. Choice A is incorrect as anabolism and catabolism refer to metabolic processes, not the transfer of antibodies. Choice C is incorrect as the infant does not need to synthesize antibodies but directly receives them. Choice D is incorrect because while genetic inheritance plays a role in the immune system, in this case, the direct transfer of antibodies occurs through breast milk.

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