Nursing Elites

1. Two amino acids are chemically joined by a:

• A. double bond.
• B. hydrogen bond.
• C. carboxyl bond.
• D. peptide bond.

Correct answer: D

Rationale: The correct answer is D, peptide bond. A peptide bond is formed through a dehydration synthesis reaction between the amine group of one amino acid and the carboxyl group of another amino acid. This bond is crucial in protein synthesis. Choices A, B, and C are incorrect. A double bond involves sharing two pairs of electrons, a hydrogen bond is a weak attraction between a hydrogen atom and an electronegative atom, and a carboxyl bond is not a common term in biochemistry.

2. Sucrose consists of a combination of glucose and:

• A. maltose.
• B. fructose.
• C. galactose.
• D. lactose.

Correct answer: B

Rationale: The correct answer is B, fructose. Sucrose is a disaccharide composed of one molecule of glucose and one molecule of fructose. Maltose (choice A) is composed of two glucose molecules, galactose (choice C) is a monosaccharide, and lactose (choice D) is composed of one molecule of glucose and one molecule of galactose. Therefore, fructose is the correct choice for the second component of sucrose.

3. The Acceptable Macronutrient Distribution Range for fat recommends that the percentage of total kcalories from fat should fall between:

• A. 10% and 20%.
• B. 20% and 25%.
• C. 20% and 35%.
• D. 30% and 45%.

Correct answer: C

Rationale: The Acceptable Macronutrient Distribution Range (AMDR) for fat suggests that 20% to 35% of total kcalories should come from fat. This range is recommended to maintain good health. Choices A, B, and D are incorrect because they do not fall within the specified range. A lower percentage (10-20%) may not provide enough essential fatty acids, while a higher percentage (30-45%) may increase the risk of health issues associated with excessive fat consumption.

4. Which hormone prevents excessive gastric activity?

• A. Gastrin
• B. Enterogastrone
• C. Secretin
• D. Cholecystokinin

Correct answer: B

Rationale: The correct answer is Enterogastrone. Enterogastrone is a hormone that inhibits excessive gastric activity by slowing down stomach contractions and emptying. Gastrin (choice A) stimulates gastric acid secretion, secretin (choice C) regulates pH levels in the duodenum, and cholecystokinin (choice D) stimulates the release of digestive enzymes and bile.

5. Which pathogenic bacterium is associated with peptic ulcer disease and gastric cancer?

• A. Lactobacillus.
• B. Bifidobacterium.
• C. H. pylori.
• D. E. coli.

Correct answer: C

Rationale: The correct answer is H. pylori. This bacterium is known to be associated with the development of peptic ulcers and an increased risk of gastric cancer. Lactobacillus (Choice A) and Bifidobacterium (Choice B) are probiotic bacteria that are beneficial to human health and not associated with causing these conditions. E. coli (Choice D) is a diverse group of bacteria, some of which can be pathogenic, but they are not primarily linked to peptic ulcers and gastric cancer like H. pylori.

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