Nursing Elites

1. What are the finger-like projections that increase the surface area for absorption in the small intestine called?

• A. Crypts of Lieberkühn
• B. Goblet cells
• C. Villi
• D. Paneth cells

Correct answer: C

Rationale: A) Crypts of Lieberkühn are small pits in the lining of the small intestine that contain cells involved in the production of intestinal juices, but they do not increase the surface area for absorption. B) Goblet cells are specialized cells that secrete mucus to protect the lining of the digestive tract, but they do not increase the surface area for absorption. C) Villi are finger-like projections in the small intestine that increase the surface area available for nutrient absorption. Each villus contains blood vessels and lacteals (lymphatic vessels) that help absorb nutrients from digested food. D) Paneth cells are specialized cells found in the small intestine that secrete antimicrobial substances, but they do not increase the surface area for absorption.

2. Which type of cell is responsible for carrying oxygen throughout the body?

• A. Nerve cell
• B. Muscle cell
• C. Skin cell
• D. Red blood cell

Correct answer: D

Rationale: The correct answer is D: Red blood cell. Red blood cells, also known as erythrocytes, are specifically designed to carry oxygen throughout the body. They contain hemoglobin, a protein that binds to oxygen in the lungs and transports it to tissues and organs in the body. Nerve cells, muscle cells, and skin cells do not have the specialized function of carrying oxygen like red blood cells do. Nerve cells transmit electrical signals, muscle cells are involved in movement, and skin cells provide a protective barrier and regulate body temperature. Therefore, choices A, B, and C are incorrect in the context of carrying oxygen throughout the body.

3. Which neurotransmitter is responsible for stimulating muscle contraction?

• A. Dopamine
• B. Acetylcholine
• C. Serotonin
• D. Norepinephrine

Correct answer: B

Rationale: Acetylcholine is the neurotransmitter responsible for stimulating muscle contraction at the neuromuscular junction. When an action potential reaches the end of a motor neuron, acetylcholine is released into the synaptic cleft and binds to receptors on the muscle cell membrane, leading to muscle contraction. Dopamine, serotonin, and norepinephrine are neurotransmitters that have different functions in the nervous system and are not directly involved in stimulating muscle contraction. Dopamine is involved in reward and pleasure pathways, serotonin regulates mood and behavior, and norepinephrine is involved in the 'fight or flight' response.

4. Which of the following is a condition characterized by a loss of bone density and increased risk of fractures?

• A. Osteoarthritis
• B. Rickets
• C. Osteoporosis
• D. Scoliosis

Correct answer: C

Rationale: Osteoporosis is a condition characterized by a loss of bone density, leading to fragile bones and an increased risk of fractures. Osteoarthritis is a degenerative joint disease affecting cartilage, Rickets is caused by a deficiency in vitamin D leading to impaired bone development, and Scoliosis is an abnormal sideways curvature of the spine. Therefore, the correct answer is osteoporosis as it specifically pertains to decreased bone density and fracture risk, distinguishing it from the other conditions listed.

5. What is the 'lock-and-key' model?

• A. Protein folding
• B. Enzyme-substrate interaction
• C. Muscle contraction
• D. Blood clotting

Correct answer: B

Rationale: The 'lock-and-key' model describes the specificity of the interaction between enzymes and their substrates. In this model, the enzyme's active site acts like a lock that can only be opened by the specific substrate molecule, which serves as the key. This specific binding ensures that enzymes catalyze particular reactions and do not interact with other molecules indiscriminately. Protein folding (option A) is the process by which a protein attains its functional three-dimensional structure but is not directly related to the lock-and-key model. Muscle contraction (option C) and blood clotting (option D) are complex biological processes but are not directly associated with the lock-and-key model of enzyme-substrate interaction.

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