Nursing Elites

1. What is the difference between emphysema and chronic bronchitis, both chronic obstructive pulmonary diseases (COPD)?

• A. Emphysema damages alveoli, while chronic bronchitis inflames airways.
• B. Emphysema causes coughing, while chronic bronchitis leads to shortness of breath.
• C. Emphysema is more reversible than chronic bronchitis.
• D. Emphysema affects only smokers, while chronic bronchitis can occur in non-smokers.

Correct answer: A

Rationale: Emphysema is characterized by the destruction of alveoli in the lungs, leading to decreased surface area for gas exchange. Chronic bronchitis, on the other hand, involves inflammation and narrowing of the airways, leading to excessive mucus production and coughing. Therefore, the correct difference between emphysema and chronic bronchitis is that emphysema damages the alveoli, while chronic bronchitis inflames the airways. Choice B is incorrect because chronic bronchitis is associated with coughing, not emphysema. Choice C is incorrect as chronic bronchitis is typically less reversible compared to emphysema. Choice D is incorrect as both emphysema and chronic bronchitis are commonly seen in smokers, but chronic bronchitis can also occur in non-smokers due to other factors such as air pollution or genetic predisposition.

2. Which of the following types of muscle tissue is found attached to bones and allows for voluntary movement?

• A. Smooth muscle
• B. Cardiac muscle
• C. Skeletal muscle
• D. Connective tissue

Correct answer: C

Rationale: The correct answer is C: Skeletal muscle. Skeletal muscle is attached to bones and allows for voluntary movement, such as walking, running, and lifting objects. Smooth muscle, found in the walls of internal organs and blood vessels, is responsible for involuntary movements. Cardiac muscle is specific to the heart and controls involuntary contraction. Connective tissue, on the other hand, provides support and connects different structures in the body, but it is not responsible for voluntary movement like skeletal muscle.

3. How can the periodic table be used to predict the charge of an ion formed by an element?

• A. Look for elements with similar atomic weights.
• B. Identify the group number, which corresponds to the typical ionic charge.
• C. Calculate the difference between protons and electrons.
• D. Analyze the element's position within the period.

Correct answer: B

Rationale: The group number of an element on the periodic table corresponds to the number of valence electrons it has. Elements in the same group tend to form ions with the same charge. For example, elements in Group 1 typically form ions with a +1 charge, while elements in Group 17 typically form ions with a -1 charge. Therefore, by identifying the group number of an element, one can predict the typical ionic charge it will form. Choices A, C, and D are incorrect because predicting the charge of an ion is mainly based on the element's position in the periodic table, particularly the group number, which indicates the number of valence electrons and the typical ionic charge it may form.

4. Which condition involves an overactive immune system attacking healthy tissues, leading to inflammation and damage?

• A. Immunodeficiency
• B. Autoimmune disease
• C. Allergy
• D. Cancer

Correct answer: B

Rationale: Autoimmune diseases occur when the immune system mistakenly targets and attacks healthy tissues in the body, leading to inflammation and damage. This is different from immunodeficiency, where the immune system is weakened and unable to effectively protect the body against infections. Allergies involve an exaggerated immune response to harmless substances, while cancer is characterized by uncontrolled cell growth. Therefore, the correct answer is autoimmune disease (Choice B) as it specifically describes the scenario of an overactive immune system attacking healthy tissues, distinguishing it from the other conditions listed.

5. Which of the following is an example of a fibrous protein?

• A. Insulin
• B. Keratin
• C. Hemoglobin
• D. Collagen

Correct answer: D

Rationale: A) Insulin is a hormone, not a fibrous protein. It is produced in the pancreas and regulates blood sugar levels. B) Keratin is a fibrous structural protein found in hair, nails, and the outer skin layer, providing strength and protection. C) Hemoglobin is a globular protein in red blood cells responsible for oxygen transport; it is not fibrous. D) Collagen is a fibrous protein found in tendons, ligaments, and skin, offering strength and structure to connective tissues. Therefore, the correct answer is collagen, making it the main component of various connective tissues.

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