Nursing Elites

1. What is the medical term for heartburn, a burning sensation in the chest caused by stomach acid?

• A. Dysphagia
• B. Gastroesophageal reflux disease (GERD)
• C. Peptic ulcer
• D. Ulcerative colitis

Correct answer: B

Rationale: A) Dysphagia refers to difficulty swallowing and is not specifically related to heartburn. B) Gastroesophageal reflux disease (GERD) is the medical term for heartburn, which is a burning sensation in the chest caused by stomach acid flowing back up into the esophagus. C) Peptic ulcer is a sore that develops on the lining of the stomach, small intestine, or esophagus, and it can cause symptoms such as abdominal pain, not specifically heartburn. D) Ulcerative colitis is a type of inflammatory bowel disease that affects the colon and rectum, and it does not typically cause heartburn.

2. 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.

3. Which type of fiber is insoluble and promotes gut motility?

• A. Pectin
• B. Cellulose
• C. Beta-gluca
• D. Guar gum

Correct answer: B

Rationale: A) Pectin is a soluble fiber found in fruits and vegetables. It forms a gel-like substance in the gut and can help lower cholesterol levels. B) Cellulose is an insoluble fiber found in plants, particularly in the cell walls of fruits, vegetables, and whole grains. It adds bulk to the stool and promotes gut motility by aiding in the movement of food through the digestive system. C) Beta-glucan is a soluble fiber found in oats and barley. It can help lower cholesterol levels and improve blood sugar control. D) Guar gum is a soluble fiber derived from guar beans. It can help with digestion and may have a role in managing blood sugar levels. In this case, the question specifically asks for the type of fiber that is insoluble and promotes gut motility, which is characteristic of cellulose.

4. What is the main function of lysosomes?

• A. Breaking down and recycling cellular waste
• B. Storing carbohydrates
• C. Synthesizing lipids
• D. Transcribing DNA into mRNA

Correct answer: A

Rationale: The main function of lysosomes is to break down and recycle cellular waste materials, such as old organelles, foreign substances, and cellular debris. This process is crucial for maintaining cellular homeostasis and proper functioning. Storing carbohydrates (B), synthesizing lipids (C), and transcribing DNA into mRNA (D) are not functions typically associated with lysosomes. Storing carbohydrates is primarily done by other organelles like vacuoles. Synthesizing lipids is a function usually associated with the endoplasmic reticulum and transcribing DNA into mRNA occurs in the nucleus by the process of transcription.

5. What is insulin, where is it produced, and what is its function?

• A. Produced in the liver, regulates fat storage
• B. Produced in the pancreas, regulates blood sugar
• C. Produced in the stomach, aids in digestion
• D. Produced in the kidneys, controls hydration

Correct answer: B

Rationale: Insulin is a hormone produced in the pancreas. Its primary function is to regulate blood sugar levels by facilitating the uptake of glucose by cells for energy. The other choices are incorrect as insulin is not produced in the liver (Choice A), stomach (Choice C), or kidneys (Choice D), and its function is not related to fat storage, digestion, or hydration. Therefore, the correct answer is B.

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