Nursing Elites

1. What is the primary function of the epiglottis in the respiratory system?

• A. Filtration of air
• B. Production of mucus
• C. Prevention of food entering the trachea
• D. Oxygen exchange in the alveoli

Correct answer: C

Rationale: The primary function of the epiglottis in the respiratory system is to prevent food from entering the trachea. During swallowing, the epiglottis covers the opening of the trachea, guiding food down the esophagus to the stomach and preventing it from entering the airway. This mechanism safeguards the respiratory system from foreign objects, ensuring proper air passage and avoiding potential choking hazards. Choices A, B, and D are incorrect: A) Filtration of air is mainly performed by the nasal hairs and the mucous membranes of the respiratory tract. B) Production of mucus is primarily carried out by the mucous glands in the respiratory system to trap particles and humidify the air. D) Oxygen exchange in the alveoli occurs in the lungs and is related to the process of respiration, not the function of the epiglottis.

2. What type of bond links amino acids together to form proteins?

• A. Hydrogen bond
• B. Ionic bond
• C. Disulfide bond
• D. Covalent bond

Correct answer: D

Rationale: Amino acids are linked together by covalent bonds to form proteins. Specifically, the bond that links amino acids together is called a peptide bond, which is a type of covalent bond. The peptide bond forms between the amino group of one amino acid and the carboxyl group of another amino acid, resulting in the formation of a peptide chain. While hydrogen bonds, ionic bonds, and disulfide bonds are important for protein structure and stability, the primary bond responsible for linking amino acids in a protein chain is the covalent peptide bond. Hydrogen bonds are involved in maintaining the secondary structure of proteins, such as alpha helices and beta sheets. Ionic bonds and disulfide bonds contribute to tertiary and quaternary structures of proteins by stabilizing interactions between different parts of the protein or between different protein subunits, respectively.

3. What is kwashiorkor, a protein deficiency disease, characterized by?

• A. Muscle wasting
• B. Night blindness
• C. Scurvy
• D. Rickets

Correct answer: A

Rationale: Kwashiorkor is a severe acute malnutrition condition resulting from insufficient dietary protein intake. It is characterized by symptoms such as edema, skin lesions, an enlarged liver with fatty infiltrates, and notably, muscle wasting. Muscle wasting occurs as the body breaks down muscle tissue to obtain essential amino acids for vital functions. Night blindness (option B) is associated with vitamin A deficiency, scurvy (option C) results from a lack of vitamin C, and rickets (option D) is caused by a deficiency in vitamin D, calcium, or phosphate.

4. Which of the following terms describes stem cells that have the ability to develop into any cell found in the human body?

• A. Totipotent stem cells
• B. Multipotent stem cells
• C. Pluripotent stem cells
• D. Hematopoietic stem cells

Correct answer: A

Rationale: Totipotent stem cells have the unique ability to differentiate into any cell type in the human body and can generate a complete organism. They are considered the most versatile type of stem cells, capable of developing into all cell types, including extraembryonic tissues. Choice A, Totipotent stem cells, is the correct answer as it specifically describes stem cells with the broadest differentiation potential. Choice B, Multipotent stem cells, refers to stem cells that can differentiate into a limited range of cell types. Choice C, Pluripotent stem cells, can give rise to almost all cell types, but not the complete organism like totipotent stem cells. Choice D, Hematopoietic stem cells, are a type of multipotent stem cells that give rise to various blood cell types, but do not have the same broad differentiation potential as totipotent stem cells.

5. What are the three layers of the skin?

• A. Epidermis, dermis, subdermis
• B. Epidermis, dermis, hypodermis
• C. Dermis, subdermis, hypodermis
• D. Epidermis, dermis, adipose layer

Correct answer: B

Rationale: The correct answer is B: Epidermis, dermis, hypodermis. The three layers of the skin are the epidermis (outer layer), dermis (middle layer), and hypodermis (inner layer of fat and connective tissue). The hypodermis is also known as the subcutaneous tissue and is primarily composed of adipose (fat) tissue, providing insulation and padding to the body. Choice A is incorrect as 'subdermis' is not a recognized layer of the skin. Choice C is incorrect as 'dermis' is the middle layer, not the outer layer. Choice D is incorrect as the layer below the dermis is the hypodermis, not specifically an 'adipose layer.'

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