Nursing Elites

1. Which of the following cations is found at the center of a heme?

• A. Cr (III)
• B. Cu (II)
• C. Iron (II)
• D. Iron (III)

Correct answer: C

Rationale: The correct answer is Iron (II) (Fe2+), which is the cation found at the center of a heme group. Heme contains an iron (II) ion that is coordinated within the porphyrin ring structure. This iron ion is crucial for the function of heme in binding and transporting oxygen in hemoglobin and myoglobin. Choice A (Cr (III)) is incorrect as chromium is not typically found at the center of a heme group. Choice B (Cu (II)) is incorrect as copper is not the cation typically present in heme. Choice D (Iron (III)) is also incorrect as heme predominantly contains iron (II) at its center, not iron (III).

2. Which of the following layers of skin acts as an energy reserve by storing adipocytes and releasing them into circulation when energy is needed?

• A. epidermis
• B. dermis
• C. hypodermis
• D. stratum basale

Correct answer: C

Rationale: The hypodermis, also known as the subcutaneous tissue, is the deepest layer of the skin. This layer contains adipocytes (fat cells) that act as an energy reserve by storing excess energy in the form of fat. When energy is needed, these stored fats can be released into circulation to be used by the body's cells. The epidermis is the outermost layer of the skin, primarily responsible for providing a protective barrier. The dermis lies between the epidermis and hypodermis and contains blood vessels, nerves, and structures like hair follicles and sweat glands. The stratum basale is the deepest layer of the epidermis, responsible for cell renewal and regeneration.

3. What is the breakdown product of ATP (adenosine triphosphate) that provides energy for muscle contraction?

• A. Glucose
• B. Creatine phosphate
• C. ADP (adenosine diphosphate)
• D. Lactic acid

Correct answer: C

Rationale: ADP (adenosine diphosphate) is the correct breakdown product of ATP that provides energy for muscle contraction. When ATP is hydrolyzed to ADP, energy is released and utilized by the muscles for various cellular processes, including muscle contraction. Glucose serves as an energy source but is not the direct breakdown product of ATP for muscle contraction. Creatine phosphate plays a role in energy storage and transfer, but it is not the immediate breakdown product of ATP. Lactic acid is produced during anaerobic metabolism and is not the direct provider of energy for muscle contraction.

4. Which of the following hormones is responsible for regulating blood sugar levels?

• A. Insulin
• B. Adrenaline
• C. Cortisol
• D. Melatonin

Correct answer: A

Rationale: Insulin is the hormone responsible for regulating blood sugar levels by facilitating the uptake of glucose into cells. Insulin helps lower blood sugar levels by promoting the storage of glucose in the liver, muscle, and fat cells. Adrenaline, cortisol, and melatonin do not directly regulate blood sugar levels. Adrenaline is involved in the fight-or-flight response, cortisol is a stress hormone that affects metabolism, immune response, and anti-inflammatory actions, while melatonin regulates sleep-wake cycles.

5. What is the term for the first exposure to a specific pathogen, leading to the development of an initial immune response?

• A. Primary immune response
• B. Secondary immune response
• C. Hypersensitivity reaction
• D. Immunological tolerance

Correct answer: A

Rationale: The correct answer is A: Primary immune response. The primary immune response refers to the initial encounter with a specific pathogen, which triggers the development of the first immune response by the immune system. This response involves activating immune cells like B cells and T cells to produce antibodies and memory cells specific to that pathogen. On the other hand, the secondary immune response occurs upon re-exposure to the same pathogen and is characterized by a faster, stronger, and more effective immune response due to the presence of memory cells from the primary response. Choices B, C, and D are incorrect. The secondary immune response is the response upon re-exposure, hypersensitivity reactions are exaggerated immune responses to antigens, and immunological tolerance is the immune system's ability to recognize and tolerate self-antigens without mounting an immune response.

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