Nursing Elites

1. What type of bond connects amino acids to form proteins?

• A. Covalent
• B. Peptide
• C. Ionic
• D. Hydrogen

Correct answer: B

Rationale: The correct answer is 'Peptide'. Peptide bonds are the specific type of bond that connects amino acids together to form proteins. These bonds form through a condensation reaction between the amino group of one amino acid and the carboxyl group of another amino acid, creating a covalent bond. While covalent bonds are involved in the formation of peptide bonds, the direct bond connecting amino acids in proteins is the peptide bond. Ionic bonds involve the attraction between charged particles, and hydrogen bonds are weaker bonds compared to covalent and peptide bonds, playing a different role in protein structure.

2. What type of muscle is found in the walls of hollow organs like the intestines?

• A. Cardiac muscle
• B. Smooth muscle
• C. Skeletal muscle
• D. Voluntary muscle

Correct answer: B

Rationale: Smooth muscle is the correct type of muscle found in the walls of hollow organs like the intestines. It is responsible for movements such as peristalsis, aiding in the movement of food and other materials through the digestive system. Cardiac muscle (Choice A) is found in the heart and is responsible for the heart's contractions, not in hollow organs like the intestines. Skeletal muscle (Choice C) is attached to bones and responsible for voluntary movements, not in hollow organ walls. Voluntary muscle (Choice D) is another term for skeletal muscle, which is under conscious control, unlike smooth muscle in hollow organ walls.

3. What is the primary function of the pyloric sphincter?

• A. to regulate the movement of food material from the stomach to the duodenum
• B. to neutralize stomach acid
• C. to prevent digested food materials and stomach acid from entering the esophagus
• D. to begin the process of chemical digestion

Correct answer: A

Rationale: The primary function of the pyloric sphincter is to regulate the flow of partially digested food material (chyme) from the stomach into the small intestine, specifically the duodenum. This control is essential for proper digestion and absorption of nutrients in the small intestine. Choices B, C, and D are incorrect. Choice B is incorrect because neutralizing stomach acid is primarily the function of the stomach lining and antacid mechanisms. Choice C is incorrect because preventing the backflow of digested food materials and stomach acid into the esophagus is mainly the role of the lower esophageal sphincter. Choice D is incorrect because the chemical digestion process primarily starts in the stomach through the action of gastric juices, not the pyloric sphincter.

4. Which of the following blood proteins can destroy pathogens?

• A. Complement system
• B. Fibrinogen
• C. Major histocompatibility complex
• D. Platelets

Correct answer: A

Rationale: The correct answer is A: Complement system. The complement system is a vital component of the immune system responsible for destroying pathogens through various mechanisms like promoting inflammation, enhancing phagocytosis, and directly lysing pathogens. Fibrinogen is crucial for blood clotting, the major histocompatibility complex is involved in immune responses, and platelets aid in blood clotting and wound healing. However, none of these directly destroy pathogens as the complement system does.

5. Which group of antibiotics targets the cell wall of bacteria?

• A. Penicillins
• B. Tetracyclines
• C. Macrolides
• D. Fluoroquinolones

Correct answer: A

Rationale: Penicillins are a group of antibiotics that target the bacterial cell wall by inhibiting the synthesis of peptidoglycan, a vital component of the cell wall. This inhibition weakens the cell wall, leading to bacterial cell lysis and death. Penicillins are particularly effective against Gram-positive bacteria due to their mechanism of action. Tetracyclines (B) inhibit protein synthesis, Macrolides (C) interfere with bacterial ribosomes, and Fluoroquinolones (D) target bacterial DNA gyrase and topoisomerase IV. Unlike Penicillins, these antibiotics do not directly target the cell wall of bacteria.

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