Nursing Elites

1. What type of bone is the kneecap (patella)?

• A. Long bone
• B. Short bone
• C. Flat bone
• D. Irregular bone

Correct answer: C

Rationale: The correct answer is C: Flat bone. The kneecap (patella) is classified as a flat bone. Flat bones are thin, flattened bones that provide protection and offer a broad surface for muscle attachment. The patella fits this description as it is a flat, triangular bone located in front of the knee joint, protecting the knee and providing attachment points for muscles like the quadriceps. Choice A, long bone, is incorrect as long bones are typically found in the arms and legs, not in the knee area. Choice B, short bone, is incorrect as short bones are cube-shaped and are not characteristic of the patella. Choice D, irregular bone, is incorrect as irregular bones have complex shapes and do not apply to the flat, triangular structure of the patella.

2. Which of the following water-soluble vitamins is NOT synthesized in the large intestine?

• A. B6
• B. Biotin
• C. Pantothenic acid (Vitamin B5)
• D. Vitamin K

Correct answer: A

Rationale: The correct answer is A: B6. Vitamin B6 is not synthesized in the large intestine, while biotin, pantothenic acid (Vitamin B5), and Vitamin K can be synthesized by gut microflora. Biotin, B5, and K are examples of water-soluble vitamins that can be produced in the large intestine, but B6 needs to be obtained through dietary sources. Therefore, B6 is the correct answer as it is not synthesized within the large intestine, unlike the other options.

3. Antibodies, crucial for immune defense, are produced by:

• A. Neutrophils
• B. Lymphocytes
• C. Monocytes
• D. Basophils

Correct answer: B

Rationale: Antibodies are produced by a specific type of lymphocyte known as B cells. B cells are a critical component of the adaptive immune system and are responsible for producing antibodies in response to pathogens. Neutrophils, monocytes, and basophils are types of white blood cells that are part of the innate immune response and do not have the function of producing antibodies. Neutrophils are primarily involved in phagocytosis, monocytes differentiate into macrophages and dendritic cells for antigen presentation, while basophils are involved in allergic reactions and parasitic infections.

4. What is the main consequence of a malfunctioning thyroid gland that produces abnormally low levels of thyroid hormones?

• A. Increased energy levels and weight loss
• B. Decreased heart rate and body temperature
• C. Enhanced muscle growth and bone development
• D. Faster metabolism and heightened alertness

Correct answer: B

Rationale: The correct answer is B: Decreased heart rate and body temperature. A malfunctioning thyroid gland that produces abnormally low levels of thyroid hormones leads to hypothyroidism, resulting in decreased metabolic activity. This reduction in metabolic rate can cause a decreased heart rate and lower body temperature. Choices A, C, and D are incorrect because hypothyroidism typically manifests as symptoms such as fatigue, weight gain, cold intolerance, bradycardia, and decreased body temperature, rather than increased energy levels, enhanced muscle growth, faster metabolism, or heightened alertness.

5. Which of the following enzymes unwinds the double-stranded DNA during replication?

• A. Helicase
• B. Ligase
• C. Nuclease
• D. Polymerase

Correct answer: A

Rationale: Helicase is the enzyme responsible for unwinding the double-stranded DNA during replication by breaking the hydrogen bonds between the base pairs. This process creates the replication fork where DNA polymerase can then synthesize new DNA strands. Ligase functions to join Okazaki fragments on the lagging strand, not unwind DNA. Nuclease is involved in DNA repair by removing damaged DNA segments. Polymerase is responsible for synthesizing new DNA strands based on the existing template strands, not for unwinding the DNA.

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