Nursing Elites

1. Which digestive enzyme is primarily responsible for breaking down proteins?

• A. Pepsin
• B. Lipase
• C. Amylase
• D. Maltase

Correct answer: A

Rationale: The correct answer is A, Pepsin. Pepsin is primarily responsible for breaking down proteins in the stomach. It is produced in an inactive form called pepsinogen, which becomes activated by the acidic environment in the stomach. Pepsin functions by breaking down proteins into smaller peptides, which are further digested by other enzymes in the small intestine. Lipase is responsible for breaking down fats, amylase for carbohydrates, and maltase for converting maltose into glucose. Therefore, choices B, C, and D are incorrect as they are associated with breaking down fats, carbohydrates, and converting maltose, respectively, not proteins.

2. Which locations in the digestive system are sites of chemical digestion? I. Mouth II. Stomach III. Small Intestine

• A. II only
• B. III only
• C. II and III only
• D. I, II, and III

Correct answer: D

Rationale: Chemical digestion occurs in all three locations in the digestive system - the mouth, stomach, and small intestine. Enzymes in the saliva break down carbohydrates in the mouth, gastric juices in the stomach help break down proteins, and enzymes in the small intestine further break down macronutrients like carbohydrates, proteins, and fats. The mouth initiates the digestion of carbohydrates, the stomach digests proteins, and the small intestine continues the breakdown of carbohydrates, proteins, and fats. Choice A is incorrect because chemical digestion does occur in the mouth. Choice B is incorrect as both the stomach and small intestine are sites of chemical digestion. Choice C is incorrect as the mouth is also a location of chemical digestion, not just the stomach and small intestine.

3. Scoliosis is a condition characterized by abnormal lateral curvature of the spine. Which part of the spine is most commonly affected?

• A. Cervical spine (neck)
• B. Thoracic spine (upper back)
• C. Lumbar spine (lower back)
• D. All of the above

Correct answer: B

Rationale: Scoliosis most commonly affects the thoracic spine, which is the upper back region. While scoliosis can potentially affect any part of the spine, the thoracic spine is the most frequently involved area. This region is more commonly affected due to the natural structural curves of the spine and the biomechanics of the thoracic area. The cervical spine (neck) and lumbar spine (lower back) can also be affected by scoliosis, but the thoracic spine is the primary area of involvement in most cases. Therefore, the correct answer is B, as it is the part of the spine most commonly affected by scoliosis.

4. Which organ stores and concentrates bile?

• A. Liver
• B. Gallbladder
• C. Pancreas
• D. Stomach

Correct answer: B

Rationale: The correct answer is B: Gallbladder. The gallbladder is the organ that stores and concentrates bile produced by the liver. Bile is essential for the digestion of fats in the small intestine. The liver produces bile, which is then stored and concentrated in the gallbladder until it is released into the small intestine when needed. Choices A, C, and D are incorrect because the liver produces bile, the pancreas produces digestive enzymes, and the stomach is primarily involved in the digestion of food through acid secretion and mechanical processes, not in storing bile.

5. What is the process of breaking down proteins into amino acids called?

• A. Proteolysis
• B. Lipolysis
• C. Carbohydrate catabolism
• D. Nucleic acid catabolism

Correct answer: A

Rationale: Proteolysis is the specific process of breaking down proteins into amino acids. Lipolysis refers to the breakdown of fats into fatty acids and glycerol, not proteins. Carbohydrate catabolism involves the breakdown of carbohydrates into glucose for energy production, not proteins. Nucleic acid catabolism is the breakdown of nucleic acids into nucleotides, not proteins. Therefore, in the context of breaking down proteins into amino acids, the correct term is proteolysis.

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