Nursing Elites

1. Which level of protein structure is defined by the folds and coils of the protein's polypeptide backbone?

• A. Primary
• B. Secondary
• C. Tertiary
• D. Quaternary

Correct answer: B

Rationale: The correct answer is B: Secondary. The secondary structure of a protein is defined by the folds and coils of the protein's polypeptide backbone. This level of structure is characterized by the formation of alpha helices and beta sheets, which are stabilized by hydrogen bonds between amino acids along the polypeptide chain. Choice A, Primary, refers to the linear sequence of amino acids in the protein. Choice C, Tertiary, involves the 3D folding of the entire polypeptide chain. Choice D, Quaternary, pertains to the arrangement of multiple polypeptide subunits in a protein complex.

2. Which gland produces the hormone responsible for the 'fight-or-flight' response in stressful situations?

• A. Thyroid gland
• B. Pituitary gland
• C. Adrenal gland
• D. Pancreas

Correct answer: C

Rationale: The correct answer is C: Adrenal gland. The hormone responsible for the 'fight-or-flight' response in stressful situations is produced by the adrenal gland. This hormone is called adrenaline (epinephrine) and is released in response to stress, preparing the body to either fight the stressor or flee from it. The other choices are incorrect because the thyroid gland primarily produces hormones that regulate metabolism, the pituitary gland produces various hormones that control other endocrine glands, and the pancreas produces insulin and glucagon to regulate blood sugar levels.

3. How does the structure of centromeres contribute to chromosome movement during mitosis?

• A. The centromere provides a binding site for spindle fibers, allowing chromosomes to be attached and manipulated.
• B. The centromere serves as a dividing point between sister chromatids, ensuring their separation during anaphase.
• C. The centromere maintains chromosome stability by preventing chromosomal breaks and rearrangements.
• D. The centromere plays a role in DNA replication, ensuring accurate copying of the genetic material.

Correct answer: A

Rationale: A) The centromere provides a binding site for spindle fibers, which are microtubules that help move chromosomes during cell division. This attachment allows the chromosomes to be pulled towards opposite poles of the cell during mitosis. Therefore, the structure of centromeres directly contributes to chromosome movement during mitosis by facilitating the attachment and manipulation of chromosomes by the spindle fibers. B) While the centromere does serve as a dividing point between sister chromatids, ensuring their separation during anaphase, this function is more related to the segregation of chromosomes rather than their movement. C) The centromere does play a role in maintaining chromosome stability by ensuring proper chromosome segregation, but it is not primarily responsible for preventing chromosomal breaks and rearrangements. D) The centromere is not directly involved in DNA replication. Its main function is

4. Which of the following joints is an example of a hinge joint?

• A. Hip joint
• B. Elbow joint
• C. Shoulder joint
• D. Knee joint

Correct answer: B

Rationale: The correct answer is B: Elbow joint. A hinge joint allows movement primarily in one plane, enabling bending and straightening actions. The elbow joint specifically functions as a hinge joint, facilitating the bending and straightening of the arm. The other options, such as the hip joint (A), shoulder joint (C), and knee joint (D), are not examples of hinge joints as they allow movement in multiple planes with more complex motions.

5. Edema, characterized by swelling due to fluid buildup, can be a sign of:

• A. Heart failure
• B. Liver disease
• C. Lymphatic system dysfunction
• D. All of the above

Correct answer: D

Rationale: Edema is the swelling caused by fluid retention in the body tissues. It can indicate various underlying conditions. Heart failure can lead to fluid buildup due to the heart's ineffective pumping. Liver disease can cause edema by reducing protein production, leading to fluid leakage into tissues. Dysfunction of the lymphatic system can impair fluid drainage, contributing to edema. Therefore, all of the above conditions can manifest with edema, making the correct answer 'All of the above.' Choices A, B, and C are all valid causes of edema, making them incorrect when considered individually. Selecting 'All of the above' encompasses all the possible causes of edema.

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