Nursing Elites

1. Which of the following are the two major zones of the respiratory system?

• A. left bronchus and right bronchus
• B. nose and mouth
• C. larynx and pharynx
• D. conducting and respiratory

Correct answer: D

Rationale: The two major zones of the respiratory system are the conducting zone and the respiratory zone. The conducting zone encompasses structures like the nasal cavity, pharynx, larynx, trachea, bronchi, and bronchioles, which serve to transport air into the lungs. On the other hand, the respiratory zone includes the respiratory bronchioles, alveolar ducts, and alveoli, where the crucial gas exchange process between the air in the lungs and the blood occurs. Choices A, B, and C are incorrect as they do not represent the major zones of the respiratory system but rather individual structures within the system.

2. Which structure contains the genetic material (DNA) of the cell?

• A. Cytoplasm
• B. Nucleus
• C. Cell wall (only present in plant cells)
• D. Golgi apparatus

Correct answer: B

Rationale: The nucleus is the organelle that contains the genetic material (DNA) of the cell. It acts as the control center of the cell, regulating gene expression and coordinating cellular activities. The cytoplasm is the fluid-filled space within the cell where organelles are suspended, but it does not contain the genetic material. The cell wall is a rigid structure found in plant cells that provides support and protection, but it does not house the DNA. The Golgi apparatus is involved in processing and packaging proteins for secretion, but it does not contain the genetic material of the cell.

3. Neurotransmitters send chemical messages across the gap between one neuron and another through which of the following structures?

• A. Schwann cell
• B. ganglion
• C. synapse
• D. axon

Correct answer: C

Rationale: Neurotransmitters send chemical messages across the gap between one neuron and another through a structure called the synapse. The synapse is a specialized junction where the axon of one neuron meets the dendrite or cell body of another neuron. Neurotransmitters are released from the axon terminal of the presynaptic neuron and travel across the synaptic cleft to bind to receptors on the postsynaptic neuron, transmitting the signal between the two neurons. Choice A, Schwann cell, is incorrect as Schwann cells are responsible for producing myelin sheath around axons in the peripheral nervous system, not for transmitting neurotransmitters between neurons. Choice B, ganglion, is incorrect as ganglia are clusters of nerve cell bodies outside the central nervous system and do not directly participate in the transmission of chemical messages between neurons. Choice D, axon, is incorrect as the axon is a long, slender projection of a neuron that conducts electrical impulses away from the cell body and towards the axon terminals, where neurotransmitters are released into the synapse, but it is not the structure across which neurotransmitters travel to communicate between neurons.

4. Which statement is true regarding the process of digestion?

• A. Digestion of starch begins in the mouth.
• B. Amylase is produced by the stomach to help break down food in the upper intestine.
• C. The di- and tri-saccharides produced in early digestion are absorbed through the intestinal wall.
• D. Proteases are responsible for breaking down starches.

Correct answer: A

Rationale: The statement 'Digestion of starch begins in the mouth' is correct. Salivary amylase, an enzyme produced in the salivary glands, initiates the breakdown of starch into simpler sugars like maltose in the mouth before further digestion in the stomach. This initial breakdown of starch is crucial in the digestion of carbohydrates, marking the beginning of the digestive process. Choice B is incorrect because amylase is produced in the salivary glands, not the stomach. Choice C is incorrect because di- and tri-saccharides are further broken down into monosaccharides before absorption. Choice D is incorrect because proteases are enzymes that break down proteins, not starches.

5. Not all cells in the pancreas secrete insulin because of the hormone somatostatin, which inhibits the release of insulin by all cells. What type of intercellular chemical signal does this illustrate?

• A. Autocrine
• B. Neuromodulator
• C. Paracrine
• D. Pheromone

Correct answer: C

Rationale: The correct answer is C: Paracrine. Somatostatin acts in a paracrine manner by inhibiting the release of insulin from nearby cells within the pancreas. Paracrine signaling involves the secretion of signals that act on neighboring cells, as seen in this scenario where somatostatin affects nearby pancreatic cells without entering the bloodstream or affecting distant cells. Autocrine signaling involves cells responding to substances they themselves release, which is not the case here. Neuromodulators are chemicals that modulate the activity of neurons, not directly related to this scenario. Pheromones are chemicals released into the environment to communicate with individuals of the same species, not relevant to the signaling within the pancreas.

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