Nursing Elites

1. Which of the following enzymes is responsible for adding a nucleotide to a growing DNA chain?

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

Correct answer: D

Rationale: The correct answer is Polymerase. Polymerase is the enzyme responsible for adding nucleotides to a growing DNA chain during DNA replication. Helicase unwinds the DNA double helix to separate the DNA strands for replication, Ligase joins DNA fragments together by catalyzing the formation of phosphodiester bonds between them, and Nuclease cuts or degrades DNA strands. Therefore, choices A, B, and C are incorrect in the context of adding nucleotides to a growing DNA chain.

2. Which type of joint allows for the most movement?

• A. Ball-and-socket joint (shoulder)
• B. Hinge joint (elbow)
• C. Fibrocartilaginous joint (wrists)
• D. Suture joint (skull)

Correct answer: A

Rationale: The correct answer is A: Ball-and-socket joint (shoulder). Ball-and-socket joints, exemplified by the shoulder joint, provide the widest range of movement among joint types. These joints facilitate flexion, extension, abduction, adduction, and rotation, allowing for versatile mobility. In a ball-and-socket joint, the rounded end of one bone fits into the socket of another bone, enabling extensive motion capabilities. Choice B, Hinge joint (elbow), allows movement in one plane, limiting its range compared to ball-and-socket joints. Choice C, Fibrocartilaginous joint (wrists), like the intervertebral discs, is meant for stability rather than extensive movement. Choice D, Suture joint (skull), found in the skull bones, is immovable and provides structural support rather than movement.

3. With which genotype would the recessive phenotype appear if the dominant allele is marked with 'A' and the recessive allele is marked with 'a'?

• A. AA
• B. aa
• C. Aa
• D. aA

Correct answer: B

Rationale: The recessive phenotype appears when an individual has two copies of the recessive allele. In this case, the recessive allele is marked with 'a.' Therefore, the genotype 'aa' would display the recessive phenotype as both alleles are recessive. Choice A (AA) has two dominant alleles, choice C (Aa) has one dominant and one recessive allele, and choice D (aA) represents the same genotype as Aa due to the principle of allele dominance.

4. Which three parts make up the large intestine?

• A. Duodenum, ileum, jejunum
• B. Cecum, colon, rectum
• C. Ileum, jejunum, rectum
• D. Colon, cecum, ileum

Correct answer: B

Rationale: The correct answer is B: Cecum, colon, rectum. The large intestine is composed of the cecum, colon, and rectum. These parts are responsible for water absorption and feces formation. Choices A, C, and D are incorrect. A contains parts of the small intestine (duodenum, ileum, jejunum), C has a mix of small and large intestine parts, and D includes the small intestine part ileum. Understanding the correct anatomy of the large intestine is essential for distinguishing it from the small intestine.

5. When referring to blood vessel walls, the term 'atherosclerosis' describes:

• A. The abnormal buildup of plaque within the arterial walls.
• B. The inflammation of the inner lining of blood vessels.
• C. The dilation and weakening of a blood vessel wall (aneurysm).
• D. The normal process of blood vessel wall thickening with age.

Correct answer: A

Rationale: The correct answer is A: 'The abnormal buildup of plaque within the arterial walls.' Atherosclerosis is the process where plaque, consisting of fat, cholesterol, calcium, and other substances, accumulates within the arteries. This buildup can lead to the hardening and narrowing of arteries, reducing blood flow and potentially causing severe health issues like heart attacks and strokes. Choice B is incorrect because inflammation of the inner lining of blood vessels is known as vasculitis, not atherosclerosis. Choice C is incorrect as it describes an aneurysm, which is a dilation and weakening of a blood vessel wall, not atherosclerosis. Choice D is incorrect as it describes arteriosclerosis, a process of blood vessel wall thickening with age, which is different from atherosclerosis.

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