Nursing Elites

1. 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.

2. Which of the following is a consequence of bone marrow failure?

• A. Seizures.
• B. Pancytopenia.
• C. Paraplegia.
• D. Pathologic fractures.

Correct answer: B

Rationale: The corrected question focuses on the consequence of bone marrow failure, which is pancytopenia. Bone marrow failure results in decreased production of red blood cells, white blood cells, and platelets, leading to pancytopenia. This condition manifests as fatigue, weakness, increased infection susceptibility, and bleeding tendencies. Paraplegia, seizures, and pathologic fractures are not typical outcomes of bone marrow failure. Paraplegia is associated with spinal cord injury, seizures with neurological disorders, and pathologic fractures with conditions like osteoporosis or bone tumors.

3. What is the primary cause of acne vulgaris, commonly known as acne?

• A. Dry skin
• B. Clogged pores and excess oil production
• C. Bacterial infection alone
• D. Vitamin deficiency

Correct answer: B

Rationale: The primary cause of acne vulgaris is clogged pores and excess oil production. Acne develops when hair follicles become clogged with oil and dead skin cells, creating an environment for bacteria to thrive, leading to inflammation and acne breakouts. While dry skin, bacterial infection alone, and vitamin deficiency can contribute to acne, they are not the main underlying cause. Therefore, the correct answer is clogged pores and excess oil production, as they form the basis for the development of acne vulgaris.

4. What type of energy is stored in food?

• A. Mechanical energy
• B. Kinetic energy
• C. Chemical potential energy
• D. Thermal energy

Correct answer: C

Rationale: Food stores energy in the form of chemical potential energy. This energy is released during digestion and metabolism to provide the body with the energy it needs to function. It is derived from the bonds within the molecules of food, such as carbohydrates, fats, and proteins. Choice A, mechanical energy, is incorrect as food does not store energy in the form of mechanical energy. Choice B, kinetic energy, is incorrect as kinetic energy is associated with the motion of objects, not stored in food. Choice D, thermal energy, is incorrect as thermal energy relates to heat energy, which is not the primary form of energy stored in food.

5. Most catalysts found in biological systems are which of the following?

• A. Special lipids called cofactors.
• B. Special proteins called enzymes.
• C. Special lipids called enzymes.
• D. Special proteins called cofactors.

Correct answer: B

Rationale: Enzymes are special proteins that act as catalysts in biological systems. They accelerate chemical reactions by lowering the activation energy required for the reaction to occur. Enzymes play a critical role in the regulation of metabolic pathways and are essential for various biological processes. While some enzymes may require cofactors for activity, the enzymes themselves are the catalysts in biological systems. Therefore, choice B, special proteins called enzymes, is the most suitable answer. Choices A, C, and D are incorrect because enzymes, not lipids, are the primary catalysts in biological systems.

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