Nursing Elites

1. According to the Cahn-Ingold-Prelog (CIP) ranking system, which functional group has the highest priority?

• A. Alcohol (OH)
• B. Aldehyde (CHO)
• C. Carboxylic Acid (COOH)
• D. Amine (NH2)

Correct answer: C

Rationale: In the Cahn-Ingold-Prelog (CIP) ranking system, functional groups are prioritized based on the atomic number of the atoms directly attached to the functional group. Carboxylic acid (COOH) holds the highest priority as the carbon atom is directly bonded to two oxygen atoms, which have higher atomic numbers compared to carbon, hydrogen, or nitrogen. The higher the atomic number of the attached atoms, the higher the priority of the functional group in the CIP ranking system. Therefore, choices A, B, and D are incorrect as they have lower atomic numbers in the atoms directly attached to them, making them lower in priority according to the CIP system.

2. 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

3. What is the scientific term for the involuntary rhythmic contraction and relaxation of the heart muscle?

• A. Peristalsis
• B. Myogenesis
• C. Myocardial contractility
• D. Systole and diastole

Correct answer: D

Rationale: The correct answer is D: Systole and diastole. Systole and diastole are the two phases of the cardiac cycle where the heart muscle contracts (systole) and relaxes (diastole) rhythmically to pump blood throughout the body. This rhythmic process ensures proper blood circulation by pumping blood to the lungs and the rest of the body. Peristalsis, on the other hand, refers to the involuntary constriction and relaxation of the muscles in the gastrointestinal tract, aiding in the movement of food and waste. Myogenesis is the process of muscle tissue formation, and myocardial contractility pertains to the heart muscle's ability to contract efficiently.

4. 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.

5. Which type of capillary is the most permeable?

• A. Continuous capillaries
• B. Sinusoidal capillaries
• C. Fenestrated capillaries
• D. Vascular capillaries

Correct answer: B

Rationale: Sinusoidal capillaries are indeed the most permeable type. They are characterized by large gaps between endothelial cells, allowing for the passage of large molecules and cells. These capillaries are commonly found in organs like the liver, bone marrow, and spleen where high permeability is required for specialized functions such as filtration and exchange of substances. Continuous capillaries have tight junctions and are the least permeable, found in muscles, lungs, and the central nervous system where strict control over permeability is needed. Fenestrated capillaries, on the other hand, have small pores or fenestrations and are intermediate in permeability, found in organs like the kidneys, endocrine glands, and intestines where selective permeability is necessary. Vascular capillaries is not a specific type of capillary and is not a valid choice.

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