Nursing Elites

1. Which of the following structures prevents food from entering the windpipe?

• A. Pharynx
• B. Esophagus
• C. Larynx
• D. Epiglottis

Correct answer: D

Rationale: The epiglottis is the structure that prevents food from entering the windpipe by covering the trachea during swallowing. When food is swallowed, the epiglottis folds over the opening of the trachea to ensure that food goes down the esophagus and not into the airway. The pharynx is a shared pathway for both food and air, leading to the esophagus and larynx respectively. The esophagus is the muscular tube that carries food from the throat to the stomach. The larynx is responsible for producing sound and protecting the airway during swallowing, but the epiglottis is specifically designed to prevent food from entering the windpipe.

2. Which type of isomerism arises due to differences in the arrangement of atoms around a double bond?

• A. Chain isomerism
• B. Functional group isomerism
• C. Cis-trans isomerism
• D. Stereoisomerism

Correct answer: C

Rationale: Cis-trans isomerism, also known as geometric isomerism, arises due to differences in the arrangement of atoms around a double bond. In cis isomers, similar groups are on the same side of the double bond, while in trans isomers, similar groups are on opposite sides of the double bond. This type of isomerism is a subset of stereoisomerism, which includes all isomers that have the same connectivity but differ in spatial arrangement. Chain isomerism involves differences in the carbon chain arrangement, functional group isomerism involves different functional groups, and stereoisomerism is a broader category that encompasses isomers with the same connectivity but different spatial arrangement.

3. Which vitamin deficiency can lead to a condition called pernicious anemia, affecting vitamin B12 absorption in the digestive system?

• A. Vitamin A
• B. Vitamin B12 (cobalamin)
• C. Vitamin D
• D. Vitamin E

Correct answer: B

Rationale: Pernicious anemia is caused by a deficiency in vitamin B12 (cobalamin). Vitamin B12 is essential for the production of red blood cells and for the proper functioning of the nervous system. Pernicious anemia occurs when there is a lack of intrinsic factor, a protein produced in the stomach that is necessary for the absorption of vitamin B12 in the digestive system. Vitamin A, Vitamin D, and Vitamin E deficiencies do not lead to pernicious anemia. Vitamin A deficiency can cause night blindness and skin issues, Vitamin D deficiency can lead to rickets or osteomalacia, and Vitamin E deficiency can result in neurological problems and muscle weakness.

4. Where is pseudostratified columnar epithelium primarily found?

• A. Skeletal muscle
• B. Bony skeleton
• C. External ears
• D. Bloodstream

Correct answer: C

Rationale: Pseudostratified columnar epithelium is a type of epithelial tissue found in the respiratory tract, including the lining of the trachea and bronchi. It is also found in the male reproductive system and parts of the auditory tube and external ear canal. Among the options provided, the external ears (option C) are the most relevant location for pseudostratified columnar epithelium. Skeletal muscle (option A) is primarily composed of muscle fibers, not epithelial tissue. The bony skeleton (option B) is composed of bone tissue. The bloodstream (option D) consists of blood cells and plasma, not epithelial tissue.

5. Which organ produces insulin?

• A. Pancreas
• B. Liver
• C. Stomach
• D. Kidneys

Correct answer: A

Rationale: Insulin is a hormone that regulates blood sugar levels by facilitating the uptake of glucose into cells for energy production or storage. The pancreas, located behind the stomach, is the organ responsible for producing insulin. Within the pancreas, specialized cells known as beta cells synthesize and secrete insulin in response to changes in blood glucose levels. The liver, although vital for metabolism, does not produce insulin. Similarly, the stomach and kidneys do not play a role in insulin production. Hence, the correct answer is the pancreas.

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