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 vitamin requires intrinsic factor for proper absorption?

• A. Vitamin A
• B. Vitamin C
• C. Vitamin D
• D. Vitamin B12

Correct answer: D

Rationale: Vitamin B12 requires intrinsic factor, a glycoprotein secreted by the parietal cells of the stomach, for proper absorption in the small intestine. Intrinsic factor binds to vitamin B12 and facilitates its absorption in the ileum. Deficiency in intrinsic factor can lead to pernicious anemia, a condition characterized by a lack of vitamin B12 absorption. Options A, B, and C are incorrect. Vitamin A is absorbed in the small intestine with the help of bile salts; Vitamin C is absorbed in the small intestine via active transport; Vitamin D is absorbed in the small intestine through a process involving bile salts and micelles. It is essential for students to understand this relationship as it highlights the importance of intrinsic factor in the absorption of specific vitamins and the consequences of its deficiency.

3. What term refers to the mechanical act of breathing?

• A. Diffusion
• B. Perfusion
• C. Respiration
• D. Ventilation

Correct answer: D

Rationale: Ventilation is the correct answer as it specifically refers to the mechanical process of breathing air in and out of the lungs. Diffusion (choice A) is the movement of molecules from an area of high concentration to low concentration, not related to the mechanical act of breathing. Perfusion (choice B) is the process of blood flow through the tissues and organs, not directly related to breathing mechanically. Respiration (choice C) involves the exchange of oxygen and carbon dioxide at the cellular level, different from the mechanical act of breathing.

4. What is the function of the pleurae?

• A. To compartmentalize and lubricate the lungs
• B. To facilitate the flow of air
• C. To produce mucus
• D. To serve as the passageway for air

Correct answer: A

Rationale: The pleurae play a crucial role in compartmentalizing and lubricating the lungs. The pleura is a double-layered membrane that surrounds the lungs and lines the chest cavity. This double-layered structure reduces friction between the lungs and the chest wall during breathing movements, allowing smooth expansion and contraction of the lungs. Options B, C, and D are incorrect. Option B, 'To facilitate the flow of air,' is incorrect because while the pleurae are involved in the respiratory process, their primary function is not to directly facilitate the flow of air. Option C, 'To produce mucus,' is incorrect as the production of mucus is not a primary function of the pleurae. Option D, 'To serve as the passageway for air,' is incorrect as the passageway for air refers to the air passages like the trachea and bronchi, not the pleurae. Therefore, option A is correct as it accurately describes the function of the pleurae.

5. What is the term for a genetic disorder caused by a mutation in a mitochondrial gene?

• A. Autosomal dominant disorder
• B. Autosomal recessive disorder
• C. Sex-linked disorder
• D. Mitochondrial disorder

Correct answer: D

Rationale: A) Autosomal dominant disorder: This type of genetic disorder is caused by a mutation in one copy of an autosomal gene. It is not related to mitochondrial gene mutations. B) Autosomal recessive disorder: This type of genetic disorder is caused by mutations in both copies of an autosomal gene. It is not related to mitochondrial gene mutations. C) Sex-linked disorder: This type of genetic disorder is caused by mutations in genes located on the sex chromosomes (X or Y). It is not related to mitochondrial gene mutations. D) Mitochondrial disorder: Mitochondrial disorders are genetic disorders caused by mutations in genes located in the mitochondria, the energy-producing structures within cells. These disorders are inherited maternally and can affect various organs and systems in the body due to the role of mitochondria in energy production.

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