Nursing Elites

1. 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.

2. Which macromolecules are composed of nucleotides and store information and energy?

• A. Lipids
• B. Proteins
• C. Carbohydrates
• D. Nucleic acids

Correct answer: D

Rationale: The correct answer is D: Nucleic acids. Nucleic acids, such as DNA and RNA, are composed of nucleotides and are responsible for storing genetic information and energy (e.g., ATP). Lipids, proteins, and carbohydrates are distinct macromolecules with varying functions and structures. Lipids primarily serve as energy reservoirs, structural components, and cell signaling molecules. Proteins play crucial roles in cellular functions like enzyme activity, structural support, and intracellular signaling. Carbohydrates are mainly utilized as an energy source and for structural purposes within cells.

3. Which hormone, produced by the thyroid gland, plays a key role in regulating calcium levels in the blood by promoting calcium release from bones and increasing calcium reabsorption in the kidneys?

• A. Calcitonin
• B. Parathyroid hormone (PTH)
• C. Thyroxine
• D. Insulin

Correct answer: A

Rationale: Calcitonin, produced by the thyroid gland, is responsible for regulating calcium levels in the blood. It works by decreasing blood calcium levels through two main mechanisms: promoting calcium uptake by bones and decreasing calcium reabsorption in the kidneys. Parathyroid hormone (PTH), on the other hand, increases blood calcium levels by promoting calcium release from bones and increasing calcium absorption in the intestines. Thyroxine, another thyroid hormone, primarily regulates metabolism and has no direct influence on calcium levels. Insulin, produced by the pancreas, is involved in regulating blood sugar levels and is not related to calcium homeostasis.

4. What is the primary composition of the stratum corneum, the outermost layer of the epidermis?

• A. Keratinized dead cells
• B. Melanocytes
• C. Langerhans cells
• D. Merkel cells

Correct answer: A

Rationale: The stratum corneum, the outermost layer of the epidermis, is primarily composed of keratinized dead cells. These cells are flattened, fully keratinized, and lack nuclei, serving a protective function for the skin. Melanocytes are responsible for producing melanin, providing skin pigmentation. Langerhans cells are involved in the immune response within the skin. Merkel cells are associated with sensory functions in the skin, particularly in touch sensations. Therefore, the correct answer is A as it accurately reflects the main constituent of the stratum corneum, which acts as a barrier against external factors.

5. Where is the thymus gland, crucial for immune system development, located?

• A. Chest
• B. Abdomen
• C. Pelvis
• D. Head and neck

Correct answer: A

Rationale: The thymus gland is located in the chest, specifically in the upper part of the chest behind the breastbone (sternum). It plays a crucial role in the development and maturation of T-lymphocytes (T cells), which are important for the immune system's function. Choice B (Abdomen), C (Pelvis), and D (Head and neck) are incorrect locations for the thymus gland. The thymus is not found in the abdomen, pelvis, head, or neck regions; it is uniquely situated in the upper chest area.

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