Nursing Elites

1. 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.

2. Which property of a substance refers to its ability to be hammered or pressed into thin sheets without breaking?

• A. Malleability
• B. Ductility
• C. Viscosity
• D. Conductivity

Correct answer: A

Rationale: Malleability is the correct answer as it is the property of a substance that allows it to be hammered or pressed into thin sheets without breaking. This property is crucial for materials like metals that need to be shaped without breaking. Ductility, on the other hand, refers to the ability of a substance to be drawn into thin wires, not hammered into sheets. Viscosity is a measure of a fluid's resistance to flow, indicating its thickness or thinness, and is unrelated to the ability to be hammered. Conductivity, on the other hand, refers to a substance's ability to conduct electricity or heat, which is not related to its ability to be hammered or pressed into thin sheets.

3. Parkinson's disease is a neurodegenerative disorder affecting which neurotransmitter?

• A. Dopamine
• B. Acetylcholine
• C. Serotonin
• D. Glutamate

Correct answer: A

Rationale: Parkinson's disease is primarily caused by the loss of dopamine-producing neurons in the brain. Dopamine is a neurotransmitter that plays a crucial role in coordinating movement. The reduction of dopamine levels leads to the characteristic motor symptoms of Parkinson's disease, such as tremors, rigidity, and bradykinesia. Choice B, acetylcholine, is involved in functions like muscle contraction and autonomic nervous system regulation but is not primarily affected in Parkinson's disease. Serotonin (Choice C) is involved in mood regulation and sleep, not the main neurotransmitter affected in Parkinson's disease. Glutamate (Choice D) is the major excitatory neurotransmitter in the central nervous system and is not primarily implicated in Parkinson's disease pathophysiology.

4. Which type of muscle tissue has a unique branching network and is found in the heart?

• A. Skeletal muscle
• B. Cardiac muscle
• C. Smooth muscle
• D. Multifidus muscle

Correct answer: B

Rationale: The correct answer is B, Cardiac muscle. Cardiac muscle is the type of muscle tissue that has a unique branching network and is found in the heart. This type of muscle is involuntary and contracts rhythmically to pump blood throughout the body. Skeletal muscle, choice A, is attached to bones and is responsible for voluntary movements. Smooth muscle, choice C, is found in the walls of internal organs and blood vessels, playing a role in involuntary movements. Multifidus muscle, choice D, is a specific muscle in the back that helps with spinal stability, unrelated to the unique branching network found in cardiac muscle.

5. What is the cellular function of cilia and flagella?

• A. Cilia and flagella are responsible for cell movement.
• B. Cilia and flagella synthesize proteins.
• C. Cilia and flagella help protect the cell from its environment.
• D. Cilia and flagella have enzymes that help with digestion.

Correct answer: A

Rationale: The correct answer is A: Cilia and flagella are responsible for cell movement. Cilia and flagella are specialized structures found on the surface of many types of cells. They are involved in the movement of the cell itself or in moving substances around the cell. This movement helps in various functions such as propulsion, moving fluids, and sensing the environment. Choices B, C, and D are incorrect. Cilia and flagella are not involved in synthesizing proteins, protecting the cell from its environment, or aiding in digestion. Their primary function is related to cell movement and cellular transport.

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