Nursing Elites

1. Protein is constantly being exchanged between which two components?

• A. tissue and plasma.
• B. the liver and the small intestine.
• C. blood and lymph.
• D. the heart and lungs.

Correct answer: A

Rationale: The correct answer is 'tissue and plasma.' Protein turnover involves the continuous exchange of proteins between body tissues and the bloodstream (plasma) as part of normal metabolic processes. This process ensures a balance in protein levels throughout the body. Choices B, C, and D are incorrect as they do not represent the primary sites for protein turnover in the body.

2. The interrelated network of nerves within the gastrointestinal wall that regulates its muscular action is known as the:

• A. gastric nerve plexus.
• B. biliary nerve plexus.
• C. intramural nerve plexus.
• D. intestinal nerve plexus.

Correct answer: C

Rationale: The correct answer is C - intramural nerve plexus. This network of nerves regulates the muscular movements within the gastrointestinal wall. The gastric nerve plexus (choice A) specifically relates to the stomach, not the entire gastrointestinal tract. The biliary nerve plexus (choice B) is associated with the bile ducts and gallbladder, not the regulation of muscular action. The intestinal nerve plexus (choice D) is a general term that doesn't specifically refer to the network of nerves within the gastrointestinal wall.

3. How are lipids carried in the bloodstream?

• A. Micelles.
• B. Glycolipids.
• C. Lecithin.
• D. Lipoproteins.

Correct answer: D

Rationale: Lipids are carried in the bloodstream in the form of lipoproteins. Lipoproteins are complexes of proteins and lipids that transport fats to various parts of the body. While micelles, glycolipids, and lecithin are all related to lipid metabolism, they are not the primary carriers of lipids in the bloodstream. Micelles are small lipid clusters in the intestines, glycolipids are lipids with a carbohydrate attached, and lecithin is a type of phospholipid. Therefore, lipoproteins are the correct answer as they are specifically designed for transporting lipids through the bloodstream.

4. Which enzyme is secreted by the salivary glands?

• A. Pepsin.
• B. Trypsin.
• C. Sucrase.
• D. Amylase.

Correct answer: D

Rationale: The correct answer is D, amylase. Amylase is an enzyme produced by the salivary glands that initiates the digestion of carbohydrates in the mouth. Pepsin (choice A) is produced in the stomach to digest proteins, trypsin (choice B) is produced in the pancreas to digest proteins, and sucrase (choice C) is produced in the small intestine to break down sucrose. Therefore, choices A, B, and C are incorrect in the context of an enzyme secreted by the salivary glands.

5. Ketones are produced when:

• A. carbohydrate stores are depleted.
• B. excess protein is consumed.
• C. protein stores are depleted.
• D. fat stores are depleted.

Correct answer: A

Rationale: Ketones are produced when the body uses fat for energy due to the depletion of carbohydrate stores. When carbohydrate stores are depleted, the body turns to fat as its primary source of energy, leading to the production of ketones. Excess protein consumption does not directly lead to ketone production. Similarly, the depletion of protein stores or fat stores is not directly related to the production of ketones.

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