Nursing Elites

1. Cholecystokinin (CCK) is produced in the:

• A. duodenum.
• B. stomach.
• C. pancreas.
• D. liver.

Correct answer: A

Rationale: Cholecystokinin (CCK) is produced in the duodenum, not the stomach, pancreas, or liver. It is released in response to the presence of food in the duodenum, where it plays a crucial role in regulating digestive processes by stimulating the release of bile from the gallbladder and enzymes from the pancreas. Therefore, the correct answer is the duodenum (Choice A). Choices B, C, and D are incorrect because CCK is not produced in the stomach, pancreas, or liver.

2. Which of the following is an example of a plasma protein?

• A. Collagen.
• B. Myosin.
• C. Albumin.
• D. Phospholipid.

Correct answer: C

Rationale: The correct answer is C, albumin. Albumin is a plasma protein that plays a crucial role in maintaining fluid balance in the blood. Collagen (choice A) is a structural protein found in connective tissues, not a plasma protein. Myosin (choice B) is a protein involved in muscle contraction, not found in the blood plasma. Phospholipid (choice D) is a type of lipid molecule, not a protein present in plasma.

3. The type of protein-energy malnutrition that results in edema, hypoalbuminemia, skin lesions, and fatty liver is:

• A. cachexia.
• B. marasmus.
• C. kwashiorkor.
• D. sarcopenia.

Correct answer: C

Rationale: The correct answer is C, kwashiorkor. Kwashiorkor is a type of protein-energy malnutrition characterized by edema, hypoalbuminemia, skin lesions, and fatty liver. Edema is a key feature of kwashiorkor due to hypoalbuminemia, which leads to decreased oncotic pressure. Marasmus (choice B) is a form of severe malnutrition characterized by energy deficiency without significant protein deficiency, resulting in severe wasting. Cachexia (choice A) is a syndrome characterized by weight loss, muscle atrophy, fatigue, weakness, and loss of appetite in someone who is not actively trying to lose weight. Sarcopenia (choice D) is the age-related loss of muscle mass and function.

4. What substance acts as an emulsifier and helps absorb digested fat?

• A. bile
• B. trypsin
• C. lipase
• D. cholecystokinin (CCK)

Correct answer: A

Rationale: The correct answer is A: bile. Bile acts as an emulsifier, breaking down fats into smaller droplets to aid in digestion and absorption. Trypsin is a digestive enzyme that acts on proteins, not fats. Lipase is an enzyme that breaks down fats, but it doesn't act as an emulsifier. Cholecystokinin (CCK) is a hormone that stimulates the release of digestive enzymes, including lipase, but it is not directly involved in emulsification.

5. In addition to active transport, which process is involved in absorbing food in the small intestine?

• A. pinocytosis
• B. excretion
• C. phagocytosis
• D. electrochemical diffusion

Correct answer: A

Rationale: The correct answer is pinocytosis. Pinocytosis is a process where cells in the small intestine absorb nutrients by engulfing them. This process is different from phagocytosis, which involves engulfing large particles, and excretion, which is the removal of waste products. Electrochemical diffusion is not directly involved in the absorption of food in the small intestine.

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