Nursing Elites

1. Which vitamin deficiency can lead to a condition called pernicious anemia, affecting vitamin B12 absorption in the digestive system?

• A. Vitamin A
• B. Vitamin B12 (cobalamin)
• C. Vitamin D
• D. Vitamin E

Correct answer: B

Rationale: Pernicious anemia is caused by a deficiency in vitamin B12 (cobalamin). Vitamin B12 is essential for the production of red blood cells and for the proper functioning of the nervous system. Pernicious anemia occurs when there is a lack of intrinsic factor, a protein produced in the stomach that is necessary for the absorption of vitamin B12 in the digestive system. Vitamin A, Vitamin D, and Vitamin E deficiencies do not lead to pernicious anemia. Vitamin A deficiency can cause night blindness and skin issues, Vitamin D deficiency can lead to rickets or osteomalacia, and Vitamin E deficiency can result in neurological problems and muscle weakness.

2. How does the developing fetus primarily eliminate metabolic wastes?

• A. The developing fetus does not produce metabolic wastes.
• B. Fetal waste is excreted as feces, which pass into the mother's anus.
• C. Fetal waste is passed down the umbilical cord to the mother's circulatory system.
• D. Fetal waste is passed down the umbilical cord and leaves the mother's body via the vagina.

Correct answer: C

Rationale: Metabolic wastes produced by the developing fetus are eliminated primarily by being passed down the umbilical cord to the mother's circulatory system. Once in the mother's blood, these wastes are then filtered and excreted by the mother's kidneys. Choice A is incorrect because the developing fetus does produce metabolic wastes. Choice B is incorrect as fetal waste does not pass into the mother's anus. Choice D is incorrect as fetal waste does not leave the mother's body via the vagina.

3. Scientists compare the DNA of different organisms to understand evolutionary relationships. What is this type of evidence called?

• A. Morphological evidence (comparing body structures)
• B. Biochemical evidence (comparing molecules like proteins)
• C. Geographic distribution evidence (where organisms live)
• D. Genetic evidence (comparing DNA sequences)

Correct answer: D

Rationale: A) Morphological evidence involves comparing body structures of organisms, which can provide information about evolutionary relationships based on physical similarities and differences. However, DNA comparison is a more direct and accurate method for understanding evolutionary relationships. B) Biochemical evidence involves comparing molecules like proteins, which can also provide insights into evolutionary relationships. However, DNA comparison is considered more reliable due to the direct relationship between DNA sequences and genetic information. C) Geographic distribution evidence refers to where organisms live and how their distribution may provide clues about evolutionary history. While this can be informative, it is not as direct or specific as comparing DNA sequences. D) Genetic evidence involves comparing DNA sequences of different organisms to understand their evolutionary relationships. DNA comparison is a powerful tool in evolutionary biology because it provides direct information about genetic similarities and differences, offering precise insights into evolutionary relationships.

4. Diabetes mellitus is a chronic condition affecting blood sugar control. What is the main type of hormone deficiency associated with type 1 diabetes?

• A. Insulin
• B. Glucagon
• C. Estrogen
• D. Testosterone

Correct answer: A

Rationale: The correct answer is A: Insulin. Type 1 diabetes is characterized by the body's inability to produce insulin, the hormone responsible for regulating blood sugar levels. Insulin deficiency in type 1 diabetes leads to high blood sugar levels as the body cannot effectively utilize glucose for energy. Glucagon (Choice B) is a hormone that works opposite to insulin, raising blood sugar levels. Estrogen (Choice C) and testosterone (Choice D) are not directly involved in blood sugar control or the pathophysiology of type 1 diabetes.

5. Which of the following describes the difference between prokaryotic and eukaryotic cells?

• A. Prokaryotic cells have a nucleus, while eukaryotic cells don't.
• B. Eukaryotic cells are simpler in structure than prokaryotic cells.
• C. Prokaryotic cells have membrane-bound organelles, while eukaryotic cells don't.
• D. Eukaryotic cells have a true nucleus and membrane-bound organelles, while prokaryotic cells lack these.

Correct answer: D

Rationale: Eukaryotic cells have a true nucleus that contains the genetic material, while prokaryotic cells lack a true nucleus. Eukaryotic cells also have membrane-bound organelles such as mitochondria, endoplasmic reticulum, and Golgi apparatus, which are absent in prokaryotic cells.

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