Nursing Elites

1. Myelin sheath is a fatty substance that insulates and protects the long extensions of some nerve cells. It is produced by:

• A. Schwann cells
• B. Astrocytes
• C. Neurons
• D. Oligodendrocytes

Correct answer: A

Rationale: Schwann cells are indeed responsible for producing the myelin sheath in the peripheral nervous system. These cells wrap around axons to form the myelin sheath, which enhances the speed of nerve impulse conduction. In the central nervous system, oligodendrocytes are responsible for producing the myelin sheath. Astrocytes provide support and maintenance functions for neurons, while neurons are the nerve cells themselves and do not produce myelin. Therefore, the correct answer is Schwann cells as they are specifically involved in myelin production in the peripheral nervous system.

2. Which functional group is commonly found in ketones?

• A. Hydroxyl
• B. Carbonyl
• C. Ester
• D. Amine

Correct answer: B

Rationale: Ketones contain a carbonyl functional group, which consists of a carbon atom double-bonded to an oxygen atom. This distinguishes ketones from other functional groups such as hydroxyl, ester, and amine. The presence of the carbonyl group, not hydroxyl (choice A), ester (choice C), or amine (choice D), is characteristic of ketones, making choice B, 'Carbonyl', the correct answer.

3. What is the purpose of a catalyst?

• A. To increase a reaction rate by increasing the activation energy
• B. To increase a reaction rate by increasing the temperature
• C. To increase a reaction rate by decreasing the activation energy
• D. To increase a reaction rate by decreasing the temperature

Correct answer: C

Rationale: The purpose of a catalyst is to increase a reaction's rate by decreasing the activation energy required for the reaction to occur. This allows the reaction to proceed more quickly without being consumed in the process. The catalyst provides an alternate mechanism with a lower activation energy, making it easier for the reactants to convert into products. Choice A is incorrect because a catalyst lowers, not increases, the activation energy. Choice B is incorrect because a catalyst does not affect the temperature directly but provides an alternative pathway for the reaction to occur more easily. Choice D is incorrect because a catalyst does not lower the temperature but facilitates the reaction by lowering the activation energy barrier. Therefore, the correct answer is C, 'To increase a reaction rate by decreasing the activation energy.'

4. Which type of capillary is the most common and least permeable?

• A. Fenestrated capillaries
• B. Sinusoidal capillaries
• C. Continuous capillaries
• D. Discontinuous capillaries

Correct answer: C

Rationale: The correct answer is C, continuous capillaries. Continuous capillaries are the most common and least permeable type of capillary. They are found in most tissues, including muscle and the nervous system. Continuous capillaries have a continuous endothelium without fenestrations or large gaps, which limits the movement of substances across their walls. Choice A, fenestrated capillaries, have pores (fenestrations) in their endothelial cells, making them more permeable than continuous capillaries. Choice B, sinusoidal capillaries, have a discontinuous endothelium with large gaps between cells, making them more permeable and allowing larger molecules and cells to pass through compared to continuous capillaries. Choice D, discontinuous capillaries, are similar to sinusoidal capillaries with a discontinuous endothelium, allowing for enhanced permeability compared to continuous capillaries.

5. Which of the following situations represents work being done on an object?

• A. Pushing against a wall without moving it
• B. Carrying a heavy object without lifting it
• C. Lifting a box to place it on a shelf
• D. Holding a book stationary in your hand

Correct answer: C

Rationale: Work is defined as the product of the force applied to an object and the distance over which the force is applied. In the situation of lifting a box to place it on a shelf, work is being done on the object. This is because lifting the box involves applying a force over a distance (the height of the shelf). The force applied to lift the box results in work being done on the object by raising it against the force of gravity. Choices A, B, and D do not involve work being done on the object as they either do not involve movement against a force (A, D) or do not cover distance against a force (B).

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