Nursing Elites

1. How is the enzyme trypsin activated?

• A. By zymogen.
• B. By bile.
• C. By gastrin.
• D. By enterokinase.

Correct answer: D

Rationale: The correct answer is D: By enterokinase. Trypsin is activated by enterokinase, an enzyme secreted by the small intestine. Enterokinase plays a crucial role in converting trypsinogen into its active form, trypsin. Choices A, B, and C are incorrect because trypsin is specifically activated by enterokinase, not by zymogen, bile, or gastrin.

2. Plasma lipoproteins contain varying amounts of:

• A. ascorbic acid.
• B. triglycerides.
• C. lecithin.
• D. glucose.

Correct answer: B

Rationale: The correct answer is B: triglycerides. Plasma lipoproteins, such as LDL and HDL, contain triglycerides, cholesterol, and other fats. Ascorbic acid (choice A) is not typically found in plasma lipoproteins; it is a form of vitamin C. Lecithin (choice C) is a phospholipid found in cell membranes but is not a major component of plasma lipoproteins. Glucose (choice D) is a type of sugar and is not a primary component of plasma lipoproteins.

3. Where does gluconeogenesis occur?

• A. Muscles.
• B. Pancreas.
• C. Liver.
• D. Spleen.

Correct answer: C

Rationale: Gluconeogenesis mainly occurs in the liver. It is a process where glucose is synthesized from non-carbohydrate sources such as amino acids and glycerol. The liver is the primary site for gluconeogenesis due to the presence of key enzymes and substrates required for this process. Muscles do not play a significant role in gluconeogenesis, making choice A incorrect. The pancreas is involved in the regulation of blood sugar levels through insulin and glucagon but is not the primary site for gluconeogenesis, so choice B is incorrect. The spleen is not a major organ involved in glucose metabolism, making choice D incorrect.

4. Why are diets that contain less than 10% of kcalories as fat not recommended?

• A. Intake of carbohydrates would not necessarily be too high.
• B. This would not necessarily require excessive use of fat replacers.
• C. The diet would not provide adequate essential fatty acids.
• D. Intake of essential fatty acids would be too low.

Correct answer: D

Rationale: Diets that contain less than 10% of kcalories as fat are not recommended because they would lead to inadequate intake of essential fatty acids, which are crucial for various bodily functions like hormone production, brain function, and cell membrane structure. Option A is incorrect because reducing fat intake does not necessarily mean increasing carbohydrate intake excessively. Option B is incorrect as it introduces a new concept of using fat replacers, which is not directly related to the issue of essential fatty acid intake. Option C is incorrect as the primary concern with low-fat diets is the insufficiency of essential fatty acids, not the adequacy of them.

5. Pepsinogen secreted by the gastric cells is converted into pepsin by:

• A. enterokinase
• B. hydrochloric acid
• C. gastric lipase
• D. pancreatic lipase

Correct answer: B

Rationale: Pepsinogen is converted into its active form, pepsin, by hydrochloric acid in the stomach. Hydrochloric acid helps in unfolding the pepsinogen molecule to transform it into pepsin, which is crucial for protein digestion. Therefore, the correct answer is hydrochloric acid (choice B). Enterokinase (choice A) is an enzyme produced in the small intestine that activates trypsinogen into trypsin, not pepsinogen. Gastric lipase (choice C) is an enzyme that digests fats, not involved in converting pepsinogen to pepsin. Pancreatic lipase (choice D) is an enzyme produced by the pancreas that aids in breaking down fats in the small intestine, not part of the process of pepsin activation.

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