Nursing Elites

1. What types of muscular movement occur in the intestine?

• A. Longitudinal and circular.
• B. Expulsion and traction.
• C. Tonus and clonus.
• D. Intermittent and continuous.

Correct answer: A

Rationale: The correct answer is A: Longitudinal and circular. Longitudinal and circular muscles are responsible for the movements that help propel food through the intestine. Choice B, expulsion and traction, is incorrect as these terms do not specifically relate to the types of muscular movement in the intestine. Choice C, tonus and clonus, refers to different types of muscle contractions and are not the primary movements in the intestine. Choice D, intermittent and continuous, does not accurately describe the specific types of muscular movement that occur in the intestine.

2. Proteins from plant sources such as grains, nuts, and legumes are classified as:

• A. incomplete.
• B. complete.
• C. indispensable.
• D. dispensable.

Correct answer: A

Rationale: The correct answer is A: 'incomplete.' Proteins from plant sources like grains, nuts, and legumes are considered incomplete because they often lack one or more essential amino acids required by the body. Choice B, 'complete,' is incorrect because complete proteins contain all essential amino acids in adequate amounts. Choice C, 'indispensable,' is incorrect as it refers to essential amino acids rather than the classification of plant proteins. Choice D, 'dispensable,' is also incorrect as it implies that these proteins are not necessary, which is not the case.

3. 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.

4. What role do the amino acids methionine, tyrosine, and tryptophan play?

• A. Forming neurotransmitters.
• B. Blocking excess protein breakdown.
• C. Increasing production of insulin and thyroxine.
• D. Decreasing energy expenditure.

Correct answer: A

Rationale: The correct answer is A: Forming neurotransmitters. Methionine, tyrosine, and tryptophan are important amino acids involved in the production of neurotransmitters in the body. Neurotransmitters are chemical messengers that transmit signals across nerve cells, influencing various functions such as mood, memory, and muscle control. Choices B, C, and D are incorrect because these amino acids do not primarily play a role in blocking protein breakdown, increasing insulin and thyroxine production, or decreasing energy expenditure.

5. How is resistant starch digested in the colon?

• A. bacterial fermentation.
• B. pancreatic amylase.
• C. hydrochloric acid.
• D. villi and microvilli.

Correct answer: A

Rationale: In the colon, resistant starch is digested by bacterial fermentation. The correct answer is A. During this process, short-chain fatty acids are produced. Pancreatic amylase, as mentioned in choice B, is responsible for breaking down starch in the small intestine, not in the colon. Choice C, hydrochloric acid, functions in the stomach to aid in the digestion of proteins, not starch. Villi and microvilli, as stated in choice D, are structures in the small intestine that absorb nutrients; they do not participate in the digestion of resistant starch in the colon.

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