Nursing Elites

1. What enzyme plays a key role in breaking down carbohydrates in the small intestine?

• A. Pepsin
• B. Lipase
• C. Amylase
• D. Trypsin

Correct answer: C

Rationale: Amylase is the enzyme responsible for breaking down carbohydrates in the small intestine. It specifically targets starches and sugars, breaking them down into smaller molecules like maltose and glucose that can be absorbed by the body. Pepsin is an enzyme that breaks down proteins in the stomach, not the small intestine. Lipase is responsible for breaking down fats, not carbohydrates. Trypsin is an enzyme that breaks down proteins in the small intestine, not carbohydrates.

2. What is the primary function of the atrioventricular (AV) node within the heart?

• A. Generate the electrical impulse for contraction (pacemaker function)
• B. Transmit the electrical impulse from the atria to the ventricles, regulating the timing of contraction.
• C. Increase blood pressure within the ventricles during systole.
• D. Separate oxygenated and deoxygenated blood flow in the heart.

Correct answer: B

Rationale: The correct answer is B: Transmit the electrical impulse from the atria to the ventricles, regulating the timing of contraction. The primary function of the atrioventricular (AV) node is to coordinate the transmission of electrical signals between the atria and the ventricles. It ensures proper timing between atrial and ventricular contractions, allowing for efficient blood pumping through the heart. Choice A is incorrect because the AV node does not generate the initial electrical impulse; that role is typically attributed to the sinoatrial (SA) node. Choice C is incorrect as the AV node does not directly influence blood pressure within the ventricles. Choice D is also incorrect as the separation of oxygenated and deoxygenated blood is primarily achieved by the anatomical structure of the heart (e.g., atria and ventricles) and not the AV node.

3. According to the Law of Conservation of Energy, what happens to the total amount of energy in a closed system?

• A. Increases over time.
• B. Decreases over time.
• C. Remains constant.
• D. Depends on the temperature of the system.

Correct answer: C

Rationale: According to the Law of Conservation of Energy, the total amount of energy in a closed system remains constant. This principle states that energy cannot be created or destroyed within the system but can only be transformed from one form to another. Therefore, the total energy within the system is conserved and does not change over time. Choice A is incorrect because the total energy in a closed system does not increase over time, as it remains constant. Choice B is incorrect as the total energy does not decrease over time within a closed system. Choice D is incorrect as the conservation of energy is not dependent on the temperature of the system, but rather on the transformation and conservation of energy within the system. Understanding this concept is fundamental for understanding the behavior of energy in various physical systems and processes.

4. What is the pathway of oxygenated blood from the lungs?

• A. Lungs to the left atrium, through the mitral valve into the left ventricle, pumped into the aorta upon contraction, then dispersed to tissues via a network of arteries and capillaries
• B. Lungs to the right atrium, through the mitral valve into the right ventricle, pumped into the aorta upon contraction, then dispersed to tissues via a network of arteries and veins
• C. Lungs to the left atrium, directly to the right aorta, then dispersed to tissues via a network of arteries and capillaries
• D. Lungs to the left atrium, through the septal valve, stored in the left ventricles, then dispersed to tissues via a network of arteries and capillaries

Correct answer: A

Rationale: The correct pathway of oxygenated blood from the lungs is as follows: Oxygenated blood travels from the lungs to the left atrium, then passes through the mitral valve into the left ventricle. From there, it is pumped into the aorta upon contraction of the heart and is then dispersed to various tissues throughout the body via a network of arteries and capillaries. Choice B is incorrect as it incorrectly mentions the right atrium and ventricle, which are associated with deoxygenated blood. Choice C is incorrect as it mentions a direct connection to the right aorta, which does not exist in the circulatory system. Choice D is incorrect as it refers to the septal valve (which is not anatomically correct) and storing blood in the left ventricle, which does not occur in the normal circulation of blood.

5. T cells in the immune system can be categorized into different types. What type of T cell directly kills infected body cells?

• A. Helper T cells
• B. Cytotoxic T cells
• C. Regulatory T cells
• D. Memory T cells

Correct answer: B

Rationale: Cytotoxic T cells directly kill infected body cells by recognizing specific antigens on the surface of infected cells and releasing cytotoxic substances to induce cell death, eliminating the infected cells. Helper T cells assist in coordinating the immune response, regulatory T cells help maintain immune tolerance, and memory T cells mount a faster and stronger response upon re-exposure to a previously encountered antigen. Therefore, the correct answer is cytotoxic T cells as they play a crucial role in directly targeting and destroying infected cells.

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