Nursing Elites

1. What is the 3D structure of a protein called?

• A. Tertiary structure
• B. Secondary structure
• C. Primary structure
• D. Quaternary structure

Correct answer: A

Rationale: - Primary structure refers to the linear sequence of amino acids in a protein. - Secondary structure refers to local folded structures within a protein, such as alpha helices and beta sheets. - Tertiary structure is the overall 3D shape of a protein, which is determined by interactions between amino acid side chains and the environment. - Quaternary structure refers to the arrangement of multiple protein subunits in a protein complex. Therefore, the 3D structure of a protein is called the tertiary structure because it represents the overall folding of the protein into a specific shape.

2. Which of the following is a consequence of bone marrow failure?

• A. Seizures.
• B. Pancytopenia.
• C. Paraplegia.
• D. Pathologic fractures.

Correct answer: B

Rationale: The corrected question focuses on the consequence of bone marrow failure, which is pancytopenia. Bone marrow failure results in decreased production of red blood cells, white blood cells, and platelets, leading to pancytopenia. This condition manifests as fatigue, weakness, increased infection susceptibility, and bleeding tendencies. Paraplegia, seizures, and pathologic fractures are not typical outcomes of bone marrow failure. Paraplegia is associated with spinal cord injury, seizures with neurological disorders, and pathologic fractures with conditions like osteoporosis or bone tumors.

3. Which part of the brain is responsible for controlling involuntary functions like breathing and heart rate?

• A. Cerebrum
• B. Medulla oblongata
• C. Cerebellum
• D. Thalamus

Correct answer: B

Rationale: The medulla oblongata is located at the base of the brainstem and is responsible for controlling vital involuntary functions such as breathing, heart rate, and blood pressure. The cerebrum, although the largest part of the brain, is primarily responsible for higher brain functions like thinking and voluntary muscle movements. The cerebellum is involved in coordination, balance, and muscle control. The thalamus acts as a relay station for sensory information but is not directly responsible for regulating involuntary functions like breathing and heart rate. Therefore, the correct answer is the medulla oblongata.

4. Isotopes are variants of a single element that differ in:

• A. Having the same number of protons but varying numbers of neutrons
• B. Having the same number of neutrons but varying numbers of protons
• C. Having the same mass but different atomic numbers
• D. None of the above

Correct answer: A

Rationale: Isotopes are variants of a single element that have the same number of protons, the defining characteristic of an element. They differ in the number of neutrons they possess, leading to isotopes having different atomic masses while retaining the same chemical properties. Choice B is incorrect because isotopes have the same number of neutrons and differ in the number of protons. Choice C is incorrect because isotopes have different masses due to varying numbers of neutrons, not different atomic numbers. Choice D is incorrect as isotopes do differ in the number of neutrons they possess.

5. Electrons occupy specific energy levels around the nucleus, but not in fixed orbits. This concept is captured by the:

• A. Bohr model
• B. Quantum mechanical model
• C. Lewis structure
• D. Octet rule

Correct answer: B

Rationale: The correct answer is the Quantum mechanical model. Unlike the Bohr model with its defined electron paths, the quantum mechanical model uses probability distributions to describe electron locations within energy levels. Choice A, the Bohr model, describes fixed electron orbits, which is not in line with the concept of electron distribution in energy levels. Choices C and D, Lewis structure and Octet rule respectively, are not related to the description of electron distribution around the nucleus in energy levels, making them incorrect answers.

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