Nursing Elites

1. What is the difference between emphysema and chronic bronchitis, both chronic obstructive pulmonary diseases (COPD)?

• A. Emphysema damages alveoli, while chronic bronchitis inflames airways.
• B. Emphysema causes coughing, while chronic bronchitis leads to shortness of breath.
• C. Emphysema is more reversible than chronic bronchitis.
• D. Emphysema affects only smokers, while chronic bronchitis can occur in non-smokers.

Correct answer: A

Rationale: Emphysema is characterized by the destruction of alveoli in the lungs, leading to decreased surface area for gas exchange. Chronic bronchitis, on the other hand, involves inflammation and narrowing of the airways, leading to excessive mucus production and coughing. Therefore, the correct difference between emphysema and chronic bronchitis is that emphysema damages the alveoli, while chronic bronchitis inflames the airways. Choice B is incorrect because chronic bronchitis is associated with coughing, not emphysema. Choice C is incorrect as chronic bronchitis is typically less reversible compared to emphysema. Choice D is incorrect as both emphysema and chronic bronchitis are commonly seen in smokers, but chronic bronchitis can also occur in non-smokers due to other factors such as air pollution or genetic predisposition.

2. Differentiate between gene therapy and genetic engineering in the context of human intervention.

• A. Gene therapy aims to modify existing genes within body cells, while genetic engineering manipulates genes in embryos to be passed on to offspring.
• B. Gene therapy focuses on treating genetic diseases, while genetic engineering enhances desirable traits or eliminates undesirable ones.
• C. Both involve directly altering the DNA sequence, but gene therapy targets somatic cells and genetic engineering modifies germline cells.
• D. There is no fundamental difference; both terms are synonymous.

Correct answer: B

Rationale: A) Incorrect. Gene therapy does aim to modify existing genes within body cells, but genetic engineering does not necessarily manipulate genes in embryos to be passed on to offspring. Genetic engineering can involve modifying genes in any type of cell, not just embryos. B) Correct. Gene therapy is a medical intervention that aims to treat genetic diseases by correcting or replacing faulty genes within an individual's body cells. On the other hand, genetic engineering involves modifying genes to enhance specific traits or eliminate undesirable ones, often in the context of agriculture or biotechnology. C) Incorrect. While both gene therapy and genetic engineering involve altering DNA sequences, the distinction lies in the target cells. Gene therapy targets somatic cells (non-reproductive cells), while genetic engineering typically involves modifying germline cells (reproductive cells that can pass on genetic changes to offspring). D) Incorrect. There is

3. Which of the following is the main organ responsible for producing bile?

• A. Liver
• B. Gallbladder
• C. Pancreas
• D. Stomach

Correct answer: A

Rationale: The liver is the main organ responsible for producing bile. Bile, a greenish-yellow fluid, is produced by the liver and stored in the gallbladder. Its primary function is to aid in the digestion and absorption of fats in the small intestine. When needed, the gallbladder releases bile into the small intestine to facilitate fat digestion. The pancreas produces digestive enzymes and insulin, not bile, making choice C incorrect. The stomach's primary role is to digest food through gastric juice secretion, making choice D incorrect. Therefore, the correct answer is the liver, as it is the main organ responsible for bile production.

4. Which of the following characteristics is part of a person's genotype?

• A. Brown eyes that appear hazel in the sunlight
• B. The CFTR gene, which causes cystic fibrosis
• C. Black hair that grows rapidly
• D. Being a fast runner

Correct answer: B

Rationale: The correct answer is B. A genotype refers to a person's genetic makeup, which includes specific genes like the CFTR gene responsible for cystic fibrosis. Genes are the units of heredity and are part of an individual's genotype, influencing various traits and characteristics. Choice A, brown eyes that appear hazel in the sunlight, refers to a phenotype, which is the observable characteristics resulting from the interaction of genes and the environment. Choice C, black hair that grows rapidly, also describes a phenotype rather than a genotype. Choice D, being a fast runner, is a trait influenced by a combination of genetic and environmental factors, but it does not directly relate to a specific gene in the genotype.

5. The critical angle is defined as the minimum angle of incidence in a denser medium for which light undergoes:

• A. Total internal reflection
• B. Continued refraction
• C. Specular reflection
• D. Increased dispersion

Correct answer: A

Rationale: The critical angle is the minimum angle of incidence in a denser medium at which light undergoes total internal reflection instead of refraction. This phenomenon occurs when light travels from a denser medium to a less dense medium, and the angle of incidence is greater than the critical angle. Total internal reflection is a crucial concept in optics and is utilized in various applications such as fiber optics and prisms. Choice B, 'Continued refraction,' is incorrect as the critical angle specifically marks the point at which total internal reflection occurs, not continued refraction. Choice C, 'Specular reflection,' does not accurately describe the phenomenon associated with the critical angle. Choice D, 'Increased dispersion,' is unrelated to the concept of the critical angle and does not describe the behavior of light at this specific point.

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