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. What is the term for the process of exchanging gases (oxygen and carbon dioxide) between the blood and the tissues?

• A. Inhalation
• B. Exhalation
• C. External respiration
• D. Internal respiration

Correct answer: C

Rationale: External respiration is the correct term for the process of exchanging gases (oxygen and carbon dioxide) between the blood and the tissues. It specifically refers to the exchange of gases that occurs in the lungs, where oxygen is absorbed into the bloodstream and carbon dioxide is released from the bloodstream to be exhaled. Inhalation and exhalation, choices A and B, are phases of the breathing process that involve the intake and expulsion of air into and out of the lungs, respectively. Internal respiration, choice D, is the process of gas exchange that happens at the cellular level between the blood and body tissues, not between the blood and the lungs or tissues as in external respiration. Therefore, external respiration is the most appropriate term for the described gas exchange process in the question.

3. Which of the following is an end product of cellular respiration?

• A. Oxygen
• B. ATP energy
• C. Carbon dioxide
• D. Water

Correct answer: B

Rationale: The correct answer is B: ATP energy. During cellular respiration, glucose is broken down to produce ATP, which is the primary energy currency of cells. While oxygen is required for cellular respiration to occur, it is not an end product but rather a reactant. Carbon dioxide and water are byproducts of cellular respiration, alongside ATP. Therefore, options A, C, and D are incorrect as they are not end products of cellular respiration.

4. Which locations in the digestive system are sites of chemical digestion? I. Mouth II. Stomach III. Small Intestine

• A. II only
• B. III only
• C. II and III only
• D. I, II, and III

Correct answer: D

Rationale: Chemical digestion occurs in all three locations in the digestive system - the mouth, stomach, and small intestine. Enzymes in the saliva break down carbohydrates in the mouth, gastric juices in the stomach help break down proteins, and enzymes in the small intestine further break down macronutrients like carbohydrates, proteins, and fats. The mouth initiates the digestion of carbohydrates, the stomach digests proteins, and the small intestine continues the breakdown of carbohydrates, proteins, and fats. Choice A is incorrect because chemical digestion does occur in the mouth. Choice B is incorrect as both the stomach and small intestine are sites of chemical digestion. Choice C is incorrect as the mouth is also a location of chemical digestion, not just the stomach and small intestine.

5. What is the largest lymphatic vessel in the body responsible for draining lymph from most of the body called?

• A. Jugular vein
• B. Thoracic duct
• C. Subclavian vein
• D. Aorta

Correct answer: B

Rationale: The correct answer is B: Thoracic duct. The thoracic duct is the largest lymphatic vessel in the body and is responsible for draining lymph from most of the body. The jugular vein, subclavian vein, and aorta are not lymphatic vessels responsible for draining lymph. The jugular vein and subclavian vein are blood vessels, while the aorta is the main artery that carries oxygenated blood from the heart. Understanding the role and anatomy of the lymphatic system is crucial for comprehending the body's immune response and fluid balance.

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