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 phenomenon occurs when a wave encounters a change in medium causing a change in its speed and direction?

• A. Refraction
• B. Reflection
• C. Diffraction
• D. Interference

Correct answer: A

Rationale: Refraction is the phenomenon that occurs when a wave encounters a change in medium, causing a change in its speed and direction. This change in speed and direction is due to the wave bending as it passes from one medium to another with a different density. It is essential to understand refraction as it plays a crucial role in various phenomena, such as the bending of light in lenses, the formation of rainbows, and the way seismic waves travel through the Earth's layers. Reflection, while also a wave phenomenon, involves the bouncing back of a wave when it encounters a boundary. Diffraction refers to the bending of waves around obstacles or through openings, and interference involves the combination of two or more waves to form a new wave pattern.

3. What is the scientific term for the study of genes and their role in disease?

• A. Molecular biology
• B. Biochemistry
• C. Evolutionary biology
• D. Genomic medicine

Correct answer: D

Rationale: Genomic medicine is the scientific discipline that specifically focuses on the study of genes and their involvement in disease processes. It seeks to understand how variations in an individual's genes can influence their predisposition to certain diseases or affect their response to treatment. This field plays a crucial role in personalized medicine by utilizing genetic information to tailor healthcare decisions and interventions to individual patients. Molecular biology, biochemistry, and evolutionary biology, while related to genetics in various ways, do not have the primary focus on the role of genes in disease as genomic medicine does.

4. Which molecules are soluble in nonpolar solvents but are hydrophobic?

• A. Carbohydrates
• B. Lipids
• C. Proteins
• D. Nucleic acids

Correct answer: B

Rationale: Lipids are hydrophobic molecules that are soluble in nonpolar solvents like oils but insoluble in water. They consist of fats, oils, waxes, and steroids and play essential roles in energy storage, insulation, and cell membrane structure. Carbohydrates, proteins, and nucleic acids are not typically soluble in nonpolar solvents and do not exhibit the same hydrophobic characteristics as lipids. Carbohydrates are usually hydrophilic and soluble in water, proteins have both hydrophilic and hydrophobic regions but are not generally soluble in nonpolar solvents, and nucleic acids are polar molecules that are not known for their solubility in nonpolar solvents.

5. How is the muscular system benefited by regular exercise?

• A. Decreasing muscle mass
• B. Improving muscle strength and endurance
• C. Making muscles less flexible
• D. Increasing the risk of muscle tears

Correct answer: B

Rationale: Regular exercise is beneficial for the muscular system by improving muscle strength and endurance. Exercise helps to build and maintain muscle mass, increase muscle strength, and enhance muscle endurance. It does not decrease muscle mass, make muscles less flexible, or increase the risk of muscle tears when done properly. Therefore, the correct answer is improving muscle strength and endurance, as it aligns with the positive effects of regular exercise on the muscular system.

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