Nursing Elites

1. What is the difference between type 1 and type 2 diabetes, both related to insulin and blood sugar?

• A. Type 1 is caused by insulin resistance, type 2 by insulin deficiency.
• B. Type 1 is temporary, type 2 is permanent.
• C. Type 1 affects adults, type 2 affects children.
• D. Type 1 is treated with diet only, type 2 requires medication.

Correct answer: A

Rationale: The correct difference between type 1 and type 2 diabetes lies in their underlying causes. Type 1 diabetes is caused by the body's inability to produce insulin, while type 2 diabetes is characterized by insulin resistance, where the body doesn't effectively use the insulin it produces. Insulin resistance is a key feature of type 2 diabetes, distinguishing it from type 1 where insulin deficiency is the primary issue. Choices B, C, and D are incorrect. Type 1 and type 2 diabetes can both be chronic conditions, affecting individuals of different age groups, and typically require a combination of diet, exercise, and medication for management.

2. What is the purpose of the periosteum, the tough outer layer of bone?

• A. Produces red blood cells
• B. Provides protection and nourishment to bone
• C. Forms the joint surface
• D. Stores minerals

Correct answer: B

Rationale: The periosteum, the tough outer layer of bone, serves the purpose of providing protection to the bone and nourishing it through the blood vessels it contains. It acts as a protective layer for the bone structures. Choices A, C, and D are incorrect because the periosteum does not produce red blood cells (which is the function of bone marrow), form joint surfaces (which is typically the role of articular cartilage), or store minerals (which is primarily done by bone tissue itself and not the periosteum).

3. Which hormone, produced by the thyroid gland, plays a key role in regulating calcium levels in the blood by promoting calcium release from bones and increasing calcium reabsorption in the kidneys?

• A. Calcitonin
• B. Parathyroid hormone (PTH)
• C. Thyroxine
• D. Insulin

Correct answer: A

Rationale: Calcitonin, produced by the thyroid gland, is responsible for regulating calcium levels in the blood. It works by decreasing blood calcium levels through two main mechanisms: promoting calcium uptake by bones and decreasing calcium reabsorption in the kidneys. Parathyroid hormone (PTH), on the other hand, increases blood calcium levels by promoting calcium release from bones and increasing calcium absorption in the intestines. Thyroxine, another thyroid hormone, primarily regulates metabolism and has no direct influence on calcium levels. Insulin, produced by the pancreas, is involved in regulating blood sugar levels and is not related to calcium homeostasis.

4. Which of the following is a property of amphiprotic substances?

• A. React with acids only
• B. React with bases only
• C. Can act as both acids and bases
• D. Are inert in chemical reactions

Correct answer: C

Rationale: The correct answer is C: Can act as both acids and bases. Amphiprotic substances have the ability to donate a proton (act as an acid) or accept a proton (act as a base) depending on the reaction conditions. This dual nature allows them to participate in a wide range of chemical reactions, making them versatile and important in various chemical processes. Choices A and B are incorrect because amphiprotic substances are not limited to reacting with only acids or bases; they can interact with both. Choice D is incorrect because amphiprotic substances are not inert; they actively participate in chemical reactions by donating or accepting protons.

5. The pancreas releases a number of digestive enzymes into the small intestine. Which of the following enzymes is NOT produced by the pancreas?

• A. Trypsin (protein digestion)
• B. Amylase (carbohydrate digestion)
• C. Lipase (fat digestion)
• D. Lactase (sugar digestion)

Correct answer: D

Rationale: Lactase is an enzyme responsible for breaking down lactose, a sugar found in dairy products, and it is produced by the small intestine, not the pancreas. The pancreas produces enzymes like trypsin for protein digestion, amylase for carbohydrate digestion, and lipase for fat digestion. Therefore, the correct answer is D. Choices A, B, and C are incorrect because trypsin, amylase, and lipase are indeed enzymes produced by the pancreas for the digestion of proteins, carbohydrates, and fats, respectively.

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