Nursing Elites

1. What is the medical term for heartburn, a burning sensation in the chest caused by stomach acid?

• A. Dysphagia
• B. Gastroesophageal reflux disease (GERD)
• C. Peptic ulcer
• D. Ulcerative colitis

Correct answer: B

Rationale: A) Dysphagia refers to difficulty swallowing and is not specifically related to heartburn. B) Gastroesophageal reflux disease (GERD) is the medical term for heartburn, which is a burning sensation in the chest caused by stomach acid flowing back up into the esophagus. C) Peptic ulcer is a sore that develops on the lining of the stomach, small intestine, or esophagus, and it can cause symptoms such as abdominal pain, not specifically heartburn. D) Ulcerative colitis is a type of inflammatory bowel disease that affects the colon and rectum, and it does not typically cause heartburn.

2. Which of the following enzymes unwinds the double-stranded DNA during replication?

• A. Helicase
• B. Ligase
• C. Nuclease
• D. Polymerase

Correct answer: A

Rationale: Helicase is the enzyme responsible for unwinding the double-stranded DNA during replication by breaking the hydrogen bonds between the base pairs. This process creates the replication fork where DNA polymerase can then synthesize new DNA strands. Ligase functions to join Okazaki fragments on the lagging strand, not unwind DNA. Nuclease is involved in DNA repair by removing damaged DNA segments. Polymerase is responsible for synthesizing new DNA strands based on the existing template strands, not for unwinding the DNA.

3. What functional group is present in esters?

• A. Hydroxyl
• B. Carbonyl
• C. Ester
• D. Amine

Correct answer: C

Rationale: The functional group present in esters is -COO-, which represents a carbonyl group bonded to an oxygen atom. This group is responsible for the characteristic fruity aroma of esters. Choice A, 'Hydroxyl,' refers to -OH, which is a characteristic group of alcohols, not esters. Choice B, 'Carbonyl,' is a broad term that includes various compounds with a C=O group, but specifically in esters, it is a carbonyl group bonded to an oxygen atom. Choice D, 'Amine,' refers to compounds containing a nitrogen atom bonded to hydrogen atoms or alkyl groups, which is not present in esters. Therefore, the correct answer is 'C: Ester.'

4. Which skin condition is characterized by red, itchy, and inflamed patches?

• A. Eczema
• B. Psoriasis
• C. Melanoma
• D. Keloid

Correct answer: A

Rationale: Eczema is a skin condition characterized by red, itchy, and inflamed patches. It is a common condition that can vary in severity and often presents with symptoms such as dry, scaly skin, and sometimes oozing or crusting. Psoriasis, on the other hand, presents with red, scaly patches but is not typically described as itchy. Melanoma is a type of skin cancer characterized by the development of abnormal moles, while keloid is a type of raised scar that can occur after an injury to the skin. Therefore, the correct answer is eczema due to its specific symptom presentation of red, itchy, and inflamed patches.

5. What are the finger-like projections that increase the surface area for absorption in the small intestine called?

• A. Crypts of Lieberkühn
• B. Goblet cells
• C. Villi
• D. Paneth cells

Correct answer: C

Rationale: A) Crypts of Lieberkühn are small pits in the lining of the small intestine that contain cells involved in the production of intestinal juices, but they do not increase the surface area for absorption. B) Goblet cells are specialized cells that secrete mucus to protect the lining of the digestive tract, but they do not increase the surface area for absorption. C) Villi are finger-like projections in the small intestine that increase the surface area available for nutrient absorption. Each villus contains blood vessels and lacteals (lymphatic vessels) that help absorb nutrients from digested food. D) Paneth cells are specialized cells found in the small intestine that secrete antimicrobial substances, but they do not increase the surface area for absorption.

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