Nursing Elites

1. What is the process of converting lactic acid back into pyruvate called?

• A. Glycolysis
• B. Gluconeogenesis
• C. Cori cycle
• D. Oxidative phosphorylation

Correct answer: C

Rationale: A) Glycolysis is the process of breaking down glucose into pyruvate. B) Gluconeogenesis is the process of synthesizing glucose from non-carbohydrate sources. C) The Cori cycle is the process by which lactic acid produced by anaerobic metabolism in muscles is transported to the liver and converted back into glucose or pyruvate. D) Oxidative phosphorylation is the process by which ATP is synthesized using energy derived from the transfer of electrons in the electron transport chain.

2. What causes stretch marks?

• A. The epidermis layer becomes inflamed
• B. The dermis layer becomes inflamed
• C. The dermis layer tears due to rapid stretching
• D. Sebaceous glands become clogged

Correct answer: C

Rationale: Stretch marks occur when the dermis layer tears due to rapid stretching of the skin. This tearing leads to the appearance of stretch marks, which are often red or purple at first and then fade to a silvery-white color over time. Inflammation of the dermis or clogging of sebaceous glands are not directly related to the formation of stretch marks. Therefore, choices A, B, and D are incorrect as they do not describe the actual cause of stretch marks.

3. Which hormone is responsible for lowering blood sugar levels?

• A. Glucagon
• B. Insulin
• C. Adrenaline
• D. Cortisol

Correct answer: B

Rationale: Insulin is the hormone responsible for lowering blood sugar levels. It is produced by the pancreas and facilitates the entry of glucose into cells, thereby reducing blood sugar levels. Glucagon, adrenaline, and cortisol have roles in increasing blood sugar levels through various mechanisms. Glucagon raises blood sugar levels by stimulating the liver to release stored glucose, adrenaline increases blood sugar in fight-or-flight responses, and cortisol raises blood sugar levels as part of the stress response. Therefore, in the context of lowering blood sugar levels, insulin is the correct answer.

4. What is the name for the change in enthalpy (heat) associated with a chemical reaction at constant pressure?

• A. Entropy
• B. Enthalpy
• C. Gibbs free energy
• D. Heat of reaction

Correct answer: D

Rationale: The correct answer is D, Heat of reaction. The heat of reaction, also known as the enthalpy change, is the amount of heat absorbed or released during a chemical reaction at constant pressure. Entropy (A) is a measure of the disorder or randomness of a system and is not specifically related to heat changes in a chemical reaction. Enthalpy (B) is the total heat content of a system and not just the change associated with a reaction. Gibbs free energy (C) is a measure of the energy available to do work in a system at constant temperature and pressure, but it is not the specific term for the heat change in a chemical reaction.

5. Why are noble gas elements generally unreactive?

• A. They are too large and cannot form bonds easily.
• B. They lack valence electrons in their outermost shell.
• C. They have strong bonds within their own molecules.
• D. They have already achieved stable electron configurations.

Correct answer: D

Rationale: The correct answer is D. Noble gas elements are generally unreactive because they have already achieved stable electron configurations by having a full outer electron shell. This full shell makes them very stable and unlikely to gain, lose, or share electrons with other elements. Choices A, B, and C are incorrect because noble gases are not unreactive due to being too large to form bonds easily (A), lacking valence electrons in their outermost shell (B), or having strong bonds within their own molecules (C).

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