Nursing Elites

1. Which hormone is involved in regulating the sleep-wake cycle?

• A. Insulin
• B. Melatonin
• C. Cortisol
• D. Thyroxine

Correct answer: B

Rationale: The correct answer is B: Melatonin. Melatonin, produced by the pineal gland, is the hormone involved in regulating the sleep-wake cycle. It plays a crucial role in signaling the body that it is time to sleep and is influenced by light exposure. Melatonin levels typically rise in the evening, promoting sleep, and decrease in the morning, helping in waking up. Choice A, Insulin, is involved in regulating blood sugar levels, not the sleep-wake cycle. Choice C, Cortisol, is a stress hormone that helps regulate metabolism and immune response but is not primarily involved in the sleep-wake cycle. Choice D, Thyroxine, is a hormone produced by the thyroid gland that regulates metabolism, growth, and development, but it is not directly involved in regulating the sleep-wake cycle.

2. Which vitamin is important for blood clotting?

• A. Vitamin C
• B. Vitamin K
• C. Vitamin A
• D. Vitamin D

Correct answer: B

Rationale: Vitamin K is crucial for the synthesis of proteins involved in blood clotting, aiding in the prevention of excessive bleeding. Without sufficient Vitamin K, the blood may not clot properly, leading to an increased risk of bleeding and other related complications. Vitamin C is essential for collagen synthesis and the immune system, not specifically for blood clotting. Vitamin A is important for vision and immune function. Vitamin D plays a role in calcium absorption and bone health, but it is not directly linked to blood clotting.

3. Which feature of the ear is most medial?

• A. Pinna
• B. Tympanic membrane
• C. Cochlea
• D. Outer canal

Correct answer: B

Rationale: The tympanic membrane, also known as the eardrum, is the most medial feature in the ear. It separates the outer ear from the middle ear and serves as a barrier that vibrates in response to sound waves, transmitting vibrations to the middle ear ossicles. The pinna, cochlea, and outer canal are located more laterally in the ear anatomy. The pinna is the visible part of the ear located on the lateral side of the head, the cochlea is a spiral-shaped structure in the inner ear responsible for hearing, and the outer canal refers to the external auditory canal leading to the eardrum.

4. Beriberi is a disease caused by a lack of ___________.

• A. thiamine
• B. vitamin C
• C. niacin
• D. protein

Correct answer: A

Rationale: Beriberi is a disease caused by a deficiency of thiamine, also known as vitamin B1. Thiamine is essential for the proper functioning of the nervous system and energy metabolism in the body. Without enough thiamine, individuals may develop symptoms such as weakness, fatigue, nerve damage, and heart problems, which are characteristic of beriberi. Vitamin C (choice B), niacin (choice C), and protein (choice D) deficiencies can cause other health issues but are not directly related to beriberi.

5. Which enzyme functions to break down lactose, a specific sugar found in milk and dairy products?

• A. Catalase
• B. Lipase
• C. Protease
• D. Lactase

Correct answer: D

Rationale: Lactase is the enzyme responsible for breaking down lactose, a sugar present in milk and dairy products. When lactase breaks down lactose, it splits it into two simpler sugars, glucose, and galactose, which can then be absorbed and used by the body. Catalase is involved in breaking down hydrogen peroxide into water and oxygen. Lipase breaks down fats into fatty acids and glycerol. Protease breaks down proteins into amino acids. Therefore, choices A, B, and C are incorrect for the specific breakdown of lactose.

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