Nursing Elites

1. Which of the following inventions likely had the greatest impact on combating nutrition deficiencies in developing countries?

• A. Food products fortified with dietary vitamins and minerals
• B. Integrated statistical models of fish populations
• C. Advances enabling microscopes to use thicker tissue samples
• D. Refrigerated train cars for transportation of food

Correct answer: A

Rationale: Food products fortified with dietary vitamins and minerals have had the greatest impact on combating nutrition deficiencies in developing countries. By fortifying food products with essential nutrients such as vitamins and minerals, it becomes easier to address specific deficiencies in populations that may not have access to a diverse range of foods. This innovation has been particularly impactful in addressing common deficiencies like vitamin A, iron, zinc, and folic acid, improving overall health outcomes in populations with limited access to nutrient-rich foods. Choices B, C, and D are incorrect. Integrated statistical models of fish populations, advances in microscopy, and refrigerated train cars, while important in their own right, do not directly address combating nutrition deficiencies in developing countries as effectively as food fortification with essential nutrients.

2. Which division of the nervous system is responsible for involuntary functions such as heart rate, digestion, and respiratory rate?

• A. Somatic nervous system
• B. Autonomic nervous system
• C. Peripheral nervous system
• D. Central nervous system

Correct answer: B

Rationale: The autonomic nervous system is the correct answer. It is responsible for controlling involuntary functions such as heart rate, digestion, respiratory rate, and other automatic processes in the body. The somatic nervous system controls voluntary movements, making choice A incorrect. The peripheral nervous system consists of nerves outside the brain and spinal cord, which is not directly responsible for these involuntary functions, making choice C incorrect. The central nervous system includes the brain and spinal cord, but it is not primarily responsible for regulating involuntary functions, making choice D incorrect.

3. Which hormone stimulates the release of pancreatic enzymes and bile?

• A. Gastrin
• B. Insulin
• C. Cholecystokinin (CCK)
• D. Glucagon

Correct answer: C

Rationale: Cholecystokinin (CCK) is the correct answer. It is the hormone that stimulates the release of pancreatic enzymes and bile. CCK is released by the small intestine in response to the presence of fats and proteins in the duodenum, triggering the release of digestive enzymes and bile to aid in the digestion of fats and proteins. Gastrin (Choice A) primarily stimulates gastric acid secretion, not the release of pancreatic enzymes and bile. Insulin (Choice B) regulates blood sugar levels by promoting glucose uptake. Glucagon (Choice D) raises blood glucose levels by stimulating the breakdown of glycogen in the liver.

4. Which cells myelinate neurons in the CNS?

• A. Schwann cells
• B. Astrocytes
• C. Microglia
• D. Oligodendrocytes

Correct answer: D

Rationale: The correct answer is D, Oligodendrocytes. Oligodendrocytes are responsible for myelinating neurons in the central nervous system (CNS). Schwann cells, found in the peripheral nervous system, are responsible for myelinating neurons there. Astrocytes support and maintain the neuronal environment, while microglia function as immune cells in the CNS, participating in immune responses and cellular debris clearance. Therefore, choices A, B, and C are incorrect for myelination of CNS neurons.

5. Dense irregular connective tissue, found in tendons and ligaments, provides:

• A. Flexibility
• B. Lubrication
• C. Insulation
• D. Tensile strength

Correct answer: D

Rationale: Dense irregular connective tissue, found in tendons and ligaments, provides tensile strength. Tendons and ligaments need to withstand tension and forces acting upon them, and the dense irregular connective tissue helps provide this strength and support. Choice A, flexibility, is incorrect because tendons and ligaments primarily provide support and stability rather than flexibility. Choice B, lubrication, is not the main function of dense irregular connective tissue in tendons and ligaments. Choice C, insulation, is also incorrect as this tissue type is not primarily involved in providing insulation.

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