Nursing Elites

1. What is the main function of the kidneys?

• A. To filter waste products from the blood
• B. To produce urine
• C. To regulate blood pressure
• D. To produce hormones that help control blood sugar levels

Correct answer: A

Rationale: The main function of the kidneys is to filter waste products, excess ions, and water from the bloodstream to form urine, which is then excreted from the body. This process helps maintain the body's internal environment by regulating the balance of electrolytes, fluid volume, and pH levels. While the kidneys do produce urine as a result of filtering the blood, their primary function is to filter waste products rather than solely producing urine. Although the kidneys play a role in regulating blood pressure by controlling blood volume and electrolyte concentration, their main function is waste filtration. While the kidneys do produce hormones like erythropoietin and renin that regulate physiological processes, such as red blood cell production and blood pressure, the main role of the kidneys is waste filtration.

2. What is the term for a genetic disorder caused by a mutation in a mitochondrial gene?

• A. Autosomal dominant disorder
• B. Autosomal recessive disorder
• C. Sex-linked disorder
• D. Mitochondrial disorder

Correct answer: D

Rationale: A) Autosomal dominant disorder: This type of genetic disorder is caused by a mutation in one copy of an autosomal gene. It is not related to mitochondrial gene mutations. B) Autosomal recessive disorder: This type of genetic disorder is caused by mutations in both copies of an autosomal gene. It is not related to mitochondrial gene mutations. C) Sex-linked disorder: This type of genetic disorder is caused by mutations in genes located on the sex chromosomes (X or Y). It is not related to mitochondrial gene mutations. D) Mitochondrial disorder: Mitochondrial disorders are genetic disorders caused by mutations in genes located in the mitochondria, the energy-producing structures within cells. These disorders are inherited maternally and can affect various organs and systems in the body due to the role of mitochondria in energy production.

3. According to the Cahn-Ingold-Prelog (CIP) ranking system, which functional group has the highest priority?

• A. Alcohol (OH)
• B. Aldehyde (CHO)
• C. Carboxylic Acid (COOH)
• D. Amine (NH2)

Correct answer: C

Rationale: In the Cahn-Ingold-Prelog (CIP) ranking system, functional groups are prioritized based on the atomic number of the atoms directly attached to the functional group. Carboxylic acid (COOH) holds the highest priority as the carbon atom is directly bonded to two oxygen atoms, which have higher atomic numbers compared to carbon, hydrogen, or nitrogen. The higher the atomic number of the attached atoms, the higher the priority of the functional group in the CIP ranking system. Therefore, choices A, B, and D are incorrect as they have lower atomic numbers in the atoms directly attached to them, making them lower in priority according to the CIP system.

4. Which of the following is an example of a fibrous protein?

• A. Insulin
• B. Keratin
• C. Hemoglobin
• D. Collagen

Correct answer: D

Rationale: A) Insulin is a hormone, not a fibrous protein. It is produced in the pancreas and regulates blood sugar levels. B) Keratin is a fibrous structural protein found in hair, nails, and the outer skin layer, providing strength and protection. C) Hemoglobin is a globular protein in red blood cells responsible for oxygen transport; it is not fibrous. D) Collagen is a fibrous protein found in tendons, ligaments, and skin, offering strength and structure to connective tissues. Therefore, the correct answer is collagen, making it the main component of various connective tissues.

5. During embryonic development, most vertebrates exhibit structures called pharyngeal pouches. These pouches eventually develop into different structures in various vertebrate groups, such as the human jaw and inner ear. Pharyngeal pouches are an example of:

• A. Analogous structures with different evolutionary origins but similar functions
• B. Homologous structures with a common evolutionary origin but diverse functions
• C. Vestigial structures that no longer serve a vital function in some organisms
• D. Atavisms, the reappearance of a trait absent in recent generations

Correct answer: B

Rationale: Pharyngeal pouches in vertebrates are an example of homologous structures because they share a common evolutionary origin. Despite developing into different structures in various vertebrate groups, such as the jaw and inner ear in humans, these structures originated from the same ancestral feature. This concept of homology highlights the evolutionary relationship between different species and how structures can be modified over time to serve different functions while retaining a common origin. Choice A is incorrect because analogous structures have similar functions but different evolutionary origins, which does not apply to pharyngeal pouches. Choice C is incorrect as vestigial structures are remnants of features that were functional in ancestors but have reduced or lost their original function, which is not the case for pharyngeal pouches. Choice D is incorrect because atavisms refer to the reappearance of traits absent in recent generations, which is not the characteristic of pharyngeal pouches.

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