Nursing Elites

1. Which vitamin requires intrinsic factor for proper absorption?

• A. Vitamin A
• B. Vitamin C
• C. Vitamin D
• D. Vitamin B12

Correct answer: D

Rationale: Vitamin B12 requires intrinsic factor, a glycoprotein secreted by the parietal cells of the stomach, for proper absorption in the small intestine. Intrinsic factor binds to vitamin B12 and facilitates its absorption in the ileum. Deficiency in intrinsic factor can lead to pernicious anemia, a condition characterized by a lack of vitamin B12 absorption. Options A, B, and C are incorrect. Vitamin A is absorbed in the small intestine with the help of bile salts; Vitamin C is absorbed in the small intestine via active transport; Vitamin D is absorbed in the small intestine through a process involving bile salts and micelles. It is essential for students to understand this relationship as it highlights the importance of intrinsic factor in the absorption of specific vitamins and the consequences of its deficiency.

2. What is the main function of the endoplasmic reticulum (ER) in the cell?

• A. To synthesize and transport proteins and lipids
• B. To package and transport proteins
• C. To break down macromolecules
• D. To store genetic material

Correct answer: A

Rationale: The endoplasmic reticulum (ER) is a network of membranes within the cell that plays a crucial role in protein and lipid synthesis. It consists of two types: rough ER, which is studded with ribosomes and involved in protein synthesis, and smooth ER, which is involved in lipid synthesis and detoxification. The ER's main function is to synthesize proteins and lipids, not just package and transport them. While the ER is involved in transporting these synthesized proteins and lipids to other parts of the cell or outside the cell, its primary role is in their synthesis. Breaking down macromolecules is primarily the function of lysosomes, which are membrane-bound organelles containing enzymes for digestion. Storing genetic material is the function of the nucleus, which houses the cell's DNA. The ER is not involved in storing genetic material.

3. Which of the following is NOT a common symptom of lactose intolerance?

• A. Gas
• B. Bloating
• C. Diarrhea
• D. Nausea

Correct answer: D

Rationale: A) Gas: Gas is a common symptom of lactose intolerance. When lactose is not properly digested, it can ferment in the colon, leading to the production of gas. B) Bloating: Bloating is another common symptom of lactose intolerance. The buildup of gas in the digestive system can cause bloating and discomfort. C) Diarrhea: Diarrhea is a common symptom of lactose intolerance. When lactose is not broken down in the small intestine, it can draw excess water into the colon, resulting in diarrhea. D) Nausea: Nausea is not a common symptom of lactose intolerance. While some individuals may experience mild stomach discomfort or cramps, nausea is not typically associated with lactose intolerance.

4. What phenomenon occurs when a wave encounters a change in medium causing a change in its speed and direction?

• A. Refraction
• B. Reflection
• C. Diffraction
• D. Interference

Correct answer: A

Rationale: Refraction is the phenomenon that occurs when a wave encounters a change in medium, causing a change in its speed and direction. This change in speed and direction is due to the wave bending as it passes from one medium to another with a different density. It is essential to understand refraction as it plays a crucial role in various phenomena, such as the bending of light in lenses, the formation of rainbows, and the way seismic waves travel through the Earth's layers. Reflection, while also a wave phenomenon, involves the bouncing back of a wave when it encounters a boundary. Diffraction refers to the bending of waves around obstacles or through openings, and interference involves the combination of two or more waves to form a new wave pattern.

5. What is the process by which RNA molecules are modified after transcription but before translation?

• A. Replication
• B. Splicing
• C. Editing
• D. Packaging

Correct answer: B

Rationale: B) Splicing is the correct answer. Splicing is the process by which non-coding regions (introns) are removed from pre-mRNA, and the remaining coding regions (exons) are joined together to form mature mRNA. This modification occurs after transcription but before translation. A) Replication is incorrect as replication is the process by which DNA is copied to produce a new DNA molecule, not RNA modifications. C) Editing may involve RNA editing, but it is not commonly used to describe the modification of RNA molecules after transcription. D) Packaging is not the correct term as it refers to the condensation and organization of DNA into chromatin in eukaryotic cells, not the modification of RNA molecules.

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