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 tough, fibrous tissue that connects bones at joints called?

• A. Cartilage
• B. Ligaments
• C. Tendons
• D. Fascia

Correct answer: B

Rationale: Ligaments are the tough, fibrous tissue that connects bones at joints, providing stability and support to prevent excessive movement and potential injury. Cartilage is a smooth, rubbery connective tissue that covers bone ends at joints. Tendons connect muscles to bones, enabling movement. Fascia surrounds muscles, blood vessels, and nerves, providing support and structure to these tissues. In this context, ligaments are specifically the connective tissues that bind bones together at joints, not cartilage, tendons, or fascia.

3. Where in the cell are proteins modified, sorted, and packaged for transport?

• A. Ribosomes
• B. Golgi apparatus
• C. Endoplasmic reticulum (ER)
• D. Lysosomes

Correct answer: B

Rationale: The Golgi apparatus is the cellular organelle responsible for modifying, sorting, and packaging proteins for transport within the cell or for secretion outside the cell. Ribosomes are not involved in modifying, sorting, or packaging proteins; they are responsible for protein synthesis. The endoplasmic reticulum (ER) is primarily involved in protein synthesis and folding, rather than modification and packaging for transport. Lysosomes function in breaking down cellular waste rather than modifying, sorting, or packaging proteins for transport.

4. What are fingernails and toenails primarily made of?

• A. Collagen (Collagen is found in the dermis)
• B. Keratin
• C. Melanin (Melanin provides pigment, not structure)
• D. Sebum (Sebum is an oily substance)

Correct answer: B

Rationale: Fingernails and toenails are primarily made of a protein called keratin. Keratin is a tough, fibrous protein that provides structure and strength to nails, hair, and the outer layer of skin. Collagen, as mentioned, is found in the dermis and is not the primary component of nails. Melanin provides pigment to the skin and hair, not the structure of nails. Sebum is an oily substance produced by the skin's sebaceous glands and is not a structural component of nails.

5. In the cardiovascular system, what does the term 'double circulation' refer to?

• A. The separation of oxygenated and deoxygenated blood flow within the heart.
• B. The regulation of blood pressure through vasoconstriction and vasodilation.
• C. The cyclic contraction and relaxation of the heart muscle.
• D. The existence of two separate circulatory pathways, one for the lungs and one for the body.

Correct answer: D

Rationale: The term 'double circulation' in the cardiovascular system refers to the existence of two separate circulatory pathways, one for the lungs (pulmonary circulation) and one for the body (systemic circulation). Oxygen-poor blood is pumped from the heart to the lungs for oxygenation, and then oxygen-rich blood is pumped from the lungs back to the heart to be circulated to the rest of the body. Choices A, B, and C are incorrect as they do not accurately describe the concept of 'double circulation.' Choice A refers to the separation of oxygenated and deoxygenated blood within the heart, choice B relates to blood pressure regulation mechanisms, and choice C describes the cardiac muscle's contraction and relaxation, none of which define 'double circulation' in the context of the cardiovascular system.

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