Nursing Elites

1. The pancreas releases a number of digestive enzymes into the small intestine. Which of the following enzymes is NOT produced by the pancreas?

• A. Trypsin (protein digestion)
• B. Amylase (carbohydrate digestion)
• C. Lipase (fat digestion)
• D. Lactase (sugar digestion)

Correct answer: D

Rationale: Lactase is an enzyme responsible for breaking down lactose, a sugar found in dairy products, and it is produced by the small intestine, not the pancreas. The pancreas produces enzymes like trypsin for protein digestion, amylase for carbohydrate digestion, and lipase for fat digestion. Therefore, the correct answer is D. Choices A, B, and C are incorrect because trypsin, amylase, and lipase are indeed enzymes produced by the pancreas for the digestion of proteins, carbohydrates, and fats, respectively.

2. What are stem cells that can develop into many different cell types, but not a complete organism, known as?

• A. Totipotent stem cells
• B. Multipotent stem cells
• C. Pluripotent stem cells
• D. Hematopoietic stem cells

Correct answer: C

Rationale: Pluripotent stem cells are capable of developing into many different cell types, but they cannot form a complete organism. Totipotent stem cells have the ability to give rise to all cell types in an organism, including extraembryonic tissues, enabling them to form a complete organism. Multipotent stem cells can differentiate into a limited range of cell types. Hematopoietic stem cells specifically give rise to blood cells.

3. Which of the following statements correctly describes the function of a physiological structure?

• A. The trachea connects the throat and the stomach.
• B. The esophagus joins the larynx with the lungs.
• C. The diaphragm controls the height of the thoracic cavity.
• D. The epiglottis covers the trachea during swallowing.

Correct answer: D

Rationale: The epiglottis is a flap of tissue that covers the trachea during swallowing to prevent food and liquids from entering the airway. This action helps direct food into the esophagus, ensuring proper passage into the digestive system and avoiding potential choking or aspiration into the lungs. Choices A, B, and C are incorrect because the trachea connects the larynx to the bronchi, the esophagus connects the throat to the stomach, and the diaphragm is a muscle that plays a vital role in breathing by separating the thoracic and abdominal cavities, aiding in respiration.

4. Which process allows for the movement of large molecules, such as proteins and polysaccharides, across the cell membrane?

• A. Endocytosis
• B. Exocytosis
• C. Active transport
• D. Facilitated diffusion

Correct answer: A

Rationale: Endocytosis is the process by which cells engulf large molecules or particles by wrapping the cell membrane around them to form a vesicle that is brought into the cell. This mechanism facilitates the movement of large molecules like proteins and polysaccharides across the cell membrane. Exocytosis involves the release of large molecules or particles from the cell, opposite to the scenario described in the question. Active transport requires energy to move molecules against their concentration gradient and is not primarily used for transporting proteins and polysaccharides. Facilitated diffusion entails the movement of molecules aided by transport proteins but is not the primary mechanism for transporting large molecules such as proteins and polysaccharides.

5. What are the components of the female external genitalia and their functions?

• A. Ovaries: internal reproductive organs
• B. Vulva: external structures of the female genitalia
• C. Uterus: internal reproductive organ for fetal development
• D. Vagina: birth canal

Correct answer: B

Rationale: The corrected answer is B: 'Vulva: external structures of the female genitalia.' The vulva includes external structures such as the labia, clitoris, and vaginal opening. These structures play roles in sexual arousal and protection of the internal genital organs. Choices A, C, and D are incorrect because they are internal reproductive organs. The ovaries produce eggs, the uterus houses the developing fetus, and the vagina serves as the birth canal. Hence, they are not components of the female external genitalia.

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