Nokea
Which of the following is not a function of saliva:
- A. Helps in articulation.
- B. Helps in swallowing.
- C. Helps in dental caries by increasing acidity of oral cavity.
- D. Kills microorganisms by lysozymes.
Correct Answer: C
Rationale: The correct answer is C because saliva does not help in dental caries by increasing acidity; in fact, saliva helps neutralize acids and remineralize teeth. A: Saliva does help in articulation by lubricating the mouth. B: Saliva helps in swallowing by moistening food. D: Saliva contains lysozymes that kill microorganisms, aiding in oral hygiene.
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Which type of cells produce insulin in the pancreas?
- A. acinar cells
- B. duct cells
- C. alpha cells
- D. beta cells
Correct Answer: D
Rationale: The correct answer is D: beta cells. Beta cells are the specific type of cells in the pancreas responsible for producing insulin. They are located in the islets of Langerhans and play a crucial role in regulating blood sugar levels. Acinar cells (A) are responsible for producing digestive enzymes, duct cells (B) are involved in transporting pancreatic enzymes, and alpha cells (C) produce glucagon, which has the opposite effect of insulin in regulating blood sugar. Therefore, the correct choice is beta cells as they are the primary insulin-producing cells in the pancreas.
Patients with gastric ulcer typically exhibit the following symptoms:
- A. Epigastric pain worse after eating and weight loss.
- B. Epigastric pain worse before meals, pain awakening patient from sleep, and melena.
- C. Decreased bowel sounds, rigid abdomen, rebound tenderness, and fever.
- D. Boring epigastric pain radiating to back and left shoulder, bluish-gray discoloration of periumbilical area, and ascites.
Correct Answer: B
Rationale: Gastric ulcers typically present with epigastric pain that worsens before meals, pain that can wake the patient at night, and melena due to gastrointestinal bleeding.
For an organ lying within a body cavity, the tissue which is farthest away from the inner core or lumen of the organ is called the:
- A. Muscularis externa
- B. Serosa
- C. Mucosa
- D. Myenteric Plexus
Correct Answer: B
Rationale: The correct answer is B: Serosa. The serosa is the outermost layer of an organ lying within a body cavity. It is composed of connective tissue covered by a layer of mesothelium. This layer is farthest away from the inner core or lumen of the organ. The muscularis externa (choice A) is the layer of muscle tissue located just beneath the serosa. The mucosa (choice C) is the innermost layer of the organ, lining the lumen. The myenteric plexus (choice D) is a network of nerve fibers located between the circular and longitudinal layers of the muscularis externa, playing a role in regulating gastrointestinal motility.
What is the patient with chronic pancreatitis more likely to have than the patient with acute pancreatitis?
- A. The need to abstain from alcohol
- B. Experience acute abdominal pain
- C. Malabsorption and diabetes mellitus
- D. Require a high-carbohydrate, high-protein, low-fat diet
Correct Answer: C
Rationale: Chronic pancreatitis often leads to malabsorption and diabetes mellitus due to long-term pancreatic dysfunction.
A patient with ulcerative colitis undergoes the first phase of a total proctocolectomy with ileal pouch and anal anastomosis. On postoperative assessment of the patient, what should the nurse expect to find?
- A. A rectal tube set to low continuous suction
- B. A loop ileostomy with a plastic rod to hold it in place
- C. A colostomy stoma with an NG tube in place to provide pouch irrigations
- D. A permanent ileostomy stoma in the right lower quadrant of the abdomen
Correct Answer: B
Rationale: In the first phase of a total proctocolectomy with ileal pouch and anal anastomosis, a loop ileostomy is created to divert stool while the pouch heals.