Which of the following components of a nucleotide determines whether the nucleotide is considered a pyrimidine or purine?

Achondroplasia is caused by a mutation in a single autosomal gene (not on sex chromosomes), and it is inherited in a dominant pattern. This means:

• A person needs only one copy of the mutant gene to show the disorder.
• Individuals with two copies of the mutant gene (AA) typically do not survive infancy (lethal homozygosity).
• Therefore, an adult living with achondroplasia must have one normal allele (a) and one mutant allele (A) — this is the heterozygous genotype Aa.

Explanation:

Genotypes Explained:

• aa – Normal height individual (no mutation).
• AA – Homozygous dominant; results in severe skeletal malformations and is typically fatal shortly after birth.
• Aa – Heterozygous; the individual has achondroplasia and can live into adulthood.
• XAY – A sex-linked genotype indicating a male with a mutation on the X chromosome; not applicable here since achondroplasia is autosomal, not sex-linked.

Autosomal Dominant Inheritance in Achondroplasia:

• Each child of an Aa parent has:
  • A 50% chance of being Aa (having achondroplasia),
  • A 50% chance of being aa (not having the condition),
  • If both parents are Aa, there's a 25% chance of AA (lethal).

Clinical Note:

• People with achondroplasia typically have shortened limbs, normal-sized torsos, and characteristic facial features.
• Intelligence and life expectancy are typically normal, provided there are no severe complications.

Pepsin is a critical digestive protein that accelerates the breakdown of dietary proteins into smaller peptides. Its classification as an enzyme stems from its biological role as a catalyst, its proteinaceous nature, and its specific function in the stomach. Below is a detailed explanation of why pepsin is an enzyme and how it operates:

Definition and Role of Pepsin:

Enzyme Nature:

• • Pepsin is aproteolytic enzyme(a type of hydrolase) that cleaves peptide bonds in proteins.
  • Like all enzymes, itlowers activation energyfor protein digestion, speeding up the reaction without being consumed.

Production and Activation:

• • Secreted by gastric chief cells as inactivepepsinogen.
  • Activated byHClin the stomach (pH ~1.5–2), which unfolds pepsinogen to expose its active site.

2. Why It’s Not Other Options:

2. Carbohydrate:

• • Carbohydrates (e.g., sugars, starch) are energy sources or structural molecules (e.g., cellulose). Pepsin digests proteins, not carbs.

3. Nucleic Acid:

• • Nucleic acids (DNA/RNA) store genetic information. Pepsin has no role in nucleotide metabolism.

4. Lipid:

• • Lipids (fats) are broken down bylipases, not pepsin.

3. Key Characteristics of Pepsin as an Enzyme

• Substrate Specificity:
  Pepsin primarily targets peptide bonds next to hydrophobic or aromatic amino acids, such as phenylalanine and tyrosine.
• Optimal Conditions for Activity:
  • Functions best in an acidic environment (maintained by stomach acid).
  • Becomes inactive or denatured at neutral or alkaline pH, such as in the duodenum.
• Clinical Significance:
  • Low levels of pepsin or hydrochloric acid (HCl): Can cause protein malabsorption, often seen in conditions like hypochlorhydria (low stomach acid).
  • Excess pepsin: May contribute to GERD (gastroesophageal reflux disease) by damaging the esophageal lining during acid reflux.

4. Comparison with Other Digestive Enzymes



A stem cell maturing to become a muscle cell that can contract.

Reasoning:

Cell differentiation is the biological process by which a less specialized cell (like a stem cell) becomes a more specialized cell type with a specific structure and function, such as a muscle cell, nerve cell, or blood cell.

1. What Is Cell Differentiation?
   • In multicellular organisms, stem cells give rise to different cell types during development or tissue repair.
   • Differentiation involves gene expression changes that lead to specialized structures and functions.
2. Why Option C Is Correct:
   • A stem cell becoming a muscle cell is a classic example of differentiation.
   • This transformation enables the cell to contract, a function unique to muscle cells.
3. Why Other Options Are Incorrect:
   • 1. Muscle cell producing more ATP is an example of cellular metabolism, not differentiation.
   • 2. A pancreatic cell releasing hormones reflects normal cell function, not a change in cell type.
   • 3. A mutation in a stomach cell is a genetic change, possibly harmful, but it is not differentiation.

Key Examples of Differentiation:

1. Embryonic Development:
   During early development, pluripotent stem cells (from the embryo) have the ability to become any cell type in the body. As development progresses, these stem cells differentiate into specialized cells such as:
   • Neurons: Specialized for transmitting electrical signals in the brain and nervous system.
   • Blood cells: Including red blood cells (which carry oxygen) and white blood cells (which fight infection).
   • Cardiomyocytes: Heart muscle cells that contract to pump blood.
2. Adult Tissues (Somatic Differentiation):
   In fully developed organisms, certain tissues still contain multipotent stem cells that can replenish specific cell types. A key example:
   • Hematopoietic Stem Cells (HSCs): Found in bone marrow, these stem cells differentiate into various blood cells, including:
     • Red blood cells (erythrocytes): Carry oxygen.
     • White blood cells (leukocytes): Defend against pathogens.
     • Platelets (thrombocytes): Help in blood clotting.

Yersinia pestis

Reasoning:

Yersinia pestis is the bacterium responsible for plague, including the bubonic plague. Its primary mode of transmission is through bites from fleas, particularly rat fleas (Xenopsylla cheopis) that have fed on infected rodents.

1. Pathogen Overview – Yersinia pestis:
   • Gram-negative bacterium.
   • Causes bubonic, septicemic, and pneumonic plague.
   • Historically associated with pandemics such as the Black Death.
2. Transmission Mechanism:
   • Fleas ingest the bacteria by biting infected rodents.
   • The bacteria multiply in the flea's gut, eventually blocking it.
   • When the flea bites a human, it regurgitates infected material into the bite wound.
   • Human infection then spreads from the bite site, typically to lymph nodes.

Why the Other Options Are Incorrect:

• 1. Corynebacterium diphtheriae
  • Causes diphtheria.
  • Transmitted via respiratory droplets, not fleas.
• 2. Neisseria meningitidis
  • Causes bacterial meningitis.
  • Spread by saliva and respiratory secretions.
• 3. Plasmodium falciparum
  • Causes the most severe form of malaria.
  • Transmitted by female Anopheles mosquitoes, not fleas or rats.

The tires will not be able to roll or stop.

Reasoning:

Friction is essential for tires to grip the road surface, allowing the car to accelerate, decelerate (brake), and change direction. Without friction, there is no force to oppose or control motion between the tires and the road.

1. Role of Friction in Tire Function:
   • Rolling Motion: Friction between the tire and the road allows the wheel to push backward and move the vehicle forward (Newton’s Third Law).
   • Stopping: Brakes rely on friction to stop the rotation of the wheels. Without friction between the tires and the road, braking would be ineffective.
   • Turning: Turning requires lateral friction; without it, the car would skid uncontrollably in a straight line.
2. Why Other Options Are Incorrect:
   • 2. Tread wearing down quickly: This happens with friction, not without it. Friction-free tires would experience no wear due to lack of contact resistance.
   • 3. Tires levitating: Friction doesn’t affect gravity. Tires wouldn’t float; they’d just slide freely.
   • 4. Tires detaching: Friction is not what keeps tires attached to the car — lug nuts and axles do.

3. Real-World Analogy: Driving on Ice

Driving on icy roads simulates what would happen with friction-free tires:

• The wheels may spin, but the car won’t gain traction or move forward effectively.
• Braking becomes ineffective, as there’s insufficient friction to stop the vehicle.
  This demonstrates the crucial role friction plays in vehicle control.

4. Relevant Physics Principle: Newton’s First Law

According to Newton’s First Law of Motion, an object will remain at rest or continue in uniform motion unless acted upon by an external force.

• In driving, friction between the tires and the road is that force—it allows the car to start, stop, and steer.

Without friction, the car would slide uncontrollably, unable to change its state of motion.

Generate a hypothesis.

Reasoning:

Before beginning any experiment, a researcher must first formulate a hypothesis—a testable prediction or explanation based on prior knowledge or observations. This hypothesis guides the entire experimental design and helps determine what data will be collected.

1. Generating a Hypothesis:
   • Provides a clear focus and purpose for the research.
   • Helps define variables and expected outcomes.
2. Why Other Steps Come Later:
   • 1. Designing experimental procedures depends on the hypothesis to determine what methods are appropriate.
   • 2. Applying SI units is part of measurement but comes after the experiment is planned.
   • 4. Selecting laboratory equipment occurs once the procedures and measurements are decided.
3. Examples of Hypotheses:
   • Biology: "An increase in CO₂ concentration will enhance the growth rate of plants."
   • Chemistry: "Raising the temperature will speed up reaction X."

Steps in the Scientific Method

1. Observation
   Notice a phenomenon or pose a question based on curiosity or prior knowledge.
   Example: "Plants grow taller in sunlight than in shade."
2. Research Background Information
   Review existing studies and information to understand what is already known.
3. Formulate a Hypothesis
   Create a testable and falsifiable prediction about the relationship between variables.
   Format: "If [independent variable], then [dependent variable]."
   Example: "If plants receive more sunlight, then their growth rate will increase."
4. Design the Experiment
   • Identify variables:
     • Independent variable (what you change, e.g., sunlight exposure)
     • Dependent variable (what you measure, e.g., plant height)
     • Control variables (constants like water and soil type)
   • Plan methods to reduce bias, such as randomization or blinding.
5. Select Equipment and Materials
   Choose appropriate tools and ensure measurements follow SI units (e.g., meters, grams).
6. Conduct the Experiment
   Collect data carefully and consistently.
   Repeat trials to improve reliability.
7. Analyze Data
   Use statistical methods to evaluate whether the data supports the hypothesis.
   Visualize findings with graphs or tables.
8. Draw Conclusions
   Interpret the results relative to the hypothesis.
   Consider any limitations or errors.
9. Communicate Findings
   Share results through publications or presentations for peer review.
10. Iterate
    Refine the hypothesis or experimental design based on new insights or feedback.

Aldosterone

Reasoning:

Aldosterone is a steroid hormone secreted by the adrenal cortex. It plays a central role in regulating sodium (Na⁺) and potassium (K⁺) balance and maintaining blood pressure and fluid volume by acting on the distal tubules and collecting ducts of the nephron in the kidneys.

Explanation:

Role of Aldosterone:

• Increases sodium reabsorption into the bloodstream from the kidney tubules.
• Stimulates potassium excretion into the urine.
• Enhances water retention indirectly, since water follows sodium, helping maintain blood volume and pressure.

Mechanism of Action:

• Aldosterone binds to mineralocorticoid receptors in kidney cells.
• It triggers the synthesis of proteins that increase the number of sodium channels and sodium-potassium pumps.
• This boosts Na⁺ reabsorption from the filtrate back into the blood and promotes K⁺ excretion.

Clinical Relevance:

• Hyperaldosteronism (e.g., Conn’s syndrome): Causes excess sodium retention, hypertension, and hypokalemia.
• Addison’s disease: Low aldosterone leads to sodium loss, low blood pressure, and dehydration.

The other options are incorrect because:

• Erythropoietin: Stimulates red blood cell production, not involved in sodium regulation.
• Calcitriol: Active form of vitamin D, important for calcium and phosphate homeostasis, not sodium.
• Thyroxine (T4): A thyroid hormone that regulates metabolism, not directly involved in kidney sodium handling.

Calcium

Reasoning:

Parathyroid hormone (PTH) is secreted by the parathyroid glands in response to low blood calcium levels (hypocalcemia). Its main role is to raise calcium levels in the blood through a coordinated response involving the bones, kidneys, and intestines.

1. How PTH Increases Blood Calcium:

• Bone Resorption:
  PTH stimulates osteoclast activity, which breaks down bone tissue and releases calcium into the bloodstream.
• Kidney Effects:
  • Enhances reabsorption of calcium in the renal tubules, reducing calcium loss in urine.
  • Stimulates the conversion of inactive vitamin D into its active form, calcitriol.
• Intestinal Absorption (Indirect):
  Calcitriol (active vitamin D) promotes greater absorption of calcium from food in the small intestine.

2. Why the Other Options Are Incorrect:

• 1. Iron:
  Regulated primarily by the hormone hepcidin, not PTH. Involved in oxygen transport (via hemoglobin).
• 3. Sodium:
  Controlled by aldosterone and atrial natriuretic peptide (ANP), not PTH.
• 4. Potassium:
  Levels are regulated by aldosterone and insulin, not affected by PTH.

3. Clinical Relevance:

• Hyperparathyroidism:
  Excess PTH leads to high blood calcium levels (hypercalcemia), which can cause kidney stones, bone weakening, and other complications.
• Hypoparathyroidism:
  Deficient PTH causes low calcium levels (hypocalcemia), resulting in muscle cramps, spasms, or tetany.

The Achilles tendon is a type of connective tissue. Tendons are strong, fibrous bands that connect skeletal muscles to bones. In this case, the Achilles tendon connects the gastrocnemius and soleus muscles in the calf to the calcaneus (heel bone). This tendon is essential for walking, running, jumping, and standing on your toes.

Explanation:

1. What is Connective Tissue?

• Connective tissue is one of the four main tissue types in the human body. It serves to bind, support, and protect other tissues and organs.
• Types of connective tissue include:
  • Tendons (connect muscle to bone)
  • Ligaments (connect bone to bone)
  • Cartilage
  • Bone
  • Adipose (fat) tissue
  • Blood (a fluid connective tissue)

2. The Achilles Tendon

• The Achilles tendon is the largest and strongest tendon in the human body.
• It transmits the force from the calf muscles to the heel, allowing the foot to push off the ground.
• Injuries to the Achilles tendon often occur during sports or intense physical activity and may range from inflammation (tendinitis) to complete rupture.

Why the Other Options Are Incorrect:

2. Muscle

• Muscle tissue contracts to produce movement, but the Achilles tendon is not muscle—it connects muscle to bone. Though the injury may affect how the muscle functions, the tendon itself is made of connective tissue, not muscle fibers.

3. Epithelial

• Epithelial tissue forms the outer layers of the body (like skin) and lines internal organs, cavities, and blood vessels. It does not form tendons or support structures like the Achilles tendon.

4. Nervous

• Nervous tissue includes the brain, spinal cord, and nerves. It is responsible for transmitting electrical signals and does not contribute to the structure of tendons. While nerves may be involved in the sensation of injury, they are not the primary tissue affected.

Clinical Note:

• Achilles tendon injuries are common in athletes and can severely limit mobility.
• Treatment may include rest, physical therapy, or surgery depending on severity.

Proteases (also called peptidases or proteinases) are enzymes that digest or break down proteins by hydrolyzing the peptide bonds between amino acids. Since enzymes themselves are proteins, proteases can digest enzymes just like any other protein substrate.

Explanation:

What Proteases Do:

• Target proteins, including enzymes.
• Break peptide bonds.
• Convert large proteins into smaller peptides or amino acids.
• Examples: Pepsin, trypsin, chymotrypsin.

So if you put any protein — even another enzyme — in the presence of active proteases, it will get digested.

Why the Other Options Are Incorrect:

• A. Endonucleases: These cut nucleic acids (DNA or RNA) at specific internal sites. They don’t affect proteins or enzymes.
• B. Lipases: These digest lipids/fats, not proteins or enzymes.
• C. Kinases: These are enzymes that add phosphate groups to other molecules (phosphorylation). They do not digest anything.

Clinical Relevance of Proteases

Proteases in the Human Body:

• Stomach:
  • Pepsin breaks down proteins in an acidic environment (low pH).
• Pancreas & Small Intestine:
  • Trypsin and chymotrypsin function in the alkaline environment of the small intestine to continue protein digestion.
• Lysosomes (inside cells):
  • Cathepsins help break down and recycle intracellular proteins.

Medical Applications of Proteases:

• Enzyme Supplements:
  • Patients with pancreatic insufficiency (e.g., cystic fibrosis, chronic pancreatitis) may need digestive enzyme therapy.
• Protease Inhibitors in Antiviral Therapy:
  • Drugs like ritonavir are used to block viral proteases (e.g., in HIV), stopping viral replication.

Nursing Considerations:

• Monitor for Signs of Malabsorption:
  • Watch for steatorrhea (fatty stools), weight loss, and nutrient deficiencies in patients with enzyme deficiencies.
• Patient Education:
  • Teach patients to take pancreatic enzyme replacements with meals to improve digestion and nutrient absorption.

Fun Fact:

• Bacterial Proteases in Wound Care:
  • Enzymes like collagenase (from bacteria) are used in wound debridement to remove dead tissue and promote healing.