Nursing Elites

1. Which hormone, produced by the thyroid gland, plays a key role in regulating calcium levels in the blood by promoting calcium release from bones and increasing calcium reabsorption in the kidneys?

• A. Calcitonin
• B. Parathyroid hormone (PTH)
• C. Thyroxine
• D. Insulin

Correct answer: b

Rationale: The correct answer is B: Parathyroid hormone (PTH). PTH is produced by the parathyroid glands, not the thyroid gland. PTH plays a crucial role in regulating calcium levels in the blood by promoting calcium release from bones and increasing calcium reabsorption in the kidneys. This hormone acts in opposition to calcitonin, which is produced by the thyroid gland and works to lower blood calcium levels by promoting calcium deposition into bones. Thyroxine (C) is a thyroid hormone that regulates metabolism, not calcium levels. Insulin (D) is a hormone produced by the pancreas that regulates blood sugar levels, not calcium levels.

2. What happens to the concentration of hydrogen ions (\([H^+]\)) in a solution as the pH increases?

• A. Increases
• B. Decreases
• C. Remains constant
• D. Becomes neutral

Correct answer: B

Rationale: As the pH increases, the concentration of hydrogen ions decreases. The relationship is inversely proportional

3. Urine, the liquid waste product of the body, travels from the kidneys to the bladder through tubes called:

• A. Ureters
• B. Urethra
• C. Nephrons
• D. Renal pelvis

Correct answer: A

Rationale: The correct answer is A: Ureters. Ureters are the tubes that connect the kidneys to the bladder, allowing urine to flow from the kidneys to the bladder for storage before elimination. The urethra, option B, is the tube through which urine is expelled from the bladder out of the body. Nephrons, option C, are the functional units of the kidneys responsible for filtering blood and producing urine. The renal pelvis, option D, is a part of the kidney where urine collects before entering the ureters. Therefore, the correct answer is A, as the ureters specifically carry urine from the kidneys to the bladder.

4. Which structure, located between the pons and the spinal cord, plays a crucial role in coordinating movements, maintaining balance, and posture?

• A. Thalamus
• B. Medulla oblongata
• C. Cerebellum
• D. Hypothalamus

Correct answer: c

Rationale: The correct answer is C: Cerebellum. The cerebellum is the structure located between the pons and the spinal cord that plays a crucial role in coordinating movements, maintaining balance, and posture. It receives information from sensory systems and integrates this input to fine-tune motor activity. The thalamus (A) is a relay station for sensory information, the medulla oblongata (B) is involved in vital functions like heartbeat and breathing, and the hypothalamus (D) regulates various metabolic processes and homeostasis. Therefore, the cerebellum is the most appropriate choice for a structure responsible for movement coordination and balance.

5. What disease is characterized by progressive muscle weakness and wasting?

• A. Muscular dystrophy
• B. Myositis
• C. Fibromyalgia
• D. Carpal tunnel syndrome

Correct answer: A

Rationale: The correct answer is A: Muscular dystrophy. Muscular dystrophy is a genetic disorder characterized by progressive muscle weakness and wasting over time. It primarily affects skeletal muscles, leading to difficulties in movement and muscle function. Myositis is an inflammatory condition affecting the muscles, but it may not always result in progressive muscle weakness and wasting. Fibromyalgia is a chronic pain disorder characterized by widespread musculoskeletal pain and fatigue, not necessarily progressive muscle weakness. Carpal tunnel syndrome is a compression neuropathy affecting the median nerve in the wrist, leading to symptoms like numbness and tingling in the hand, but it does not cause progressive muscle weakness and wasting like muscular dystrophy does.

6. Parkinson's disease is a neurodegenerative disorder affecting which neurotransmitter?

• A. Dopamine
• B. Acetylcholine
• C. Serotonin
• D. Glutamate

Correct answer: A

Rationale: The correct answer is A: Dopamine. Parkinson's disease is characterized by a progressive loss of dopamine-producing neurons in the brain. Dopamine is a neurotransmitter responsible for transmitting signals in the brain that control movement and coordination. A decrease in dopamine levels leads to the typical motor symptoms of Parkinson's, such as tremors, rigidity, and bradykinesia. Acetylcholine (option B) is involved in muscle movement but is not primarily affected in Parkinson's disease. Serotonin (option C) and glutamate (option D) are neurotransmitters that play different roles in the brain and are not primarily associated with Parkinson's disease. Therefore, the correct neurotransmitter affected in Parkinson's disease is dopamine.

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