Nursing Elites

1. What is the involuntary muscle tissue found in the walls of blood vessels and organs like the stomach and intestines?

• A. Skeletal muscle
• B. Cardiac muscle
• C. Smooth muscle
• D. Striated muscle

Correct answer: C

Rationale: The correct answer is C: Smooth muscle. Smooth muscle is the involuntary muscle tissue that is found in the walls of blood vessels and organs like the stomach and intestines. Unlike skeletal muscle, which is voluntary and under conscious control, smooth muscle functions involuntarily, allowing organs to contract and relax without conscious effort. Cardiac muscle, while also involuntary, is specifically found in the heart. Striated muscle refers to both skeletal and cardiac muscle, which exhibit a striped appearance under a microscope due to the arrangement of their filaments. Therefore, smooth muscle is the most appropriate answer for this question.

2. 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.

3. Which of the following blood vessels carries oxygenated blood from the lungs back to the left atrium of the heart?

• A. Pulmonary artery
• B. Pulmonary vein
• C. Aorta
• D. Inferior vena cava

Correct answer: B

Rationale: The correct answer is B: Pulmonary vein. The pulmonary vein is the blood vessel that carries oxygenated blood from the lungs back to the heart. Oxygenated blood flows from the lungs through the pulmonary veins to the left atrium of the heart, where it is then pumped out to the rest of the body through the aorta. The pulmonary artery, on the other hand, carries deoxygenated blood from the heart to the lungs for oxygenation. The aorta is the largest artery in the body and carries oxygenated blood from the heart to the rest of the body. The inferior vena cava carries deoxygenated blood from the lower body back to the right atrium of the heart. Therefore, the correct choice is B, the pulmonary vein, as it specifically carries oxygenated blood from the lungs back to the left atrium of the heart.

4. The fluid-filled, jelly-like substance within the cell that suspends the organelles is called the:

• A. Nucleus
• B. Cytoplasm
• C. Plasma membrane
• D. Golgi apparatus

Correct answer: B

Rationale: The correct answer is B: Cytoplasm. Cytoplasm is the fluid-filled, jelly-like substance within the cell that suspends the organelles. It is where many cellular processes take place, such as metabolism and protein synthesis. The nucleus (option A) is the organelle that contains the cell's genetic material, the plasma membrane (option C) is the outer boundary of the cell that regulates what enters and exits the cell, and the Golgi apparatus (option D) is involved in processing and packaging proteins. Understanding the functions of each organelle is crucial in recognizing that the cytoplasm is the correct answer in this context.

5. What is the difference between emphysema and chronic bronchitis, both chronic obstructive pulmonary diseases (COPD)?

• A. Emphysema damages alveoli, while chronic bronchitis inflames airways.
• B. Emphysema causes coughing, while chronic bronchitis leads to shortness of breath.
• C. Emphysema is more reversible than chronic bronchitis.
• D. Emphysema affects only smokers, while chronic bronchitis can occur in non-smokers.

Correct answer: A

Rationale: The correct answer is A. Emphysema and chronic bronchitis are both types of COPD, but they have distinct characteristics. Emphysema is characterized by the destruction of the alveoli in the lungs, which impairs the exchange of oxygen and carbon dioxide. This damage to the alveoli leads to difficulty breathing and decreased lung function. On the other hand, chronic bronchitis involves inflammation and narrowing of the airways, leading to excessive mucus production and a persistent cough. While both conditions are chronic and progressive, emphysema primarily affects the alveoli, while chronic bronchitis primarily affects the airways. Understanding these differences is crucial for appropriate diagnosis and management of COPD.

6. Cartilage, a type of connective tissue, provides flexible support in various structures. Which of these does NOT contain cartilage?

• A. Ears
• B. Joints
• C. Muscles
• D. Nose

Correct answer: C

Rationale: Muscles do not contain cartilage. Cartilage is a specialized type of connective tissue that provides flexible support in structures like the ears, joints, and nose. Ears have cartilage in their structure, which helps maintain their shape and flexibility. Joints, such as the knee and elbow, have cartilage to cushion and reduce friction between bones. The nose also contains cartilage, forming its shape and structure. Muscles, on the other hand, are made up of muscle tissue and do not contain cartilage. Therefore, muscles are the correct answer as they do not contain cartilage, unlike the other options.

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