Nursing Elites

1. Autoimmune diseases occur when the immune system mistakenly attacks healthy body tissues. What is a potential cause of autoimmune diseases?

• A. Deficiency in essential vitamins and minerals
• B. Exposure to environmental toxins
• C. Breakdown in immune cell self-tolerance mechanisms
• D. All of the above

Correct answer: C

Rationale: Autoimmune diseases result from a breakdown in immune cell self-tolerance mechanisms, leading to the immune system mistakenly attacking healthy body tissues. While deficiencies in essential vitamins and minerals or exposure to environmental toxins can impact overall health, they are not direct causes of autoimmune diseases. Deficiency in essential vitamins and minerals may weaken the immune system, making it more susceptible to various health issues but does not directly cause autoimmune diseases. Exposure to environmental toxins can trigger immune responses, but autoimmune diseases specifically stem from the breakdown of self-tolerance mechanisms within immune cells. Therefore, the correct answer is a breakdown in immune cell self-tolerance mechanisms.

2. Which neuromuscular system controls voluntary movement?

• A. Autonomic
• B. Somatic
• C. Sympathetic
• D. Parasympathetic

Correct answer: B

Rationale: The correct answer is B, Somatic. The somatic nervous system controls voluntary movements of skeletal muscles. It is responsible for carrying sensory and motor information to and from the central nervous system. Choices A, C, and D are incorrect. The autonomic nervous system (choice A) controls involuntary functions such as heart rate and digestion. The sympathetic (choice C) and parasympathetic (choice D) nervous systems are subdivisions of the autonomic nervous system and are responsible for the body's fight-or-flight response and rest-and-digest functions, respectively.

3. Which of the following layers of the skin does not contain blood vessels?

• A. Hypodermis
• B. Dermis
• C. Epidermis
• D. Hyperdermis

Correct answer: C

Rationale: The epidermis is the outermost layer of the skin and is avascular, meaning it does not contain blood vessels. It receives nutrients through diffusion from the underlying dermis. The hypodermis is the subcutaneous tissue beneath the dermis and contains blood vessels. The dermis is the layer of skin between the epidermis and hypodermis, which contains blood vessels, nerves, hair follicles, and sweat glands. 'Hyperdermis' is not a correct anatomical term and is not a layer of the skin, making it an incorrect choice for this question.

4. What is the small repeating unit in the contractile apparatus of skeletal muscle?

• A. Myofibril
• B. Actin
• C. Sarcomere
• D. Myosin

Correct answer: C

Rationale: The correct answer is 'Sarcomere.' The sarcomere is the smallest repeating unit within myofibrils and is responsible for muscle contraction in skeletal muscle. It consists of overlapping actin and myosin filaments arranged in a highly organized structure that allows for the sliding of filaments during muscle contraction. 'Myofibril' (choice A) is incorrect because it is a larger structure composed of sarcomeres. 'Actin' (choice B) and 'Myosin' (choice D) are incorrect as they are individual proteins that are components of the sarcomere, not the smallest repeating unit itself.

5. Adipose tissue, also known as fat, serves multiple functions. Which of these is NOT a function of adipose tissue?

• A. Insulation
• B. Energy storage
• C. Hormone production
• D. Muscle movement

Correct answer: D

Rationale: Adipose tissue serves multiple functions in the body, including insulation to regulate body temperature, energy storage in the form of triglycerides, and hormone production such as leptin and adiponectin. Adipose tissue does not directly participate in muscle movement. Muscle movement is primarily carried out by skeletal muscle tissue, which is responsible for voluntary movements and locomotion. Therefore, the correct answer is D, as adipose tissue is not involved in muscle movement.

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