Nursing Elites

1. Enlargement of the thyroid, commonly known as a goiter, might be expected to affect ___________.

• A. swallowing
• B. insulin levels
• C. sleep
• D. digestion

Correct answer: A

Rationale: Enlargement of the thyroid, known as a goiter, can compress the nearby structures in the neck, including the esophagus. This compression can lead to symptoms such as difficulty swallowing (dysphagia) or a sensation of pressure in the throat. Therefore, an enlarged thyroid gland is expected to affect swallowing. Choices B, C, and D are incorrect because a goiter primarily affects structures in the neck due to its physical enlargement, rather than directly impacting insulin levels, sleep, or digestion.

2. Which part of the brain is responsible for balance and coordination?

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

Correct answer: A

Rationale: The correct answer is the cerebellum. The cerebellum, situated at the back of the brain, is responsible for coordinating voluntary movements and maintaining balance and posture. It receives information from the sensory systems, the spinal cord, and other parts of the brain to regulate motor movements. The cerebrum (choice B) is responsible for higher brain functions such as thinking and decision-making, the medulla oblongata (choice C) controls vital autonomic functions like breathing and heart rate, and the hypothalamus (choice D) is involved in regulating basic biological needs like hunger, thirst, and body temperature.

3. Which system does the esophagus belong to?

• A. Endocrine system
• B. Digestive system
• C. Respiratory system
• D. Nervous system

Correct answer: B

Rationale: The esophagus is part of the digestive system. It is a muscular tube that connects the mouth to the stomach, allowing the passage of food and liquids from the mouth to the stomach for digestion. The esophagus plays a crucial role in the process of swallowing and digestion, which are essential functions of the digestive system. Choices A, C, and D are incorrect because the esophagus is not associated with the endocrine, respiratory, or nervous systems.

4. Which of the following is not part of the central nervous system?

• A. Retina
• B. Spinal cord
• C. Brain
• D. Heart

Correct answer: B

Rationale: The central nervous system consists of the brain and spinal cord, which are responsible for processing and coordinating information. The retina is part of the eye, while the heart is part of the circulatory system. Therefore, the correct answer is 'Spinal cord' as it is not part of the central nervous system.

5. What is the primary hormone secreted by the thyroid gland?

• A. Oxytocin
• B. TSH
• C. Adrenaline
• D. T4

Correct answer: D

Rationale: The correct answer is D: T4. The primary hormone secreted by the thyroid gland is thyroxine, also known as T4. T4 plays a crucial role in regulating metabolism, growth, and energy levels in the body. It is converted into the more active form, triiodothyronine (T3), which exerts most of the biological effects of thyroid hormones. Choices A, B, and C are incorrect. Oxytocin is not produced by the thyroid gland but by the pituitary gland, TSH (thyroid-stimulating hormone) is secreted by the pituitary gland to stimulate the thyroid gland, and adrenaline is produced by the adrenal glands, not the thyroid gland.

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