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 of the following organs is involved in the immune system?

• A. Heart
• B. Bronchi
• C. Appendix
• D. Esophagus

Correct answer: C

Rationale: The appendix is involved in the immune system as it is believed to play a role in maintaining and protecting beneficial gut bacteria, especially after gastrointestinal illnesses. This helps in restoring the balance of intestinal bacteria crucial for immune function. The heart (Choice A), bronchi (Choice B), and esophagus (Choice D) are not directly involved in the immune system's functions. The heart pumps blood, the bronchi are part of the respiratory system, and the esophagus is responsible for transporting food to the stomach.

3. Which cellular structure is responsible for protein synthesis?

• A. Nucleus
• B. Ribosome
• C. Endoplasmic reticulum
• D. Golgi apparatus

Correct answer: B

Rationale: The correct answer is B: Ribosome. Ribosomes, the cellular structures located in the cytoplasm or on the endoplasmic reticulum, are responsible for protein synthesis in the cell. They are the sites where mRNA is translated into proteins, making them essential for the synthesis of proteins in all living cells. The other choices, such as the nucleus (choice A), endoplasmic reticulum (choice C), and Golgi apparatus (choice D), are not directly involved in protein synthesis. The nucleus contains DNA and is responsible for housing the genetic material, the endoplasmic reticulum is involved in protein folding and transport, and the Golgi apparatus is responsible for modifying, sorting, and packaging proteins.

4. Which of the following structures regulates the transport of substances in and out of a cell?

• A. Nucleus
• B. Cell membrane
• C. Cytoplasm
• D. Mitochondria

Correct answer: B

Rationale: The cell membrane, also known as the plasma membrane, is responsible for regulating the transport of substances in and out of the cell. It acts as a selective barrier, allowing the passage of certain molecules while restricting others. This selective permeability helps maintain homeostasis within the cell by controlling the movement of essential substances like nutrients and waste products. The nucleus (Choice A) is the organelle that houses the cell's genetic material and is not directly involved in regulating substance transport. Cytoplasm (Choice C) is the gel-like substance that fills the cell and does not play a direct role in regulating substance transport. Mitochondria (Choice D) are responsible for energy production in the cell through cellular respiration and are not primarily involved in substance transport.

5. Which is a posterior feature of the human leg?

• A. Patella
• B. Quadriceps sartorius
• C. Triceps brachii
• D. Achilles tendon

Correct answer: D

Rationale: The correct answer is the Achilles tendon. The Achilles tendon is a strong tendon located at the back of the human leg, connecting the calf muscles to the heel bone. This positioning makes it a posterior feature, situated at the rear of the leg. The patella, also known as the kneecap, is positioned at the front of the leg, making it an anterior feature. The quadriceps sartorius are muscles located in the front of the thigh, not at the back of the leg. Additionally, the triceps brachii is a muscle found in the upper arm, not in the leg, making it an incorrect choice.

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