Nursing Elites

1. What two factors enable some intercellular chemical signals to diffuse across cell membranes and bind to intracellular receptors?

• A. They are small and soluble.
• B. They are large and soluble.
• C. They are small and insoluble.
• D. They are large and insoluble.

Correct answer: A

Rationale: The correct answer is A: 'They are small and soluble.' Small and soluble molecules can easily pass through cell membranes and bind to intracellular receptors. Being small allows them to pass through the membrane, while being soluble enables them to dissolve in the aqueous environment inside the cell. Choice B is incorrect because large molecules typically cannot pass through the cell membrane easily. Choices C and D are incorrect because insoluble molecules would not dissolve in the aqueous environment inside the cell, hindering their ability to bind to intracellular receptors.

2. What are apocrine and eccrine?

• A. Blood vessel
• B. Cell types
• C. Hormones
• D. Sweat glands

Correct answer: D

Rationale: Apocrine and eccrine refer to types of sweat glands in the human body. Apocrine sweat glands are larger and located in areas like the armpits and groin, producing a thicker secretion that can be associated with body odor. Eccrine sweat glands are found throughout the skin and are responsible for regulating body temperature through the production of sweat. Understanding the functions and locations of these glands is essential in comprehending the body's thermoregulation processes.

3. What is the primary composition of the stratum corneum, the outermost layer of the epidermis?

• A. Keratinized dead cells
• B. Melanocytes
• C. Langerhans cells
• D. Merkel cells

Correct answer: A

Rationale: The stratum corneum, the outermost layer of the epidermis, is primarily composed of keratinized dead cells. These cells are flattened, fully keratinized, and lack nuclei, serving a protective function for the skin. Melanocytes are responsible for producing melanin, providing skin pigmentation. Langerhans cells are involved in the immune response within the skin. Merkel cells are associated with sensory functions in the skin, particularly in touch sensations. Therefore, the correct answer is A as it accurately reflects the main constituent of the stratum corneum, which acts as a barrier against external factors.

4. Neurotransmitters send chemical messages across the gap between one neuron and another through which of the following structures?

• A. Schwann cell
• B. ganglion
• C. synapse
• D. axon

Correct answer: C

Rationale: Neurotransmitters send chemical messages across the gap between one neuron and another through a structure called the synapse. The synapse is a specialized junction where the axon of one neuron meets the dendrite or cell body of another neuron. Neurotransmitters are released from the axon terminal of the presynaptic neuron and travel across the synaptic cleft to bind to receptors on the postsynaptic neuron, transmitting the signal between the two neurons. Choice A, Schwann cell, is incorrect as Schwann cells are responsible for producing myelin sheath around axons in the peripheral nervous system, not for transmitting neurotransmitters between neurons. Choice B, ganglion, is incorrect as ganglia are clusters of nerve cell bodies outside the central nervous system and do not directly participate in the transmission of chemical messages between neurons. Choice D, axon, is incorrect as the axon is a long, slender projection of a neuron that conducts electrical impulses away from the cell body and towards the axon terminals, where neurotransmitters are released into the synapse, but it is not the structure across which neurotransmitters travel to communicate between neurons.

5. Which of the following is an example of a pivot joint?

• A. Hip
• B. Neck
• C. Shoulder
• D. Elbow

Correct answer: B

Rationale: The correct answer is B: Neck. A pivot joint, as found in the neck, allows for rotational movement around a single axis. This type of joint is essential for movements like shaking your head 'no' or looking left and right. Choices A, C, and D are incorrect because the hip, shoulder, and elbow joints are examples of ball-and-socket joints, which allow for a wide range of motion in multiple directions, not just rotational movement around a single axis like a pivot joint.

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