Nursing Elites

1. What are the microscopic units responsible for muscle contraction called?

• A. Neurons
• B. Myofibrils
• C. Tendons
• D. Sarcomeres

Correct answer: D

Rationale: Sarcomeres are the fundamental contractile units of skeletal muscles and are responsible for muscle contraction. They consist of actin and myosin filaments that slide past each other during muscle contraction. Neurons are responsible for transmitting signals to and from muscles but are not directly involved in muscle contraction. Myofibrils are composed of sarcomeres and are the structures within muscle cells where muscle contractions take place. Tendons are connective tissues that attach muscles to bones and are not directly involved in muscle contraction.

2. Which of the following structures is the natural pacemaker of the heart?

• A. Sinoatrial node
• B. Submental node
• C. Atrioventricular node
• D. Scalene node

Correct answer: A

Rationale: The sinoatrial (SA) node is often referred to as the natural pacemaker of the heart because it is a group of cells located in the right atrium responsible for initiating the electrical signals that coordinate the heart's contractions. The SA node sets the rate and rhythm of the heartbeats, making it a crucial component in the heart's function. The other options, Submental node, Atrioventricular node, and Scalene node, are not related to the regulation of the heart's electrical activity. The Submental node is a lymph node located under the chin, the Atrioventricular node is responsible for passing electrical signals from the atria to the ventricles, and the Scalene node does not exist in the context of the heart's electrical system.

3. What controls muscles by sending electrical impulses to the muscles?

• A. Blood vessels
• B. Nerves
• C. Hormones
• D. Neurons

Correct answer: B

Rationale: Nerves control muscles by transmitting electrical impulses that initiate muscle contractions. Blood vessels are responsible for transporting blood, not controlling muscles. Hormones are chemical messengers produced by glands to regulate bodily functions, not specifically controlling muscles. Neurons are the basic building blocks of the nervous system that transmit signals, but nerves are the specific structures that control muscles by sending electrical impulses.

4. According to the Cahn-Ingold-Prelog (CIP) ranking system, which functional group has the highest priority?

• A. Alcohol (OH)
• B. Aldehyde (CHO)
• C. Carboxylic Acid (COOH)
• D. Amine (NH2)

Correct answer: C

Rationale: In the Cahn-Ingold-Prelog (CIP) ranking system, functional groups are prioritized based on the atomic number of the atoms directly attached to the functional group. Carboxylic acid (COOH) holds the highest priority as the carbon atom is directly bonded to two oxygen atoms, which have higher atomic numbers compared to carbon, hydrogen, or nitrogen. The higher the atomic number of the attached atoms, the higher the priority of the functional group in the CIP ranking system. Therefore, choices A, B, and D are incorrect as they have lower atomic numbers in the atoms directly attached to them, making them lower in priority according to the CIP system.

5. Which hormone is released by the adrenal glands in response to stress?

• A. Insulin
• B. Cortisol
• C. Adrenaline
• D. Glucagon

Correct answer: C

Rationale: Adrenaline is the correct answer. It is released by the adrenal glands in response to stress to prepare the body for the 'fight or flight' response. Adrenaline increases heart rate, dilates airways, and mobilizes energy stores to help the body deal with the perceived threat. Insulin (Choice A) is produced by the pancreas to regulate blood sugar levels, not in response to stress. Cortisol (Choice B) is another hormone released by the adrenal glands in response to stress, but it primarily helps regulate metabolism and immune response. Glucagon (Choice D) is also produced by the pancreas to increase blood sugar levels when they are low, not by the adrenal glands in response to stress.

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