Nursing Elites

1. Using anatomical terms, what is the relationship of the sternum to the deltoid?

• A. Medial
• B. Lateral
• C. Superficial
• D. Posterior

Correct answer: A

Rationale: The sternum is located at the midline of the body, closer to the center, making it medial to the deltoid. The deltoid muscle is positioned on the lateral side of the upper arm, away from the midline. Therefore, the correct relationship of the sternum to the deltoid is medial. 'Lateral' is incorrect as it refers to a position farther away from the midline, 'Superficial' is incorrect as it relates to a structure being closer to the surface, and 'Posterior' is incorrect as it indicates a position behind or toward the back.

2. What is the term for the ability of a substance to dissolve in another substance?

• A. Solubility
• B. Miscibility
• C. Immiscibility
• D. Reactivity

Correct answer: A

Rationale: Solubility is the property that describes the ability of a substance to dissolve in another substance. When a substance is soluble in another, it means it can form a homogeneous solution by dispersing at a molecular level within the solvent. Miscibility, on the other hand, refers to the ability of two liquids to mix and form a homogeneous solution. Immiscibility indicates the inability of substances to mix to form a homogeneous solution. Reactivity pertains to the ability of a substance to undergo chemical reactions, which is distinct from the concept of solubility.

3. What is the term for a genetic disorder caused by a mutation on the X chromosome?

• A. Autosomal dominant disorder
• B. Autosomal recessive disorder
• C. Sex-linked recessive disorder
• D. Sex-linked dominant disorder

Correct answer: C

Rationale: A genetic disorder caused by a mutation on the X chromosome is termed a sex-linked recessive disorder (Option C). This type of disorder is more commonly seen in males due to their single X chromosome, making them more vulnerable to X-linked mutations. Females have two X chromosomes, providing a protective effect against X-linked disorders.\n- Autosomal dominant disorders (Option A) result from a mutation in one copy of a gene on non-sex chromosomes (autosomes) and are not specifically related to the X chromosome.\n- Autosomal recessive disorders (Option B) occur due to mutations in both copies of a gene on autosomes, not on the X chromosome.\n- Sex-linked dominant disorders (Option D) are rare and lead to more severe symptoms in males as they only require one copy of the mutated gene on the X chromosome to express the disorder. However, this is not the term for a genetic disorder caused by an X chromosome mutation.

4. Which cells myelinate neurons in the CNS?

• A. Schwann cells
• B. Astrocytes
• C. Microglia
• D. Oligodendrocytes

Correct answer: D

Rationale: The correct answer is D, Oligodendrocytes. Oligodendrocytes are responsible for myelinating neurons in the central nervous system (CNS). Schwann cells, found in the peripheral nervous system, are responsible for myelinating neurons there. Astrocytes support and maintain the neuronal environment, while microglia function as immune cells in the CNS, participating in immune responses and cellular debris clearance. Therefore, choices A, B, and C are incorrect for myelination of CNS neurons.

5. What is meant by the term 'goiter'?

• A. Overproduction of cortisol from the adrenal glands
• B. Excessive growth of the thyroid gland
• C. Underproduction of parathyroid hormone (PTH)
• D. Deficiency of growth hormone from the pituitary gland

Correct answer: B

Rationale: A goiter is a condition characterized by the abnormal enlargement of the thyroid gland. This enlargement can be caused by various factors such as iodine deficiency, thyroid nodules, inflammation, or other thyroid disorders. It is not associated with the overproduction of cortisol (Choice A), underproduction of parathyroid hormone (Choice C), or deficiency of growth hormone (Choice D). Therefore, the correct answer is B, excessive growth of the thyroid gland.

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