Nursing Elites

1. What are the primary differences between systemic and pulmonary circulation?

• A. Systemic circulation is shorter and has lower blood pressure
• B. Pulmonary circulation is shorter and has higher blood pressure
• C. Systemic circulation is longer and has higher blood pressure
• D. Systemic circulation is shorter but has higher blood pressure

Correct answer: C

Rationale: The correct answer is C. Systemic circulation is longer as it involves carrying oxygenated blood throughout the body, requiring higher blood pressure. Pulmonary circulation is shorter and involves the flow of blood only through the lungs, hence having lower blood pressure. Therefore, systemic circulation is longer and has higher blood pressure compared to pulmonary circulation. Choice A is incorrect as systemic circulation is longer, not shorter, and has higher blood pressure. Choice B is incorrect as pulmonary circulation has lower blood pressure, not higher. Choice D is incorrect as systemic circulation is longer, not shorter, despite having higher blood pressure.

2. What is the main function of the epiglottis?

• A. To store bile
• B. To absorb nutrients
• C. To prevent food from entering the trachea
• D. To produce digestive enzymes

Correct answer: C

Rationale: The epiglottis is a flap of cartilage located at the base of the tongue that covers the opening of the trachea during swallowing to prevent food and liquids from entering the airway. This action helps direct food and liquids into the esophagus, which leads to the stomach for digestion, while also protecting the respiratory system from potential blockages that could lead to choking or aspiration pneumonia. Options A, B, and D are incorrect as the epiglottis is not involved in storing bile, absorbing nutrients, or producing digestive enzymes. Understanding the role of the epiglottis in the swallowing process is crucial for maintaining proper respiratory and digestive functions.

3. During inhalation, which muscle contracts to increase the volume of the thoracic cavity, allowing air to flow into the lungs?

• A. Diaphragm
• B. Intercostal muscles
• C. Abdominal muscles
• D. Pectoral muscles

Correct answer: A

Rationale: The diaphragm is the primary muscle responsible for inhalation. When it contracts, it moves downward, increasing the volume of the thoracic cavity and creating a pressure gradient that allows air to flow into the lungs. While the intercostal muscles also play a role in expanding the chest cavity during inhalation, the diaphragm is the main muscle involved in this process. Abdominal muscles and pectoral muscles are not directly involved in the process of inhalation.

4. What is the difference between polygenic inheritance and pleiotropy?

• A. Polygenic inheritance involves multiple genes influencing one trait, while pleiotropy involves one gene affecting multiple traits.
• B. Polygenic inheritance is found in simple Mendelian traits, while pleiotropy is found in complex traits.
• C. Polygenic inheritance is always quantitative, while pleiotropy can be qualitative or quantitative.
• D. Both involve multiple genes and multiple traits, but the specific mechanisms differ

Correct answer: A

Rationale: - Polygenic inheritance refers to the situation where a trait is influenced by multiple genes, each contributing a small effect to the phenotype. These traits often show continuous variation and are not easily categorized into discrete categories. - Pleiotropy, on the other hand, occurs when a single gene influences multiple, seemingly unrelated traits. This means that a mutation in one gene can lead to multiple phenotypic effects across different traits or characteristics. - Therefore, the key difference between polygenic inheritance and pleiotropy lies in the number of genes involved in influencing a trait (multiple genes in polygenic inheritance vs. one gene in pleiotropy) and the direction of influence (one trait affected by multiple genes in polygenic inheritance vs. multiple traits affected by one gene in pleiotropy).

5. How will mildly elevated levels of thyroxine affect the heart rate?

• A. Stop the heart rate
• B. No effect
• C. Decrease the heart rate
• D. Increase the heart rate

Correct answer: D

Rationale: Mildly elevated levels of thyroxine will increase the heart rate. Thyroxine, a hormone produced by the thyroid gland, regulates metabolism. Elevated thyroxine levels can lead to increased metabolism, resulting in an elevated heart rate. Choice A is incorrect as mildly elevated thyroxine levels do not stop the heart rate. Choice B is incorrect because elevated thyroxine levels do have an effect on heart rate. Choice C is incorrect as elevated thyroxine levels typically lead to an increase rather than a decrease in heart rate.

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