Nursing Elites

1. What condition is characterized by progressive muscle weakness and wasting?

• A. Muscular dystrophy
• B. Myositis
• C. Fibromyalgia
• D. Carpal tunnel syndrome

Correct answer: A

Rationale: Muscular dystrophy is a genetic disorder characterized by progressive muscle weakness and wasting due to mutations in genes responsible for muscle cells' structure and function. Myositis is an inflammatory muscle disease, fibromyalgia is a chronic pain condition, and carpal tunnel syndrome affects the hand and arm nerves, but none present with the progressive muscle weakness and wasting seen in muscular dystrophy.

2. Which type of muscle is under voluntary control?

• A. Smooth muscle
• B. Cardiac muscle
• C. Skeletal muscle
• D. Involuntary muscle

Correct answer: C

Rationale: The correct answer is C: Skeletal muscle. Skeletal muscle is under voluntary control, allowing for conscious movement of the body. Smooth muscle and cardiac muscle are both types of involuntary muscles that are not under conscious control. Smooth muscle is found in the walls of internal organs and blood vessels, functioning involuntarily. Cardiac muscle makes up the heart and contracts involuntarily to pump blood. Involuntary muscle (choice D) is a general term that encompasses smooth muscle and cardiac muscle, which operate involuntarily throughout the body.

3. Most catalysts found in biological systems are which of the following?

• A. Special lipids called cofactors.
• B. Special proteins called enzymes.
• C. Special lipids called enzymes.
• D. Special proteins called cofactors.

Correct answer: B

Rationale: Enzymes are special proteins that act as catalysts in biological systems. They accelerate chemical reactions by lowering the activation energy required for the reaction to occur. Enzymes play a critical role in the regulation of metabolic pathways and are essential for various biological processes. While some enzymes may require cofactors for activity, the enzymes themselves are the catalysts in biological systems. Therefore, choice B, special proteins called enzymes, is the most suitable answer. Choices A, C, and D are incorrect because enzymes, not lipids, are the primary catalysts in biological systems.

4. Which type of capillary is the most permeable?

• A. Continuous capillaries
• B. Sinusoidal capillaries
• C. Fenestrated capillaries
• D. Vascular capillaries

Correct answer: B

Rationale: Sinusoidal capillaries are indeed the most permeable type. They are characterized by large gaps between endothelial cells, allowing for the passage of large molecules and cells. These capillaries are commonly found in organs like the liver, bone marrow, and spleen where high permeability is required for specialized functions such as filtration and exchange of substances. Continuous capillaries have tight junctions and are the least permeable, found in muscles, lungs, and the central nervous system where strict control over permeability is needed. Fenestrated capillaries, on the other hand, have small pores or fenestrations and are intermediate in permeability, found in organs like the kidneys, endocrine glands, and intestines where selective permeability is necessary. Vascular capillaries is not a specific type of capillary and is not a valid choice.

5. Which type of muscle is responsible for voluntary movements?

• A. Smooth
• B. Skeletal
• C. Cardiac
• D. Involuntary

Correct answer: B

Rationale: The corrected question is asking about the type of muscle responsible for voluntary movements, which is skeletal muscle (Choice B). Skeletal muscle is under conscious control and is responsible for voluntary movements like walking or lifting objects. Smooth muscle (Choice A) is found in organs like the intestines and blood vessels, responsible for involuntary movements. Cardiac muscle (Choice C) is specific to the heart and is also involuntary. 'Involuntary' (Choice D) is a general term and does not specify a type of muscle responsible for voluntary movements.

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