Nursing Elites

1. What is the small repeating unit in the contractile apparatus of skeletal muscle?

• A. Myofibril
• B. Actin
• C. Sarcomere
• D. Myosin

Correct answer: C

Rationale: The correct answer is 'Sarcomere.' The sarcomere is the smallest repeating unit within myofibrils and is responsible for muscle contraction in skeletal muscle. It consists of overlapping actin and myosin filaments arranged in a highly organized structure that allows for the sliding of filaments during muscle contraction. 'Myofibril' (choice A) is incorrect because it is a larger structure composed of sarcomeres. 'Actin' (choice B) and 'Myosin' (choice D) are incorrect as they are individual proteins that are components of the sarcomere, not the smallest repeating unit itself.

2. Which group of antibiotics targets the cell wall of bacteria?

• A. Penicillins
• B. Tetracyclines
• C. Macrolides
• D. Fluoroquinolones

Correct answer: A

Rationale: Penicillins are a group of antibiotics that target the bacterial cell wall by inhibiting the synthesis of peptidoglycan, a vital component of the cell wall. This inhibition weakens the cell wall, leading to bacterial cell lysis and death. Penicillins are particularly effective against Gram-positive bacteria due to their mechanism of action. Tetracyclines (B) inhibit protein synthesis, Macrolides (C) interfere with bacterial ribosomes, and Fluoroquinolones (D) target bacterial DNA gyrase and topoisomerase IV. Unlike Penicillins, these antibiotics do not directly target the cell wall of bacteria.

3. What property of a wave determines its pitch in sound waves?

• A. Amplitude
• B. Frequency
• C. Wavelength
• D. Speed

Correct answer: B

Rationale: The pitch of a sound wave is determined by its frequency. Frequency is the number of cycles of a wave that occur in a given time period. Higher frequencies correspond to higher pitches, while lower frequencies correspond to lower pitches. Amplitude refers to the intensity or loudness of a sound wave, wavelength is the distance between two consecutive points in a wave, and speed is the rate at which a wave travels through a medium. Therefore, in sound waves, it is the frequency that primarily determines the pitch, making option B the correct answer.

4. Which of the following terms refers to a muscle twitch, a single forceful contraction of a muscle fiber?

• A. Tetanus
• B. Tremor
• C. Fasciculation
• D. Rigidity

Correct answer: C

Rationale: The correct term for a muscle twitch, a single forceful contraction of a muscle fiber, is 'Fasciculation' (choice C). Fasciculation specifically describes this phenomenon. 'Tetanus' (choice A) refers to sustained muscle contraction, 'Tremor' (choice B) indicates a shaky or quivering movement, and 'Rigidity' (choice D) denotes stiffness or inflexibility in muscles. Therefore, choices A, B, and D are incorrect in the context of a single forceful contraction of a muscle fiber.

5. Which of the following is a strong acid?

• A. Acetic acid (CH₃COOH)
• B. Hydrochloric acid (HCl)
• C. Citric acid
• D. Carbonic acid (H₂CO₃)

Correct answer: B

Rationale: Hydrochloric acid (HCl) is a strong acid because it completely ionizes in water to produce hydrogen ions, leading to a high concentration of H⁺ ions in solution. This characteristic makes it a strong acid. Acetic acid (CH₃COOH), citric acid, and carbonic acid (H₂CO₃) are weak acids as they only partially ionize in water, resulting in a lower concentration of H⁺ ions compared to strong acids. Therefore, hydrochloric acid is the correct choice as a strong acid.

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