Nursing Elites

1. What structures are likely torn in a rotator cuff tear?

• A. Tendon and possibly ligament
• B. Muscle and possibly tendon
• C. Ligament and possibly muscle
• D. Tendon only

Correct answer: A

Rationale: In a rotator cuff tear, the most common structures torn are the tendons of the rotator cuff muscles. In severe cases, the tear may also extend to involve the surrounding ligaments. Therefore, the correct answer is A, as it accurately represents the structures that are likely to be affected in a rotator cuff tear. Choice B is incorrect as muscles are not typically torn in a rotator cuff tear. Choice C is also incorrect as ligaments are not the primary structures involved in a rotator cuff tear. Choice D is incorrect because a rotator cuff tear typically involves more than just the tendons.

2. How do the intercostal muscles between the ribs assist with respiration?

• A. By protecting the delicate bronchioles and alveoli
• B. By signaling a decrease in intra-alveolar pressure
• C. By enlarging and reducing the space in the thorax
• D. By maintaining a medial separation between pleurae

Correct answer: C

Rationale: The intercostal muscles located between the ribs play a crucial role in respiration by aiding in the enlargement and reduction of the space in the thorax. During inspiration, these muscles contract, lifting the rib cage, which increases the volume of the thoracic cavity and allows the lungs to expand and fill with air. This process directly relates to the expansion of the thorax rather than protecting bronchioles and alveoli (Choice A), signaling intra-alveolar pressure changes (Choice B), or maintaining the separation between pleurae (Choice D). Therefore, the correct answer is C.

3. Which part of the brain is involved in the regulation of heart rate and breathing?

• A. Cerebrum
• B. Cerebellum
• C. Medulla oblongata
• D. Hypothalamus

Correct answer: C

Rationale: The correct answer is C: Medulla oblongata. The medulla oblongata, situated in the brainstem, plays a crucial role in regulating vital functions such as heart rate, breathing, and blood pressure. It serves as the control center for involuntary actions, ensuring the body's automatic functions work properly. Choices A, B, and D are incorrect because the cerebrum is primarily responsible for functions such as thinking, voluntary movements, and sensory processing; the cerebellum is involved in coordination, balance, and muscle control; and the hypothalamus regulates body temperature, thirst, hunger, and some aspects of the autonomic nervous system but not specifically heart rate and breathing.

4. Which organ is responsible for the production of hormones during stress?

• A. Parathyroid gland
• B. Adrenal cortex
• C. Posterior pituitary gland
• D. Hypothalamus

Correct answer: B

Rationale: The adrenal cortex is the organ responsible for producing stress hormones like cortisol and aldosterone, which play a crucial role in the body's stress response. During stress, the adrenal cortex releases cortisol, a hormone that helps the body deal with stress by increasing blood sugar, suppressing the immune system, and aiding in metabolism. Parathyroid gland is responsible for calcium regulation, the posterior pituitary gland secretes hormones like oxytocin and vasopressin which are not directly related to the stress response, and the hypothalamus plays a role in regulating hormonal balance and various bodily functions but is not primarily responsible for producing stress hormones.

5. What is the function of the skin in protecting the body?

• A. To produce vitamin D
• B. To protect against pathogens
• C. To store nutrients
• D. To regulate body temperature

Correct answer: B

Rationale: The skin serves several crucial functions in protecting the body. One of its primary roles is to act as a physical barrier against pathogens, preventing harmful microorganisms from entering the body. Choice A, 'To produce vitamin D,' is incorrect because while the skin is involved in vitamin D synthesis upon exposure to sunlight, its primary protective role is against pathogens. Choice C, 'To store nutrients,' is incorrect as the skin is not a primary organ for nutrient storage. Choice D, 'To regulate body temperature,' is a function of the skin, but the primary role in protecting the body is to act as a barrier against pathogens.

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