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. Which might be a result of stenosis, or narrowing of a heart valve?

• A. Abdominal pain
• B. Blood clots
• C. Edema (swelling) in organs
• D. Irregular heartbeat

Correct answer: D

Rationale: Stenosis, or narrowing of a heart valve, restricts blood flow through the valve, leading to changes in the heart's normal rhythm. This alteration can result in an irregular heartbeat, making it a common consequence of heart valve stenosis. Abdominal pain, blood clots, and organ swelling are not typically associated with stenosis of a heart valve.

3. What is the primary function of the adrenal glands?

• A. To produce insulin
• B. To regulate metabolism and stress response
• C. To fight infections
• D. To regulate blood pressure

Correct answer: B

Rationale: The primary function of the adrenal glands is to regulate metabolism and the body's stress response. The adrenal glands produce hormones like cortisol and adrenaline that play a vital role in managing metabolism, immune response, and stress levels. Choice A is incorrect because insulin is produced by the pancreas, not the adrenal glands. Choice C is incorrect because fighting infections is primarily the role of the immune system. Choice D is incorrect as the regulation of blood pressure involves organs like the heart, kidneys, and blood vessels, not the adrenal glands.

4. Which enzyme functions to break down lactose, a specific sugar found in milk and dairy products?

• A. Catalase
• B. Lipase
• C. Protease
• D. Lactase

Correct answer: D

Rationale: Lactase is the enzyme responsible for breaking down lactose, a sugar present in milk and dairy products. When lactase breaks down lactose, it splits it into two simpler sugars, glucose, and galactose, which can then be absorbed and used by the body. Catalase is involved in breaking down hydrogen peroxide into water and oxygen. Lipase breaks down fats into fatty acids and glycerol. Protease breaks down proteins into amino acids. Therefore, choices A, B, and C are incorrect for the specific breakdown of lactose.

5. Which hormone is responsible for the regulation of calcium levels in the blood?

• A. Insulin
• B. Parathyroid hormone
• C. Cortisol
• D. Melatonin

Correct answer: B

Rationale: Parathyroid hormone, produced by the parathyroid glands, is responsible for regulating calcium levels in the blood. It achieves this by increasing calcium absorption in the intestines and kidneys, thus maintaining appropriate calcium levels in the bloodstream. Insulin is involved in glucose metabolism, not calcium regulation. Cortisol is a stress hormone that affects various body functions but not calcium levels. Melatonin is responsible for regulating the sleep-wake cycle, not calcium levels.

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