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 of the following is true about skeletal muscle?

• A. Skeletal muscle makes up 40% of the body's weight.
• B. Skeletal muscle attaches to bones by tendons.
• C. Muscle contraction is not involved in temperature regulation.
• D. Skeletal muscles contract only when in use.

Correct answer: B

Rationale: The correct statement is that skeletal muscle attaches to bones through tendons, enabling movement. Tendons connect muscles to bones and allow the force generated by muscle contraction to be transmitted to the bones, facilitating voluntary movements. Choice A is incorrect because skeletal muscle typically makes up around 40-50% of an individual's body weight, not a fixed 40%. Choice C is incorrect as muscle contraction plays a vital role in temperature regulation by generating heat. Choice D is incorrect as skeletal muscles may have constant low-level contractions even at rest, known as muscle tone.

3. Which is a secondary defense for the body against pathogens?

• A. Tears
• B. Urine
• C. Inflammation
• D. Mucus

Correct answer: C

Rationale: Inflammation is a secondary defense mechanism for the body against pathogens. When tissues are injured or infected, inflammation occurs as a protective response involving increased blood flow, white blood cell migration, and tissue repair. This process helps contain and eliminate pathogens, preventing them from spreading further in the body. Tears (Choice A) are a primary defense containing lysozyme and other antimicrobial agents. Urine (Choice B) is typically considered a non-specific defense mechanism due to its flushing action in the urinary tract. Mucus (Choice D) acts as a physical barrier and traps pathogens, also considered a primary defense mechanism.

4. Which part of the brain monitors and controls the body's movement?

• A. Top, middle portion of the parietal lobe
• B. Back of the head
• C. Front portion of the parietal lobe
• D. Around the auditory cortex

Correct answer: C

Rationale: The correct answer is the front portion of the parietal lobe. The motor cortex, located in this area, is responsible for planning, controlling, and executing voluntary movements. It plays a crucial role in coordinating the body's movement. Choice A, the top, middle portion of the parietal lobe, is incorrect as this region is more involved in processing sensory information rather than controlling movement. Choice B, the back of the head, is incorrect as it typically refers to the occipital lobe responsible for processing visual information. Choice D, around the auditory cortex, is incorrect as the auditory cortex is primarily involved in processing auditory information, not controlling body movement.

5. Which type of muscles are involved in peristalsis?

• A. Smooth muscles
• B. Cardiac muscles
• C. Skeletal muscles
• D. Epaxial muscles

Correct answer: A

Rationale: Peristalsis is a coordinated, wave-like muscular contraction that propels food and other materials through the digestive tract. Smooth muscles are responsible for this movement in the gastrointestinal tract, providing the involuntary contractions needed for peristalsis to occur. Skeletal muscles, cardiac muscles, and epaxial muscles are not directly involved in peristalsis. Cardiac muscles are found in the heart and are responsible for its contraction. Skeletal muscles are attached to bones and control voluntary movements. Epaxial muscles are located along the vertebral column and are involved in the movement and stabilization of the spine.

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