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 feature of the ear is most medial?

• A. Pinna
• B. Tympanic membrane
• C. Cochlea
• D. Outer canal

Correct answer: B

Rationale: The tympanic membrane, also known as the eardrum, is the most medial feature in the ear. It separates the outer ear from the middle ear and serves as a barrier that vibrates in response to sound waves, transmitting vibrations to the middle ear ossicles. The pinna, cochlea, and outer canal are located more laterally in the ear anatomy. The pinna is the visible part of the ear located on the lateral side of the head, the cochlea is a spiral-shaped structure in the inner ear responsible for hearing, and the outer canal refers to the external auditory canal leading to the eardrum.

3. Which gland regulates the body's metabolic rate?

• A. Pituitary gland
• B. Thyroid gland
• C. Adrenal gland
• D. Pineal gland

Correct answer: B

Rationale: The thyroid gland is responsible for regulating the body's metabolic rate by producing hormones such as thyroxine (T4) and triiodothyronine (T3). These hormones play a crucial role in controlling the body's metabolism, affecting processes like growth, energy production, and temperature regulation. The pituitary gland is known as the 'master gland' but primarily regulates other endocrine glands by releasing hormones that stimulate their function. The adrenal gland is responsible for producing hormones like adrenaline and cortisol, which are involved in the body's response to stress. The pineal gland secretes melatonin, a hormone that regulates sleep-wake cycles and circadian rhythms, but is not directly involved in regulating metabolic rate.

4. Which structure is part of both the male reproductive system and the urinary system?

• A. Testes
• B. Urethra
• C. Prostate
• D. Penis

Correct answer: B

Rationale: The correct answer is the Urethra. The urethra is a structure that plays a role in both the male reproductive system, by carrying semen, and the urinary system, by carrying urine. It serves as a common pathway for both reproductive and excretory functions in males. The Testes (Choice A) are part of the male reproductive system but not the urinary system. The Prostate (Choice C) is also part of the male reproductive system but not the urinary system. The Penis (Choice D) is primarily involved in the male reproductive system as the organ that delivers semen during sexual intercourse.

5. What is the function of the stomach in digestion?

• A. To absorb nutrients
• B. To break down food
• C. To secrete digestive enzymes
• D. To store glucose

Correct answer: B

Rationale: The correct answer is B: 'To break down food.' The stomach's primary function in digestion is to break down food mechanically and chemically. It accomplishes this by mixing food with gastric acid and digestive enzymes, resulting in the formation of chyme, a semi-liquid mixture that moves on to further digestion in the small intestine. Choice A is incorrect because the absorption of nutrients occurs mainly in the small intestine, not in the stomach. Choice C is incorrect because while the stomach does secrete digestive enzymes like pepsin, its primary role is not just limited to enzyme secretion. Choice D is incorrect because the storage of glucose primarily occurs in the liver and muscles, not in the stomach.

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