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 type of muscle is found in the heart?

• A. Smooth muscle
• B. Cardiac muscle
• C. Skeletal muscle
• D. Striated muscle

Correct answer: B

Rationale: Cardiac muscle is a specialized type of muscle found only in the heart. It is responsible for the rhythmic contractions that pump blood throughout the body. Unlike smooth and skeletal muscle, cardiac muscle has its own unique structure and function to meet the demands of the heart's continuous pumping action. Smooth muscle is found in the walls of internal organs and blood vessels, not in the heart. Skeletal muscle is attached to bones and helps in movement but is not found in the heart. Striated muscle is a broader term that includes both cardiac and skeletal muscle, but specifically, cardiac muscle refers to the muscle tissue of the heart.

3. What is the primary function of the kidneys in the urinary system?

• A. To filter waste from the blood
• B. To produce urine
• C. To regulate blood pressure
• D. To absorb nutrients

Correct answer: A

Rationale: The correct answer is A: 'To filter waste from the blood.' The primary function of the kidneys in the urinary system is to filter waste products and excess substances from the blood, forming urine, which is then excreted from the body. Kidneys play a crucial role in maintaining the body's overall balance by filtering out waste, regulating fluid levels, and helping in the elimination of toxins. Choices B, C, and D are incorrect because while the kidneys do produce urine, regulate blood pressure, and help in nutrient absorption indirectly, their primary function is the filtration of waste from the blood.

4. What is the role of the spleen in the immune system?

• A. To filter blood and remove old red blood cells
• B. To produce white blood cells
• C. To store lymphocytes
• D. To produce antibodies

Correct answer: A

Rationale: The spleen plays a crucial role in the immune system by filtering blood, specifically removing old or damaged red blood cells. It also stores lymphocytes, which are white blood cells that help fight infections. While the spleen does not produce white blood cells or antibodies, its main functions lie in blood filtration and storage of immune cells. Therefore, the correct answer is A. Choice B is incorrect because the spleen does not produce white blood cells. Choice C is incorrect as the spleen stores lymphocytes but does not primarily function to do so. Choice D is incorrect because the spleen does not produce antibodies.

5. Which organ system is primarily responsible for regulating muscle growth?

• A. The skeletal system
• B. The endocrine system
• C. The nervous system
• D. The reproductive system

Correct answer: B

Rationale: The endocrine system is primarily responsible for regulating muscle growth through the production and release of hormones such as growth hormone, testosterone, and insulin-like growth factors. These hormones play crucial roles in stimulating muscle protein synthesis, increasing muscle mass, and promoting overall muscle growth and repair. The skeletal system provides structural support for muscles but does not directly regulate muscle growth. The nervous system controls muscle contractions and movements but is not primarily responsible for muscle growth. The reproductive system plays a role in fertility and secondary sexual characteristics but does not have a direct role in regulating muscle growth.

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