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 not part of the body’s secondary defense system?

• A. Macrophages
• B. Leukocytes
• C. T cells
• D. Cilia

Correct answer: D

Rationale: Cilia are not part of the body's secondary defense system. They are hair-like structures primarily involved in movement and transporting substances across cell surfaces, such as in the respiratory tract for debris and pathogen removal. However, cilia do not play a direct role in the immune response mechanisms characteristic of the body's secondary defense system. Macrophages, leukocytes, and T cells are immune cells that actively participate in the secondary defense system by targeting and eliminating pathogens.

3. Which organ system is primarily responsible for preventing water loss?

• A. The nervous system
• B. The integumentary system
• C. The lymphatic system
• D. The urinary system

Correct answer: B

Rationale: The correct answer is B: The integumentary system. The integumentary system, which includes the skin, is primarily responsible for preventing water loss from the body. The skin acts as a barrier that helps regulate moisture and prevent excessive water loss through a process known as transepidermal water loss. The nervous system (choice A) is responsible for transmitting signals throughout the body, the lymphatic system (choice C) is responsible for the immune response and fluid balance, and the urinary system (choice D) is responsible for filtering blood and producing urine, but they do not primarily prevent water loss like the integumentary system.

4. Which type of joint allows for movement in multiple directions?

• A. Hinge joint
• B. Ball and socket joint
• C. Pivot joint
• D. Saddle joint

Correct answer: B

Rationale: The correct answer is a ball and socket joint like the shoulder or hip joint, as it allows for movement in multiple directions, including rotation. This type of joint offers a high degree of mobility due to its structure, where the rounded end of one bone fits into the cup-like socket of another bone. A hinge joint (Choice A) allows movement primarily in one plane, like the elbow or knee. A pivot joint (Choice C) allows for rotation around an axis, seen in the neck joint. A saddle joint (Choice D) enables movements in multiple directions but to a lesser extent compared to a ball and socket joint, found in the thumb joint.

5. Which structure in the ear is responsible for balance?

• A. Cochlea
• B. Semicircular canals
• C. Ossicles
• D. Eustachian tube

Correct answer: B

Rationale: The semicircular canals in the inner ear are responsible for maintaining balance by detecting changes in head position and movement. These structures contain fluid and hair cells that send signals to the brain regarding the body's orientation in space, helping us stay balanced and navigate our surroundings. The cochlea is responsible for hearing, the ossicles are involved in sound transmission, and the Eustachian tube helps equalize pressure in the middle ear, but they are not directly related to balance.

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