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. What is the primary function of the liver?

• A. Detoxifying harmful substances
• B. Producing bile
• C. Producing insulin
• D. Storing glycogen

Correct answer: A

Rationale: The primary function of the liver is to detoxify harmful substances in the blood. While the liver also produces bile, which aids in digestion, stores glycogen for energy storage, and participates in metabolism, its main and essential function is detoxification. Producing insulin is mainly attributed to the pancreas, not the liver.

3. Which hormone is released by the pancreas to lower blood glucose levels?

• A. Insulin
• B. Glucagon
• C. Cortisol
• D. Somatostatin

Correct answer: A

Rationale: Insulin is the hormone released by the pancreas to lower blood glucose levels. Insulin facilitates the uptake of glucose into cells, helping to decrease blood glucose levels and store excess glucose for energy or future use. Glucagon, on the other hand, raises blood glucose levels by promoting the breakdown of glycogen into glucose. Cortisol and somatostatin do not directly regulate blood glucose levels in the same manner as insulin and glucagon.

4. What is the main component of the cell membrane?

• A. Proteins
• B. Carbohydrates
• C. Lipids
• D. Nucleic acids

Correct answer: C

Rationale: The main component of the cell membrane is the phospholipid bilayer, which is primarily composed of lipids. Lipids form a barrier that separates the interior of the cell from the external environment, providing structural integrity and regulating the passage of substances in and out of the cell. Proteins are also essential components of the cell membrane, serving various functions such as transport, signaling, and cell recognition. Carbohydrates are present in the form of glycoproteins and glycolipids on the cell membrane surface, contributing to cell-cell recognition. Nucleic acids are not a primary component of the cell membrane.

5. The skull is positioned ________ to the spinal cord.

• A. anterior
• B. posterior
• C. lateral
• D. superior

Correct answer: D

Rationale: The correct answer is D. The skull is superior to the spinal cord, meaning it is located above the spinal cord in anatomical position. Superior in anatomy refers to a structure being positioned higher or above another structure in the body. Choices A, B, and C are incorrect because they refer to different directional relationships. Anterior means in front of, posterior means behind, and lateral means to the side. In this case, the relationship between the skull and the spinal cord is based on a superior-inferior orientation.

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