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 hormone is responsible for regulating the sleep-wake cycle?

• A. Melatonin
• B. Thyroxine
• C. Insulin
• D. Cortisol

Correct answer: A

Rationale: Melatonin, produced by the pineal gland, regulates the sleep-wake cycle by responding to light and darkness in the environment. It plays a crucial role in signaling the body when it's time to sleep and wake up, helping to establish and maintain a healthy circadian rhythm. Thyroxine, Insulin, and Cortisol do not directly regulate the sleep-wake cycle, making them incorrect choices for this question.

3. What is the primary function of the liver in the digestive system?

• A. To produce bile
• B. To secrete digestive enzymes
• C. To store glucose
• D. To store bile

Correct answer: A

Rationale: The correct answer is A: 'To produce bile.' The liver's primary role in the digestive system is to produce bile. Bile is essential for emulsifying fats, aiding in their digestion and absorption in the small intestine. Choice B is incorrect because while the liver does secrete some digestive enzymes, its primary function is bile production. Choice C is incorrect because while the liver does store glucose, it is not its primary function in the digestive system. Choice D is incorrect because the liver produces bile, but it does not store it.

4. Which structure in the ear is responsible for hearing?

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

Correct answer: A

Rationale: The cochlea, located in the inner ear, is responsible for detecting sound waves and converting them into neural signals that are sent to the brain for processing. It plays a crucial role in the process of hearing by translating mechanical vibrations into electrical signals that the brain can interpret as sound. The semicircular canals (Choice B) are responsible for balance and detecting head movements, not hearing. The ossicles (Choice C) are three tiny bones in the middle ear that transmit sound vibrations from the eardrum to the cochlea. The Eustachian tube (Choice D) helps equalize pressure between the middle ear and the atmosphere, but it is not directly involved in the process of hearing.

5. Which organ system is largely responsible for controlling stress?

• A. The endocrine system
• B. The digestive system
• C. The lymphatic system
• D. The respiratory system

Correct answer: A

Rationale: The endocrine system is largely responsible for controlling stress through the release of hormones such as cortisol and adrenaline. These hormones help regulate the body's response to stress by increasing heart rate, blood pressure, and energy production. The endocrine system plays a crucial role in the body's stress response and helps the body adapt to and cope with stressful situations. The digestive system (Choice B) is primarily responsible for breaking down food and absorbing nutrients, not controlling stress. The lymphatic system (Choice C) is responsible for immune function and maintaining fluid balance, not controlling stress. The respiratory system (Choice D) is responsible for the exchange of oxygen and carbon dioxide, not controlling stress.

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