Nursing Elites

1. What is the breakdown product of creatine phosphate, an energy source used for short bursts of muscle activity?

• A. Glucose
• B. Lactic acid
• C. Carbon dioxide
• D. Creatine

Correct answer: B

Rationale: Creatine phosphate is utilized as an immediate energy source for short bursts of muscle activity. When it breaks down, it yields lactic acid as a byproduct. Lactic acid accumulation during intense exercise can lead to muscle fatigue and soreness. Therefore, the correct answer is lactic acid. The other choices are incorrect: Glucose is a different energy source derived from carbohydrates; Carbon dioxide is a waste product of cellular respiration, not specifically from creatine phosphate breakdown; Creatine is the precursor compound to creatine phosphate and is not the breakdown product.

2. Antigenic variation, a common strategy used by some viruses, allows them to:

• A. Produce toxins
• B. Evade the immune system
• C. Survive outside a host
• D. Replicate rapidly

Correct answer: B

Rationale: Antigenic variation is a strategy used by some viruses to evade the host's immune response. By constantly changing their surface antigens, viruses can avoid recognition and destruction by the immune system. This allows the virus to persist in the host and continue replicating, leading to prolonged infection and potential transmission to other hosts. Antigenic variation does not directly involve the production of toxins, survival outside a host, or rapid replication, making options A, C, and D incorrect in this context.

3. From an anterior view, which of the following vessels carries blood away from the heart?

• A. Left common carotid artery
• B. Pulmonary trunk
• C. Subclavian arteries
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' When viewed from an anterior perspective, the left common carotid artery, pulmonary trunk, and subclavian arteries all carry blood away from the heart. The left common carotid artery supplies oxygenated blood to the head and neck, the pulmonary trunk carries deoxygenated blood to the lungs for oxygenation, and the subclavian arteries transport blood to the upper extremities. Therefore, all the vessels listed in the choices are correct as they function to carry blood away from the heart when viewed anteriorly.

4. Which type of muscle is characterized by voluntary control and is responsible for body movement?

• A. Cardiac muscle
• B. Smooth muscle
• C. Skeletal muscle
• D. Connective tissue

Correct answer: C

Rationale: The correct answer is skeletal muscle. Skeletal muscle is characterized by voluntary control, meaning it is under conscious control. It is responsible for body movement, such as walking, running, and lifting objects. Cardiac muscle is involuntary and found in the heart, while smooth muscle is also involuntary and found in organs like the intestines. Connective tissue is not a type of muscle but rather a type of tissue that provides support and structure in the body.

5. What are the primary differences between systemic and pulmonary circulation?

• A. Systemic circulation is shorter and has lower blood pressure
• B. Pulmonary circulation is shorter and has higher blood pressure
• C. Systemic circulation is longer and has higher blood pressure
• D. Systemic circulation is shorter but has higher blood pressure

Correct answer: C

Rationale: The correct answer is C. Systemic circulation is longer as it involves carrying oxygenated blood throughout the body, requiring higher blood pressure. Pulmonary circulation is shorter and involves the flow of blood only through the lungs, hence having lower blood pressure. Therefore, systemic circulation is longer and has higher blood pressure compared to pulmonary circulation. Choice A is incorrect as systemic circulation is longer, not shorter, and has higher blood pressure. Choice B is incorrect as pulmonary circulation has lower blood pressure, not higher. Choice D is incorrect as systemic circulation is longer, not shorter, despite having higher blood pressure.

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