Nursing Elites

1. What functional group is present in ethers?

• A. Hydroxyl
• B. Carbonyl
• C. Ether
• D. Amine

Correct answer: C

Rationale: The functional group present in ethers is -O-, representing an oxygen atom bonded to two alkyl or aryl groups. Therefore, choice C, 'Ether,' is the correct answer. Choices A, B, and D refer to different functional groups: hydroxyl (-OH), carbonyl (C=O), and amine (NH2), respectively, which are not present in ethers. Ethers are characterized by the oxygen atom bonded to two carbon groups, distinguishing them from the other functional groups mentioned in the choices.

2. Which of the following is the MOST common symptom of angina pectoris, a condition related to insufficient blood flow to the heart?

• A. Fever and chills.
• B. Chest pain or discomfort.
• C. Sudden onset of severe shortness of breath.
• D. Numbness or tingling in the extremities.

Correct answer: B

Rationale: Chest pain or discomfort is the most common symptom of angina pectoris. This pain is often described as squeezing, pressure, heaviness, tightness, or pain in the chest. Fever and chills, sudden onset of severe shortness of breath, and numbness or tingling in the extremities are not typical symptoms of angina pectoris. The pain associated with angina is usually triggered by physical or emotional stress and typically subsides with rest or medication, distinguishing it from other conditions.

3. What causes varicose veins to occur?

• A. Atherosclerosis.
• B. Incompetent valves.
• C. Loss of skin turgor.
• D. Loss of blood vessel elasticity.

Correct answer: B

Rationale: Varicose veins occur when the valves within the veins become incompetent, leading to blood pooling in the veins instead of being efficiently pumped back to the heart. This causes the veins to become enlarged, twisted, and visible under the skin. Factors such as genetics, aging, pregnancy, and prolonged standing or sitting can contribute to the development of incompetent valves and the resulting varicose veins. Atherosclerosis is the buildup of plaque in arteries, not veins, and does not directly cause varicose veins. Loss of skin turgor is related to skin elasticity and not a direct cause of varicose veins. Loss of blood vessel elasticity is a general term and does not specifically address the mechanism behind varicose veins, which is primarily due to incompetent valves.

4. What condition is characterized by progressive muscle weakness and wasting?

• A. Muscular dystrophy
• B. Myositis
• C. Fibromyalgia
• D. Carpal tunnel syndrome

Correct answer: A

Rationale: Muscular dystrophy is a genetic disorder characterized by progressive muscle weakness and wasting due to mutations in genes responsible for muscle cells' structure and function. Myositis is an inflammatory muscle disease, fibromyalgia is a chronic pain condition, and carpal tunnel syndrome affects the hand and arm nerves, but none present with the progressive muscle weakness and wasting seen in muscular dystrophy.

5. How is blood pressure controlled by the body?

• A. By adjusting heart rate only
• B. By regulating blood volume
• C. By baroreceptors and hormones
• D. By adjusting body temperature

Correct answer: C

Rationale: Blood pressure is controlled by baroreceptors located in the aortic arch and carotid arteries that detect changes in blood pressure levels. When blood pressure is high, these receptors signal for adjustments to lower it. Additionally, hormones such as renin from the kidneys are released when blood pressure drops, further aiding in blood pressure regulation. Choice A is incorrect because blood pressure regulation involves more than just adjusting heart rate; it also includes vasodilation and vasoconstriction. Choice B is incorrect as while blood volume can impact blood pressure, it is not the primary mechanism of blood pressure control. Choice D is incorrect as body temperature regulation is a separate physiological process and not directly related to blood pressure control.

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