Nursing Elites

1. Which type of capillary is the most permeable?

• A. Continuous capillaries
• B. Sinusoidal capillaries
• C. Fenestrated capillaries
• D. Vascular capillaries

Correct answer: B

Rationale: Sinusoidal capillaries are indeed the most permeable type. They are characterized by large gaps between endothelial cells, allowing for the passage of large molecules and cells. These capillaries are commonly found in organs like the liver, bone marrow, and spleen where high permeability is required for specialized functions such as filtration and exchange of substances. Continuous capillaries have tight junctions and are the least permeable, found in muscles, lungs, and the central nervous system where strict control over permeability is needed. Fenestrated capillaries, on the other hand, have small pores or fenestrations and are intermediate in permeability, found in organs like the kidneys, endocrine glands, and intestines where selective permeability is necessary. Vascular capillaries is not a specific type of capillary and is not a valid choice.

2. How is work defined in terms of force and displacement?

• A. Work is the product of force and displacement in any direction
• B. Work is done only when the displacement is vertical
• C. Work is done only when the force and displacement are perpendicular
• D. Work is the product of force and displacement in the direction of the force

Correct answer: D

Rationale: Work is defined as the product of the force applied on an object and the displacement of the object in the direction of the force. This means that work is only done when the force and displacement are in the same direction. If the force and displacement are not in the same direction, only the component of the force in the direction of the displacement contributes to the work done. Therefore, choice D correctly defines work in terms of force and displacement. Choices A, B, and C are incorrect because work is specifically calculated based on the force and displacement in the direction of the force, not in any direction, only when the displacement is vertical, or when the force and displacement are perpendicular.

3. Where does the nerve impulses send neurotransmitters across a synapse to a muscle cell to stimulate muscle contraction?

• A. sarcomere
• B. tendon
• C. myelin sheath
• D. neuromuscular junction

Correct answer: D

Rationale: The neuromuscular junction is the specific area where nerve impulses trigger the release of neurotransmitters that cross the synaptic gap to bind to receptors on the muscle cell membrane. This binding initiates muscle contraction by stimulating the muscle cell. The sarcomere is the basic contractile unit in a muscle fiber, not the location where nerve impulses communicate with muscle cells. Tendons are connective tissues that attach muscles to bones and are not involved in transmitting nerve impulses. The myelin sheath is a protective covering around nerve fibers but is not directly involved in transmitting neurotransmitters to muscle cells for muscle contraction.

4. Which of the following structures is responsible for preventing the backflow of blood from the left ventricle into the left atrium?

• A. Aortic valve
• B. Pulmonary valve
• C. Tricuspid valve
• D. Mitral valve

Correct answer: D

Rationale: The correct answer is D, the Mitral valve. The mitral valve, also known as the bicuspid valve, is situated between the left atrium and the left ventricle. Its primary function is to prevent the backflow of blood from the left ventricle into the left atrium during ventricular contraction. The other choices are incorrect because: A) The aortic valve prevents backflow from the aorta into the left ventricle. B) The pulmonary valve prevents backflow from the pulmonary artery into the right ventricle. C) The tricuspid valve prevents backflow from the right ventricle into the right atrium.

5. What two factors enable some intercellular chemical signals to diffuse across cell membranes and bind to intracellular receptors?

• A. They are small and soluble.
• B. They are large and soluble.
• C. They are small and insoluble.
• D. They are large and insoluble.

Correct answer: A

Rationale: The correct answer is A: 'They are small and soluble.' Small and soluble molecules can easily pass through cell membranes and bind to intracellular receptors. Being small allows them to pass through the membrane, while being soluble enables them to dissolve in the aqueous environment inside the cell. Choice B is incorrect because large molecules typically cannot pass through the cell membrane easily. Choices C and D are incorrect because insoluble molecules would not dissolve in the aqueous environment inside the cell, hindering their ability to bind to intracellular receptors.

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