Nursing Elites

1. What is the role of the diaphragm in the respiratory system?

• A. To regulate blood pressure
• B. To contract and expand the lungs
• C. To produce red blood cells
• D. To absorb oxygen

Correct answer: B

Rationale: The correct answer is B: To contract and expand the lungs. The diaphragm plays a crucial role in the respiratory system by contracting and expanding the lungs. When it contracts, it flattens, increasing the volume of the thoracic cavity and causing air to be drawn into the lungs. Conversely, when it relaxes, it moves back up, decreasing the thoracic cavity volume and pushing air out of the lungs. This process is essential for breathing and the exchange of oxygen and carbon dioxide in the body. Choices A, C, and D are incorrect. The diaphragm is not involved in regulating blood pressure, producing red blood cells, or absorbing oxygen. Its primary function is to aid in respiration by facilitating breathing through its contraction and relaxation movements.

2. What is the name of the microscopic finger-like projections that increase the surface area for absorption in the small intestine?

• A. Goblet cells
• B. Paneth cells
• C. Villi
• D. Crypts of Lieberkühn

Correct answer: C

Rationale: A) Goblet cells: Goblet cells are specialized cells that secrete mucus to protect the lining of the digestive tract. While important for maintaining the health of the intestines, goblet cells do not increase the surface area for absorption in the small intestine. B) Paneth cells: Paneth cells are specialized cells found in the small intestine that secrete antimicrobial peptides. They play a role in protecting the intestinal stem cells and maintaining the gut microbiota balance, but they do not increase the surface area for absorption. C) Villi: Villi are microscopic finger-like projections found in the small intestine that increase the surface area available for absorption of nutrients. Each villus contains blood vessels and lacteals (lymphatic vessels) that help absorb nutrients from digested food. D) Crypts of Lieberkühn: Crypts of Lieberkühn are small pits located between the villi

3. What are the three types of capillaries?

• A. Continuous, fenestrated, sinusoidal
• B. Continuous, discontinuous, fenestrated
• C. Sinusoidal, alveolar, continuous
• D. Continuous, fenestrated, vascular

Correct answer: A

Rationale: The correct answer is A: Continuous, fenestrated, sinusoidal. Capillaries are classified into three types based on their permeability: continuous (least permeable), fenestrated (moderately permeable), and sinusoidal (most permeable). Choices B, C, and D are incorrect because they do not represent the three main types of capillaries. Choice B includes 'discontinuous' which is not a recognized type. Choice C includes 'alveolar' which is not a type of capillary, and Choice D includes 'vascular' which is too broad and not specific to capillary classification.

4. Which structure of the respiratory system bifurcates into the primary bronchi?

• A. Trachea
• B. Alveoli
• C. Bronchioles
• D. Larynx

Correct answer: A

Rationale: The trachea is the structure that bifurcates into the primary bronchi. The trachea is a tube that carries air to and from the lungs. It divides into the left and right primary bronchi at a specific point called the carina, which then further divide into secondary and tertiary bronchi, leading to the bronchioles. The alveoli are the tiny air sacs at the end of the bronchioles where gas exchange occurs, not the structure that bifurcates into the primary bronchi. Bronchioles are smaller airway branches that come after the bronchi but do not bifurcate into them. The larynx, also known as the voice box, is located above the trachea and is responsible for sound production, not the bifurcation into primary bronchi. Therefore, the correct answer is the trachea.

5. What is meant by the term 'goiter'?

• A. Overproduction of cortisol from the adrenal glands
• B. Excessive growth of the thyroid gland
• C. Underproduction of parathyroid hormone (PTH)
• D. Deficiency of growth hormone from the pituitary gland

Correct answer: B

Rationale: A goiter is a condition characterized by the abnormal enlargement of the thyroid gland. This enlargement can be caused by various factors such as iodine deficiency, thyroid nodules, inflammation, or other thyroid disorders. It is not associated with the overproduction of cortisol (Choice A), underproduction of parathyroid hormone (Choice C), or deficiency of growth hormone (Choice D). Therefore, the correct answer is B, excessive growth of the thyroid gland.

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