Nursing Elites

1. Where does digestion begin in the digestive system?

• A. Stomach
• B. Mouth
• C. Small intestine
• D. Esophagus

Correct answer: B

Rationale: Digestion begins in the mouth. Mechanical digestion through chewing and chemical digestion through saliva initiate the breakdown of food. Enzymes in saliva start breaking down carbohydrates, marking the beginning of the digestive process. The stomach primarily functions in further breaking down food and mixing it with gastric juices. The small intestine is where most of the digestion and absorption of nutrients occur. The esophagus is a muscular tube that helps move food from the mouth to the stomach, but digestion does not begin there.

2. Which muscle is involved in the flexion of the forearm?

• A. Biceps brachii
• B. Triceps brachii
• C. Deltoid
• D. Brachialis

Correct answer: A

Rationale: The biceps brachii muscle is the primary muscle responsible for flexing the forearm at the elbow joint. When the biceps brachii contracts, it causes the forearm to move towards the upper arm, resulting in flexion at the elbow. In contrast, the triceps brachii is responsible for extending the forearm, the deltoid muscle is primarily involved in shoulder movements, and the brachialis muscle also aids in flexion of the forearm but to a lesser extent compared to the biceps brachii.

3. Which feature of the ear is most medial?

• A. Pinna
• B. Tympanic membrane
• C. Cochlea
• D. Outer canal

Correct answer: B

Rationale: The tympanic membrane, also known as the eardrum, is the most medial feature in the ear. It separates the outer ear from the middle ear and serves as a barrier that vibrates in response to sound waves, transmitting vibrations to the middle ear ossicles. The pinna, cochlea, and outer canal are located more laterally in the ear anatomy. The pinna is the visible part of the ear located on the lateral side of the head, the cochlea is a spiral-shaped structure in the inner ear responsible for hearing, and the outer canal refers to the external auditory canal leading to the eardrum.

4. 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.

5. Which of the following statements best describes endocrine glands?

• A. They secrete chemicals into the blood
• B. They secrete enzymes into ducts
• C. They produce sweat
• D. They produce saliva

Correct answer: A

Rationale: Endocrine glands are ductless glands that release hormones directly into the bloodstream. These hormones are then carried to target organs and tissues throughout the body, where they regulate various physiological functions. The statement 'They secrete chemicals into the blood' accurately describes the function of endocrine glands. Choices B, C, and D are incorrect because endocrine glands do not secrete enzymes into ducts, produce sweat, or produce saliva. These functions are typically associated with exocrine glands, sweat glands, and salivary glands, respectively.

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