Nursing Elites

1. Where would you be likely to find a Schwann cell?

• A. In the digestive system
• B. In the nervous system
• C. In the skeletal system
• D. In the muscular system

Correct answer: B

Rationale: Schwann cells are a type of neuroglia found in the peripheral nervous system. They are responsible for producing the myelin sheath around axons of neurons, which helps with the conduction of nerve impulses. Therefore, Schwann cells are typically found in the nervous system. Choices A, C, and D are incorrect because Schwann cells are specifically associated with the nervous system and are not found in the digestive, skeletal, or muscular systems.

2. Enlargement of the thyroid, commonly known as a goiter, might be expected to affect ___________.

• A. swallowing
• B. insulin levels
• C. sleep
• D. digestion

Correct answer: A

Rationale: Enlargement of the thyroid, known as a goiter, can compress the nearby structures in the neck, including the esophagus. This compression can lead to symptoms such as difficulty swallowing (dysphagia) or a sensation of pressure in the throat. Therefore, an enlarged thyroid gland is expected to affect swallowing. Choices B, C, and D are incorrect because a goiter primarily affects structures in the neck due to its physical enlargement, rather than directly impacting insulin levels, sleep, or digestion.

3. Where are B-lymphocytes produced?

• A. Thymus
• B. Red bone marrow
• C. Lymph nodes
• D. Spleen

Correct answer: B

Rationale: B-lymphocytes are produced in the red bone marrow. The red bone marrow is the primary site for B-cell development, where they mature before entering the circulation. The thymus is responsible for T-lymphocyte maturation, not B-lymphocytes. Lymph nodes and spleen play roles in immune responses but are not the primary sites for B-lymphocyte production.

4. Which hormone is released by the adrenal medulla?

• A. Cortisol
• B. Adrenaline
• C. Insulin
• D. Somatostatin

Correct answer: B

Rationale: The correct answer is B, Adrenaline (also known as epinephrine), which is released by the adrenal medulla during the body's fight-or-flight response. Adrenaline helps prepare the body for action by increasing heart rate, dilating air passages, and mobilizing glucose and fats for energy, among other physiological responses. Choice A, Cortisol, is a steroid hormone released by the adrenal cortex involved in the stress response and regulation of metabolism. Choice C, Insulin, is produced by the pancreas and regulates blood sugar levels. Choice D, Somatostatin, is a hormone that inhibits the release of several other hormones in the body, but it is not released by the adrenal medulla.

5. What is the function of the medulla oblongata in the brain?

• A. To control breathing and heart rate
• B. To regulate body temperature
• C. To coordinate voluntary movements
• D. To process sensory information

Correct answer: A

Rationale: The correct answer is A: To control breathing and heart rate. The medulla oblongata is a vital part of the brainstem responsible for regulating essential functions such as breathing, heart rate, and blood pressure. These functions are crucial for maintaining life, and the medulla oblongata plays a key role in ensuring the body's survival. Choices B, C, and D are incorrect because regulating body temperature is primarily controlled by the hypothalamus, coordinating voluntary movements is associated with the cerebellum and motor cortex, and processing sensory information is related to the thalamus and sensory cortex, not the medulla oblongata.

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