Nursing Elites

1. 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.

2. Which hormone is produced by the thyroid gland?

• A. Insulin
• B. Thyroxine
• C. Glucagon
• D. Cortisol

Correct answer: B

Rationale: Thyroxine is the hormone produced by the thyroid gland. It plays a crucial role in regulating metabolism, heart rate, and growth. Insulin is produced by the pancreas to regulate blood sugar levels, not by the thyroid gland. Glucagon is also produced by the pancreas and helps increase blood sugar levels. Cortisol is produced by the adrenal glands and is involved in stress response and metabolism, not by the thyroid gland.

3. Which structure in the ear is responsible for balance?

• A. Cochlea
• B. Semicircular canals
• C. Ossicles
• D. Eustachian tube

Correct answer: B

Rationale: The semicircular canals in the inner ear are responsible for maintaining balance by detecting changes in head position and movement. These structures contain fluid and hair cells that send signals to the brain regarding the body's orientation in space, helping us stay balanced and navigate our surroundings. The cochlea is responsible for hearing, the ossicles are involved in sound transmission, and the Eustachian tube helps equalize pressure in the middle ear, but they are not directly related to balance.

4. What is the name of the outermost layer of the skin?

• A. dermis
• B. epidermis
• C. subcutaneous tissue
• D. hypodermis

Correct answer: B

Rationale: The epidermis is the correct answer as it is the outermost layer of the skin. It acts as a protective barrier against environmental factors and helps in regulating moisture balance. The epidermis is also where new skin cells are continuously formed and contains melanocytes responsible for skin pigmentation. Choices A, C, and D are incorrect. The dermis is the layer beneath the epidermis, the subcutaneous tissue is the deepest layer of the skin, and the hypodermis lies below the dermis.

5. Where is a gallstone most likely to cause pain?

• A. In the upper right quadrant of the abdomen
• B. In the lower right quadrant of the abdomen
• C. In the umbilical region
• D. Along the pelvic girdle

Correct answer: A

Rationale: A gallstone is most likely to cause pain in the upper right quadrant of the abdomen. This specific area corresponds to the location of the gallbladder. When a gallstone blocks the flow of bile from the gallbladder, it can lead to inflammation and pain in this region. The pain may also radiate to the back or right shoulder blade due to referred pain patterns associated with gallbladder issues. Choices B, C, and D are incorrect because gallstone pain is typically felt in the upper right quadrant of the abdomen, not the lower right quadrant, umbilical region, or along the pelvic girdle.

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