Nursing Elites

1. Which neurotransmitter is responsible for stimulating muscle contraction?

• A. Dopamine
• B. Acetylcholine
• C. Serotonin
• D. Norepinephrine

Correct answer: B

Rationale: Acetylcholine is the neurotransmitter responsible for stimulating muscle contraction at the neuromuscular junction. When an action potential reaches the end of a motor neuron, acetylcholine is released into the synaptic cleft and binds to receptors on the muscle cell membrane, leading to muscle contraction. Dopamine, serotonin, and norepinephrine are neurotransmitters that have different functions in the nervous system and are not directly involved in stimulating muscle contraction. Dopamine is involved in reward and pleasure pathways, serotonin regulates mood and behavior, and norepinephrine is involved in the 'fight or flight' response.

2. What is the term for the first exposure to a specific pathogen, leading to the development of an initial immune response?

• A. Primary immune response
• B. Secondary immune response
• C. Hypersensitivity reaction
• D. Immunological tolerance

Correct answer: A

Rationale: The correct answer is A: Primary immune response. The primary immune response refers to the initial encounter with a specific pathogen, which triggers the development of the first immune response by the immune system. This response involves activating immune cells like B cells and T cells to produce antibodies and memory cells specific to that pathogen. On the other hand, the secondary immune response occurs upon re-exposure to the same pathogen and is characterized by a faster, stronger, and more effective immune response due to the presence of memory cells from the primary response. Choices B, C, and D are incorrect. The secondary immune response is the response upon re-exposure, hypersensitivity reactions are exaggerated immune responses to antigens, and immunological tolerance is the immune system's ability to recognize and tolerate self-antigens without mounting an immune response.

3. What is the process of converting ammonia, a byproduct of protein digestion, into a less toxic form?

• A. Deamination
• B. Transamination
• C. Decarboxylation
• D. Hydrolysis

Correct answer: A

Rationale: Deamination is the correct answer. It is the process of removing an amino group from a molecule, like converting ammonia (NH3) into a less toxic form such as urea. Ammonia, a byproduct of protein digestion, must be converted into a less toxic form for excretion. Deamination is a crucial step that mainly occurs in the liver through the urea cycle. Transamination involves transferring an amino group from one molecule to another, not removing it as in deamination. Decarboxylation is the removal of a carboxyl group from a molecule, and hydrolysis is the breakdown of a compound by adding water.

4. Which bone is the longest in the human body?

• A. Femur (Thigh bone)
• B. Humerus (Upper arm bone)
• C. Tibia (Shin bone)
• D. Scapula (Shoulder blade)

Correct answer: A

Rationale: The correct answer is the femur (thigh bone) as it is the longest bone in the human body, extending from the hip to the knee. It plays a vital role in supporting the body's weight and enabling movement. The humerus is located in the upper arm and is not as long as the femur. The tibia is the shin bone and is shorter than the femur. The scapula is the shoulder blade and is not the longest bone in the body, making it an incorrect choice.

5. During exercise, heart rate increases to deliver more oxygen to the body's tissues. What other cardiovascular response also increases?

• A. Blood pressure decreases
• B. Blood vessel diameter narrows
• C. Blood flow to muscles increases
• D. Blood viscosity thickens

Correct answer: C

Rationale: During exercise, the cardiovascular response includes an increase in blood flow to the muscles to deliver more oxygen and nutrients needed for energy production. This helps to support the increased demand for oxygen and nutrients by the working muscles. Blood pressure typically increases during exercise to help facilitate this increased blood flow to the muscles. Additionally, blood vessel diameter may widen (vasodilation) to allow for more blood flow, rather than narrow. Blood viscosity does not typically thicken during exercise.

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