Nursing Elites

1. In which regions of the digestive system is amylase produced?

• A. pancreas and salivary glands
• B. gall bladder and salivary glands
• C. gall bladder and liver
• D. pancreas and liver

Correct answer: A

Rationale: Amylase is an enzyme that breaks down carbohydrates into smaller sugars. It is produced in the pancreas and salivary glands. The salivary glands release amylase into the mouth during chewing, where it initiates the breakdown of carbohydrates. The pancreas also secretes amylase into the small intestine to further assist in carbohydrate digestion. Choices B, C, and D are incorrect as the gall bladder does not produce amylase, and the liver's primary function is not the production of amylase for carbohydrate breakdown.

2. Which of the following substances has an acidic pH?

• A. Lemon juice
• B. Blood
• C. Urine
• D. Salt water

Correct answer: A

Rationale: The correct answer is A, Lemon juice, which has an acidic pH typically around 2 due to its citric acid content. Blood, urine, and salt water are not typically acidic in nature. Blood has a slightly basic pH, urine can vary but is usually slightly acidic to neutral, and salt water is neutral to slightly alkaline. Lemon juice is a commonly known acidic substance, often used in cooking and cleaning due to its acidic properties.

3. What is the tough, fibrous connective tissue that attaches muscle to bone?

• A. Fascia
• B. Perimysium
• C. Tendon
• D. Ligament

Correct answer: C

Rationale: Tendons are the correct answer as they are the tough, fibrous connective tissues that attach muscle to bone. They play a crucial role in transmitting the forces generated by muscle contraction to the bones, facilitating movement. Fascia surrounds muscles and provides support, perimysium is the connective tissue sheath around muscle fibers, and ligaments connect bone to bone, stabilizing joints, which makes them distinct from tendons.

4. Using anatomical terms, what is the relationship of the sternum to the deltoid?

• A. Medial
• B. Lateral
• C. Superficial
• D. Posterior

Correct answer: A

Rationale: The sternum is located at the midline of the body, closer to the center, making it medial to the deltoid. The deltoid muscle is positioned on the lateral side of the upper arm, away from the midline. Therefore, the correct relationship of the sternum to the deltoid is medial. 'Lateral' is incorrect as it refers to a position farther away from the midline, 'Superficial' is incorrect as it relates to a structure being closer to the surface, and 'Posterior' is incorrect as it indicates a position behind or toward the back.

5. What type of bone is the kneecap (patella)?

• A. Long bone
• B. Short bone
• C. Flat bone
• D. Irregular bone

Correct answer: C

Rationale: The correct answer is C: Flat bone. The kneecap (patella) is classified as a flat bone. Flat bones are thin, flattened bones that provide protection and offer a broad surface for muscle attachment. The patella fits this description as it is a flat, triangular bone located in front of the knee joint, protecting the knee and providing attachment points for muscles like the quadriceps. Choice A, long bone, is incorrect as long bones are typically found in the arms and legs, not in the knee area. Choice B, short bone, is incorrect as short bones are cube-shaped and are not characteristic of the patella. Choice D, irregular bone, is incorrect as irregular bones have complex shapes and do not apply to the flat, triangular structure of the patella.

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