Nursing Elites

1. Which of the following is NOT an example of a homeostatic mechanism?

• A. Shivering when the body temperature falls.
• B. Increasing heart rate when blood pressure is low.
• C. Weight gain when consuming excess calories.
• D. Secreting insulin to decrease blood sugar concentration.

Correct answer: C

Rationale: Weight gain when consuming excess calories is not an example of a homeostatic mechanism. Homeostasis refers to the body's ability to maintain a stable internal environment despite external changes. The other options listed (A, B, and D) involve physiological responses aimed at restoring balance or stability within the body (e.g., regulating body temperature, blood pressure, and blood sugar levels). Shivering, increasing heart rate, and secreting insulin are mechanisms to counteract specific imbalances and maintain internal equilibrium. In contrast, weight gain due to excess calorie intake does not represent a specific regulatory mechanism but rather an outcome of energy imbalance. The body stores excess energy as fat rather than actively regulating a physiological parameter to restore balance.

2. Which property of a substance refers to its ability to be hammered or pressed into thin sheets without breaking?

• A. Malleability
• B. Ductility
• C. Viscosity
• D. Conductivity

Correct answer: A

Rationale: Malleability is the correct answer as it is the property of a substance that allows it to be hammered or pressed into thin sheets without breaking. This property is crucial for materials like metals that need to be shaped without breaking. Ductility, on the other hand, refers to the ability of a substance to be drawn into thin wires, not hammered into sheets. Viscosity is a measure of a fluid's resistance to flow, indicating its thickness or thinness, and is unrelated to the ability to be hammered. Conductivity, on the other hand, refers to a substance's ability to conduct electricity or heat, which is not related to its ability to be hammered or pressed into thin sheets.

3. What is meant by the term 'goiter'?

• A. Overproduction of cortisol from the adrenal glands
• B. Excessive growth of the thyroid gland
• C. Underproduction of parathyroid hormone (PTH)
• D. Deficiency of growth hormone from the pituitary gland

Correct answer: B

Rationale: A goiter is a condition characterized by the abnormal enlargement of the thyroid gland. This enlargement can be caused by various factors such as iodine deficiency, thyroid nodules, inflammation, or other thyroid disorders. It is not associated with the overproduction of cortisol (Choice A), underproduction of parathyroid hormone (Choice C), or deficiency of growth hormone (Choice D). Therefore, the correct answer is B, excessive growth of the thyroid gland.

4. Which group of antibiotics targets the cell wall of bacteria?

• A. Penicillins
• B. Tetracyclines
• C. Macrolides
• D. Fluoroquinolones

Correct answer: A

Rationale: Penicillins are a group of antibiotics that target the bacterial cell wall by inhibiting the synthesis of peptidoglycan, a vital component of the cell wall. This inhibition weakens the cell wall, leading to bacterial cell lysis and death. Penicillins are particularly effective against Gram-positive bacteria due to their mechanism of action. Tetracyclines (B) inhibit protein synthesis, Macrolides (C) interfere with bacterial ribosomes, and Fluoroquinolones (D) target bacterial DNA gyrase and topoisomerase IV. Unlike Penicillins, these antibiotics do not directly target the cell wall of bacteria.

5. What is the maximum volume of air that can be expelled from the lungs after maximum inhalation?

• A. Tidal volume
• B. Total lung capacity
• C. Ventilation rate
• D. Vital capacity

Correct answer: D

Rationale: The correct answer is D, Vital capacity. Vital capacity represents the maximum volume of air that can be expelled from the lungs after a maximum inhalation. Tidal volume (Choice A) is the volume of air inspired or expired during normal breathing at rest and is not the maximum capacity. Total lung capacity (Choice B) refers to the maximum volume of air the lungs can accommodate including the residual volume, not just the expelled air. Ventilation rate (Choice C) is the rate at which air is moved in and out of the lungs, not the maximum volume of air that can be expelled.

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