Nursing Elites

1. What is the end product of glycolysis?

• A. Lactic acid
• B. ATP
• C. NADPH
• D. Pyruvic acid

Correct answer: D

Rationale: The correct answer is D: Pyruvic acid. The end product of glycolysis is pyruvic acid, not lactic acid, ATP, or NADPH. Pyruvic acid is a key intermediary in cellular respiration and can be further metabolized to produce energy through processes like the citric acid cycle and oxidative phosphorylation. Lactic acid is produced in the absence of oxygen during fermentation, ATP is a product of cellular respiration but not the direct end product of glycolysis, and NADPH is generated in other metabolic pathways such as the pentose phosphate pathway, not in glycolysis.

2. Which part of the brain controls the coordination of muscle movements?

• A. Cerebrum
• B. Cerebellum
• C. Thalamus
• D. Medulla oblongata

Correct answer: B

Rationale: The cerebellum is the part of the brain responsible for controlling the coordination of muscle movements and helping to maintain balance. It receives information from the sensory systems, the spinal cord, and other parts of the brain to regulate voluntary movements. The cerebrum (choice A) is primarily responsible for higher brain functions such as thinking and decision-making, not muscle coordination. The thalamus (choice C) acts as a relay station for sensory information but is not directly involved in muscle coordination. The medulla oblongata (choice D) is responsible for regulating vital autonomic functions like breathing and heart rate, rather than muscle coordination.

3. What is the term for a repetitive, involuntary muscle contraction that can cause pain and stiffness?

• A. Cramp
• B. Spasm
• C. Tic
• D. Fibrosis

Correct answer: B

Rationale: A spasm is a repetitive, involuntary muscle contraction that can cause pain and stiffness. While cramps are a type of spasm, not all spasms are cramps. Tics are sudden, repetitive movements or sounds made involuntarily. Fibrosis refers to the formation of excess fibrous connective tissue in an organ or tissue as part of a reparative or reactive process. In this context, a spasm best fits the description provided, making it the correct answer. Cramp, although related to spasms, is more specific and not the general term being sought. Tic does not describe a muscle contraction but rather sudden movements or sounds. Fibrosis does not directly relate to muscle contractions but rather to the formation of excess fibrous tissue in organs or tissues.

4. What is the primary function of coronary arteries?

• A. Delivering oxygenated blood throughout the body.
• B. Supplying oxygenated blood to the heart muscle itself.
• C. Carrying deoxygenated blood back to the heart.
• D. Regulating blood pressure through vasoconstriction and vasodilation.

Correct answer: B

Rationale: The primary function of coronary arteries is to supply oxygenated blood to the heart muscle itself. The heart is a muscle that needs a constant supply of oxygen and nutrients to function properly. Coronary arteries branch off the aorta and specifically deliver oxygenated blood to the heart muscle, ensuring its proper function. Choice A is incorrect because coronary arteries do not deliver blood throughout the entire body but specifically to the heart. Choice C is incorrect as coronary arteries carry oxygenated blood away from the heart. Choice D is incorrect as the primary function of the coronary arteries is not to regulate blood pressure but rather to provide oxygenated blood to the heart muscle.

5. Which type of joint allows for the most movement?

• A. Ball-and-socket joint (shoulder)
• B. Hinge joint (elbow)
• C. Fibrocartilaginous joint (wrists)
• D. Suture joint (skull)

Correct answer: A

Rationale: The correct answer is A: Ball-and-socket joint (shoulder). Ball-and-socket joints, exemplified by the shoulder joint, provide the widest range of movement among joint types. These joints facilitate flexion, extension, abduction, adduction, and rotation, allowing for versatile mobility. In a ball-and-socket joint, the rounded end of one bone fits into the socket of another bone, enabling extensive motion capabilities. Choice B, Hinge joint (elbow), allows movement in one plane, limiting its range compared to ball-and-socket joints. Choice C, Fibrocartilaginous joint (wrists), like the intervertebral discs, is meant for stability rather than extensive movement. Choice D, Suture joint (skull), found in the skull bones, is immovable and provides structural support rather than movement.

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