Nursing Elites

1. Which of the following may indicate hypersecretion of thyroid hormone?

• A. weight loss
• B. Bradycardia
• C. cold intolerance
• D. lethargy

Correct answer: A

Rationale: Weight loss is a common symptom of hyperthyroidism, which is characterized by an excess secretion of thyroid hormone. This increased metabolic rate can lead to weight loss despite normal or increased appetite. Bradycardia (slow heart rate), cold intolerance, and lethargy are more commonly associated with hypothyroidism, where there is an insufficient production of thyroid hormone. Therefore, choices B, C, and D are incorrect in the context of hypersecretion of thyroid hormone.

2. Ceroid pigments and lipofuscin accumulate with aging, impairing a cell's ability to withstand the damaging effects of oxygen free radicals.

• A. TRUE
• B. FALSE
• C. Not Sure
• D. None of the above

Correct answer: A

Rationale: The statement provided in the question is true. Ceroid pigments and lipofuscin are products of cellular damage and aging. These substances accumulate within cells over time and can impair cellular functions, including the ability to withstand the damaging effects of oxygen free radicals. Choice B, 'False,' is incorrect because the accumulation of ceroid pigments and lipofuscin does indeed impair a cell's ability to deal with oxidative stress. Choices C and D are also incorrect as the statement is true.

3. Is the parietal pericardium attached to the surface of the heart?

• A. TRUE
• B. FALSE
• C. Not Sure
• D. None of the above

Correct answer: A

Rationale: The parietal pericardium is a tough, fibrous outer layer that is attached to the diaphragm and the sternum but not directly to the surface of the heart. It forms a sac around the heart known as the pericardial sac. Therefore, the statement that the parietal pericardium is attached to the surface of the heart is false.

4. One characteristic that centenarians share is

• A. a high level of exercise throughout life
• B. long-lived relatives
• C. following the Mediterranean diet
• D. never having smoked

Correct answer: D

Rationale: The correct answer is 'never having smoked.' Research suggests that one of the common characteristics among centenarians is that they have never smoked. Smoking is a well-known risk factor for various diseases and can significantly reduce lifespan. Choice A, 'a high level of exercise throughout life,' is not a universal characteristic among centenarians, although exercise can contribute to a healthy lifestyle. Choice B, 'long-lived relatives,' while genetics can play a role in longevity, not all centenarians have long-lived relatives. Choice C, 'following the Mediterranean diet,' is a healthy dietary choice but not a defining characteristic shared by all centenarians.

5. Which of the following types of cells is primarily responsible for the destruction of old cells and invasive micro-organisms?

• A. Basophils
• B. Eosinophils
• C. B-cells
• D. Macrophages

Correct answer: D

Rationale: Macrophages are a type of white blood cell that plays a crucial role in the immune system by engulfing and digesting cellular debris, foreign substances, microbes, cancer cells, and old or damaged cells. Basophils are primarily involved in allergic reactions and parasitic infections, eosinophils combat multicellular parasites and have a role in allergic reactions, and B-cells are responsible for producing antibodies. Therefore, the correct answer is macrophages as they are specialized in phagocytosis and removal of unwanted cells and microorganisms.

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