Nursing Elites

1. Which of the following statements regarding the microscopic anatomy of heart muscle is correct?

• A. Cardiac muscle is striated, short, fat, branched, and interconnected
• B. Intercalated discs anchor cardiac cells together and allow the free passage of ions
• C. The connective tissue endomysium acts as both tendon and insertion
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' Cardiac muscle is indeed striated, short, fat, branched, and interconnected. Intercalated discs are responsible for anchoring cardiac cells together and allowing the free passage of ions. Additionally, the connective tissue endomysium provides structural support and acts as a tendon-like structure attaching muscle fibers to each other. Therefore, all the statements in choices A, B, and C are accurate when describing the microscopic anatomy of heart muscle. Choices A, B, and C individually represent different aspects of the structural features of cardiac muscle, making choice D the most comprehensive and correct answer.

2. During which phase of meiosis do chiasmata structures form?

• A. Prophase I
• B. Prophase II
• C. Metaphase I
• D. Metaphase II

Correct answer: A

Rationale: Chiasmata structures, where crossing over occurs, form during Prophase I of meiosis. This phase is characterized by homologous chromosomes pairing up and crossing over, leading to the exchange of genetic material between non-sister chromatids. Chiasmata are visible points of contact where genetic material has been exchanged, and they play a critical role in genetic diversity. Prophase II is the phase where chromosomes condense again in the second meiotic division, but chiasmata formation occurs in Prophase I. Metaphase I is the phase where homologous chromosomes align at the metaphase plate, not where chiasmata form. Metaphase II is the phase where replicated chromosomes align at the metaphase plate in the second meiotic division, but chiasmata formation occurs earlier in Prophase I.

3. What is the main function of the endoplasmic reticulum (ER) in the cell?

• A. To synthesize and transport proteins and lipids
• B. To package and transport proteins
• C. To break down macromolecules
• D. To store genetic material

Correct answer: A

Rationale: The endoplasmic reticulum (ER) is a network of membranes within the cell that plays a crucial role in protein and lipid synthesis. It consists of two types: rough ER, which is studded with ribosomes and involved in protein synthesis, and smooth ER, which is involved in lipid synthesis and detoxification. The ER's main function is to synthesize proteins and lipids, not just package and transport them. While the ER is involved in transporting these synthesized proteins and lipids to other parts of the cell or outside the cell, its primary role is in their synthesis. Breaking down macromolecules is primarily the function of lysosomes, which are membrane-bound organelles containing enzymes for digestion. Storing genetic material is the function of the nucleus, which houses the cell's DNA. The ER is not involved in storing genetic material.

4. What is the function of the immune system?

• A. To transport oxygen
• B. To fight infection
• C. To digest food
• D. To produce hormones

Correct answer: B

Rationale: The correct answer is B: 'To fight infection.' The immune system's primary function is to protect the body from infections and foreign invaders by recognizing and responding to pathogens. It plays a crucial role in maintaining overall health and preventing diseases caused by harmful microorganisms. Choices A, C, and D are incorrect because the immune system is not responsible for transporting oxygen, digesting food, or producing hormones. These functions are carried out by other systems in the body, such as the respiratory system, digestive system, and endocrine system, respectively.

5. Diabetic nephropathy, a complication of diabetes, affects the:

• A. Ureters
• B. Bladder
• C. Urethra
• D. Nephrons

Correct answer: D

Rationale: Diabetic nephropathy, a complication of diabetes, affects the nephrons. Nephrons are the functional units of the kidneys responsible for filtering blood and producing urine. The high blood sugar levels associated with diabetes can damage the nephrons over time, leading to kidney dysfunction and, ultimately, kidney failure. Choices A, B, and C are incorrect because diabetic nephropathy primarily impacts the nephrons in the kidneys, not the ureters, bladder, or urethra.

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