Nursing Elites

1. Which part of the nephron is closest to the collecting duct?

• A. Distal convoluted tubule (DCT)
• B. Bowman's Capsule
• C. Afferent Arteriole
• D. Proximal Convoluted Tubule (PCT)

Correct answer: A

Rationale: The correct answer is the Distal convoluted tubule (DCT). The DCT is the part of the nephron closest to the collecting duct, where the final adjustments to electrolyte and fluid balance are made. Bowman's Capsule is located at the beginning of the nephron, where filtration of blood occurs. The Afferent Arteriole brings blood to the glomerulus for filtration. The Proximal Convoluted Tubule (PCT) is situated after the Bowman's Capsule and is not the part closest to the collecting duct.

2. Homeostasis is the body's maintenance of a stable internal environment.

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

Correct answer: A

Rationale: Homeostasis refers to the body's ability to maintain a stable internal environment despite external changes. It involves processes that regulate various physiological factors such as temperature, pH, and blood sugar levels within a narrow range. This ensures that the body's cells can function optimally. Therefore, the correct answer is True. Choices B, C, and D are incorrect because homeostasis aims to maintain stability, not instability, in the internal environment.

3. The anatomical term that indicates a structure close to the surface is

• A. anterior
• B. proximal
• C. superficial
• D. superior

Correct answer: C

Rationale: The correct answer is 'superficial.' In anatomy, the term 'superficial' refers to a structure that is close to the surface of the body. Choice A, 'anterior,' refers to the front of the body, not specifically to depth. Choice B, 'proximal,' refers to a structure that is closer to the point of attachment or trunk of the body. Choice D, 'superior,' indicates a structure that is above or higher in position.

4. 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.

5. Maintaining a stable internal environment typically requires

• A. positive feedback mechanisms.
• B. an unstable outside environment.
• C. decreased atmospheric pressure.
• D. negative feedback mechanisms.

Correct answer: D

Rationale: The correct answer is 'negative feedback mechanisms.' In biological systems, negative feedback mechanisms help maintain homeostasis by counteracting any deviations from the set point. They work to stabilize internal conditions and keep them within a narrow range. On the other hand, positive feedback mechanisms amplify changes and are not involved in maintaining stability. Choice B, 'an unstable outside environment,' is incorrect as internal stability is independent of external conditions like weather. Choice C, 'decreased atmospheric pressure,' is also incorrect as it does not directly relate to internal homeostasis.

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