Nursing Elites

1. Which type of muscle is under voluntary control?

• A. Smooth muscle
• B. Cardiac muscle
• C. Skeletal muscle
• D. Involuntary muscle

Correct answer: C

Rationale: The correct answer is C: Skeletal muscle. Skeletal muscle is under voluntary control, allowing for conscious movement of the body. Smooth muscle and cardiac muscle are both types of involuntary muscles that are not under conscious control. Smooth muscle is found in the walls of internal organs and blood vessels, functioning involuntarily. Cardiac muscle makes up the heart and contracts involuntarily to pump blood. Involuntary muscle (choice D) is a general term that encompasses smooth muscle and cardiac muscle, which operate involuntarily throughout the body.

2. Which part of the brainstem is responsible for controlling vital functions such as heart rate, blood pressure, and breathing?

• A. Medulla oblongata
• B. Pons
• C. Midbrain
• D. Cerebellum

Correct answer: A

Rationale: The medulla oblongata is the correct answer. It is responsible for controlling vital functions such as heart rate, blood pressure, and breathing. This part of the brainstem contains centers that regulate these essential autonomic functions to maintain homeostasis in the body. The pons and midbrain are also parts of the brainstem, but they are not primarily responsible for controlling these vital functions. The cerebellum, on the other hand, is involved in coordination and balance, not in regulating vital functions like heart rate, blood pressure, and breathing.

3. Which of the following is produced by Natural Killer Cells to create pores for target cell rupture?

• A. Interferon
• B. Apoptosis
• C. Perforin
• D. Antibody

Correct answer: C

Rationale: The correct answer is C, Perforin. Natural Killer cells release perforin, which forms pores in the membrane of target cells, leading to their lysis. Interferon (choice A) is a protein released by cells in response to viral infections, apoptosis (choice B) is programmed cell death, and antibodies (choice D) are produced by B cells to neutralize pathogens but are not directly involved in creating pores for cell rupture like perforin.

4. What is the 'lock-and-key' model?

• A. Protein folding
• B. Enzyme-substrate interaction
• C. Muscle contraction
• D. Blood clotting

Correct answer: B

Rationale: The 'lock-and-key' model describes the specificity of the interaction between enzymes and their substrates. In this model, the enzyme's active site acts like a lock that can only be opened by the specific substrate molecule, which serves as the key. This specific binding ensures that enzymes catalyze particular reactions and do not interact with other molecules indiscriminately. Protein folding (option A) is the process by which a protein attains its functional three-dimensional structure but is not directly related to the lock-and-key model. Muscle contraction (option C) and blood clotting (option D) are complex biological processes but are not directly associated with the lock-and-key model of enzyme-substrate interaction.

5. Which of the following functions would be most affected by laryngeal damage?

• A. Blinking
• B. Walking
• C. Singing
• D. Hearing

Correct answer: C

Rationale: Laryngeal damage would most affect the function of singing. The larynx, or voice box, houses the vocal cords responsible for producing sound during singing. Damage to the larynx can impair the ability to phonate and control pitch, tone, and quality of the voice, which are crucial for singing. Choices A, B, and D are unrelated to the larynx. Blinking is controlled by the facial nerve, walking involves motor functions and coordination, and hearing is related to the ear structures and auditory nerves.

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