Nursing Elites

1. Muscle soreness after exercise is often caused by microscopic tears in muscle fibers. This is called

• A. Atrophy
• B. Hypertrophy
• C. DOMS (Delayed Onset Muscle Soreness)
• D. Spasm

Correct answer: C

Rationale: Muscle soreness after exercise is often caused by microscopic tears in muscle fibers, leading to Delayed Onset Muscle Soreness (DOMS). Atrophy refers to the wasting away of muscle tissue, hypertrophy is the increase in muscle size, and spasm is an involuntary contraction of a muscle. DOMS typically occurs 24 to 72 hours after intense exercise and is characterized by muscle stiffness, tenderness, and reduced range of motion. It is a normal response to unfamiliar or strenuous physical activity and indicates that the muscles are adapting to the workload. Therefore, the correct answer is C (DOMS) as it specifically describes the phenomenon of muscle soreness resulting from microscopic tears in muscle fibers, distinguishing it from the other choices which refer to different physiological processes or conditions.

2. Which gland, often referred to as the 'master gland' of the endocrine system and located at the base of the brain, secretes various hormones that control other glands?

• A. Thyroid gland
• B. Pituitary gland
• C. Adrenal gland
• D. Pancreas

Correct answer: B

Rationale: The pituitary gland is correctly known as the 'master gland' of the endocrine system. It is situated at the base of the brain and plays a crucial role in secreting a variety of hormones that regulate the functions of other endocrine glands in the body. These hormones control growth, metabolism, reproduction, and various other essential bodily functions. The other choices, thyroid gland, adrenal gland, and pancreas, are incorrect as they do not serve as the 'master gland' of the endocrine system nor are located at the base of the brain like the pituitary gland.

3. Which vitamin deficiency can lead to a condition called pernicious anemia, affecting vitamin B12 absorption in the digestive system?

• A. Vitamin A
• B. Vitamin B12 (cobalamin)
• C. Vitamin D
• D. Vitamin E

Correct answer: B

Rationale: Pernicious anemia is caused by a deficiency in vitamin B12 (cobalamin). Vitamin B12 is essential for the production of red blood cells and for the proper functioning of the nervous system. Pernicious anemia occurs when there is a lack of intrinsic factor, a protein produced in the stomach that is necessary for the absorption of vitamin B12 in the digestive system. Vitamin A, Vitamin D, and Vitamin E deficiencies do not lead to pernicious anemia. Vitamin A deficiency can cause night blindness and skin issues, Vitamin D deficiency can lead to rickets or osteomalacia, and Vitamin E deficiency can result in neurological problems and muscle weakness.

4. What is the maximum volume of air that can be expelled from the lungs after maximum inhalation?

• A. Tidal volume
• B. Total lung capacity
• C. Ventilation rate
• D. Vital capacity

Correct answer: D

Rationale: The correct answer is D, Vital capacity. Vital capacity represents the maximum volume of air that can be expelled from the lungs after a maximum inhalation. Tidal volume (Choice A) is the volume of air inspired or expired during normal breathing at rest and is not the maximum capacity. Total lung capacity (Choice B) refers to the maximum volume of air the lungs can accommodate including the residual volume, not just the expelled air. Ventilation rate (Choice C) is the rate at which air is moved in and out of the lungs, not the maximum volume of air that can be expelled.

5. How are kidney stones formed?

• A. Due to excess water not being reabsorbed
• B. When minerals crystallize in the urine
• C. When electrolytes become too concentrated
• D. All of the above

Correct answer: B

Rationale: Kidney stones are formed when minerals in the urine crystallize and stick together to form solid masses. Excess water not being reabsorbed (option A) does not directly contribute to kidney stone formation. Similarly, electrolytes becoming too concentrated (option C) is not a direct cause of kidney stone formation. The correct answer is B because the crystallization of minerals in the urine leads to the formation of kidney stones.

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