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 blood vessels transport blood from the capillaries back to the heart?

• A. Arterioles
• B. Veins
• C. Venules
• D. Capillaries

Correct answer: B

Rationale: Veins are the correct answer as they are the blood vessels that carry blood from the capillaries back to the heart. Veins have thinner walls compared to arteries and contain valves to prevent blood from flowing backward. This transport of blood from the capillaries to the heart is essential for the circulatory system to maintain proper blood flow and oxygenation levels. Arterioles are small branches of arteries that lead to capillaries, not vessels that transport blood back to the heart. Venules are small vessels that collect blood from capillaries and lead to veins. Capillaries are the smallest blood vessels where the exchange of gases and nutrients occurs between blood and tissues, not vessels that transport blood back to the heart.

3. Which of the following structures prevents food from entering the windpipe?

• A. Pharynx
• B. Esophagus
• C. Larynx
• D. Epiglottis

Correct answer: D

Rationale: The epiglottis is the structure that prevents food from entering the windpipe by covering the trachea during swallowing. When food is swallowed, the epiglottis folds over the opening of the trachea to ensure that food goes down the esophagus and not into the airway. The pharynx is a shared pathway for both food and air, leading to the esophagus and larynx respectively. The esophagus is the muscular tube that carries food from the throat to the stomach. The larynx is responsible for producing sound and protecting the airway during swallowing, but the epiglottis is specifically designed to prevent food from entering the windpipe.

4. What is glucagon, where is it produced, and what is its function?

• A. Produced in the liver, releases glucose
• B. Produced in the pancreas, raises blood sugar
• C. Produced in the pancreas, lowers blood sugar
• D. Produced in the adrenal glands, regulates stress response

Correct answer: B

Rationale: Glucagon is a hormone produced in the pancreas and functions to raise blood sugar levels. It does so by signaling the liver to release stored glucose into the bloodstream. Therefore, the correct answer is B, 'Produced in the pancreas, raises blood sugar.' Choices A, C, and D describe functions or locations of other hormones, not glucagon. Glucagon is specifically released by alpha cells in the pancreas, making option B the correct choice.

5. In the context of cholesterol levels, LDL cholesterol is often referred to as:

• A. HDL or "good" cholesterol.
• B. LDL or "bad" cholesterol.
• C. Total cholesterol, encompassing both LDL and HDL.
• D. VLDL, a type of triglyceride transported in the bloodstream.

Correct answer: B

Rationale: LDL cholesterol is often referred to as "bad" cholesterol because high levels of LDL can lead to plaque buildup in the arteries, increasing the risk of heart disease and stroke. LDL cholesterol is considered harmful as it contributes to the formation of plaque in blood vessels, whereas HDL cholesterol helps remove LDL from the arteries. Choice A is incorrect because HDL is known as "good" cholesterol, which helps remove LDL cholesterol from the bloodstream. Choice C is incorrect as it refers to total cholesterol, which includes LDL, HDL, and other lipids. Choice D is incorrect as VLDL is a different type of lipoprotein that carries triglycerides and is not specifically related to LDL cholesterol.

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