Nursing Elites

1. Myelin sheath is a fatty substance that insulates and protects the long extensions of some nerve cells. It is produced by:

• A. Schwann cells
• B. Astrocytes
• C. Neurons
• D. Oligodendrocytes

Correct answer: A

Rationale: Schwann cells are indeed responsible for producing the myelin sheath in the peripheral nervous system. These cells wrap around axons to form the myelin sheath, which enhances the speed of nerve impulse conduction. In the central nervous system, oligodendrocytes are responsible for producing the myelin sheath. Astrocytes provide support and maintenance functions for neurons, while neurons are the nerve cells themselves and do not produce myelin. Therefore, the correct answer is Schwann cells as they are specifically involved in myelin production in the peripheral nervous system.

2. When animals eat, insulin is released from the pancreas, stimulating glucose uptake by the liver. When glucose levels drop, the pancreas reduces insulin release. This is an example of which mechanism for maintaining homeostasis?

• A. Negative feedback.
• B. Positive feedback.
• C. Stress response.
• D. Parasympathetic regulation.

Correct answer: A

Rationale: This mechanism is an example of negative feedback. Negative feedback systems work to counteract changes in the body and maintain a stable internal environment (homeostasis). In this case, the release of insulin in response to high glucose levels is followed by a reduction in insulin release when glucose levels drop. This response helps regulate glucose levels and return them to a normal range, demonstrating the characteristic of negative feedback where the body's response opposes the initial stimulus to maintain equilibrium. Positive feedback would amplify the initial change rather than counteract it, so it is not the correct choice. Stress response and parasympathetic regulation are not directly involved in this glucose regulation process, making them incorrect choices.

3. Which of the following is not part of the digestive system?

• A. Esophagus
• B. Liver
• C. Stomach
• D. Pancreas

Correct answer: D

Rationale: The correct answer is 'D: Pancreas.' While the pancreas contributes to digestion by secreting enzymes, it is not part of the main digestive tract. The esophagus, liver, and stomach are integral components of the digestive system. The esophagus helps in the transport of food to the stomach, the stomach aids in food breakdown, the liver produces bile for fat digestion, and the pancreas secretes digestive enzymes. Therefore, the pancreas is the correct answer as it is not part of the primary digestive tract but supports digestion through enzyme secretion.

4. From which type of tissue is the myelin sheath derived, a fatty substance that insulates nerve fibers?

• A. Epithelial tissue
• B. Muscle tissue
• C. Nervous tissue (glial cells)
• D. Connective tissue

Correct answer: C

Rationale: The myelin sheath, a fatty substance that insulates nerve fibers, is derived from nervous tissue, specifically glial cells. Glial cells, including oligodendrocytes in the central nervous system and Schwann cells in the peripheral nervous system, are responsible for producing the myelin sheath that surrounds and insulates nerve fibers, aiding in the conduction of nerve impulses. Epithelial tissue (Choice A), Muscle tissue (Choice B), and Connective tissue (Choice D) are not responsible for producing the myelin sheath; instead, nervous tissue (glial cells) plays this crucial role.

5. During micturition, the process involves a combination of:

• A. Gravity alone
• B. Voluntary muscle contractions only
• C. Involuntary muscle contractions only
• D. Both voluntary and involuntary muscle contractions

Correct answer: D

Rationale: During micturition, which is the process of urination, both voluntary and involuntary muscle contractions are involved. Voluntary muscle contractions include the relaxation of the external urethral sphincter, allowing the release of urine, while involuntary muscle contractions involve the detrusor muscle in the bladder contracting to expel urine. Choices A, B, and C are incorrect because micturition is not solely dependent on gravity, voluntary muscle contractions, or involuntary muscle contractions alone. The correct answer is D as both types of muscle contractions are necessary for the complete process of urination.

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