Nursing Elites

1. Identify the opposing muscle pair.

• A. Bicep and tricep (Arm flexion and extension)
• B. Hamstring and quadriceps (Knee extension and flexion)
• C. Pectoralis major and pectoralis minor (Chest muscles)
• D. Trapezius and deltoid (Shoulder movement)

Correct answer: A

Rationale: The correct answer is A. The bicep and tricep muscles form an antagonistic muscle pair, where one muscle contracts while the other relaxes. The bicep, located on the front of the upper arm, is responsible for arm flexion (bending the elbow), while the tricep, situated on the back of the upper arm, is responsible for arm extension (straightening the elbow). This opposing action allows for controlled movement at the elbow joint. Choice B, hamstring and quadriceps, are not opposing muscles in the context of the knee joint; the hamstring group flexes the knee, while the quadriceps group extends it. Choices C and D do not represent an opposing muscle pair related to joint movement.

2. Where does the nerve impulses send neurotransmitters across a synapse to a muscle cell to stimulate muscle contraction?

• A. sarcomere
• B. tendon
• C. myelin sheath
• D. neuromuscular junction

Correct answer: D

Rationale: The neuromuscular junction is the specific area where nerve impulses trigger the release of neurotransmitters that cross the synaptic gap to bind to receptors on the muscle cell membrane. This binding initiates muscle contraction by stimulating the muscle cell. The sarcomere is the basic contractile unit in a muscle fiber, not the location where nerve impulses communicate with muscle cells. Tendons are connective tissues that attach muscles to bones and are not involved in transmitting nerve impulses. The myelin sheath is a protective covering around nerve fibers but is not directly involved in transmitting neurotransmitters to muscle cells for muscle contraction.

3. Which of the following terms refers to the process of breaking large molecules into smaller molecules to provide energy?

• A. Metabolism
• B. Bioenergetics
• C. Anabolism
• D. Catabolism

Correct answer: D

Rationale: The correct answer is 'D: Catabolism.' Catabolism specifically involves breaking down large molecules into smaller ones to release energy. It is the opposite of anabolism, which is the process of building larger molecules from smaller ones. 'Metabolism' (choice A) is a broader term that encompasses all chemical processes in an organism, including anabolism and catabolism. 'Bioenergetics' (choice B) refers to the flow and transformation of energy in a biological system, not specifically the breakdown of molecules for energy.

4. Which valve allows blood flow from the right atrium into the right ventricle?

• A. Tricuspid valve
• B. Pulmonic valve
• C. Mitral valve
• D. Aortic valve

Correct answer: A

Rationale: The correct answer is the Tricuspid valve. This valve is located between the right atrium and the right ventricle in the heart. Its primary function is to facilitate the flow of blood from the right atrium into the right ventricle and to prevent the backflow of blood. The Pulmonic valve (choice B) is situated between the right ventricle and the pulmonary artery, not between the right atrium and ventricle, making it incorrect. The Mitral valve (choice C) is found between the left atrium and the left ventricle, not the right side, so it is incorrect. The Aortic valve (choice D) is positioned between the left ventricle and the aorta, not involved in the right atrium and ventricle connection, hence it is also incorrect.

5. Which type of capillary is the most permeable?

• A. Continuous capillaries
• B. Sinusoidal capillaries
• C. Fenestrated capillaries
• D. Vascular capillaries

Correct answer: B

Rationale: Sinusoidal capillaries are indeed the most permeable type. They are characterized by large gaps between endothelial cells, allowing for the passage of large molecules and cells. These capillaries are commonly found in organs like the liver, bone marrow, and spleen where high permeability is required for specialized functions such as filtration and exchange of substances. Continuous capillaries have tight junctions and are the least permeable, found in muscles, lungs, and the central nervous system where strict control over permeability is needed. Fenestrated capillaries, on the other hand, have small pores or fenestrations and are intermediate in permeability, found in organs like the kidneys, endocrine glands, and intestines where selective permeability is necessary. Vascular capillaries is not a specific type of capillary and is not a valid choice.

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