Nursing Elites

1. What is meant by the term 'goiter'?

• A. Overproduction of cortisol from the adrenal glands
• B. Excessive growth of the thyroid gland
• C. Underproduction of parathyroid hormone (PTH)
• D. Deficiency of growth hormone from the pituitary gland

Correct answer: B

Rationale: A goiter is a condition characterized by the abnormal enlargement of the thyroid gland. This enlargement can be caused by various factors such as iodine deficiency, thyroid nodules, inflammation, or other thyroid disorders. It is not associated with the overproduction of cortisol (Choice A), underproduction of parathyroid hormone (Choice C), or deficiency of growth hormone (Choice D). Therefore, the correct answer is B, excessive growth of the thyroid gland.

2. Which of the following is the space between the lungs?

• A. Mediastinum
• B. Pericardial cavity
• C. Pleural cavity
• D. Thoracic space

Correct answer: A

Rationale: The correct answer is A, mediastinum. The mediastinum is the space between the lungs in the chest that contains the heart, major blood vessels, esophagus, trachea, and other structures. This area separates the lungs into right and left cavities. Choice B, pericardial cavity, is incorrect as it refers to the space that surrounds the heart. Choice C, pleural cavity, is not the correct answer as it is the space between the layers of the pleura surrounding each lung. Choice D, thoracic space, is a vague term and not specific to the space between the lungs.

3. What is a condition characterized by an overactive thyroid gland and excessive production of thyroid hormones called?

• A. Diabetes mellitus
• B. Hyperthyroidism
• C. Hypothyroidism
• D. Cushing's syndrome

Correct answer: B

Rationale: Hyperthyroidism is a condition where the thyroid gland is overactive and produces an excessive amount of thyroid hormones. This can lead to symptoms such as weight loss, rapid heartbeat, sweating, and nervousness. Diabetes mellitus is a condition characterized by high blood sugar levels due to either insufficient insulin production or the body's inability to respond to insulin. Hypothyroidism is the opposite of hyperthyroidism, where the thyroid gland is underactive and produces insufficient thyroid hormones. Cushing's syndrome is a disorder that occurs when the body has a high level of the hormone cortisol for a long time.

4. Not all cells in the pancreas secrete insulin because of the hormone somatostatin, which inhibits the release of insulin by all cells. What type of intercellular chemical signal does this illustrate?

• A. Autocrine
• B. Neuromodulator
• C. Paracrine
• D. Pheromone

Correct answer: C

Rationale: The correct answer is C: Paracrine. Somatostatin acts in a paracrine manner by inhibiting the release of insulin from nearby cells within the pancreas. Paracrine signaling involves the secretion of signals that act on neighboring cells, as seen in this scenario where somatostatin affects nearby pancreatic cells without entering the bloodstream or affecting distant cells. Autocrine signaling involves cells responding to substances they themselves release, which is not the case here. Neuromodulators are chemicals that modulate the activity of neurons, not directly related to this scenario. Pheromones are chemicals released into the environment to communicate with individuals of the same species, not relevant to the signaling within the pancreas.

5. Which muscle is voluntary, striated, and found attached to bones?

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

Correct answer: B

Rationale: The correct answer is B, Skeletal muscle. Skeletal muscle is both voluntary and striated, as well as attached to bones, allowing for movement. Smooth muscle, on the other hand, is involuntary and typically found in the walls of internal organs, controlling functions like digestion. Cardiac muscle is also striated, but it is involuntary and specifically found in the heart, responsible for cardiac contractions to pump blood. 'Epithelial muscle' is an incorrect term; epithelial tissue is a type of tissue that forms the linings of various body surfaces and structures, not a muscle type.

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