Nursing Elites

1. What cells compose the epidermis?

• A. Keratinocytes
• B. Epithelial cells
• C. Fibroblasts
• D. Melanocytes

Correct answer: A

Rationale: The correct answer is A - Keratinocytes. The epidermis is primarily composed of keratinocytes, which are a type of epithelial cell. Keratinocytes synthesize the protein keratin, providing protection against physical damage and water loss. While epithelial cells are correct, specifying keratinocytes is more precise. Fibroblasts are not the main cell type in the epidermis; they are found in the dermis, where they produce collagen and other extracellular matrix components. Melanocytes are responsible for producing melanin pigment in the skin and are also present in the epidermis, but they are not the predominant cell type like keratinocytes.

2. What is the difference between a prokaryotic cell and a eukaryotic cell?

• A. Prokaryotic cells have a nucleus, while eukaryotic cells do not
• B. Eukaryotic cells have a nucleus, while prokaryotic cells do not.
• C. Prokaryotic cells have membrane-bound organelles, while eukaryotic cells do not.
• D. Eukaryotic cells have membrane-bound organelles, while prokaryotic cells do not.

Correct answer: B

Rationale: - Prokaryotic cells are simpler and do not have a true nucleus. Their genetic material is located in the nucleoid region, which is not enclosed by a membrane. - Eukaryotic cells are more complex and have a true nucleus that houses the genetic material, enclosed within a nuclear membrane. - Both prokaryotic and eukaryotic cells have organelles, but eukaryotic cells have membrane-bound organelles such as mitochondria, endoplasmic reticulum, and Golgi apparatus, while prokaryotic cells lack these membrane-bound organelles.

3. Which protein complex in the sarcomere is responsible for the thick filament?

• A. Actin
• B. Myosin
• C. Tropomyosin
• D. Troponin

Correct answer: B

Rationale: Myosin is the protein complex responsible for the thick filament in the sarcomere. It interacts with actin, another protein in the sarcomere, to generate the sliding movement that results in muscle contraction. Actin is a thin filament protein that interacts with myosin to create the sliding filament mechanism. Tropomyosin and troponin are regulatory proteins that regulate muscle contraction by controlling the interaction between actin and myosin, rather than directly being responsible for the thick filament.

4. Which process is characterized by nuclear fission?

• A. A heavy nucleus capturing a neutron and releasing energy
• B. The fusion of two nuclei to form a heavier element
• C. A lighter element emitting an alpha particle through radioactive decay
• D. An electron being absorbed by the nucleus with the release of a gamma ray

Correct answer: A

Rationale: Nuclear fission is the process where a heavy nucleus, like uranium-235, captures a neutron, leading to its division into two lighter nuclei. This process releases a substantial amount of energy in the form of heat and gamma rays. It is utilized in nuclear power plants and atomic bombs due to its capacity to produce significant energy. Choices B, C, and D describe different nuclear processes: fusion of two nuclei to form a heavier element, emission of alpha particles from a lighter element through radioactive decay, and absorption of an electron by the nucleus with the release of a gamma ray, respectively. These processes are distinct from nuclear fission and do not involve the splitting of heavy nuclei into lighter ones.

5. Which of the following statements regarding the microscopic anatomy of heart muscle is correct?

• A. Cardiac muscle is striated, short, fat, branched, and interconnected
• B. Intercalated discs anchor cardiac cells together and allow the free passage of ions
• C. The connective tissue endomysium acts as both tendon and insertion
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' Cardiac muscle is indeed striated, short, fat, branched, and interconnected. Intercalated discs are responsible for anchoring cardiac cells together and allowing the free passage of ions. Additionally, the connective tissue endomysium provides structural support and acts as a tendon-like structure attaching muscle fibers to each other. Therefore, all the statements in choices A, B, and C are accurate when describing the microscopic anatomy of heart muscle. Choices A, B, and C individually represent different aspects of the structural features of cardiac muscle, making choice D the most comprehensive and correct answer.

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