Nursing Elites

1. What does the parathyroid hormone regulate?

• A. Magnesium
• B. Calcium
• C. Calcitonin
• D. Glucocorticoids

Correct answer: B

Rationale: The parathyroid hormone primarily regulates calcium levels in the blood. It acts to increase calcium levels by stimulating the release of calcium from bones, enhancing calcium reabsorption in the kidneys, and promoting the conversion of vitamin D to its active form, which aids in calcium absorption from the intestines. Therefore, the correct answer is B. Choices A, C, and D are incorrect because the parathyroid hormone does not play a significant role in the regulation of magnesium (Choice A), calcitonin (Choice C), or glucocorticoids (Choice D).

2. The orthopedic surgeon informs you that you have broken the middle region of the humerus. What area is he describing?

• A. Epiphysis
• B. Articular cartilage
• C. Perichondrium
• D. Diaphysis

Correct answer: D

Rationale: The diaphysis is the correct answer in this scenario. It refers to the middle or shaft region of a long bone like the humerus. The epiphysis is the end of a long bone, while articular cartilage is the smooth tissue covering the ends of bones at a joint. The perichondrium is the dense irregular connective tissue that surrounds cartilage.

3. How do the intercostal muscles between the ribs assist with respiration?

• A. By protecting the delicate bronchioles and alveoli
• B. By signaling a decrease in intra-alveolar pressure
• C. By enlarging and reducing the space in the thorax
• D. By maintaining a medial separation between pleurae

Correct answer: C

Rationale: The intercostal muscles located between the ribs play a crucial role in respiration by aiding in the enlargement and reduction of the space in the thorax. During inspiration, these muscles contract, lifting the rib cage, which increases the volume of the thoracic cavity and allows the lungs to expand and fill with air. This process directly relates to the expansion of the thorax rather than protecting bronchioles and alveoli (Choice A), signaling intra-alveolar pressure changes (Choice B), or maintaining the separation between pleurae (Choice D). Therefore, the correct answer is C.

4. Which bone does not articulate with any other bone?

• A. Femur
• B. Hyoid
• C. Radius
• D. Tibia

Correct answer: B

Rationale: The correct answer is the Hyoid bone. The hyoid bone is distinctive as it does not directly articulate with any other bone in the body. Instead, it is held in place by muscles and ligaments, playing a crucial role in supporting the tongue and providing attachment points for various muscles involved in swallowing and speech. The other choices, Femur, Radius, and Tibia, all articulate with other bones in the body. The femur articulates with the hip bone, the radius articulates with the ulna and other bones in the wrist, and the tibia articulates with the femur and fibula.

5. Which hormone is involved in the regulation of water balance in the body?

• A. ADH
• B. Insulin
• C. Cortisol
• D. Thyroxine

Correct answer: A

Rationale: The correct answer is ADH (antidiuretic hormone), also known as vasopressin. ADH helps regulate water balance in the body by controlling the amount of water reabsorbed by the kidneys. When there is a need to conserve water, ADH levels increase, leading to more water reabsorption and concentration of urine. Insulin is involved in regulating blood sugar levels, not water balance. Cortisol is a stress hormone that helps regulate metabolism and immune response, not water balance. Thyroxine is a thyroid hormone that regulates metabolism, growth, and development, not water balance.

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