Nursing Elites

1. What structures are likely torn in a rotator cuff tear?

• A. Tendon and possibly ligament
• B. Muscle and possibly tendon
• C. Ligament and possibly muscle
• D. Tendon only

Correct answer: A

Rationale: In a rotator cuff tear, the most common structures torn are the tendons of the rotator cuff muscles. In severe cases, the tear may also extend to involve the surrounding ligaments. Therefore, the correct answer is A, as it accurately represents the structures that are likely to be affected in a rotator cuff tear. Choice B is incorrect as muscles are not typically torn in a rotator cuff tear. Choice C is also incorrect as ligaments are not the primary structures involved in a rotator cuff tear. Choice D is incorrect because a rotator cuff tear typically involves more than just the tendons.

2. Which of the following is known as the production of red blood cells?

• A. Thrombopoiesis
• B. Erythropoiesis
• C. Hematopoiesis
• D. Phagocytosis

Correct answer: B

Rationale: Erythropoiesis specifically refers to the process of producing red blood cells (erythrocytes) in the bone marrow. Hematopoiesis is the broader term that encompasses the production of all types of blood cells, including red blood cells, white blood cells, and platelets. Phagocytosis is the process by which cells engulf and digest particles, while thrombopoiesis is the production of platelets. Therefore, the correct answer is B as it directly relates to the production of red blood cells.

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 hormone is released by the pancreas to lower blood glucose levels?

• A. Insulin
• B. Glucagon
• C. Cortisol
• D. Somatostatin

Correct answer: A

Rationale: Insulin is the hormone released by the pancreas to lower blood glucose levels. Insulin facilitates the uptake of glucose into cells, helping to decrease blood glucose levels and store excess glucose for energy or future use. Glucagon, on the other hand, raises blood glucose levels by promoting the breakdown of glycogen into glucose. Cortisol and somatostatin do not directly regulate blood glucose levels in the same manner as insulin and glucagon.

5. What structure links the nasopharynx to the middle ear?

• A. Larynx
• B. Pharyngeal muscles
• C. Eustachian tube
• D. Bronchus

Correct answer: C

Rationale: The Eustachian tube is the structure that connects the nasopharynx to the middle ear. It functions to equalize pressure between the middle ear and the atmosphere, protecting the eardrum from damage and aiding in the drainage of fluid from the middle ear. This connection is essential for maintaining proper ear function and health. The larynx (Choice A) is not the correct structure that links the nasopharynx to the middle ear. Pharyngeal muscles (Choice B) are involved in swallowing and do not directly link the nasopharynx to the middle ear. The bronchus (Choice D) is part of the respiratory system and is not connected to the middle ear.

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