Nursing Elites

1. What is the name of the muscular ring that controls the passage of food from the esophagus to the stomach?

• A. Pyloric sphincter
• B. Cardiac sphincter
• C. Ileocecal valve
• D. Sphincter of Oddi

Correct answer: B

Rationale: The correct answer is the Cardiac sphincter (lower esophageal sphincter). It is situated at the junction of the esophagus and the stomach, controlling the passage of food into the stomach. The cardiac sphincter opens and closes to regulate the flow of food and prevent reflux. The pyloric sphincter, on the other hand, is located between the stomach and the small intestine, not the esophagus and stomach. The ileocecal valve is positioned between the small and large intestines, while the Sphincter of Oddi is found in the duodenum, not between the esophagus and stomach.

2. How does AIDS impair the immune system?

• A. AIDS targets and destroys Helper T-Cells, preventing the activation of Cytotoxic T-Cells or B-Cells.
• B. IgE stimulates mast cells to release excessive histamine.
• C. IgE inhibits mast cells from releasing sufficient histamine.
• D. Helper T-Cells deceive the body into attacking itself.

Correct answer: A

Rationale: AIDS targets and destroys Helper T-Cells, which play a crucial role in coordinating the immune response. By affecting these cells, AIDS prevents the activation of other important immune cells like Cytotoxic T-Cells or B-Cells. This disruption in the immune system's communication and response mechanisms leads to immune system failure and increased vulnerability to infections. Choices B and C are incorrect because they refer to the role of IgE in allergic reactions, which is not directly related to how AIDS impairs the immune system. Choice D is also incorrect as Helper T-Cells being destroyed in AIDS is not about deceiving the body into attacking itself, but rather the direct impact on immune system function.

3. Where is oxygen exchanged between blood and tissues?

• A. capillaries
• B. veins
• C. ventricles
• D. arteries

Correct answer: A

Rationale: Oxygen is exchanged between blood and tissues primarily at the capillaries. Capillaries are the smallest blood vessels where the exchange of oxygen, nutrients, and waste products occurs between the blood and the tissues. This exchange process is crucial for delivering oxygen to the body's cells and eliminating carbon dioxide waste. Veins carry blood back to the heart, arteries carry blood away from the heart, and ventricles are the lower chambers of the heart responsible for pumping blood. Therefore, capillaries are the correct answer for where oxygen is exchanged between blood and tissues.

4. Where does fertilization, the fusion of sperm and egg, typically occur in the human body?

• A. Ovary
• B. Uterus
• C. Fallopian tube
• D. Vagina

Correct answer: C

Rationale: Fertilization typically occurs in the fallopian tube. This is where the sperm and egg meet and fuse to form a zygote. The fallopian tube provides the optimal environment for fertilization as it helps in the transportation of the egg and provides a suitable site for fertilization before the resulting embryo travels to the uterus for implantation. Choices A, B, and D are incorrect. The ovary is where eggs are produced, the uterus is where the fertilized egg implants and develops into a fetus, and the vagina is the canal that leads to the cervix, but fertilization itself does not occur in these locations.

5. What is the structure that attaches to each chromosome during mitosis?

• A. Centromere
• B. Telomere
• C. Spindle apparatus
• D. Nucleolus

Correct answer: A

Rationale: The correct answer is the centromere. It is the structure that attaches to each chromosome during mitosis. The centromere serves as the attachment point for spindle fibers during cell division, ensuring proper distribution of chromosomes to daughter cells. Telomeres are found at the ends of chromosomes, providing protection and stability. The spindle apparatus is responsible for separating chromosomes during cell division. The nucleolus, located within the nucleus, is involved in ribosomal RNA synthesis and not in chromosome attachment during mitosis.

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