Nursing Elites

1. What is the name of the sheath of connective tissue that surrounds a skeletal muscle?

• A. Epimysium
• B. Perimysium
• C. Endomysium
• D. Myofibril

Correct answer: A

Rationale: The correct answer is Epimysium. The epimysium is the outermost layer of connective tissue that surrounds a skeletal muscle, providing protection and support to the muscle as a whole. Perimysium, which surrounds bundles of muscle fibers known as fascicles, is not the sheath that surrounds the entire muscle. Endomysium surrounds individual muscle fibers, not the entire muscle. Myofibril is a structure within muscle fibers that contains the contractile proteins responsible for muscle contraction, but it is not the sheath of connective tissue surrounding the muscle.

2. The hypothalamus, a part of the brain, plays a crucial role in endocrine regulation. It secretes GnRH (Gonadotropin-releasing hormone) which stimulates the pituitary gland to produce FSH and LH. What is the MAIN function of FSH and LH?

• A. Regulate blood sugar levels
• B. Control growth and development
• C. Stimulate the fight-or-flight response
• D. Maintain calcium homeostasis

Correct answer: B

Rationale: FSH (Follicle-stimulating hormone) and LH (Luteinizing hormone) are hormones produced by the pituitary gland in response to GnRH from the hypothalamus. FSH plays a key role in the growth and development of ovarian follicles in females and sperm production in males. LH is essential for the maturation of the ovarian follicle, ovulation, and the formation of the corpus luteum in females, as well as the production of testosterone in males. Therefore, the main function of FSH and LH is to control growth and development in the reproductive system. Choices A, C, and D are incorrect as they do not align with the roles of FSH and LH in reproductive physiology. Regulating blood sugar levels is primarily the function of insulin and glucagon, controlling the fight-or-flight response involves hormones like adrenaline and noradrenaline, and maintaining calcium homeostasis is mainly regulated by parathyroid hormone and calcitonin.

3. What type of joint connects the bones of the skull?

• A. Hinge joint
• B. Fibrous joint
• C. Ball-and-socket joint
• D. Pivot joint

Correct answer: B

Rationale: The correct answer is B: Fibrous joint. Fibrous joints connect the bones of the skull, providing stability with little to no movement. These joints are made of fibrous connective tissue, which holds the bones tightly together and prevents movement, making them ideal for the structure of the skull. Choice A: Hinge joint is incorrect because hinge joints allow movement in a single plane like the elbow or knee, which is not characteristic of the joints in the skull. Choice C: Ball-and-socket joint is incorrect as this type of joint allows for a wide range of movement in multiple planes, such as the hip and shoulder joints, which is not the case for skull bones. Choice D: Pivot joint is incorrect as pivot joints allow rotation around a central axis, as seen in the joint between the first and second cervical vertebrae (atlas and axis), but not in the skull bones.

4. How does the body maintain a relatively constant blood pH level, even with changes in blood carbon dioxide concentration?

• A. Cellular respiration
• B. Gas exchange
• C. Buffering system
• D. Deoxygenation

Correct answer: C

Rationale: The correct answer is C: Buffering system. The buffering system is responsible for maintaining a relatively constant blood pH level by minimizing changes in pH when acids or bases are added to the blood. This system consists of chemical compounds that can donate or accept protons to help stabilize the pH. Choice A, Cellular respiration, and Choice B, Gas exchange, are processes involved in gas exchange within the body, not specifically related to maintaining blood pH. Choice D, Deoxygenation, refers to the removal of oxygen from a substance and is not directly related to the regulation of blood pH.

5. Which hormone is responsible for the characteristic changes experienced during puberty, such as breast development and menstruation in females?

• A. Follicle-stimulating hormone (FSH)
• B. Luteinizing hormone (LH)
• C. Estrogen
• D. Progesterone

Correct answer: C

Rationale: Estrogen is the hormone responsible for the characteristic changes experienced during puberty in females, such as breast development and menstruation. Estrogen plays a crucial role in the development of secondary sexual characteristics and the regulation of the menstrual cycle. Follicle-stimulating hormone (FSH) and luteinizing hormone (LH) are primarily involved in the regulation of the menstrual cycle and ovulation. Progesterone, on the other hand, is important for preparing the uterus for pregnancy and maintaining pregnancy, but it is not the primary hormone responsible for the changes seen during puberty in females.

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