Nursing Elites

1. What potential consequences can chromosomal nondisjunction have on offspring?

• A. Down syndrome, caused by an extra copy of chromosome 21.
• B. Turner syndrome, characterized by the absence of one X chromosome in females.
• C. Klinefelter syndrome, featuring one or more extra X chromosomes in males.
• D. All of the above.

Correct answer: D

Rationale: - Chromosomal nondisjunction is the failure of homologous chromosomes or sister chromatids to separate properly during cell division, leading to an abnormal number of chromosomes in the resulting cells. - Down syndrome is caused by an extra copy of chromosome 21, resulting from nondisjunction during meiosis. Individuals with Down syndrome have three copies of chromosome 21 instead of the usual two. - Turner syndrome is characterized by the absence of one X chromosome in females, leading to a variety of physical and developmental features. - Klinefelter syndrome features one or more extra X chromosomes in males, typically resulting in infertility and other physical characteristics. Therefore, chromosomal nondisjunction can lead to various genetic disorders such as Down syndrome, Turner syndrome, and Klinefelter syndrome, making option D the correct answer.

2. Which type of capillary is the most common and least permeable?

• A. Fenestrated capillaries
• B. Sinusoidal capillaries
• C. Continuous capillaries
• D. Discontinuous capillaries

Correct answer: C

Rationale: The correct answer is C, continuous capillaries. Continuous capillaries are the most common and least permeable type of capillary. They are found in most tissues, including muscle and the nervous system. Continuous capillaries have a continuous endothelium without fenestrations or large gaps, which limits the movement of substances across their walls. Choice A, fenestrated capillaries, have pores (fenestrations) in their endothelial cells, making them more permeable than continuous capillaries. Choice B, sinusoidal capillaries, have a discontinuous endothelium with large gaps between cells, making them more permeable and allowing larger molecules and cells to pass through compared to continuous capillaries. Choice D, discontinuous capillaries, are similar to sinusoidal capillaries with a discontinuous endothelium, allowing for enhanced permeability compared to continuous capillaries.

3. During a healthy heartbeat, the P wave on an ECG represents

• A. The repolarization of the ventricles.
• B. The electrical conduction through the AV node.
• C. The contraction phase of the ventricles (systole).
• D. The depolarization of the atria.

Correct answer: D

Rationale: The P wave on an ECG represents the depolarization of the atria. This electrical activity initiates the contraction of the atria, allowing blood to be pumped into the ventricles. The P wave is the first positive deflection seen on the ECG and signifies the beginning of atrial depolarization, which is a critical step in the cardiac cycle. Choices A, B, and C are incorrect. Option A (The repolarization of the ventricles) is represented by the T wave on the ECG. Option B (The electrical conduction through the AV node) is not represented by the P wave but rather by the PR interval on the ECG. Option C (The contraction phase of the ventricles (systole)) is more related to the QRS complex on the ECG, which represents ventricular depolarization and contraction.

4. Where does fertilization of the egg by sperm typically occur?

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

Correct answer: B

Rationale: Fertilization of the egg by sperm typically occurs in the fallopian tube. After ovulation, the egg is released from the ovary and travels through the fallopian tube, where it may encounter sperm for fertilization. The fallopian tube provides the ideal environment, including necessary nutrients and conditions, for fertilization to take place before the fertilized egg moves towards the uterus for implantation. Choices A, C, and D are incorrect because fertilization does not occur in the ovary, uterus, or vagina. The ovary releases the egg, the uterus is the site for implantation, and the vagina is part of the birth canal but not the typical site for fertilization.

5. Which brain area can lead to difficulty with language and speech if damaged?

• A. Broca's area
• B. Wernicke's area
• C. Occipital lobe
• D. Cerebellum

Correct answer: A

Rationale: Damage to Broca's area, located in the frontal lobe of the brain, can result in difficulties with language and speech production. Broca's area is responsible for speech production and coordinating the muscles involved in speech. Damage to this area can lead to Broca's aphasia, characterized by struggles in forming words and sentences. On the other hand, damage to Wernicke's area in the temporal lobe can cause issues with language comprehension and producing meaningful language, leading to Wernicke's aphasia. The occipital lobe primarily processes visual information, while the cerebellum is responsible for coordinating movement and balance, not language and speech.

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