Nursing Elites

1. Which feature of the ear is most medial?

• A. Pinna
• B. Tympanic membrane
• C. Cochlea
• D. Outer canal

Correct answer: B

Rationale: The tympanic membrane, also known as the eardrum, is the most medial feature in the ear. It separates the outer ear from the middle ear and serves as a barrier that vibrates in response to sound waves, transmitting vibrations to the middle ear ossicles. The pinna, cochlea, and outer canal are located more laterally in the ear anatomy. The pinna is the visible part of the ear located on the lateral side of the head, the cochlea is a spiral-shaped structure in the inner ear responsible for hearing, and the outer canal refers to the external auditory canal leading to the eardrum.

2. Which hormone is responsible for the regulation of calcium levels in the blood?

• A. Insulin
• B. Parathyroid hormone
• C. Cortisol
• D. Melatonin

Correct answer: B

Rationale: Parathyroid hormone, produced by the parathyroid glands, is responsible for regulating calcium levels in the blood. It achieves this by increasing calcium absorption in the intestines and kidneys, thus maintaining appropriate calcium levels in the bloodstream. Insulin is involved in glucose metabolism, not calcium regulation. Cortisol is a stress hormone that affects various body functions but not calcium levels. Melatonin is responsible for regulating the sleep-wake cycle, not calcium levels.

3. Which structure is part of both the male reproductive system and the urinary system?

• A. Testes
• B. Urethra
• C. Prostate
• D. Penis

Correct answer: B

Rationale: The correct answer is the Urethra. The urethra is a structure that plays a role in both the male reproductive system, by carrying semen, and the urinary system, by carrying urine. It serves as a common pathway for both reproductive and excretory functions in males. The Testes (Choice A) are part of the male reproductive system but not the urinary system. The Prostate (Choice C) is also part of the male reproductive system but not the urinary system. The Penis (Choice D) is primarily involved in the male reproductive system as the organ that delivers semen during sexual intercourse.

4. When are gallstones most problematic?

• A. When they block a duct
• B. When they contain cholesterol
• C. When they contain bilirubin
• D. When they begin to dissolve

Correct answer: A

Rationale: Gallstones become most problematic when they block a duct, such as the bile duct or cystic duct. This blockage can lead to various complications, including inflammation, infection, and even damage to the gallbladder or liver. In severe cases, a blocked duct can cause intense pain, jaundice, and other serious symptoms that require medical intervention. Choices B, C, and D are incorrect because the presence of cholesterol or bilirubin in gallstones or the process of dissolution do not necessarily indicate when gallstones become most problematic. The critical issue arises when the stones obstruct a duct, leading to complications.

5. 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.

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