Nursing Elites

1. Which type of muscles are involved in peristalsis?

• A. Smooth muscles
• B. Cardiac muscles
• C. Skeletal muscles
• D. Epaxial muscles

Correct answer: A

Rationale: Peristalsis is a coordinated, wave-like muscular contraction that propels food and other materials through the digestive tract. Smooth muscles are responsible for this movement in the gastrointestinal tract, providing the involuntary contractions needed for peristalsis to occur. Skeletal muscles, cardiac muscles, and epaxial muscles are not directly involved in peristalsis. Cardiac muscles are found in the heart and are responsible for its contraction. Skeletal muscles are attached to bones and control voluntary movements. Epaxial muscles are located along the vertebral column and are involved in the movement and stabilization of the spine.

2. Which type of muscle is under voluntary control?

• A. Smooth muscle
• B. Cardiac muscle
• C. Skeletal muscle
• D. Striated muscle

Correct answer: C

Rationale: The correct answer is C: Skeletal muscle. Skeletal muscle is under voluntary control, allowing individuals to consciously regulate its contractions for movement. Examples of skeletal muscle control include actions like walking, running, and lifting weights. Smooth muscle (choice A) and cardiac muscle (choice B) are both involuntary muscles, meaning they are not under conscious control. While skeletal muscle is striated (choice D), striated muscle is a broader category that includes both voluntary (skeletal) and involuntary (cardiac) muscles.

3. Where is a gallstone most likely to cause pain?

• A. In the upper right quadrant of the abdomen
• B. In the lower right quadrant of the abdomen
• C. In the umbilical region
• D. Along the pelvic girdle

Correct answer: A

Rationale: A gallstone is most likely to cause pain in the upper right quadrant of the abdomen. This specific area corresponds to the location of the gallbladder. When a gallstone blocks the flow of bile from the gallbladder, it can lead to inflammation and pain in this region. The pain may also radiate to the back or right shoulder blade due to referred pain patterns associated with gallbladder issues. Choices B, C, and D are incorrect because gallstone pain is typically felt in the upper right quadrant of the abdomen, not the lower right quadrant, umbilical region, or along the pelvic girdle.

4. Which part of the nervous system includes the femoral, radial, and ulnar nerves?

• A. Somatic
• B. Autonomic
• C. Sympathetic
• D. Parasympathetic

Correct answer: A

Rationale: The correct answer is A: Somatic. The femoral, radial, and ulnar nerves are all part of the somatic nervous system, responsible for controlling voluntary movements and sensory input. These nerves innervate muscles and skin throughout the body, allowing conscious control of movements and sensations. The somatic nervous system is distinct from the autonomic nervous system, which regulates involuntary bodily functions. Choices B, C, and D are incorrect because the autonomic nervous system (B) is responsible for involuntary functions, while the sympathetic (C) and parasympathetic (D) divisions are subdivisions of the autonomic nervous system, not the somatic nervous system.

5. Which part of the brain controls breathing and heart rate?

• A. Cerebrum
• B. Medulla oblongata
• C. Cerebellum
• D. Hypothalamus

Correct answer: B

Rationale: The medulla oblongata, located in the brainstem, plays a crucial role in controlling vital functions such as breathing, heart rate, and blood pressure. It serves as the control center for automatic functions necessary for survival, making it the correct choice in this scenario. The cerebrum is responsible for higher brain functions like thinking and voluntary movements, so it does not control basic physiological functions like breathing and heart rate. The cerebellum is mainly involved in coordination and balance, while the hypothalamus regulates body temperature, hunger, and thirst, but not specifically breathing and heart rate.

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