Nursing Elites

1. What is the primary function of the pyloric sphincter?

• A. to regulate the movement of food material from the stomach to the duodenum
• B. to neutralize stomach acid
• C. to prevent digested food materials and stomach acid from entering the esophagus
• D. to begin the process of chemical digestion

Correct answer: A

Rationale: The primary function of the pyloric sphincter is to regulate the flow of partially digested food material (chyme) from the stomach into the small intestine, specifically the duodenum. This control is essential for proper digestion and absorption of nutrients in the small intestine. Choices B, C, and D are incorrect. Choice B is incorrect because neutralizing stomach acid is primarily the function of the stomach lining and antacid mechanisms. Choice C is incorrect because preventing the backflow of digested food materials and stomach acid into the esophagus is mainly the role of the lower esophageal sphincter. Choice D is incorrect because the chemical digestion process primarily starts in the stomach through the action of gastric juices, not the pyloric sphincter.

2. Which of the following is NOT a typical component of healthy semen?

• A. Sperm
• B. Fructose (sugar)
• C. Prostaglandins
• D. Urine

Correct answer: D

Rationale: Healthy semen is composed of sperm, fructose (sugar), and prostaglandins. Urine is not a typical component of semen. While semen is ejaculated during sexual activity, urine is expelled through a separate pathway in the male reproductive system. Therefore, the correct answer is 'Urine.' Choices A, B, and C are all components found in healthy semen.

3. Unlike the circulatory system, the lymphatic system does not have a pump. How does lymph move through the lymphatic vessels?

• A. By the pumping action of the heart
• B. Due to muscle contractions and breathing movements
• C. Through one-way valves within the vessels
• D. All of the above

Correct answer: C

Rationale: Lymph moves through the lymphatic vessels primarily due to muscle contractions and breathing movements and also with the help of one-way valves within the vessels. The lymphatic system lacks a central pump like the heart; hence, it relies on the contraction of surrounding muscles and breathing movements to propel lymph fluid. One-way valves within the lymphatic vessels prevent backflow and ensure the unidirectional flow of lymph. Option A is incorrect as the lymphatic system does not rely on the pumping action of the heart. Option D is incorrect as the correct answer is the combination of muscle contractions, breathing movements, and one-way valves, not all the options provided.

4. Where is keratin found?

• A. It is a protein-digesting enzyme released by the stomach.
• B. It is released in the neuromuscular junction.
• C. It is a protein found in the hypodermis.
• D. It is a protein found in hair.

Correct answer: D

Rationale: Keratin is a structural protein found in hair, skin, and nails, providing strength and protection. It forms the main structural component of hair, making choice D the correct answer. Choices A, B, and C are incorrect because keratin is not an enzyme released by the stomach, not released in the neuromuscular junction, and not found in the hypodermis. Remember that keratin is primarily associated with structural support in epithelial cells.

5. Where does the nerve impulses send neurotransmitters across a synapse to a muscle cell to stimulate muscle contraction?

• A. sarcomere
• B. tendon
• C. myelin sheath
• D. neuromuscular junction

Correct answer: D

Rationale: The neuromuscular junction is the specific area where nerve impulses trigger the release of neurotransmitters that cross the synaptic gap to bind to receptors on the muscle cell membrane. This binding initiates muscle contraction by stimulating the muscle cell. The sarcomere is the basic contractile unit in a muscle fiber, not the location where nerve impulses communicate with muscle cells. Tendons are connective tissues that attach muscles to bones and are not involved in transmitting nerve impulses. The myelin sheath is a protective covering around nerve fibers but is not directly involved in transmitting neurotransmitters to muscle cells for muscle contraction.

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