Nursing Elites

1. Which of the following hormones is primarily responsible for regulating metabolism?

• A. Insulin
• B. Testosterone
• C. Adrenaline
• D. Thyroid hormone

Correct answer: D

Rationale: Thyroid hormone is the correct answer as it is primarily responsible for regulating metabolism. It plays a crucial role in controlling the body's metabolic rate, affecting how the body uses energy from food. Thyroid hormone levels can influence metabolism, energy production, and body weight regulation. Insulin, choice A, is involved in regulating blood sugar levels, not directly metabolism. Testosterone, choice B, is a sex hormone that primarily affects the development of male reproductive tissues. Adrenaline, choice C, is involved in the fight-or-flight response and not primarily responsible for regulating metabolism.

2. 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.

3. 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.

4. Which layer of the skin is responsible for new skin cell production?

• A. Stratum corneum
• B. Stratum basale
• C. Stratum granulosum
• D. Stratum spinosum

Correct answer: B

Rationale: The correct answer is B, Stratum basale. The stratum basale, also known as the basal layer or stratum germinativum, is the deepest layer of the epidermis and is responsible for new skin cell production through cell division. It contains basal cells that continuously divide to produce new keratinocytes, which move up through the layers of the epidermis. Choice A, Stratum corneum, is the outermost layer of the epidermis consisting of dead cells filled with keratin. It serves a protective function but is not involved in new skin cell production. Choice C, Stratum granulosum, is a layer of the epidermis where keratinocytes undergo changes in their structure and composition. It is involved in the process of keratinization but not in new skin cell production. Choice D, Stratum spinosum, is a layer of the epidermis where cells become interconnected by desmosomes. While it plays a role in providing strength and support to the epidermis, it is not primarily responsible for new skin cell production.

5. The 'fight-or-flight' response is triggered by the hormone released from the:

• A. Thyroid gland
• B. Adrenal glands
• C. Pituitary gland
• D. Pancreas

Correct answer: B

Rationale: The 'fight-or-flight' response is triggered by the release of adrenaline (epinephrine) and norepinephrine from the adrenal glands. These hormones prepare the body to either confront or flee from a perceived threat or stressor. The adrenal glands are crucial in initiating this rapid physiological response. Choices A, C, and D are incorrect because the thyroid gland primarily regulates metabolism and energy levels, the pituitary gland controls other endocrine glands but does not directly trigger the 'fight-or-flight' response, and the pancreas is responsible for regulating blood sugar levels through insulin and glucagon, not for triggering the 'fight-or-flight' response.

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