Nursing Elites

1. Which of the following is an example of the location and function of cartilage in the body?

• A. The dense connective tissue that makes up the majority of the structural skeleton
• B. The supportive pads that provide cushioning at joints, such as between the vertebrae of the spinal cord
• C. The connective structure made of fibrous collagen that connects muscles and bones
• D. The layer beneath the skin and on the outside of internal organs that provides cushioning and protection

Correct answer: B

Rationale: Cartilage is a type of flexible connective tissue that acts as supportive pads providing cushioning at joints, like those found between the vertebrae of the spine. This specific function of cartilage helps in reducing friction and absorbing shock in these areas, contributing to joint flexibility and protection. Choices A, C, and D do not accurately describe the function and location of cartilage in the body. Option A incorrectly refers to dense connective tissue, which is different from cartilage. Option C describes tendons or ligaments, which are not cartilage. Option D refers to adipose tissue, which is a type of connective tissue that stores fat and provides insulation, but it is not cartilage.

2. When a muscle shortens and generates force, this is called a:

• A. Contraction
• B. Relaxation
• C. Extension
• D. Atrophy

Correct answer: A

Rationale: When a muscle shortens and generates force, it is contracting. Contraction is the process by which muscle fibers develop tension and exert a pulling force on the bones they are attached to, resulting in movement. Relaxation refers to the phase when a muscle returns to its original length, allowing for rest or preparation for the next contraction. Extension, on the other hand, is the movement that increases the angle between body parts, moving them further apart. Atrophy is unrelated to muscle contraction and refers to the wasting away or decrease in size of muscle tissue due to disuse or disease. Therefore, the correct answer is 'Contraction.'

3. Edema, characterized by swelling due to fluid buildup, can be a sign of:

• A. Heart failure
• B. Liver disease
• C. Lymphatic system dysfunction
• D. All of the above

Correct answer: D

Rationale: Edema is the swelling caused by fluid retention in the body tissues. It can indicate various underlying conditions. Heart failure can lead to fluid buildup due to the heart's ineffective pumping. Liver disease can cause edema by reducing protein production, leading to fluid leakage into tissues. Dysfunction of the lymphatic system can impair fluid drainage, contributing to edema. Therefore, all of the above conditions can manifest with edema, making the correct answer 'All of the above.' Choices A, B, and C are all valid causes of edema, making them incorrect when considered individually. Selecting 'All of the above' encompasses all the possible causes of edema.

4. What is hydroxyapatite?

• A. A mixture of minerals such as calcium and phosphorus that strengthen the collagen matrix of bone.
• B. The structural unit of a bone that runs the length of the bone.
• C. The covering of bones at the point of articulation to prevent grinding.
• D. The lightest portion of a long bone and concentrated at the ends.

Correct answer: A

Rationale: Hydroxyapatite is a mineral compound composed of calcium and phosphorus that plays a crucial role in strengthening the collagen matrix of bones, contributing to their structural integrity and hardness. It is a key component of bone tissue and provides the mineralization necessary for bone strength and density. Choice B is incorrect because the structural unit of a bone is the osteon or Haversian system, not hydroxyapatite. Choice C is incorrect as it describes cartilage, not hydroxyapatite. Choice D is incorrect as it refers to the epiphysis, which is not synonymous with hydroxyapatite.

5. Melanin, the pigment responsible for skin color, is produced by

• A. Keratinocytes (These cells produce keratin)
• B. Melanocytes
• C. Sebocytes (These cells produce sebum)
• D. Langerhans cells (These cells are part of the immune system)

Correct answer: B

Rationale: Melanocytes are the cells responsible for producing melanin, the pigment that determines skin color. Melanin gives skin its color and protects it from the harmful effects of UV radiation. Keratinocytes produce keratin, a tough protein that forms the outer layer of the skin, hair, and nails. Sebocytes produce sebum, an oily substance that helps moisturize and protect the skin. Langerhans cells are a type of immune cell found in the skin that play a role in protecting against infections and foreign substances but do not produce melanin.

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