Nursing Elites

1. Which of the following organs is responsible for filtering waste from the blood?

• A. Liver
• B. Kidneys
• C. Pancreas
• D. Heart

Correct answer: B

Rationale: The correct answer is B: Kidneys. The kidneys play a vital role in filtering waste from the blood, regulating fluid and electrolyte balance in the body. The liver is involved in detoxification and metabolism, while the pancreas aids in digestion and blood sugar regulation. The heart is responsible for pumping blood throughout the body and does not directly filter waste from the blood.

2. Where would a nonpregnant patient with normal anatomy most commonly have pain in acute appendicitis?

• A. Right upper quadrant.
• B. Left upper quadrant.
• C. Right lower quadrant.
• D. Left lower quadrant.

Correct answer: C

Rationale: In acute appendicitis, nonpregnant patients with normal anatomy commonly experience pain in the right lower quadrant of the abdomen. The pain usually starts around the umbilicus or epigastric area and then migrates to the right lower quadrant as inflammation progresses in the appendix. This classic migration of pain is known as McBurney's point tenderness and is a key clinical feature in diagnosing appendicitis.

3. Which of the following correctly matches a category of protein with a physiological example?

• A. Keratin is a structural protein
• B. Antigens are hormonal proteins
• C. Channel proteins are marker proteins
• D. Actin is a transport protein

Correct answer: A

Rationale: Keratin is indeed a type of structural protein found in the skin, hair, and nails of animals. It provides strength and protection, helping to maintain the overall structure of these tissues. The other choices are incorrect as antigens are not hormonal proteins but rather are involved in immune response, channel proteins are involved in facilitating the transport of ions or molecules across cell membranes, and actin is primarily involved in cell structure and movement, not as a transport protein.

4. What is the difference between isometric and isotonic muscle contractions?

• A. Isometric involves movement, while isotonic does not.
• B. Isotonic involves shortening of muscle, while isometric maintains length.
• C. Isometric uses more energy, while isotonic uses less.
• D. Isotonic involves smooth muscle, while isometric involves skeletal muscle.

Correct answer: B

Rationale: The correct answer is B. Isometric contractions occur when the muscle generates tension without changing its length, while isotonic contractions involve the muscle changing length to move a load. In isotonic contractions, the muscle shortens to move a load, whereas in isometric contractions, the muscle contracts to hold a position without movement. Choice A is incorrect because isometric contractions do not involve movement, while choice C is incorrect as isotonic contractions typically require more energy due to movement. Choice D is incorrect because the type of muscle involved (smooth or skeletal) is not the defining factor between isometric and isotonic contractions.

5. The hypothalamus, a part of the brain, plays a crucial role in endocrine regulation. It secretes GnRH (Gonadotropin-releasing hormone) which stimulates the pituitary gland to produce FSH and LH. What is the MAIN function of FSH and LH?

• A. Regulate blood sugar levels
• B. Control growth and development
• C. Stimulate the fight-or-flight response
• D. Maintain calcium homeostasis

Correct answer: B

Rationale: FSH (Follicle-stimulating hormone) and LH (Luteinizing hormone) are hormones produced by the pituitary gland in response to GnRH from the hypothalamus. FSH plays a key role in the growth and development of ovarian follicles in females and sperm production in males. LH is essential for the maturation of the ovarian follicle, ovulation, and the formation of the corpus luteum in females, as well as the production of testosterone in males. Therefore, the main function of FSH and LH is to control growth and development in the reproductive system. Choices A, C, and D are incorrect as they do not align with the roles of FSH and LH in reproductive physiology. Regulating blood sugar levels is primarily the function of insulin and glucagon, controlling the fight-or-flight response involves hormones like adrenaline and noradrenaline, and maintaining calcium homeostasis is mainly regulated by parathyroid hormone and calcitonin.

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