Nursing Elites

1. Which of the following statements regarding the microscopic anatomy of heart muscle is correct?

• A. Cardiac muscle is striated, short, fat, branched, and interconnected
• B. Intercalated discs anchor cardiac cells together and allow the free passage of ions
• C. The connective tissue endomysium acts as both tendon and insertion
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' Cardiac muscle is indeed striated, short, fat, branched, and interconnected. Intercalated discs are responsible for anchoring cardiac cells together and allowing the free passage of ions. Additionally, the connective tissue endomysium provides structural support and acts as a tendon-like structure attaching muscle fibers to each other. Therefore, all the statements in choices A, B, and C are accurate when describing the microscopic anatomy of heart muscle. Choices A, B, and C individually represent different aspects of the structural features of cardiac muscle, making choice D the most comprehensive and correct answer.

2. What is the breakdown product of creatine phosphate, an energy source used for short bursts of muscle activity?

• A. Glucose
• B. Lactic acid
• C. Carbon dioxide
• D. Creatine

Correct answer: B

Rationale: Creatine phosphate is utilized as an immediate energy source for short bursts of muscle activity. When it breaks down, it yields lactic acid as a byproduct. Lactic acid accumulation during intense exercise can lead to muscle fatigue and soreness. Therefore, the correct answer is lactic acid. The other choices are incorrect: Glucose is a different energy source derived from carbohydrates; Carbon dioxide is a waste product of cellular respiration, not specifically from creatine phosphate breakdown; Creatine is the precursor compound to creatine phosphate and is not the breakdown product.

3. Which of the following is part of the central nervous system?

• A. Spinal cord
• B. Peripheral nerves
• C. Brainstem
• D. Cerebellum

Correct answer: A

Rationale: The correct answer is A: Spinal cord. The central nervous system comprises the brain and spinal cord. The spinal cord plays a crucial role in transmitting information between the brain and the body. Choices B, C, and D are not part of the central nervous system. Peripheral nerves belong to the peripheral nervous system, whereas the brainstem and cerebellum are components of the brain, distinct from the central nervous system.

4. How can the peripheral nervous system be further divided?

• A. Sensory and motor
• B. Sympathetic and parasympathetic
• C. Myelinated and unmyelinated
• D. Central and peripheral

Correct answer: A

Rationale: The peripheral nervous system can be further divided into sensory (afferent) neurons that carry information from sensory receptors to the central nervous system and motor (efferent) neurons that carry information from the central nervous system to muscles and glands. Choice A, 'Sensory and motor,' is the correct answer as it accurately identifies the two main functional divisions of the peripheral nervous system. Choices B, 'Sympathetic and parasympathetic,' are divisions of the autonomic nervous system, not the peripheral nervous system. Choice C, 'Myelinated and unmyelinated,' refers to the structural classification of nerve fibers rather than functional divisions. Choice D, 'Central and peripheral,' contrasts the central nervous system with the peripheral nervous system, not further dividing the peripheral nervous system itself.

5. What macromolecules are formed from amino acids, and what are their roles?

• A. Lipids; store energy
• B. Carbohydrates; provide energy
• C. Proteins; perform various functions like catalysis, transport, and structural support
• D. Nucleic acids; store genetic information

Correct answer: C

Rationale: The correct answer is C. Proteins are macromolecules formed from amino acids and have diverse roles, such as serving as enzymes, transport molecules, and providing structural support. They are essential for catalysis, cellular communication, immune response, and many other functions in living organisms. Choices A, B, and D are incorrect. Lipids are not formed from amino acids but from fatty acids and glycerol, mainly serving as energy storage molecules. Carbohydrates are composed of sugars and provide energy to the body. Nucleic acids, like DNA and RNA, are made up of nucleotides and store genetic information in cells.

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