Nursing Elites

1. Which process involves the body's natural defense against inhaled dust and allergens?

• A. Cellular respiration
• B. Gas exchange
• C. Ciliary action
• D. Bronchoconstriction

Correct answer: C

Rationale: Ciliary action refers to the process where tiny hair-like structures called cilia in the respiratory tract help to sweep away inhaled dust and allergens, preventing them from entering deeper into the lungs. This is a crucial part of the body's natural defense mechanism against respiratory irritants. Cellular respiration (A) is the process where cells use oxygen to produce energy, not a defense mechanism against inhaled particles. Gas exchange (B) involves the exchange of oxygen and carbon dioxide in the lungs, not specifically targeting inhaled dust and allergens. Bronchoconstriction (D) is the narrowing of the airways in response to irritants or allergens, which can lead to breathing difficulties, but it is not the primary defense mechanism against these particles.

2. Which type of capillary is the most common and least permeable?

• A. Fenestrated capillaries
• B. Sinusoidal capillaries
• C. Continuous capillaries
• D. Discontinuous capillaries

Correct answer: C

Rationale: The correct answer is C, continuous capillaries. Continuous capillaries are the most common and least permeable type of capillary. They are found in most tissues, including muscle and the nervous system. Continuous capillaries have a continuous endothelium without fenestrations or large gaps, which limits the movement of substances across their walls. Choice A, fenestrated capillaries, have pores (fenestrations) in their endothelial cells, making them more permeable than continuous capillaries. Choice B, sinusoidal capillaries, have a discontinuous endothelium with large gaps between cells, making them more permeable and allowing larger molecules and cells to pass through compared to continuous capillaries. Choice D, discontinuous capillaries, are similar to sinusoidal capillaries with a discontinuous endothelium, allowing for enhanced permeability compared to continuous capillaries.

3. What causes stretch marks?

• A. The epidermis layer becomes inflamed
• B. The dermis layer becomes inflamed
• C. The dermis layer tears due to rapid stretching
• D. Sebaceous glands become clogged

Correct answer: C

Rationale: Stretch marks occur when the dermis layer tears due to rapid stretching of the skin. This tearing leads to the appearance of stretch marks, which are often red or purple at first and then fade to a silvery-white color over time. Inflammation of the dermis or clogging of sebaceous glands are not directly related to the formation of stretch marks. Therefore, choices A, B, and D are incorrect as they do not describe the actual cause of stretch marks.

4. Which type of capillary is the most permeable?

• A. Continuous capillaries
• B. Sinusoidal capillaries
• C. Fenestrated capillaries
• D. Vascular capillaries

Correct answer: B

Rationale: Sinusoidal capillaries are indeed the most permeable type. They are characterized by large gaps between endothelial cells, allowing for the passage of large molecules and cells. These capillaries are commonly found in organs like the liver, bone marrow, and spleen where high permeability is required for specialized functions such as filtration and exchange of substances. Continuous capillaries have tight junctions and are the least permeable, found in muscles, lungs, and the central nervous system where strict control over permeability is needed. Fenestrated capillaries, on the other hand, have small pores or fenestrations and are intermediate in permeability, found in organs like the kidneys, endocrine glands, and intestines where selective permeability is necessary. Vascular capillaries is not a specific type of capillary and is not a valid choice.

5. Which hormone, produced by the thyroid gland, plays a key role in regulating calcium levels in the blood by promoting calcium release from bones and increasing calcium reabsorption in the kidneys?

• A. Calcitonin
• B. Parathyroid hormone (PTH)
• C. Thyroxine
• D. Insulin

Correct answer: A

Rationale: Calcitonin, produced by the thyroid gland, is responsible for regulating calcium levels in the blood. It works by decreasing blood calcium levels through two main mechanisms: promoting calcium uptake by bones and decreasing calcium reabsorption in the kidneys. Parathyroid hormone (PTH), on the other hand, increases blood calcium levels by promoting calcium release from bones and increasing calcium absorption in the intestines. Thyroxine, another thyroid hormone, primarily regulates metabolism and has no direct influence on calcium levels. Insulin, produced by the pancreas, is involved in regulating blood sugar levels and is not related to calcium homeostasis.

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