Nursing Elites

1. What term describes the functional unit of a skeletal muscle responsible for muscle contraction?

• A. Myofibril
• B. Sarcomere
• C. Tendon
• D. Myoglobin

Correct answer: B

Rationale: The correct answer is B, 'Sarcomere.' The sarcomere is indeed the functional unit of a skeletal muscle responsible for muscle contraction. It is composed of actin and myosin filaments that interact to generate muscle contraction. Choice A, 'Myofibril,' is incorrect as myofibrils are composed of sarcomeres, not the functional units themselves. Choice C, 'Tendon,' is incorrect as tendons connect muscles to bones and do not directly participate in muscle contraction. Choice D, 'Myoglobin,' is incorrect as myoglobin is a protein that stores oxygen in muscle cells and is not directly involved in muscle contraction.

2. Which type of muscle is characterized by involuntary contractions, is striated, and is primarily found in the heart?

• A. Skeletal muscle
• B. Smooth muscle
• C. Cardiac muscle
• D. Elastic muscle

Correct answer: C

Rationale: The correct answer is C, Cardiac muscle. Cardiac muscle fits the description provided in the question as it exhibits involuntary contractions, striations, and is predominantly located in the heart. Skeletal muscle, while also striated, is voluntary and not involuntary like cardiac muscle. Smooth muscle lacks striations and is typically found in the walls of internal organs. Elastic muscle is not a recognized type of muscle tissue in human anatomy, making it an incorrect choice.

3. What is the main target organ for insulin, the hormone produced by the pancreas?

• A. Liver
• B. Kidneys
• C. Muscles
• D. Brain

Correct answer: C

Rationale: The main target organ for insulin is muscles. Insulin plays a crucial role in regulating glucose metabolism by promoting the uptake of glucose into muscle cells. This glucose can then be utilized for energy production or stored for later use. Therefore, muscles are the primary site where insulin exerts its effects on glucose uptake and utilization. The liver primarily responds to insulin by regulating glucose storage and release, but the main target for insulin-mediated glucose uptake is muscles. Kidneys are not a target organ for insulin action in glucose metabolism. The brain does not heavily rely on insulin for glucose uptake as it primarily uses glucose independently of insulin for energy production.

4. Which of the following is NOT a mechanism that can directly cause evolution by natural selection?

• A. Mutations in genes
• B. Differential survival and reproduction based on traits
• C. Inheritance of acquired characteristics (like strong muscles from working out)
• D. Competition for resources in an environment

Correct answer: C

Rationale: A) Mutations in genes can introduce new genetic variations into a population, which can be acted upon by natural selection. B) Differential survival and reproduction based on traits is a key component of natural selection, as individuals with advantageous traits are more likely to survive and pass on their genes to the next generation. C) Inheritance of acquired characteristics, also known as Lamarckism, is not a mechanism of evolution by natural selection. Traits acquired during an individual's lifetime (such as strong muscles from working out) are not passed on to offspring. D) Competition for resources in an environment can drive natural selection by favoring individuals with traits that help them better compete for limited resources. Therefore, the correct answer is C) Inheritance of acquired characteristics (like strong muscles from working out), as it is not a mechanism that can directly cause evolution by natural selection.

5. A person who carries a pathogen but does not exhibit any symptoms is considered:

• A. Asymptomatic carrier
• B. Opportunistic pathogen
• C. Nosocomial infection
• D. Vector-borne disease

Correct answer: A

Rationale: An asymptomatic carrier is a person who carries a pathogen, such as a virus or bacterium, without showing any symptoms of the infection. Despite lacking symptoms, asymptomatic carriers can still transmit the pathogen to others, potentially causing illness in those they contact. This term specifically pertains to infected individuals who do not manifest symptoms, distinguishing them from symptomatic carriers who do exhibit signs of the infection. Option A is the most fitting choice as it accurately characterizes a person carrying a pathogen without displaying symptoms. B) Opportunistic pathogen: This term describes pathogens that typically do not cause disease in healthy individuals but can be pathogenic in those with weakened immune systems. C) Nosocomial infection: This term refers to infections acquired in a hospital or healthcare facility. D) Vector-borne disease: This term relates to diseases transmitted to humans by vectors like mosquitoes or ticks.

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