Nursing Elites

1. Which valve prevents backflow into the atrium when the ventricles contract?

• A. Pulmonary valve
• B. Tricuspid valve
• C. Mitral valve
• D. Aortic valve

Correct answer: B

Rationale: The tricuspid valve (right atrioventricular valve) prevents backflow into the right atrium when the right ventricle contracts. This valve ensures that blood flows in the correct direction, preventing regurgitation into the atrium. The pulmonary valve is responsible for preventing backflow into the right ventricle from the pulmonary artery. The mitral valve prevents backflow into the left atrium, and the aortic valve prevents backflow into the left ventricle from the aorta. Therefore, the correct answer is the tricuspid valve as it specifically addresses the scenario of backflow into the atrium during ventricular contraction.

2. Which of the following is NOT a common route of transmission for a sexually transmitted infection (STI)?

• A. Unprotected sexual contact
• B. Sharing contaminated needles
• C. Deep kissing
• D. Mother to child during childbirth

Correct answer: C

Rationale: A) Unprotected sexual contact is a common route of transmission for sexually transmitted infections (STIs) as many STIs are spread through genital, anal, or oral sex without the use of barrier protection such as condoms. B) Sharing contaminated needles can also transmit STIs such as HIV and hepatitis B and C, especially among individuals who inject drugs. C) Deep kissing, while it can transmit certain infections like herpes simplex virus (HSV-1) or cytomegalovirus (CMV), is not a common route of transmission for most STIs. Although some STIs can be transmitted through saliva, deep kissing is not a primary mode of transmission for most STIs. D) Mother to child transmission during childbirth can occur with certain STIs such as HIV, syphilis, and herpes, where the infection can be passed from the mother to the baby during delivery. Therefore, deep kissing (option C) is the correct answer as it is not a typical route of transmission for most STIs.

3. 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.

4. Which of the following produces the first heart sound ('lub')?

• A. The closing of the aortic and pulmonary valves
• B. The closing of the tricuspid and mitral valves
• C. The opening of the aortic and pulmonary valves
• D. The opening of the tricuspid and mitral valves

Correct answer: B

Rationale: The correct answer is B. The first heart sound, known as the 'lub' sound, is produced by the closure of the tricuspid and mitral valves, which are the atrioventricular valves. This sound marks the beginning of systole in the cardiac cycle. Choice A, the closing of the aortic and pulmonary valves, is incorrect as these valves produce the second heart sound ('dub'). Choice C, the opening of the aortic and pulmonary valves, is incorrect because the first heart sound occurs during ventricular contraction (systole). Choice D, the opening of the tricuspid and mitral valves, is incorrect as the 'lub' sound is associated with the closure, not the opening, of these valves.

5. Why are negative feedback mechanisms crucial in the endocrine system?

• A. To increase hormone production continuously
• B. To maintain hormone levels within a specific range
• C. To cause a constant release of hormones
• D. To disrupt communication between glands

Correct answer: B

Rationale: Negative feedback mechanisms in the endocrine system play a vital role in maintaining hormone levels within a specific range. When hormone levels deviate from the set point, negative feedback signals prompt adjustments in hormone production to bring the levels back to the optimal range. This process ensures a delicate balance of hormones in the body, preventing excesses or deficiencies. Choice A is incorrect because continuously increasing hormone production would lead to imbalances. Choice C is incorrect as a constant release of hormones without regulation would disrupt homeostasis. Choice D is incorrect because disrupting communication between glands would hinder proper coordination and regulation of hormone levels, which is essential for the body's overall function.

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