1.
Muscle cells are called muscle fibers because of their coarse texture.
Correct Answer
B. False
Explanation
Muscle cells are not called muscle fibers because of their coarse texture. The term "muscle fibers" refers to the long, cylindrical shape of muscle cells, which resemble fibers. This term has nothing to do with the texture of the cells. Therefore, the statement is false.
2.
Skeletal and cardiac muscle are striated by filaments in their myofibrils.
Correct Answer
A. True
Explanation
Skeletal and cardiac muscle are both striated, meaning they have a striped appearance, due to the presence of filaments in their myofibrils. These filaments, called actin and myosin, are responsible for muscle contraction. This characteristic is unique to these types of muscle and distinguishes them from smooth muscle, which lacks this striated appearance. Therefore, the statement that skeletal and cardiac muscle are striated by filaments in their myofibrils is true.
3.
Once a skeletal muscle contracts, it cannot relax until acetylcholine is secreted.
Correct Answer
B. False
Explanation
This statement is false. Once a skeletal muscle contracts, it can relax even without the secretion of acetylcholine. The relaxation of a muscle occurs when the nerve impulses that stimulate the contraction stop, causing the muscle fibers to stop contracting and return to their original state. Acetylcholine is involved in the initial activation of muscle contraction, but it is not required for muscle relaxation.
4.
Acetylcholine causes skeletal muscles to contract.
Correct Answer
A. True
Explanation
Acetylcholine is a neurotransmitter that is responsible for transmitting signals from motor neurons to skeletal muscles. When acetylcholine binds to receptors on the muscle fibers, it triggers a series of events that ultimately lead to muscle contraction. Therefore, it is correct to say that acetylcholine causes skeletal muscles to contract.
5.
Acetylcholinesterase is a neurotransmitter.
Correct Answer
B. False
Explanation
Acetylcholinesterase is not a neurotransmitter. It is an enzyme that breaks down the neurotransmitter acetylcholine in the synaptic cleft, terminating its action. Neurotransmitters are chemical messengers that transmit signals between nerve cells.
6.
A buildup of lactic acid
Correct Answer
B. Causes muscle fatigue.
Explanation
Lactic acid is produced in the muscles during intense exercise when the body cannot supply enough oxygen to meet the demands of the muscles. This buildup of lactic acid leads to muscle fatigue, as it interferes with the muscles' ability to contract efficiently. Increasing muscle activity can help to correct this buildup by increasing blood flow and oxygen supply to the muscles. Muscle cramps, on the other hand, are caused by involuntary muscle contractions and are not directly related to lactic acid buildup.
7.
A mother call your office about her 8 month-old who is notvery active and has not had a wet diaper for 2 days.
Correct Answer
C. Take the baby to the local emergency department.
Explanation
Based on the given information, the baby is not very active and has not had a wet diaper for 2 days. These symptoms could indicate dehydration or a potential health issue. Taking the baby to the local emergency department is the most appropriate action as they will be able to assess the baby's condition and provide necessary medical care if needed.
8.
When working with parents of young children who are at risk of botulism, it is most importantfor you to instruct them to do which of the following to reduce the risk?
Correct Answer
C. Do not use raw fish or food from damage or bulging cans of vegetables.
Explanation
The correct answer is "do not use raw fish or food from damage or bulging cans of vegetables." This is the most important instruction to reduce the risk of botulism because raw fish and damaged or bulging cans of vegetables can potentially contain the botulinum toxin, which causes botulism. Washing foods well, not using well water for infants or children, and washing infants and children's hands before they eat are also important measures, but they are not specifically targeted at reducing the risk of botulism.
9.
A young woman is seen in your clinic regulary. She has fibromalgia. You should suggest that she
Correct Answer
C. Seek counseling to help develop better coping skills.
Explanation
Individuals with fibromyalgia often experience chronic pain and may struggle with coping mechanisms. Seeking counseling can be beneficial in helping the young woman develop better coping skills to manage her pain and improve her overall well-being. Counseling can provide her with strategies to reduce stress, improve sleep, and enhance her ability to handle the emotional and physical challenges associated with fibromyalgia. This can ultimately lead to a better quality of life and improved management of her condition.
10.
A man staggers into your clinic.He is known to be a heavy cocaine and alcohol user.
Correct Answer
D. Rhabdomyolysis
Explanation
Rhabdomyolysis is the breakdown of muscle tissue that leads to the release of muscle fiber contents into the bloodstream. This can occur due to various reasons, including drug and alcohol abuse. In this case, the man's heavy cocaine and alcohol use could have caused rhabdomyolysis, resulting in the symptoms of staggering. The breakdown of muscle tissue releases myoglobin, which can cause kidney damage, leading to dark urine and other complications. Therefore, rhabdomyolysis is the most likely explanation for the man's condition.
11.
In order to get tetanus, a person must have a(a)
Correct Answer
B. Open wound,usually from a puncture by contaminated object.
Explanation
Tetanus is caused by the bacteria Clostridium tetani, which is commonly found in soil and animal feces. The bacteria can enter the body through an open wound, particularly a puncture wound caused by a contaminated object. Once inside the body, the bacteria produce a toxin that affects the nervous system, leading to symptoms such as muscle stiffness and spasms. Therefore, having an open wound, usually from a puncture by a contaminated object, is the most likely way for a person to contract tetanus.
12.
An early sing of tetanus is
Correct Answer
D. Muscle spasm in the jaw and neck.
Explanation
An early sign of tetanus is muscle spasm in the jaw and neck. This is because tetanus is a bacterial infection that affects the nervous system, specifically the muscles. The bacteria produce toxins that interfere with the normal functioning of the muscles, leading to spasms and stiffness. The jaw and neck muscles are often the first to be affected, causing difficulty in opening the mouth and swallowing. Therefore, muscle spasm in the jaw and neck is an early indicator of tetanus.
13.
You are coaching a middle-school soccer team . You always instruct the players to warm up and do stretches before a match in order to
Correct Answer
D. Prevent injuries during the match.
Explanation
The correct answer is to prevent injuries during the match. Warm-up exercises and stretches help to increase blood flow to the muscles, improve flexibility, and prepare the body for physical activity. This reduces the risk of muscle strains, sprains, and other injuries that can occur during the match. By ensuring that the players are properly warmed up and stretched, the coach is taking proactive measures to keep the team safe and minimize the chances of injuries during the game.
14.
Which of the following does not apply to skeletal muscle?
Correct Answer
B. It has intercalated disc.
Explanation
The correct answer is "It has intercalated disc." This statement does not apply to skeletal muscle because intercalated discs are found in cardiac muscle, not skeletal muscle. Intercalated discs are specialized structures that allow for coordinated contraction of cardiac muscle cells, while skeletal muscle does not have this feature. Skeletal muscle is under voluntary control, attached to bones, and contracts rapidly.
15.
Which characteristics applies to smooth muscle?
Correct Answer
C. It is slow to contract and relax.
Explanation
Smooth muscle is a type of muscle tissue found in the walls of organs and blood vessels. Unlike skeletal muscle, it is not under voluntary control, meaning we cannot consciously control its contractions. Smooth muscle is slow to contract and relax, which allows for sustained contractions and helps with functions such as digestion and blood flow regulation. This characteristic is due to the presence of specialized proteins and regulatory mechanisms within smooth muscle cells.
16.
Cardiac muscle is
Correct Answer
C. Self-exciting.
Explanation
Cardiac muscle is self-exciting, meaning it can generate its own electrical impulses without external stimulation. This is essential for the heart to maintain its regular rhythm and function properly. Unlike skeletal muscle, which is under voluntary control, cardiac muscle contracts and relaxes involuntarily. Additionally, cardiac muscle is not attached to bones like skeletal muscle, and it contracts and relaxes at a slower pace compared to skeletal muscle.
17.
Which of the following produces body movement?
Correct Answer
D. Skeletal muscle.
Explanation
Skeletal muscle is responsible for body movement. It is attached to the bones and allows us to perform voluntary movements such as walking, running, and lifting objects. Cardiac muscle is found in the heart and is responsible for pumping blood, while smooth muscle is found in the walls of organs and helps with involuntary movements such as digestion and blood vessel constriction. Therefore, the correct answer is skeletal muscle.
18.
____ muscle moves contents through an organ and controls blood vessels.
Correct Answer
B. Smooth muscle
Explanation
Smooth muscle is the correct answer because it is responsible for moving contents through organs and controlling blood vessels. Smooth muscle is found in the walls of organs such as the stomach, intestines, and blood vessels. It is involuntary, meaning it functions without conscious control. Smooth muscle contracts and relaxes to help propel substances through the digestive system and regulate blood flow in the body.
19.
Which of the following are characteristic of cardiac muscle?
Correct Answer
D. It has intercalated disc and self-exciting.
Explanation
Cardiac muscle is not under voluntary control, so the options that mention voluntary control can be eliminated. Additionally, cardiac muscle does not control blood vessels, so the option that mentions this can also be eliminated. The remaining option, "it has intercalated disc and self-exciting," is correct. Cardiac muscle does indeed have intercalated discs, which allow for synchronized contraction, and it is self-exciting, meaning it can generate its own electrical impulses to initiate contraction.
20.
_____ is a protein that stores phosphate groups for use by ATP.
Correct Answer
C. Creatine phosphate
Explanation
Creatine phosphate is a protein that stores phosphate groups for use by ATP. ATP is the main energy source for cells, and it releases energy when it breaks down into ADP and inorganic phosphate. Creatine phosphate helps replenish ATP levels by donating its phosphate group to ADP, converting it back into ATP. This process is especially important during short bursts of intense physical activity, such as weightlifting or sprinting, where ATP demand is high. Creatine phosphate acts as a readily available source of phosphate groups, allowing for rapid ATP regeneration and sustained energy production.
21.
Which of these uses glucose to help make ATP?
Correct Answer
B. Aerobic respiration
Explanation
Aerobic respiration is the process in which glucose is broken down in the presence of oxygen to produce ATP. This process occurs in the mitochondria of cells and is the most efficient way to generate ATP. It involves a series of chemical reactions that convert glucose into carbon dioxide and water, releasing energy that is captured in the form of ATP. This process is used by most organisms, including humans, to meet their energy needs.
22.
Small amounts of ATP is produced when pyruvic acid is converted to
Correct Answer
C. Lactic acid.
Explanation
During anaerobic respiration, pyruvic acid is converted into lactic acid in the absence of oxygen. This process occurs in the cytoplasm of cells and is known as lactic acid fermentation. It is a way for cells to produce ATP (energy) when oxygen is not readily available. This process is commonly observed in muscle cells during intense exercise or when there is a lack of oxygen supply. Therefore, the conversion of pyruvic acid to lactic acid results in the production of small amounts of ATP.
23.
Individual muscle cells are surrounded by
Correct Answer
D. Endomysium
Explanation
The correct answer is endomysium. Endomysium is a connective tissue that surrounds individual muscle cells. It provides support and protection to the muscle fibers, as well as allows for the transmission of force generated by the muscle cells. Tendon is a connective tissue that attaches muscle to bone, aponeurosis is a broad, flat tendon-like structure, and perimysium is a connective tissue that surrounds bundles of muscle fibers called fascicles. However, none of these options specifically surround individual muscle cells like the endomysium does.
24.
Which of the following separates muscles from each other?
Correct Answer
C. Perimysium
Explanation
The perimysium is a connective tissue layer that surrounds and separates individual muscle fascicles. It helps to organize and support the muscle fibers within each fascicle, keeping them separate from one another. This allows for efficient muscle contraction and movement, preventing the muscles from sticking together or interfering with each other's function. Tendons connect muscles to bones, fascia is a connective tissue that surrounds muscles and other structures, and endomysium is a connective tissue layer that surrounds individual muscle fibers within a fascicle.
25.
For which of the following is the use of braces an appropriate treatment?
Correct Answer
B. Muscular dystrophies
Explanation
Muscular dystrophies is a group of genetic disorders that cause progressive muscle weakness and degeneration. Braces can be used as a treatment option for individuals with muscular dystrophies to provide support and stability to the affected muscles, improve mobility, and delay the progression of the disease. Braces can help maintain proper body alignment, prevent contractures, and assist with walking and other activities of daily living. Fibromyalgia, tetanus, and botulism are not conditions that typically require the use of braces for treatment.
26.
You should recommend lifestyle changes to avoid stress for patients who have
Correct Answer
D. Myasthenia gravis and fibromyalgia
Explanation
Patients with myasthenia gravis and fibromyalgia should be recommended lifestyle changes to avoid stress. Both myasthenia gravis and fibromyalgia are chronic conditions that can be exacerbated by stress. Stress can worsen symptoms such as muscle weakness and fatigue in myasthenia gravis, and it can also trigger flare-ups and increase pain in fibromyalgia. Therefore, lifestyle changes such as practicing relaxation techniques, engaging in regular exercise, getting enough sleep, and managing workload and responsibilities can help reduce stress levels and improve the overall well-being of these patients.
27.
Antibiotics would be given for
Correct Answer
B. Botulism.
Explanation
Antibiotics would be given for botulism because it is a bacterial infection caused by the toxin produced by Clostridium botulinum. Antibiotics are used to treat the infection and prevent further complications. Fibromyalgia, myasthenia gravis, and rhabdomyolysis are not caused by bacterial infections, so antibiotics would not be effective in treating these conditions.
28.
Which symptoms are unique to trichinosis?
Correct Answer
A. Diarrhea and encephalitis
Explanation
Trichinosis is a parasitic infection caused by eating undercooked meat infected with the Trichinella parasite. Diarrhea is a symptom commonly associated with gastrointestinal infections, including trichinosis. Encephalitis, on the other hand, is a rare but severe complication of trichinosis that occurs when the parasite invades the central nervous system. Therefore, the symptoms of diarrhea and encephalitis are unique to trichinosis compared to the other options listed.
29.
An attachment site that does not move when a muscle contracts is a(n)
Correct Answer
B. Origin.
Explanation
The origin refers to the attachment site of a muscle that remains fixed or does not move when the muscle contracts. This is in contrast to the insertion, which is the attachment site that moves when the muscle contracts. The prime mover refers to the muscle primarily responsible for producing a specific movement, while a synergist is a muscle that assists the prime mover in producing the movement. However, in this context, the correct answer is origin because it specifically refers to an attachment site that does not move during muscle contraction.
30.
Which muscle is most responsible for movement?
Correct Answer
C. Prime mover
Explanation
The prime mover muscle is the one that is primarily responsible for producing a specific movement. It is the muscle that contracts and generates the most force to initiate and carry out the desired movement. While other muscles may also contribute to the movement as synergists, the prime mover muscle is the main muscle that drives the action.
31.
Which muscle stabilizes a joint during movement?
Correct Answer
D. Synergist
Explanation
A synergist muscle is responsible for stabilizing a joint during movement. It works together with the prime mover muscle to provide support and control to the joint, ensuring smooth and coordinated movement. While the prime mover is the main muscle responsible for generating the movement, the synergist assists by providing stability and preventing unwanted or excessive movements at the joint.
32.
Which of the following muscles moves the thigh?
Correct Answer
C. Gluteus medius
Explanation
The gluteus medius is a muscle that is responsible for moving the thigh. It is located in the buttocks and helps to abduct and rotate the thigh. The biceps brachii is a muscle in the arm that flexes the elbow joint, the external oblique is a muscle in the abdomen that aids in trunk rotation, and the gastrocnemius is a muscle in the calf that helps to flex the foot.
33.
Which muscle moves the jaw?
Correct Answer
A. Temporalis
Explanation
The temporalis muscle is responsible for moving the jaw. It is a large, fan-shaped muscle located on the side of the head, above the ear. The temporalis muscle works in conjunction with other muscles to allow for the opening, closing, and side-to-side movement of the jaw. It is one of the key muscles involved in chewing and biting.
34.
Which of these flexes the foot and is commonly called the calf muscle?
Correct Answer
D. Gastrocnemius
Explanation
The muscle that flexes the foot and is commonly called the calf muscle is the gastrocnemius. This muscle is located in the back of the lower leg and plays a major role in walking, running, and jumping. It is responsible for pointing the toes downward and provides power for pushing off the ground during movement.
35.
The ____ muscle moves the abdominal wall.
Correct Answer
B. External oblique
Explanation
The external oblique muscle is responsible for moving the abdominal wall. It is located on the sides and front of the abdomen and plays a key role in trunk rotation and flexion. When contracted, it helps to compress the abdominal contents and stabilize the core. The biceps brachii, gluteus medius, and gastrocnemius muscles are not involved in moving the abdominal wall.