What drug enhances the output of respiratory tract fluid by reducing the adhesiveness and surface tension of the fluid which facilitates the removal of viscous mucus?

Choice A rationale

Drawing up regular insulin first is recommended to avoid contamination of the vial with other types of insulin.

Choice B rationale

Incorrect, as it is standard practice to draw up regular insulin first to maintain purity and efficacy.

Choice A rationale

Magnesium plays a role in muscle relaxation but is not primarily responsible for muscle contraction. It helps in stabilizing the muscle membrane by acting as a natural calcium blocker. Deficiency in magnesium can lead to muscle cramps and spasms, but it does not directly cause muscle contraction and relaxation processes.

Choice B rationale

Chloride is an essential electrolyte involved in maintaining fluid balance and acid-base balance, but it does not directly influence muscle contraction and relaxation. It works in conjunction with sodium to regulate osmotic pressure and acid-base balance.

Choice C rationale

Calcium is crucial for muscle contraction. It is released from the sarcoplasmic reticulum within the muscle cells and binds to troponin, causing a conformational change that allows actin and myosin to interact and generate contraction. During relaxation, calcium ions are pumped back into the sarcoplasmic reticulum.

Choice D rationale

Hydrogen ions are involved in pH balance and acid-base regulation but do not directly affect muscle contraction and relaxation. Excess hydrogen ions (acidosis) can impair muscle function, but they are not the primary factor in muscle contraction processes.