Nursing Elites

1. After exposure to a pathogen, the immune system develops memory. What type of immune cell is responsible for this immunological memory?

• A. B cells
• B. T cells (specifically memory T cells)
• C. Phagocytes
• D. Natural killer cells

Correct answer: A

Rationale: B cells are responsible for immunological memory. Memory B cells, a type of B cells, retain a 'memory' of specific pathogens, enabling them to rapidly produce antibodies upon re-exposure. This rapid antibody production facilitates a quicker and more effective immune response. Although memory T cells also contribute to immunological memory by mounting a swift and robust immune response upon re-exposure to the pathogen, it is primarily memory B cells that play a crucial role in producing antibodies. Phagocytes are important immune cells involved in engulfing and digesting pathogens, while natural killer cells are primarily responsible for recognizing and eliminating abnormal cells, such as virus-infected cells or tumor cells. However, when it comes to immunological memory and antibody production, B cells are key players.

2. Which of the following best defines the term amphoteric?

• A. A substance that conducts electricity due to ionization when dissolved in a solvent
• B. A substance that can act as an acid or a base depending on the properties of the solute
• C. A substance that, according to the Brønsted-Lowry Acid-Base Theory, is a proton-donor
• D. A substance that donates its proton and forms its conjugate base in a neutralization reaction

Correct answer: B

Rationale: An amphoteric substance can act as both an acid or a base depending on the environment. It can donate a proton (act as an acid) or accept a proton (act as a base), showing versatility in its behavior. Choice A is incorrect as it describes an electrolyte rather than an amphoteric substance. Choice C is incorrect as it defines an acid based on the Brønsted-Lowry Acid-Base Theory. Choice D is incorrect as it specifically refers to a substance donating a proton in a neutralization reaction, not capturing the dual behavior of an amphoteric substance.

3. Which of the following terms refers to the ability to detect and respond to changes in the internal and external environment?

• A. Growth
• B. Responsiveness
• C. Reproduction
• D. Development

Correct answer: B

Rationale: Responsiveness is the correct term that refers to the ability to detect and respond to changes in the internal and external environment. In this context, growth is incorrect as it pertains to an increase in size or number, reproduction involves producing offspring, and development refers to the process of growth, maturation, and differentiation of cells and tissues. Therefore, 'Responsiveness' is the most appropriate term for the given description.

4. Which of the following glands is responsible for regulating metabolism?

• A. Thymus
• B. Pituitary
• C. Pancreas
• D. Thyroid

Correct answer: D

Rationale: The correct answer is D, Thyroid. The thyroid gland is responsible for regulating metabolism by producing thyroid hormones. These hormones play a crucial role in controlling various metabolic processes in the body, including energy production and utilization. Choice A, Thymus, is not responsible for regulating metabolism but plays a role in the immune system. Choice B, Pituitary, regulates various hormones but not specifically focused on metabolism. Choice C, Pancreas, is involved in insulin production and blood sugar regulation but is not primarily responsible for regulating metabolism.

5. Which of the following is a consequence of bone marrow failure?

• A. Seizures.
• B. Pancytopenia.
• C. Paraplegia.
• D. Pathologic fractures.

Correct answer: B

Rationale: The corrected question focuses on the consequence of bone marrow failure, which is pancytopenia. Bone marrow failure results in decreased production of red blood cells, white blood cells, and platelets, leading to pancytopenia. This condition manifests as fatigue, weakness, increased infection susceptibility, and bleeding tendencies. Paraplegia, seizures, and pathologic fractures are not typical outcomes of bone marrow failure. Paraplegia is associated with spinal cord injury, seizures with neurological disorders, and pathologic fractures with conditions like osteoporosis or bone tumors.

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