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 accurately describes saltatory conduction?

• A. It is faster than normal nerve conduction
• B. It occurs from one node of Ranvier to the next
• C. It only occurs in myelinated neurons
• D. All of the above

Correct answer: D

Rationale: The correct answer is D, 'All of the above.' Saltatory conduction is faster than normal nerve conduction, occurs from one node of Ranvier to the next, and is exclusive to myelinated neurons. This form of conduction allows for the rapid transmission of nerve impulses by the action potential jumping between the nodes of Ranvier in myelinated neurons, enhancing the efficiency of signal propagation along the axon. Choice A is correct as saltatory conduction is indeed faster than normal conduction. Choice B is accurate as it describes the mechanism of conduction 'jumping' from one node of Ranvier to the next. Choice C is correct because saltatory conduction occurs specifically in myelinated neurons where the myelin sheath insulates the axon except at the nodes of Ranvier, facilitating faster transmission of nerve impulses.

3. Which organelle in the cell is responsible for protein synthesis?

• A. Ribosome
• B. Nucleus
• C. Mitochondrion
• D. Golgi apparatus

Correct answer: A

Rationale: The correct answer is A: Ribosome. Ribosomes are the organelles responsible for protein synthesis in the cell. They are the cellular machinery where translation, the process of assembling proteins from amino acids based on mRNA sequences, occurs. Ribosomes can be found floating freely in the cytoplasm or attached to the endoplasmic reticulum. The nucleus (choice B) houses DNA but is not directly involved in protein synthesis. Mitochondria (choice C) are responsible for energy production through cellular respiration, not protein synthesis. The Golgi apparatus (choice D) is involved in modifying, sorting, and packaging proteins for secretion, not in the synthesis of proteins.

4. How do vaccines work?

• A. By directly killing pathogens
• B. By introducing weakened or inactive versions of pathogens to trigger an immune response
• C. By stimulating the immediate production of specific antibodies
• D. None of the above

Correct answer: B

Rationale: Vaccines work by introducing weakened or inactive versions of pathogens to trigger an immune response in the body. This exposure helps the immune system recognize and remember the pathogen, enabling a faster and more effective response upon future exposure. Vaccines do not directly kill pathogens but prepare the immune system for a potential encounter, enhancing protection. They also do not stimulate the immediate production of specific antibodies as the immune response takes time to develop upon vaccination. Choice A is incorrect because vaccines do not kill pathogens directly; they prime the immune system to recognize and respond to them. Choice C is incorrect because while vaccines lead to the production of specific antibodies, it is not immediate, as it takes time for the immune response to develop and produce these antibodies.

5. Which of the following distinguishes the isotopes of an element?

• A. Isotopes are atoms of the same element that have different ionic charges.
• B. Isotopes are atoms of elements within the same group on the periodic table.
• C. Isotopes are atoms of the same element that have different numbers of neutrons.
• D. Isotopes are atoms of the same element with different electron configurations.

Correct answer: C

Rationale: Isotopes are defined as atoms of the same element that have the same number of protons in their nucleus but different numbers of neutrons. This leads to variations in atomic mass for isotopes of an element. The different number of neutrons in isotopes results in differences in their atomic mass and properties while still belonging to the same element. Choice A is incorrect because isotopes do not have different ionic charges, they have the same chemical properties. Choice B is incorrect because isotopes are not atoms of elements within the same group on the periodic table; they are variants of the same element. Choice D is incorrect because isotopes of an element have the same electron configuration, differing only in the number of neutrons in the nucleus.

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