Nursing Elites

1. An obstetrician tells a 42-year-old patient that she can have a healthy baby, but that she is of 'advanced maternal age.' The patient is so upset that she fails to listen to the rest of the doctor's advice, goes home in a huff, and immediately dyes her hair.

• A. the age of the sperm.
• B. the age of her eggs.
• C. her risk of developing diabetes.
• D. her cholesterol level, not her appearance.

Correct answer: B

Rationale: The correct answer is 'the age of her eggs.' As women age, the quality of their eggs decreases, leading to a higher risk of chromosomal abnormalities and infertility. This decline in egg quality is why advanced maternal age is associated with a higher risk of certain pregnancy complications. Choices A, C, and D are incorrect because the primary concern in this context is related to the age-related changes in a woman's eggs, not sperm, diabetes risk, or cholesterol levels.

2. Which of the following types of cells is primarily responsible for the destruction of old cells and invasive micro-organisms?

• A. Basophils
• B. Eosinophils
• C. B-cells
• D. Macrophages

Correct answer: D

Rationale: Macrophages are a type of white blood cell that plays a crucial role in the immune system by engulfing and digesting cellular debris, foreign substances, microbes, cancer cells, and old or damaged cells. Basophils are primarily involved in allergic reactions and parasitic infections, eosinophils combat multicellular parasites and have a role in allergic reactions, and B-cells are responsible for producing antibodies. Therefore, the correct answer is macrophages as they are specialized in phagocytosis and removal of unwanted cells and microorganisms.

3. A parietal layer of a serous membrane lines cavities, whereas a visceral layer of a serous membrane covers organs.

• A. covers organs; lines cavities
• B. lines cavities; covers organs
• C. secretes serous fluid; secretes mucus
• D. secretes mucus; secretes a serous fluid

Correct answer: B

Rationale: In serous membranes, the parietal layer lines the cavities, providing support and protection, while the visceral layer covers the organs, reducing friction and allowing them to move freely. Therefore, the correct answer is 'lines cavities; covers organs.' Choices C and D are incorrect because serous membranes do not secrete mucus; instead, they secrete a watery serous fluid. Choice A is incorrect as it reverses the functions of the parietal and visceral layers in relation to organs and cavities.

4. Which of the following is a role of platelets in hemostasis?

• A. formation of plugs
• B. promotion of vasodilation
• C. conversion of prothrombin to thrombin
• D. activation of calcium

Correct answer: A

Rationale: Platelets play a crucial role in hemostasis by forming plugs to stop bleeding. Choice B is incorrect because platelets do not promote vasodilation; instead, they help in vasoconstriction. Choice C is incorrect as the conversion of prothrombin to thrombin is a function of the coagulation cascade involving various clotting factors, not platelets. Choice D is incorrect as platelets do not directly activate calcium; instead, they play a role in the activation of other clotting factors.

5. Most of the terminology to name and describe body parts and their functions comes from

• A. Latin and Greek.
• B. English and Italian.
• C. Pictures drawn on the cave walls of our ancestors.
• D. The language of hunter-gatherers.

Correct answer: A

Rationale: The correct answer is Latin and Greek. Medical terminology is largely derived from Latin and Greek roots. These languages have been foundational in the development of medical terminology due to the precision and descriptive nature of their vocabulary. Choice B, English and Italian, is incorrect because while some medical terms may have originated from these languages, the majority come from Latin and Greek. Choices C and D, pictures drawn on the cave walls of our ancestors and the language of hunter-gatherers, are both incorrect as they do not align with the historical origins of medical terminology.

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