Nursing Elites

1. Autoimmune diseases occur when the immune system mistakenly attacks healthy body tissues. What is a potential cause of autoimmune diseases?

• A. Deficiency in essential vitamins and minerals
• B. Exposure to environmental toxins
• C. Breakdown in immune cell self-tolerance mechanisms
• D. All of the above

Correct answer: C

Rationale: Autoimmune diseases result from a breakdown in immune cell self-tolerance mechanisms, leading to the immune system mistakenly attacking healthy body tissues. While deficiencies in essential vitamins and minerals or exposure to environmental toxins can impact overall health, they are not direct causes of autoimmune diseases. Deficiency in essential vitamins and minerals may weaken the immune system, making it more susceptible to various health issues but does not directly cause autoimmune diseases. Exposure to environmental toxins can trigger immune responses, but autoimmune diseases specifically stem from the breakdown of self-tolerance mechanisms within immune cells. Therefore, the correct answer is a breakdown in immune cell self-tolerance mechanisms.

2. Which type of epithelium lines the inner surface of the oral cavity, providing a barrier against external insults?

• A. Simple squamous epithelium
• B. Stratified squamous epithelium
• C. Simple columnar epithelium
• D. Pseudostratified columnar epithelium

Correct answer: B

Rationale: The oral cavity is constantly exposed to mechanical stress and potential injury from food particles and other external factors. To protect against these insults, a strong and resilient epithelium is needed. Stratified squamous epithelium is the best choice for lining the oral cavity due to its multiple layers of cells. This type of epithelium provides a robust barrier that can withstand abrasion and protect the underlying tissues. Simple squamous epithelium (choice A) is too thin and not suitable for a protective function. Simple columnar epithelium (choice C) is more suited for absorption and secretion functions, not protection against mechanical stress. Pseudostratified columnar epithelium (choice D) is found in respiratory passages and functions in mucociliary clearance, not in providing a protective barrier against external insults in the oral cavity.

3. Diabetic nephropathy, a complication of diabetes, affects the:

• A. Ureters
• B. Bladder
• C. Urethra
• D. Nephrons

Correct answer: D

Rationale: Diabetic nephropathy, a complication of diabetes, affects the nephrons. Nephrons are the functional units of the kidneys responsible for filtering blood and producing urine. The high blood sugar levels associated with diabetes can damage the nephrons over time, leading to kidney dysfunction and, ultimately, kidney failure. Choices A, B, and C are incorrect because diabetic nephropathy primarily impacts the nephrons in the kidneys, not the ureters, bladder, or urethra.

4. Which hormone deficiency can lead to stunted growth and developmental delays in children?

• A. Estrogen
• B. Testosterone
• C. Growth hormone
• D. Insulin

Correct answer: C

Rationale: The correct answer is C, Growth hormone. Growth hormone plays a crucial role in stimulating growth, cell reproduction, and regeneration in children. A deficiency in growth hormone can lead to stunted growth and developmental delays. Estrogen and testosterone are sex hormones that do not directly influence growth in the same way as growth hormone. Insulin primarily regulates blood sugar levels and is not the primary hormone responsible for growth and development in children.

5. Which of the following is an example of an aromatic compound?

• A. Ethanol
• B. Toluene
• C. Acetone
• D. Butanal

Correct answer: B

Rationale: Toluene is an aromatic compound due to its benzene ring structure, which satisfies the criteria of aromaticity. Aromatic compounds contain conjugated pi electrons in a ring structure, providing extra stability. Ethanol, acetone, and butanal are not aromatic compounds as they do not possess a benzene ring or meet the aromaticity criteria. Ethanol is an alcohol, acetone is a ketone, and butanal is an aldehyde, none of which have the characteristic benzene ring structure of aromatic compounds.

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