Nursing Elites

1. Ectopic pregnancy is a serious condition that occurs when a fertilized egg implants outside the uterus. What is the most common location for an ectopic pregnancy?

• A. Ovary
• B. Fallopian tube
• C. Cervix
• D. Vagina

Correct answer: B

Rationale: The most common location for an ectopic pregnancy is the fallopian tube. This occurs when the fertilized egg implants and grows outside the uterus, typically in the fallopian tube. Ectopic pregnancies in other locations such as the ovary, cervix, or vagina are much rarer. The fallopian tube is the correct answer because it is the site where the fertilized egg may get stuck during its journey to the uterus, leading to implantation and growth outside the uterus. The ovary is not a common site for ectopic pregnancy, and implantation there can be life-threatening due to the risk of severe bleeding. The cervix and vagina are not typical sites for implantation of a fertilized egg, making them less likely locations for an ectopic pregnancy.

2. Which of the following correctly identifies a difference between the primary and secondary immune response?

• A. In the secondary response, macrophages migrate to the lymph nodes to present the foreign microorganism to helper T lymphocytes.
• B. The humoral immunity that characterizes the primary response is coordinated by B lymphocytes.
• C. The primary response is quicker and more powerful than the secondary response.
• D. Suppressor T cells are activated in the secondary response to prevent an overactive immune response.

Correct answer: C

Rationale: The correct answer is C. The primary immune response is slower and less powerful compared to the secondary immune response. During the primary response, immune cells encounter the antigen for the first time, necessitating the activation and proliferation of specific immune cells. In contrast, the secondary response benefits from memory cells that quickly recognize the antigen, enabling a faster and more potent immune response. Choices A, B, and D are incorrect. While macrophages play a role in presenting antigens to T cells, this is not a defining difference between primary and secondary responses. Humoral immunity involves B lymphocytes in both primary and secondary responses, so it does not differentiate the two. Suppressor T cells primarily function to regulate the immune response but are not a key factor distinguishing primary from secondary responses.

3. Which of the following is a pair of nerves that originates from the brain?

• A. Spinal nerves
• B. Olfactory nerves
• C. Sciatic nerve
• D. Optic nerve

Correct answer: B

Rationale: The olfactory nerves, choice B, are a pair of cranial nerves that originate from the brain. They are responsible for the sense of smell and are the only cranial nerves that directly connect to the cerebrum. Spinal nerves, choice A, originate from the spinal cord, the sciatic nerve, choice C, is a large nerve that originates in the lower back, and the optic nerve, choice D, originates from the retina of the eye. Therefore, choices A, C, and D are incorrect as they do not originate directly from the brain.

4. What are the tiny contractile units within muscle cells called?

• A. Myocytes
• B. Myofibrils
• C. Sarcomeres
• D. Tendons

Correct answer: C

Rationale: Sarcomeres are the smallest contractile units within muscle cells. They consist of overlapping filaments of actin and myosin proteins, which interact to produce muscle contractions. Myocytes are the entire muscle cells, myofibrils are bundles of protein filaments found within muscle cells, and tendons are tough connective tissues that connect muscles to bones. Therefore, sarcomeres specifically represent the contractile units responsible for muscle contraction, making them the correct answer in this context.

5. Which hormone is released by the adrenal glands in response to stress?

• A. Insulin
• B. Cortisol
• C. Adrenaline
• D. Glucagon

Correct answer: C

Rationale: Adrenaline is the correct answer. It is released by the adrenal glands in response to stress to prepare the body for the 'fight or flight' response. Adrenaline increases heart rate, dilates airways, and mobilizes energy stores to help the body deal with the perceived threat. Insulin (Choice A) is produced by the pancreas to regulate blood sugar levels, not in response to stress. Cortisol (Choice B) is another hormone released by the adrenal glands in response to stress, but it primarily helps regulate metabolism and immune response. Glucagon (Choice D) is also produced by the pancreas to increase blood sugar levels when they are low, not by the adrenal glands in response to stress.

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