Nursing Elites

1. Myelin sheath is a fatty substance that insulates and protects the long extensions of some nerve cells. It is produced by:

• A. Schwann cells
• B. Astrocytes
• C. Neurons
• D. Oligodendrocytes

Correct answer: A

Rationale: Schwann cells are indeed responsible for producing the myelin sheath in the peripheral nervous system. These cells wrap around axons to form the myelin sheath, which enhances the speed of nerve impulse conduction. In the central nervous system, oligodendrocytes are responsible for producing the myelin sheath. Astrocytes provide support and maintenance functions for neurons, while neurons are the nerve cells themselves and do not produce myelin. Therefore, the correct answer is Schwann cells as they are specifically involved in myelin production in the peripheral nervous system.

2. How does the body maintain a relatively constant blood pH level, even with changes in blood carbon dioxide concentration?

• A. Cellular respiration
• B. Gas exchange
• C. Buffering system
• D. Deoxygenation

Correct answer: C

Rationale: The correct answer is C: Buffering system. The buffering system is responsible for maintaining a relatively constant blood pH level by minimizing changes in pH when acids or bases are added to the blood. This system consists of chemical compounds that can donate or accept protons to help stabilize the pH. Choice A, Cellular respiration, and Choice B, Gas exchange, are processes involved in gas exchange within the body, not specifically related to maintaining blood pH. Choice D, Deoxygenation, refers to the removal of oxygen from a substance and is not directly related to the regulation of blood pH.

3. What type of muscle is found in the walls of hollow organs like the intestines?

• A. Cardiac muscle
• B. Smooth muscle
• C. Skeletal muscle
• D. Voluntary muscle

Correct answer: B

Rationale: Smooth muscle is the correct type of muscle found in the walls of hollow organs like the intestines. It is responsible for movements such as peristalsis, aiding in the movement of food and other materials through the digestive system. Cardiac muscle (Choice A) is found in the heart and is responsible for the heart's contractions, not in hollow organs like the intestines. Skeletal muscle (Choice C) is attached to bones and responsible for voluntary movements, not in hollow organ walls. Voluntary muscle (Choice D) is another term for skeletal muscle, which is under conscious control, unlike smooth muscle in hollow organ walls.

4. What is the first event to occur in a primary immune response?

• A. Macrophages phagocytose pathogens and present their antigens.
• B. Neutrophils aggregate and act as cytotoxic, nonspecific killers of pathogens.
• C. B lymphocytes make pathogen-specific antibodies.
• D. Helper T cells secrete interleukins to activate pathogen-fighting cells.

Correct answer: A

Rationale: The correct answer is A. The initial event in a primary immune response is the phagocytosis of pathogens by macrophages and the subsequent presentation of their antigens, which is crucial for initiating the adaptive immune response. Neutrophils (Choice B) are also involved in the innate immune response, but they typically respond after macrophages. B lymphocytes (Choice C) produce antibodies later in the adaptive immune response, and Helper T cells (Choice D) help in coordinating the immune response but are not the first cells to act in a primary immune response.

5. Which type of tissue connects bones to other bones?

• A. Tendons
• B. Ligaments
• C. Cartilage
• D. Muscle

Correct answer: B

Rationale: Ligaments are the correct answer. Ligaments connect bones to other bones, providing stability in joints. Tendons, on the other hand, connect muscles to bones, allowing movement. Cartilage is a type of connective tissue that cushions joints and helps with smooth movements. Muscle tissue is responsible for generating force and movement in the body, not for connecting bones to each other.

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