Nursing Elites

1. The adaptive immune system has two main branches: humoral and cell-mediated immunity. Which type of immune cell is primarily responsible for antibody production?

• A. Helper T cells
• B. Cytotoxic T cells
• C. B cells
• D. Natural killer cells

Correct answer: C

Rationale: B cells are primarily responsible for antibody production in the adaptive immune system. When activated, B cells differentiate into plasma cells, which are specialized to produce antibodies. Helper T cells play a crucial role in activating B cells, but they do not directly produce antibodies. Cytotoxic T cells are involved in cell-mediated immunity by killing infected cells, while natural killer cells are part of the innate immune system and target virus-infected and cancerous cells. Therefore, the correct answer is C (B cells) as they are directly involved in the production of antibodies, essential for humoral immunity.

2. Which deadly disease was eliminated through an intensive vaccination program?

• A. AIDS
• B. Smallpox
• C. Diabetes type 1
• D. Rheumatoid arthritis

Correct answer: B

Rationale: Smallpox was eradicated globally through an intensive vaccination program. The World Health Organization (WHO) led a successful global campaign to vaccinate people against smallpox, ultimately leading to its eradication in 1980. AIDS, diabetes type 1, and rheumatoid arthritis are serious conditions, but they were not eliminated through vaccination programs like smallpox. Therefore, the correct answer is B, Smallpox. AIDS is caused by the human immunodeficiency virus (HIV) and remains a significant global health issue. Diabetes type 1 is an autoimmune condition where the body attacks insulin-producing cells, leading to high blood sugar levels. Rheumatoid arthritis is an autoimmune condition that primarily affects the joints, causing inflammation and pain.

3. What ethical considerations are associated with the potential use of CRISPR-Cas9 technology in humans?

• A. Concerns about unintended consequences on the genome and potential off-target effects.
• B. Debates on modifying the human germline and potential eugenic implications.
• C. Accessibility and affordability of the technology, ensuring equitable access to benefits.
• D. Risks associated with CRISPR-Cas9 editing germline cells and potential long-term impacts.

Correct answer: B

Rationale: The correct answer is B. CRISPR-Cas9 technology allows precise editing of germline cells, raising ethical concerns about modifying the human gene pool. This includes potential eugenic implications, debates on altering future generations, and the moral implications of such genetic modifications. Choice A discusses unintended consequences and off-target effects, but the primary ethical consideration with CRISPR-Cas9 technology relates to altering the human germline. Choices C and D, while important factors, are not the central ethical dilemmas associated with using CRISPR-Cas9 technology in humans.

4. According to the theory of evolution by natural selection, which of the following statements is true?

• A. Organisms evolve towards perfection
• B. Traits are acquired through use and disuse
• C. Individuals with favorable traits survive and reproduce more
• D. All of the above

Correct answer: C

Rationale: Rationale: A) Organisms evolve towards perfection - This statement is incorrect. Evolution by natural selection does not suggest that organisms evolve towards perfection. Instead, it emphasizes the adaptation of organisms to their environment over time. B) Traits are acquired through use and disuse - This statement reflects Lamarck's theory of evolution, not Darwin's theory of evolution by natural selection. Lamarck proposed that organisms could acquire traits during their lifetime and pass them on to their offspring, which has been largely discredited. C) Individuals with favorable traits survive and reproduce more - This statement accurately reflects the central concept of Darwin's theory of evolution by natural selection. Individuals with traits that are advantageous in their environment are more likely to survive and reproduce, passing on those traits to future generations. D) All of the above - This option is incorrect because not all of the statements are true. Only option C accurately represents the theory of evolution by natural selection.

5. What is the role of hemoglobin in the human body?

• A. Transport oxygen in red blood cells
• B. Bind oxygen to red blood cells
• C. Carry carbon dioxide from tissues to lungs
• D. Help red blood cells transport oxygen

Correct answer: D

Rationale: The correct answer is D: 'Help red blood cells transport oxygen.' Hemoglobin acts as a carrier molecule in red blood cells, binding to oxygen in the lungs and releasing it in the tissues. It facilitates the transport of oxygen from the lungs to the tissues and aids in returning carbon dioxide from the tissues to the lungs. Choices A, B, and C are incorrect because hemoglobin itself does not transport oxygen independently or bind oxygen to red blood cells nor does it carry carbon dioxide from tissues to lungs; instead, it assists red blood cells in the transportation of oxygen.

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