Nursing Elites

1. The body's first line of defense against pathogens is the innate immune system. Which of the following is NOT a component of the innate immune system?

• A. Physical barriers like skin and mucous membranes
• B. Phagocytes that engulf and destroy pathogens
• C. Inflammatory response to isolate and contain infection
• D. Production of antibodies specific to a particular pathogen

Correct answer: D

Rationale: The production of antibodies specific to a particular pathogen is a function of the adaptive immune system, not the innate immune system. The innate immune system provides immediate, non-specific defense mechanisms against pathogens, including physical barriers, phagocytes, and inflammatory responses. Choices A, B, and C are all correct components of the innate immune system. Physical barriers like skin and mucous membranes act as the first line of defense, preventing pathogens from entering the body. Phagocytes are specialized cells that engulf and destroy pathogens, while the inflammatory response helps isolate and contain infections to prevent their spread.

2. In the process of osmosis, the solvent moves from an area of...

• A. Low solute concentration to high solute concentration
• B. Hotter solution to colder solution
• C. Colder solution to hotter solution
• D. High solute concentration to low solute concentration

Correct answer: D

Rationale: In the process of osmosis, solvent molecules move from an area of high solute concentration to low solute concentration. This movement occurs to equalize the solute concentrations on both sides of the semi-permeable membrane. As water tends to move towards higher solute concentrations, the solvent moves in this direction to balance the concentrations and establish equilibrium. Choices A, B, and C are incorrect because osmosis involves the movement of solvent, not solute, and it moves towards the area of higher solute concentration, not lower. Therefore, the correct answer is option D.

3. Where would a nonpregnant patient with normal anatomy most commonly have pain in acute appendicitis?

• A. Right upper quadrant.
• B. Left upper quadrant.
• C. Right lower quadrant.
• D. Left lower quadrant.

Correct answer: C

Rationale: In acute appendicitis, nonpregnant patients with normal anatomy commonly experience pain in the right lower quadrant of the abdomen. The pain usually starts around the umbilicus or epigastric area and then migrates to the right lower quadrant as inflammation progresses in the appendix. This classic migration of pain is known as McBurney's point tenderness and is a key clinical feature in diagnosing appendicitis.

4. What is the pathway of deoxygenated blood in our body?

• A. From the lungs to the left ventricle
• B. From the body to the right atrium, then to the right ventricle, and finally to the lungs
• C. From the left atrium to the body
• D. From the aorta to the right atrium

Correct answer: B

Rationale: The correct pathway of deoxygenated blood in our body involves blood returning from the body, entering the right atrium, then passing to the right ventricle, and eventually reaching the lungs for oxygenation. This sequence ensures that deoxygenated blood is pumped to the lungs, where it receives oxygen and releases carbon dioxide before circulating back to the body. Choices A, C, and D are incorrect because they do not follow the actual path of deoxygenated blood in the circulatory system.

5. How are sister chromatids distinguished from homologous chromosomes in meiosis I?

• A. Sister chromatids share the same centromere, while homologous chromosomes have different centromeres.
• B. Sister chromatids have identical DNA sequences, while homologous chromosomes have slightly different sequences due to crossing over.
• C. Sister chromatids repel each other, while homologous chromosomes attract each other during synapsis.
• D. Sister chromatids separate during anaphase I, while homologous chromosomes separate during anaphase II.

Correct answer: B

Rationale: In meiosis I, sister chromatids are exact copies of each other, containing identical DNA sequences. On the other hand, homologous chromosomes are pairs of chromosomes, with one inherited from each parent, and they can have different versions of genes due to genetic recombination during crossing over in prophase I. Choice A is incorrect because homologous chromosomes naturally have different centromeres. Choice C is incorrect as sister chromatids and homologous chromosomes do not exhibit repulsion or attraction during synapsis. Choice D is incorrect as sister chromatids separate during anaphase II, not anaphase I, while homologous chromosomes separate during anaphase I.

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