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. What is the significance of a healthy gut microbiome?

• A. Production of digestive enzymes
• B. Boosting the immune system and nutrient synthesis
• C. Breakdown of complex carbohydrates
• D. Regulation of appetite

Correct answer: B

Rationale: A healthy gut microbiome plays a crucial role in boosting the immune system by defending against harmful pathogens, synthesizing essential nutrients like vitamins, aiding in the digestion of certain foods, and maintaining overall gut health. While the gut microbiome does contribute to the breakdown of complex carbohydrates and regulation of appetite, its significance extends beyond these functions to include immune support and nutrient synthesis. Choice A, production of digestive enzymes, is not the primary significance of a healthy gut microbiome. Choice C is a function related to the gut microbiome but is not the sole significance. Choice D, regulation of appetite, is important but not as central as the immune system support and nutrient synthesis provided by a healthy gut microbiome.

3. What is the microscopic functional unit of the kidney responsible for filtering blood?

• A. Ureter
• B. Nephron
• C. Renal pelvis
• D. Bladder

Correct answer: B

Rationale: The nephron is the correct answer as it is the microscopic functional unit of the kidney responsible for filtering blood. It is composed of a renal corpuscle (glomerulus and Bowman's capsule) and a renal tubule. The other options, such as (A) Ureter, (C) Renal pelvis, and (D) Bladder, do not play a role in filtering blood within the kidney. The ureter is a tube that carries urine from the kidney to the bladder. The renal pelvis is a part of the kidney where urine collects before entering the ureter. The bladder is an organ that stores urine until it is excreted from the body.

4. What is the technical term for the free edges of your fingernails and toenails?

• A. Lunula (The lunula is the white crescent moon shape at the base of the nail)
• B. Matrix (The matrix is the area under the nail where new nail cells are produced)
• C. Hyponychium (This is the skin under the free edge of the nail)
• D. Free edge

Correct answer: C

Rationale: The correct answer is C, hyponychium. The hyponychium is the skin under the free edge of the nail, responsible for sealing the nail to the fingertip and protecting the nail bed from bacteria and debris. The lunula (choice A) refers to the white crescent moon shape at the base of the nail. The matrix (choice B) is the area under the nail where new nail cells are produced. The free edge (choice D) is the part of the nail that extends beyond the fingertip or toe.

5. What is the name of the microscopic finger-like projections that increase the surface area for absorption in the small intestine?

• A. Goblet cells
• B. Paneth cells
• C. Villi
• D. Crypts of Lieberkühn

Correct answer: C

Rationale: A) Goblet cells: Goblet cells are specialized cells that secrete mucus to protect the lining of the digestive tract. While important for maintaining the health of the intestines, goblet cells do not increase the surface area for absorption in the small intestine. B) Paneth cells: Paneth cells are specialized cells found in the small intestine that secrete antimicrobial peptides. They play a role in protecting the intestinal stem cells and maintaining the gut microbiota balance, but they do not increase the surface area for absorption. C) Villi: Villi are microscopic finger-like projections found in the small intestine that increase the surface area available for absorption of nutrients. Each villus contains blood vessels and lacteals (lymphatic vessels) that help absorb nutrients from digested food. D) Crypts of Lieberkühn: Crypts of Lieberkühn are small pits located between the villi

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