Nursing Elites

1. What are the components of the female external genitalia and their functions?

• A. Ovaries: internal reproductive organs
• B. Vulva: external structures of the female genitalia
• C. Uterus: internal reproductive organ for fetal development
• D. Vagina: birth canal

Correct answer: B

Rationale: The corrected answer is B: 'Vulva: external structures of the female genitalia.' The vulva includes external structures such as the labia, clitoris, and vaginal opening. These structures play roles in sexual arousal and protection of the internal genital organs. Choices A, C, and D are incorrect because they are internal reproductive organs. The ovaries produce eggs, the uterus houses the developing fetus, and the vagina serves as the birth canal. Hence, they are not components of the female external genitalia.

2. 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.

3. Which of the following organs functions as both an endocrine and exocrine gland?

• A. The kidney
• B. The spleen
• C. The pancreas
• D. The stomach

Correct answer: C

Rationale: The pancreas is the correct answer as it functions as both an endocrine and exocrine gland. The endocrine function involves secreting insulin and glucagon into the bloodstream to regulate blood sugar levels, while the exocrine function involves releasing digestive enzymes into the small intestine to aid in digestion. The kidney (Choice A) primarily functions in the excretory system by filtering blood and producing urine. The spleen (Choice B) is involved in the immune system and blood storage but does not have endocrine or exocrine functions. The stomach (Choice D) is mainly an organ of the digestive system, secreting gastric juices to aid in digestion, but it does not have a dual endocrine and exocrine function like the pancreas.

4. Which vitamin is synthesized in the skin upon exposure to sunlight?

• A. Vitamin A
• B. Vitamin C
• C. Vitamin D
• D. Vitamin E

Correct answer: C

Rationale: Vitamin D is synthesized in the skin upon exposure to sunlight. When the skin is exposed to sunlight, a form of cholesterol in the skin is converted into vitamin D3 (cholecalciferol) through a series of chemical reactions. Vitamin D plays a crucial role in calcium absorption and bone health. Choice A, Vitamin A, is not synthesized in the skin upon exposure to sunlight; it is obtained through dietary sources. Choice B, Vitamin C, is not synthesized in the skin upon exposure to sunlight either. Vitamin C is obtained through dietary sources like fruits and vegetables. Choice D, Vitamin E, is not synthesized in the skin upon exposure to sunlight. Vitamin E is a fat-soluble vitamin that acts as an antioxidant and is obtained through dietary sources like nuts, seeds, and vegetable oils.

5. Which of the following statements regarding macrophages is incorrect?

• A. They are found abundantly in the blood
• B. They are larger than neutrophils
• C. They are long-lived
• D. They are made in the bone marrow as monocytes, called macrophages once they reach organs

Correct answer: A

Rationale: The correct answer is A. Macrophages are not found abundantly in the blood; they are present in tissues and organs. Macrophages are tissue-resident immune cells that play a key role in immune responses and are derived from monocytes produced in the bone marrow. Choice B is correct as macrophages are larger than neutrophils. Choice C is correct as macrophages are long-lived cells. Choice D is correct as macrophages originate in the bone marrow as monocytes and differentiate into macrophages once they migrate to various tissues and organs.

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