Nursing Elites

1. What are the three layers of the skin?

• A. Epidermis, dermis, subdermis
• B. Epidermis, dermis, hypodermis
• C. Dermis, subdermis, hypodermis
• D. Epidermis, dermis, adipose layer

Correct answer: B

Rationale: The correct answer is B: Epidermis, dermis, hypodermis. The three layers of the skin are the epidermis (outer layer), dermis (middle layer), and hypodermis (inner layer of fat and connective tissue). The hypodermis is also known as the subcutaneous tissue and is primarily composed of adipose (fat) tissue, providing insulation and padding to the body. Choice A is incorrect as 'subdermis' is not a recognized layer of the skin. Choice C is incorrect as 'dermis' is the middle layer, not the outer layer. Choice D is incorrect as the layer below the dermis is the hypodermis, not specifically an 'adipose layer.'

2. What is the principle behind optical fibers used in communication?

• A. Reflection of light within the fiber
• B. Refraction of light due to different densities within the fiber
• C. Total internal reflection guiding light through the fiber core
• D. Diffraction of light around bends in the fiber

Correct answer: C

Rationale: Optical fibers used in communication rely on the principle of total internal reflection guiding light through the fiber core. Total internal reflection occurs when light traveling through the core of the fiber is reflected back into the core due to the higher refractive index of the core compared to the cladding. This reflection ensures that the light remains confined within the core and propagates along the fiber without significant loss, allowing for efficient transmission of signals over long distances in optical communication systems. Choice A is incorrect because optical fibers do not primarily rely on simple reflection; instead, they utilize total internal reflection to guide light. Choice B is incorrect as the primary principle is not the refraction of light due to different densities within the fiber, but rather total internal reflection. Choice D is incorrect as diffraction is not the main principle behind optical fibers, which mainly rely on total internal reflection to guide light through the fiber core.

3. Which of the following correctly matches a category of protein with a physiological example?

• A. Keratin is a structural protein
• B. Antigens are hormonal proteins
• C. Channel proteins are marker proteins
• D. Actin is a transport protein

Correct answer: A

Rationale: Keratin is indeed a type of structural protein found in the skin, hair, and nails of animals. It provides strength and protection, helping to maintain the overall structure of these tissues. The other choices are incorrect as antigens are not hormonal proteins but rather are involved in immune response, channel proteins are involved in facilitating the transport of ions or molecules across cell membranes, and actin is primarily involved in cell structure and movement, not as a transport protein.

4. After exposure to a pathogen, the immune system develops memory. What type of immune cell is responsible for this immunological memory?

• A. B cells
• B. T cells (specifically memory T cells)
• C. Phagocytes
• D. Natural killer cells

Correct answer: A

Rationale: B cells are responsible for immunological memory. Memory B cells, a type of B cells, retain a 'memory' of specific pathogens, enabling them to rapidly produce antibodies upon re-exposure. This rapid antibody production facilitates a quicker and more effective immune response. Although memory T cells also contribute to immunological memory by mounting a swift and robust immune response upon re-exposure to the pathogen, it is primarily memory B cells that play a crucial role in producing antibodies. Phagocytes are important immune cells involved in engulfing and digesting pathogens, while natural killer cells are primarily responsible for recognizing and eliminating abnormal cells, such as virus-infected cells or tumor cells. However, when it comes to immunological memory and antibody production, B cells are key players.

5. Which of the following epithelial tissues lines the stratified squamous epithelium of the esophagus, providing a protective barrier against abrasion from food passage?

• A. Simple squamous epithelium
• B. Stratified squamous epithelium
• C. Simple cuboidal epithelium
• D. Stratified cuboidal epithelium

Correct answer: B

Rationale: The correct answer is stratified squamous epithelium. This type of epithelium is found in areas subjected to mechanical and chemical stresses, such as the lining of the esophagus. The multiple layers of cells provide protection against abrasion from the passage of food. Simple squamous epithelium (choice A) is a single layer of flat cells and is not well-suited for protection against abrasion as it lacks the multiple layers. Simple cuboidal epithelium (choice C) is found in areas where secretion and absorption occur, such as kidney tubules, and is not typically found in the esophagus where protection against abrasion is necessary. Stratified cuboidal epithelium (choice D) is rare in the body and is not a characteristic tissue type of the esophagus, which requires stratified squamous epithelium for its protective function.

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