Nursing Elites

1. What is the difference between emphysema and chronic bronchitis, both chronic obstructive pulmonary diseases (COPD)?

• A. Emphysema damages alveoli, while chronic bronchitis inflames airways.
• B. Emphysema causes coughing, while chronic bronchitis leads to shortness of breath.
• C. Emphysema is more reversible than chronic bronchitis.
• D. Emphysema affects only smokers, while chronic bronchitis can occur in non-smokers.

Correct answer: A

Rationale: Emphysema is characterized by the destruction of alveoli in the lungs, leading to decreased surface area for gas exchange. Chronic bronchitis, on the other hand, involves inflammation and narrowing of the airways, leading to excessive mucus production and coughing. Therefore, the correct difference between emphysema and chronic bronchitis is that emphysema damages the alveoli, while chronic bronchitis inflames the airways. Choice B is incorrect because chronic bronchitis is associated with coughing, not emphysema. Choice C is incorrect as chronic bronchitis is typically less reversible compared to emphysema. Choice D is incorrect as both emphysema and chronic bronchitis are commonly seen in smokers, but chronic bronchitis can also occur in non-smokers due to other factors such as air pollution or genetic predisposition.

2. Which type of immune cell does the human immunodeficiency virus (HIV) target and destroy?

• A. Neutrophils
• B. Macrophages
• C. Helper T cells
• D. Memory B cells

Correct answer: C

Rationale: HIV targets and destroys Helper T cells, which are vital for coordinating the immune response against infections. The destruction of Helper T cells weakens the immune system, leading to acquired immunodeficiency syndrome (AIDS). Neutrophils (Choice A) are primarily involved in acute inflammatory responses and fighting bacterial infections. Macrophages (Choice B) play a role in phagocytosis and antigen presentation but are not the primary target of HIV. Memory B cells (Choice D) are responsible for mounting a quicker and more robust antibody response upon re-exposure to a pathogen, but they are not the main target of HIV infection.

3. Which indicator is commonly used to distinguish between acidic and basic solutions?

• A. Methyl orange
• B. Phenolphthalein
• C. Universal indicator
• D. All of the above are common indicators.

Correct answer: B

Rationale: Phenolphthalein is commonly used to differentiate between acidic and basic solutions. It changes color, turning pink in basic solutions and remaining colorless in acidic solutions due to a specific pH range. While methyl orange and universal indicator are also indicators used for pH testing, phenolphthalein is especially known for its distinctive color change in response to acidic and basic solutions, making it the correct choice. Methyl orange is typically used in titrations for a sharp color change at a specific pH, and the universal indicator is a mixture of indicators displaying a range of colors depending on the pH value, not specifically tailored to acidic and basic distinctions.

4. In the context of cholesterol levels, LDL cholesterol is often referred to as:

• A. HDL or "good" cholesterol.
• B. LDL or "bad" cholesterol.
• C. Total cholesterol, encompassing both LDL and HDL.
• D. VLDL, a type of triglyceride transported in the bloodstream.

Correct answer: B

Rationale: LDL cholesterol is often referred to as "bad" cholesterol because high levels of LDL can lead to plaque buildup in the arteries, increasing the risk of heart disease and stroke. LDL cholesterol is considered harmful as it contributes to the formation of plaque in blood vessels, whereas HDL cholesterol helps remove LDL from the arteries. Choice A is incorrect because HDL is known as "good" cholesterol, which helps remove LDL cholesterol from the bloodstream. Choice C is incorrect as it refers to total cholesterol, which includes LDL, HDL, and other lipids. Choice D is incorrect as VLDL is a different type of lipoprotein that carries triglycerides and is not specifically related to LDL cholesterol.

5. How much sugar is in a 1 M solution of sugar water?

• A. 1 L of water
• B. 100 mL of solution
• C. Every 100 g of water
• D. It depends on the type of sugar

Correct answer: B

Rationale: A 1 M solution of sugar water contains 1 mole of sugar in 1 liter of solution. Since 1 M (molar) solution means there is 1 mole of solute (sugar) dissolved in 1 liter of solvent (water), the correct answer is 100 mL of solution. Choice A, '1 L of water,' is incorrect because it does not specify the total volume of the solution. Choice C, 'Every 100 g of water,' is incorrect as it focuses on the weight of water, not the volume of the solution. Choice D, 'It depends on the type of sugar,' is incorrect since the concentration of a 1 M solution is standardized and does not vary based on the type of sugar used.

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