Nursing Elites

1. What occurs in each of the three phases of the uterine cycle?

• A. Proliferative: uterine lining thickens
• B. Secretory: ovulation occurs
• C. Menstrual: uterine lining sheds
• D. Proliferative: uterine lining thickens

Correct answer: D

Rationale: The correct answer is D. In the proliferative phase of the uterine cycle, the uterine lining thickens in preparation for a possible pregnancy. Ovulation occurs around day 14 of the cycle. The menstrual phase is when the uterine lining sheds if pregnancy has not occurred. Choice A is a duplicate of the correct answer. Choice B is incorrect as ovulation occurs during the mid-cycle, which is the ovulatory phase, not the secretory phase. Choice C is incorrect because the uterine lining sheds during the menstrual phase, not the secretory phase.

2. Which type of mutation involves a change in the number of chromosomes?

• A. Point mutation
• B. Frameshift mutation
• C. Missense mutation
• D. Aneuploidy

Correct answer: D

Rationale: A) Point mutation involves a change in a single nucleotide base pair within the DNA sequence. B) Frameshift mutation involves the insertion or deletion of nucleotides, causing a shift in the reading frame of the genetic code. C) Missense mutation involves a single nucleotide change that results in a codon that codes for a different amino acid. D) Aneuploidy involves a change in the number of chromosomes, where an individual may have an extra chromosome (trisomy) or a missing chromosome (monosomy). Aneuploidy can lead to genetic disorders such as Down syndrome (trisomy 21) or Turner syndrome (monosomy X). Changing the number of chromosomes is a characteristic feature of aneuploidy, making it the correct answer. Point mutation, frameshift mutation, and missense mutation do not involve a change in the number of chromosomes and are focused on alterations at the nucleotide level within the DNA sequence.

3. Which organ plays a significant role in immune cell production and maturation?

• A. Liver
• B. Kidneys
• C. Bone marrow
• D. Spleen

Correct answer: C

Rationale: The bone marrow is the correct answer. It is the primary site for immune cell production and maturation. The bone marrow is responsible for generating various types of blood cells, including white blood cells crucial for the immune system's function. The liver, kidneys, and spleen have essential functions in the body, such as filtering blood, detoxification, and storage of blood, respectively. However, they are not primarily involved in immune cell production and maturation, making them incorrect choices for this question.

4. Which structure of the respiratory system bifurcates into the primary bronchi?

• A. Trachea
• B. Alveoli
• C. Bronchioles
• D. Larynx

Correct answer: A

Rationale: The trachea is the structure that bifurcates into the primary bronchi. The trachea is a tube that carries air to and from the lungs. It divides into the left and right primary bronchi at a specific point called the carina, which then further divide into secondary and tertiary bronchi, leading to the bronchioles. The alveoli are the tiny air sacs at the end of the bronchioles where gas exchange occurs, not the structure that bifurcates into the primary bronchi. Bronchioles are smaller airway branches that come after the bronchi but do not bifurcate into them. The larynx, also known as the voice box, is located above the trachea and is responsible for sound production, not the bifurcation into primary bronchi. Therefore, the correct answer is the trachea.

5. Which of the following infectious diseases can be caused by a protozoan parasite?

• A. Measles
• B. Malaria
• C. Mumps
• D. Mononucleosis

Correct answer: B

Rationale: The correct answer is B: Malaria. Malaria is caused by Plasmodium, a protozoan parasite transmitted through the bite of infected mosquitoes. Measles and mumps are viral diseases caused by separate viruses. Mononucleosis, on the other hand, is caused by the Epstein-Barr virus, which is also a viral infection. Therefore, choices A, C, and D are incorrect as they are caused by viruses, not protozoa.

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