Nursing Elites

1. Which hormone is produced by the thyroid gland?

• A. Insulin
• B. Thyroxine
• C. Adrenaline
• D. Cortisol

Correct answer: B

Rationale: The correct answer is B: Thyroxine. The thyroid gland produces thyroxine, a hormone essential for regulating metabolism. Insulin is produced by the pancreas to regulate blood sugar levels. Adrenaline is produced by the adrenal glands to prepare the body for the 'fight or flight' response. Cortisol is produced by the adrenal cortex in response to stress, not by the thyroid gland.

2. Which bones are included in the axial skeleton?

• A. Head, neck, and trunk
• B. Arms and legs
• C. Hands and feet
• D. All of the above

Correct answer: A

Rationale: The correct answer is A: Head, neck, and trunk. The axial skeleton comprises bones located in the head, neck, and trunk region, such as the skull, vertebral column, and rib cage. These bones provide structural support and protect vital organs like the brain, spinal cord, and heart. Choices B and C are incorrect because arms, legs, hands, and feet are part of the appendicular skeleton, not the axial skeleton. The appendicular skeleton is responsible for movement, manipulation, and mobility, while the axial skeleton primarily provides central support and protection for essential organs.

3. What is the medical term for heartburn, a burning sensation in the chest caused by stomach acid?

• A. Dysphagia
• B. Gastroesophageal reflux disease (GERD)
• C. Peptic ulcer
• D. Ulcerative colitis

Correct answer: B

Rationale: A) Dysphagia refers to difficulty swallowing and is not specifically related to heartburn. B) Gastroesophageal reflux disease (GERD) is the medical term for heartburn, which is a burning sensation in the chest caused by stomach acid flowing back up into the esophagus. C) Peptic ulcer is a sore that develops on the lining of the stomach, small intestine, or esophagus, and it can cause symptoms such as abdominal pain, not specifically heartburn. D) Ulcerative colitis is a type of inflammatory bowel disease that affects the colon and rectum, and it does not typically cause heartburn.

4. 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.

5. Where does the maturation of T-cells and the production of T-cell receptors occur?

• A. Thymus
• B. Spleen
• C. Lymph nodes
• D. Bone marrow

Correct answer: A

Rationale: The correct answer is the Thymus. T-cells mature and develop their receptors in the thymus gland, making it a vital organ for the immune system. The thymus provides the necessary environment for T-cells to differentiate and acquire their specific receptors and functions, which are essential for their role in the adaptive immune response. The spleen, lymph nodes, and bone marrow are all important components of the immune system, but they do not primarily serve as sites for T-cell maturation and T-cell receptor production.

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