Nursing Elites

1. Which of the following correctly identifies a difference between the primary and secondary immune response?

• A. In the secondary response, macrophages migrate to the lymph nodes to present the foreign microorganism to helper T lymphocytes.
• B. The humoral immunity that characterizes the primary response is coordinated by B lymphocytes.
• C. The primary response is quicker and more powerful than the secondary response.
• D. Suppressor T cells are activated in the secondary response to prevent an overactive immune response.

Correct answer: C

Rationale: The correct answer is C. The primary immune response is slower and less powerful compared to the secondary immune response. During the primary response, immune cells encounter the antigen for the first time, necessitating the activation and proliferation of specific immune cells. In contrast, the secondary response benefits from memory cells that quickly recognize the antigen, enabling a faster and more potent immune response. Choices A, B, and D are incorrect. While macrophages play a role in presenting antigens to T cells, this is not a defining difference between primary and secondary responses. Humoral immunity involves B lymphocytes in both primary and secondary responses, so it does not differentiate the two. Suppressor T cells primarily function to regulate the immune response but are not a key factor distinguishing primary from secondary responses.

2. Which type of blood cell is responsible for carrying oxygen?

• A. White blood cell
• B. Red blood cell
• C. Platelet
• D. Plasma

Correct answer: B

Rationale: The correct answer is B: Red blood cell. Red blood cells, also known as erythrocytes, are responsible for carrying oxygen from the lungs to the body's tissues. They contain hemoglobin, a protein that binds to oxygen and transports it throughout the body. White blood cells (Choice A) are part of the immune system and help fight infections, not involved in carrying oxygen. Platelets (Choice C) are responsible for blood clotting, not oxygen transport. Plasma (Choice D) is the liquid component of blood that carries various substances like nutrients and waste products, but it does not directly carry oxygen.

3. What is the process of converting lactic acid back into pyruvate called?

• A. Glycolysis
• B. Gluconeogenesis
• C. Cori cycle
• D. Oxidative phosphorylation

Correct answer: C

Rationale: A) Glycolysis is the process of breaking down glucose into pyruvate. B) Gluconeogenesis is the process of synthesizing glucose from non-carbohydrate sources. C) The Cori cycle is the process by which lactic acid produced by anaerobic metabolism in muscles is transported to the liver and converted back into glucose or pyruvate. D) Oxidative phosphorylation is the process by which ATP is synthesized using energy derived from the transfer of electrons in the electron transport chain.

4. Two isotopes of the same element have different numbers of:

• A. Electrons
• B. Protons
• C. Neutrons
• D. Nuclei

Correct answer: C

Rationale: The correct answer is C: 'Neutrons.' Isotopes are variants of an element that have the same number of protons and electrons but differ in the number of neutrons they contain. This difference in neutron count is what distinguishes isotopes from each other while maintaining the same chemical properties. Choice A, 'Electrons,' is incorrect because isotopes of the same element have the same number of electrons. Choice B, 'Protons,' is incorrect because isotopes of the same element have the same number of protons. Choice D, 'Nuclei,' is incorrect as nuclei refer to the central part of an atom containing protons and neutrons, and the question specifically asks about differences between isotopes of the same element.

5. Which group of antibiotics targets the cell wall of bacteria?

• A. Penicillins
• B. Tetracyclines
• C. Macrolides
• D. Fluoroquinolones

Correct answer: A

Rationale: Penicillins are a group of antibiotics that target the bacterial cell wall by inhibiting the synthesis of peptidoglycan, a vital component of the cell wall. This inhibition weakens the cell wall, leading to bacterial cell lysis and death. Penicillins are particularly effective against Gram-positive bacteria due to their mechanism of action. Tetracyclines (B) inhibit protein synthesis, Macrolides (C) interfere with bacterial ribosomes, and Fluoroquinolones (D) target bacterial DNA gyrase and topoisomerase IV. Unlike Penicillins, these antibiotics do not directly target the cell wall of bacteria.

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