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. What is the most common cause of aseptic meningitis?

• A. Bacteria
• B. Viruses
• C. Fungi
• D. Parasites

Correct answer: B

Rationale: Aseptic meningitis is typically caused by viral infections, such as enteroviruses (e.g., coxsackievirus, echovirus), herpes simplex virus, varicella-zoster virus, and others. These viruses can infect the meninges, leading to inflammation and symptoms of meningitis without the presence of bacteria. While bacterial meningitis is a serious and life-threatening condition, aseptic meningitis caused by viruses is usually less severe and has a better prognosis. Fungi and parasites are less common causes of meningitis compared to bacteria and viruses.

3. What type of bond connects amino acids to form proteins?

• A. Covalent
• B. Peptide
• C. Ionic
• D. Hydrogen

Correct answer: B

Rationale: The correct answer is 'Peptide'. Peptide bonds are the specific type of bond that connects amino acids together to form proteins. These bonds form through a condensation reaction between the amino group of one amino acid and the carboxyl group of another amino acid, creating a covalent bond. While covalent bonds are involved in the formation of peptide bonds, the direct bond connecting amino acids in proteins is the peptide bond. Ionic bonds involve the attraction between charged particles, and hydrogen bonds are weaker bonds compared to covalent and peptide bonds, playing a different role in protein structure.

4. Which of the following is responsible for the body's fight-or-flight response?

• A. Pancreas
• B. Adrenal glands
• C. Thyroid gland
• D. Pituitary gland

Correct answer: B

Rationale: The correct answer is B: Adrenal glands. The adrenal glands are responsible for the body's fight-or-flight response. During stressful situations, the adrenal glands release hormones like adrenaline and noradrenaline, initiating the fight-or-flight response. These hormones prepare the body to either confront or flee from a perceived threat.\nChoice A - Pancreas: The pancreas is primarily responsible for producing insulin and regulating blood sugar levels, not the fight-or-flight response.\nChoice C - Thyroid gland: The thyroid gland is responsible for producing hormones that regulate metabolism, not directly involved in the fight-or-flight response.\nChoice D - Pituitary gland: The pituitary gland regulates various endocrine functions by releasing hormones, but it is not the primary gland responsible for the fight-or-flight response.

5. Which of the following statements regarding the working of the heart is not correct?

• A. The atria contract, and the valves open to allow blood into the ventricles.
• B. The heartbeat begins when the heart muscles relax, and blood flows into the atria.
• C. The valves close to stop blood from flowing backward.
• D. The ventricles contract, forcing blood to leave the heart.

Correct answer: B

Rationale: The correct answer is B because the heartbeat actually begins when the heart muscles relax, allowing the chambers to fill with blood. The contraction phase follows, which propels blood out of the heart. The other statements are accurate in describing the normal sequence of events in the heart's functioning: the atria contract to push blood into the ventricles, the valves close to prevent backflow of blood, and the ventricles contract to pump blood out of the heart.

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