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 scientific name for the kneecap?

• A. Patella
• B. Femur
• C. Tibia
• D. Fibula

Correct answer: A

Rationale: The correct answer is A: Patella. The patella is the scientific term for the kneecap, a small, flat, triangular bone situated in front of the knee joint. The femur, tibia, and fibula are also bones in the leg, but they are not synonymous with the kneecap. The femur is the thigh bone, the tibia is the shin bone, and the fibula is the outer lower leg bone. Therefore, the correct term for the kneecap specifically is the patella.

3. What is the relationship between the frequency and period of a wave?

• A. They are unrelated
• B. Frequency = Period
• C. Frequency = 1/Period
• D. Period = 1/Frequency

Correct answer: D

Rationale: The correct relationship between frequency and period of a wave is that Period = 1/Frequency. This relationship indicates that the period of a wave is the reciprocal of its frequency. Frequency refers to the number of complete cycles of a wave occurring in a unit of time, while the period is the time taken for one complete cycle of the wave to occur. As frequency and period are inversely related, the correct formula to express this relationship is Period = 1/Frequency. Choice A is incorrect as frequency and period are related. Choice B is incorrect as frequency and period are not equal. Choice C is incorrect as it suggests that frequency is directly proportional to period, which is not the case.

4. Which of the following lists of joint types is in the correct order for increasing amounts of permitted motion (least mobile to most mobile)?

• A. Hinge, condyloid, saddle
• B. Saddle, hinge, condyloid
• C. Saddle, condyloid, hinge
• D. Hinge, saddle, condyloid

Correct answer: A

Rationale: The correct order of joint types, from least mobile to most mobile, is hinge, condyloid, saddle. A hinge joint allows movement in one plane (like a door hinge), a condyloid joint allows movement in two planes but not rotation (like the wrist), and a saddle joint allows movement in multiple directions (like the thumb). Choice A, 'Hinge, condyloid, saddle,' is the correct sequence as it accurately represents the order of increasing permitted motion in joints. Choices B, C, and D are incorrect because they do not follow the correct order of joint types from least mobile to most mobile as required by the question.

5. What is hydroxyapatite?

• A. A mixture of minerals such as calcium and phosphorus that strengthen the collagen matrix of bone.
• B. The structural unit of a bone that runs the length of the bone.
• C. The covering of bones at the point of articulation to prevent grinding.
• D. The lightest portion of a long bone and concentrated at the ends.

Correct answer: A

Rationale: Hydroxyapatite is a mineral compound composed of calcium and phosphorus that plays a crucial role in strengthening the collagen matrix of bones, contributing to their structural integrity and hardness. It is a key component of bone tissue and provides the mineralization necessary for bone strength and density. Choice B is incorrect because the structural unit of a bone is the osteon or Haversian system, not hydroxyapatite. Choice C is incorrect as it describes cartilage, not hydroxyapatite. Choice D is incorrect as it refers to the epiphysis, which is not synonymous with hydroxyapatite.

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