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 brain area can lead to difficulty with language and speech if damaged?

• A. Broca's area
• B. Wernicke's area
• C. Occipital lobe
• D. Cerebellum

Correct answer: A

Rationale: Damage to Broca's area, located in the frontal lobe of the brain, can result in difficulties with language and speech production. Broca's area is responsible for speech production and coordinating the muscles involved in speech. Damage to this area can lead to Broca's aphasia, characterized by struggles in forming words and sentences. On the other hand, damage to Wernicke's area in the temporal lobe can cause issues with language comprehension and producing meaningful language, leading to Wernicke's aphasia. The occipital lobe primarily processes visual information, while the cerebellum is responsible for coordinating movement and balance, not language and speech.

3. What is the myelin sheath and what does it do?

• A. A group of nerve cells that perform a specific function.
• B. A fatty substance that insulates some nerve fibers.
• C. A fluid-filled cavity within the brain.
• D. The junction between two neurons.

Correct answer: B

Rationale: The myelin sheath is a fatty substance that insulates some nerve fibers. It is made up of specialized cells that wrap around the axons of neurons, providing insulation and speeding up the transmission of nerve impulses. Choice A is incorrect as the myelin sheath is not a group of nerve cells but rather a substance that surrounds nerve fibers. Choice C is incorrect as the myelin sheath is not a fluid-filled cavity within the brain. Choice D is incorrect as the myelin sheath is not the junction between two neurons.

4. What is the measure of the total amount of space occupied by an object?

• A. Mass
• B. Density
• C. Weight
• D. Volume

Correct answer: D

Rationale: Volume is the measure of the total amount of space occupied by an object. Mass refers to the amount of matter in an object, density is the mass per unit volume, and weight is the force of gravity acting on an object. When determining the space occupied by an object, volume is the appropriate measurement to consider. Therefore, the correct answer is D. Choices A, B, and C are incorrect as they do not directly indicate the total amount of space occupied by an object. Mass, density, and weight are relevant in different contexts and measurements compared to volume.

5. What is meant by the term 'goiter'?

• A. Overproduction of cortisol from the adrenal glands
• B. Excessive growth of the thyroid gland
• C. Underproduction of parathyroid hormone (PTH)
• D. Deficiency of growth hormone from the pituitary gland

Correct answer: B

Rationale: A goiter is a condition characterized by the abnormal enlargement of the thyroid gland. This enlargement can be caused by various factors such as iodine deficiency, thyroid nodules, inflammation, or other thyroid disorders. It is not associated with the overproduction of cortisol (Choice A), underproduction of parathyroid hormone (Choice C), or deficiency of growth hormone (Choice D). Therefore, the correct answer is B, excessive growth of the thyroid gland.

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