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 structure controls the hormones secreted by the pituitary gland?

• A. Hypothalamus
• B. Adrenal gland
• C. Testes
• D. Pancreas

Correct answer: A

Rationale: The correct answer is A: Hypothalamus. The hypothalamus controls the release of hormones from the pituitary gland. It acts as a master regulator of the endocrine system by producing releasing and inhibiting hormones that influence the secretion of hormones from the pituitary gland. Choice B, the Adrenal gland, is incorrect because while it plays a role in hormone production, it is not responsible for controlling the pituitary gland's hormones. Choice C, the Testes, and Choice D, the Pancreas, are also incorrect as they are not directly involved in controlling the hormones secreted by the pituitary gland.

3. Which of the following vessels is responsible for transporting blood from the heart to the lungs?

• A. Pulmonary vein
• B. Pulmonary artery
• C. Aorta
• D. Superior vena cava

Correct answer: B

Rationale: The correct answer is B, Pulmonary artery. The pulmonary artery carries deoxygenated blood from the heart's right ventricle to the lungs for oxygenation. This blood then undergoes the gas exchange process in the lungs, where carbon dioxide is removed, and oxygen is absorbed. The pulmonary vein, identified in choice A, carries oxygenated blood from the lungs back to the heart, which is the opposite direction of the blood flow specified in the question. Choice C, Aorta, is responsible for carrying oxygen-rich blood from the heart's left ventricle to the rest of the body, not to the lungs. Choice D, Superior vena cava, returns deoxygenated blood from the upper body to the heart's right atrium, but it does not transport blood specifically to the lungs as requested in the question.

4. A guitar string vibrates at a fundamental frequency of 440 Hz. What is the frequency of the second harmonic (first overtone)?

• A. 220 Hz
• B. 440 Hz
• C. 880 Hz
• D. 1760 Hz

Correct answer: C

Rationale: The second harmonic (first overtone) is twice the frequency of the fundamental frequency. Therefore, the frequency of the second harmonic is 440 Hz * 2 = 880 Hz. The second harmonic has a frequency that is one octave higher than the fundamental frequency, representing the first overtone of the vibrating string. Choice A (220 Hz) is incorrect as it represents half the fundamental frequency and is the second harmonic, not the first overtone. Choice B (440 Hz) is the fundamental frequency itself. Choice D (1760 Hz) is the frequency of the fourth harmonic, not the second harmonic.

5. Which respiratory structure is responsible for the production of mucus to trap particles and for the movement of cilia to sweep mucus and trapped particles out of the respiratory tract?

• A. Trachea
• B. Larynx
• C. Bronchi
• D. Respiratory epithelium

Correct answer: D

Rationale: The respiratory epithelium is the correct answer because it is the tissue lining the respiratory tract responsible for producing mucus to trap particles and containing cilia that sweep the mucus and trapped particles out of the respiratory tract. The trachea, larynx, and bronchi are all structures within the respiratory system but do not specifically carry out the functions described in the question. The trachea is a passage for air, the larynx is involved in sound production and protecting the airway, and the bronchi are airway passages that branch from the trachea to the lungs. Only the respiratory epithelium fits the description of producing mucus and utilizing cilia for particle removal in the respiratory tract.

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