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. Where does gas exchange occur in the human body?

• A. Alveoli
• B. Bronchi
• C. Larynx
• D. Pharynx

Correct answer: A

Rationale: The correct answer is A: Alveoli. Gas exchange occurs in the alveoli, which are tiny air sacs in the lungs. Oxygen from the air we breathe diffuses into the blood vessels surrounding the alveoli, while carbon dioxide from the blood diffuses into the alveoli to be exhaled. The bronchi, larynx, and pharynx are all part of the respiratory system but are not directly involved in gas exchange. The bronchi are airways that lead to the lungs, the larynx is the voice box, and the pharynx is the throat. These structures are important for breathing and vocalization but do not participate in the exchange of gases between the respiratory system and the circulatory system.

3. What is the main function of the kidneys?

• A. To filter waste products from the blood
• B. To produce urine
• C. To regulate blood pressure
• D. To produce hormones that help control blood sugar levels

Correct answer: A

Rationale: The main function of the kidneys is to filter waste products, excess ions, and water from the bloodstream to form urine, which is then excreted from the body. This process helps maintain the body's internal environment by regulating the balance of electrolytes, fluid volume, and pH levels. While the kidneys do produce urine as a result of filtering the blood, their primary function is to filter waste products rather than solely producing urine. Although the kidneys play a role in regulating blood pressure by controlling blood volume and electrolyte concentration, their main function is waste filtration. While the kidneys do produce hormones like erythropoietin and renin that regulate physiological processes, such as red blood cell production and blood pressure, the main role of the kidneys is waste filtration.

4. What is the function of introns in eukaryotic genes?

• A. They code for protein sequences.
• B. They are involved in gene regulation.
• C. They are removed during mRNA processing.
• D. They are non-functional remnants of ancient DNA.

Correct answer: C

Rationale: A) Introns do not code for protein sequences. Exons are the segments of DNA that code for proteins. B) While introns can indirectly influence gene regulation, their primary function is not directly involved in gene regulation. C) Introns are non-coding regions of DNA that are transcribed into pre-mRNA but are removed during mRNA processing through a process called splicing. This allows only the exons to be included in the mature mRNA that will be translated into proteins. D) While introns were once thought to be non-functional remnants of ancient DNA, research has shown that they can have regulatory functions and play a role in gene expression.

5. Which type of joint connects the bones of the skull?

• A. Synovial
• B. Fibrous
• C. Cartilaginous
• D. Ball-and-socket

Correct answer: B

Rationale: Fibrous joints connect the bones of the skull. These joints are immovable or provide very limited movement, providing stability and protection to the brain. Synovial joints (Choice A) are found in the limbs and allow for a wide range of movements. Cartilaginous joints (Choice C) are connected by cartilage and allow limited movement. Ball-and-socket joints (Choice D) allow for a wide range of motion, such as the hip and shoulder joints, but they do not connect the bones of the skull.

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