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 valve that prevents blood from flowing back from the left ventricle into the left atrium?

• A. Tricuspid valve
• B. Mitral valve
• C. Aortic valve
• D. Pulmonic valve

Correct answer: B

Rationale: The correct answer is the Mitral valve. The mitral valve is located between the left atrium and the left ventricle of the heart. Its function is to prevent the backflow of blood from the left ventricle into the left atrium during ventricular contraction. Choice A, the Tricuspid valve, is incorrect as it is located between the right atrium and right ventricle. Choice C, the Aortic valve, and Choice D, the Pulmonic valve, are also incorrect as they are involved in the circulation of blood leaving the heart rather than preventing backflow within the atria and ventricles.

3. Which is the correct order of formed elements in blood from smallest to largest cell size?

• A. Erythrocytes, thrombocytes, and leukocytes
• B. Thrombocytes, leukocytes, and erythrocytes
• C. Thrombocytes, erythrocytes, and leukocytes
• D. Leukocytes, erythrocytes, and thrombocytes

Correct answer: C

Rationale: The correct order of formed elements in blood from smallest to largest cell size is thrombocytes (platelets), erythrocytes (red blood cells), and leukocytes (white blood cells), making choice C the correct answer. Thrombocytes are the smallest, followed by erythrocytes, and then leukocytes. Choices A, B, and D are incorrect because they do not follow the correct order of cell size in blood formed elements.

4. Endotoxins are toxic substances released by:

• A. Viruses
• B. Bacteria (gram-positive)
• C. Bacteria (gram-negative)
• D. Parasites

Correct answer: C

Rationale: Endotoxins are toxic substances that are part of the outer membrane of the cell wall of gram-negative bacteria. These toxins are released when the bacteria are destroyed or during bacterial growth. Endotoxins can cause a variety of harmful effects in the host, including fever, inflammation, and septic shock. Viruses do not produce endotoxins; they are typically associated with producing viral proteins that can be toxic to host cells. Gram-positive bacteria produce exotoxins, which are different from endotoxins found in gram-negative bacteria. Parasites, though capable of causing diseases, are not typically associated with the production of endotoxins.

5. What is a contraceptive method that uses hormones to prevent ovulation?

• A. Spermicide
• B. Barrier method (condom, diaphragm)
• C. Combined oral contraceptive pill
• D. Intrauterine device (IUD)

Correct answer: C

Rationale: The correct answer is the Combined oral contraceptive pill (C). This method contains hormones (estrogen and progestin) that prevent ovulation, making it an effective contraceptive. Spermicide (A) is a substance that kills sperm and does not use hormones to prevent ovulation. Barrier methods (B) like condoms and diaphragms physically block sperm but do not involve hormone-induced prevention of ovulation. Intrauterine devices (IUDs) (D) prevent pregnancy through different mechanisms, such as altering the uterine environment and preventing sperm from fertilizing the egg, not by hormone-induced prevention of ovulation.

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