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 term for the study of genes and their role in disease?

• A. Molecular biology
• B. Biochemistry
• C. Evolutionary biology
• D. Genomic medicine

Correct answer: D

Rationale: Genomic medicine is the scientific discipline that specifically focuses on the study of genes and their involvement in disease processes. It seeks to understand how variations in an individual's genes can influence their predisposition to certain diseases or affect their response to treatment. This field plays a crucial role in personalized medicine by utilizing genetic information to tailor healthcare decisions and interventions to individual patients. Molecular biology, biochemistry, and evolutionary biology, while related to genetics in various ways, do not have the primary focus on the role of genes in disease as genomic medicine does.

3. Which cells myelinate neurons in the PNS?

• A. Oligodendrocytes
• B. Astrocytes
• C. Schwann cells
• D. Microglia

Correct answer: C

Rationale: Schwann cells are the glial cells responsible for myelinating neurons in the peripheral nervous system (PNS). They form the myelin sheath around axons, which helps in the conduction of electrical impulses. Oligodendrocytes, on the other hand, myelinate neurons in the central nervous system (CNS). Astrocytes primarily provide support for neuronal function by regulating the chemical environment around neurons and maintaining the blood-brain barrier. Microglia are part of the immune response in the CNS, where they act as the resident macrophages, playing a role in immune surveillance and response to injury or disease. Therefore, the correct answer is Schwann cells (Choice C) as they specifically myelinate neurons in the PNS, differentiating them from the other cell types mentioned in the choices.

4. Which of the following is the carbohydrate monomer?

• A. Disaccharide
• B. Lactose
• C. Monosaccharide
• D. Thymine

Correct answer: C

Rationale: The correct answer is C: Monosaccharide. Monosaccharides are the simplest form of carbohydrates, consisting of a single sugar unit. They are considered the carbohydrate monomers from which larger carbohydrates like disaccharides (composed of two sugar units) and polysaccharides (containing multiple sugar units) are built. Choices A and B, Disaccharide and Lactose, are not monomers but rather specific types of carbohydrates made up of multiple sugar units. Choice D, Thymine, is a nitrogenous base present in DNA and RNA, not a carbohydrate monomer.

5. What do lacteals absorb in the small intestine?

• A. Carbohydrates
• B. Lipids
• C. Proteins
• D. Nonpolar nutrients

Correct answer: B

Rationale: Lacteals are lymphatic capillaries in the small intestine that specialize in absorbing dietary lipids. These lipids are then transported into the lymphatic system for further processing and distribution throughout the body. Choice A (Carbohydrates) is incorrect because carbohydrates are primarily digested and absorbed in the small intestine by enzymes and transported to the liver. Choice C (Proteins) is incorrect because proteins are broken down into amino acids and absorbed in the small intestine, mainly by the villi. Choice D (Nonpolar nutrients) is incorrect as it is a vague term and not specific to what lacteals absorb, which are primarily lipids.

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