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 most of the chemical digestion and absorption of nutrients occur?

• A. Mouth
• B. Stomach
• C. Small intestine
• D. Large intestine

Correct answer: C

Rationale: The small intestine is the primary site for both chemical digestion and absorption of nutrients in the digestive system. The lining of the small intestine is equipped with villi and microvilli, which significantly increase the surface area available for absorption. Enzymes from the pancreas and bile from the liver play crucial roles in further breaking down food into absorbable molecules that can pass through the intestinal wall into the bloodstream. While the stomach assists in mechanical breakdown and initial protein digestion, it is not the main site of nutrient absorption. The large intestine, on the other hand, mainly absorbs water and electrolytes from undigested food particles. The mouth aids in initial mechanical breakdown and some carbohydrate digestion, but the majority of nutrient absorption occurs in the small intestine, making it the correct answer.

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. What is the process of breaking down glucose into pyruvate called?

• A. Glycolysis
• B. Gluconeogenesis
• C. Krebs cycle
• D. Oxidative phosphorylation

Correct answer: A

Rationale: A) Glycolysis is the process of breaking down glucose into pyruvate. This occurs in the cytoplasm of cells and is the first step in cellular respiration. B) Gluconeogenesis is the process of synthesizing glucose from non-carbohydrate sources, such as amino acids or glycerol, and is the opposite of glycolysis. C) The Krebs cycle, also known as the citric acid cycle, is a series of chemical reactions that occur in the mitochondria and is involved in the oxidation of acetyl-CoA to produce ATP and other energy carriers. D) Oxidative phosphorylation is the final stage of cellular respiration where ATP is produced through the transfer of electrons in the electron transport chain.

5. What is the main difference between a telescope and a microscope?

• A. Telescopes magnify distant objects, while microscopes magnify small objects.
• B. Telescopes use lenses, while microscopes use mirrors.
• C. Telescopes collect light, while microscopes emit light.
• D. They both magnify objects but serve different purposes.

Correct answer: A

Rationale: The main difference between a telescope and a microscope lies in their primary functions. Telescopes are specifically designed to magnify and observe distant objects like stars, planets, and galaxies, making them essential tools for astronomy. In contrast, microscopes are utilized to magnify and study small objects such as cells, bacteria, and other microscopic organisms in fields like biology and medicine. Therefore, the key distinction is that telescopes focus on magnifying distant objects, while microscopes are tailored for magnifying small objects. Choice B is incorrect because while some microscopes may use mirrors in certain designs, the primary component is typically lenses. Choice C is incorrect as telescopes collect and focus light for observation, while microscopes use light to illuminate and magnify objects. Choice D is incorrect because while both instruments magnify objects, their main purposes and the types of objects they focus on are distinctly different.

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