Nursing Elites

1. Which of the following is an example of an unsaturated fatty acid?

• A. Stearic acid
• B. Palmitic acid
• C. Oleic acid
• D. Butyric acid

Correct answer: C

Rationale: Oleic acid is an example of an unsaturated fatty acid because it contains one or more double bonds in its hydrocarbon chain, leading to kinks in the chain structure. This unsaturation gives it a lower melting point compared to saturated fatty acids. Stearic acid (A), Palmitic acid (B), and Butyric acid (D) are examples of saturated fatty acids as they do not contain any double bonds in their hydrocarbon chains, leading to a straight structure and higher melting points.

2. Which type of capillary is the most common and least permeable?

• A. Fenestrated capillaries
• B. Sinusoidal capillaries
• C. Continuous capillaries
• D. Discontinuous capillaries

Correct answer: C

Rationale: The correct answer is C, continuous capillaries. Continuous capillaries are the most common and least permeable type of capillary. They are found in most tissues, including muscle and the nervous system. Continuous capillaries have a continuous endothelium without fenestrations or large gaps, which limits the movement of substances across their walls. Choice A, fenestrated capillaries, have pores (fenestrations) in their endothelial cells, making them more permeable than continuous capillaries. Choice B, sinusoidal capillaries, have a discontinuous endothelium with large gaps between cells, making them more permeable and allowing larger molecules and cells to pass through compared to continuous capillaries. Choice D, discontinuous capillaries, are similar to sinusoidal capillaries with a discontinuous endothelium, allowing for enhanced permeability compared to continuous capillaries.

3. What is the process of removing waste products from the cell called?

• A. Exocytosis
• B. Endocytosis
• C. Phagocytosis
• D. Pinocytosis

Correct answer: A

Rationale: A) Exocytosis is the process by which cells expel waste products or other substances by fusing a vesicle containing the waste with the cell membrane, releasing its contents outside the cell. This process is essential for maintaining cellular homeostasis by removing waste products from the cell. B) Endocytosis is the process by which cells take in substances by engulfing them in a vesicle formed from the cell membrane. This process is the opposite of exocytosis and is used to bring substances into the cell. C) Phagocytosis is a type of endocytosis where cells engulf solid particles or other cells to form a vesicle called a phagosome. This process is used by immune cells to engulf and destroy pathogens. D) Pinocytosis is a type of endocytosis where cells engulf fluids and dissolved solutes. This process allows cells to take in nutrients.

4. What is the term for the first exposure to a specific pathogen, leading to the development of an initial immune response?

• A. Primary immune response
• B. Secondary immune response
• C. Hypersensitivity reaction
• D. Immunological tolerance

Correct answer: A

Rationale: The correct answer is A: Primary immune response. The primary immune response refers to the initial encounter with a specific pathogen, which triggers the development of the first immune response by the immune system. This response involves activating immune cells like B cells and T cells to produce antibodies and memory cells specific to that pathogen. On the other hand, the secondary immune response occurs upon re-exposure to the same pathogen and is characterized by a faster, stronger, and more effective immune response due to the presence of memory cells from the primary response. Choices B, C, and D are incorrect. The secondary immune response is the response upon re-exposure, hypersensitivity reactions are exaggerated immune responses to antigens, and immunological tolerance is the immune system's ability to recognize and tolerate self-antigens without mounting an immune response.

5. How are kidney stones formed?

• A. Due to excess water not being reabsorbed
• B. When minerals crystallize in the urine
• C. When electrolytes become too concentrated
• D. All of the above

Correct answer: B

Rationale: Kidney stones are formed when minerals in the urine crystallize and stick together to form solid masses. Excess water not being reabsorbed (option A) does not directly contribute to kidney stone formation. Similarly, electrolytes becoming too concentrated (option C) is not a direct cause of kidney stone formation. The correct answer is B because the crystallization of minerals in the urine leads to the formation of kidney stones.

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