Nursing Elites

1. Which of the following statements correctly describes the function of a physiological structure?

• A. The trachea connects the throat and the stomach.
• B. The esophagus joins the larynx with the lungs.
• C. The diaphragm controls the height of the thoracic cavity.
• D. The epiglottis covers the trachea during swallowing.

Correct answer: D

Rationale: The epiglottis is a flap of tissue that covers the trachea during swallowing to prevent food and liquids from entering the airway. This action helps direct food into the esophagus, ensuring proper passage into the digestive system and avoiding potential choking or aspiration into the lungs. Choices A, B, and C are incorrect because the trachea connects the larynx to the bronchi, the esophagus connects the throat to the stomach, and the diaphragm is a muscle that plays a vital role in breathing by separating the thoracic and abdominal cavities, aiding in respiration.

2. Memory B cells and memory T cells are crucial for immunological memory. How does immunological memory enhance the immune response upon re-exposure to a pathogen?

• A. It increases the production of the same ineffective antibodies.
• B. It allows for a quicker and more robust immune response.
• C. It suppresses the immune system to prevent overreaction.
• D. It triggers a completely different immune response.

Correct answer: B

Rationale: Immunological memory enhances the immune response upon re-exposure to a pathogen by allowing for a quicker and more robust immune response. Memory B cells and memory T cells are primed to recognize the pathogen quickly and mount a faster and more effective response, leading to a more efficient clearance of the pathogen. Choice A is incorrect because immunological memory does not increase the production of ineffective antibodies but rather promotes the production of specific antibodies that are effective against the pathogen. Choice C is incorrect as immunological memory does not suppress the immune system; instead, it enhances the response. Choice D is incorrect because immunological memory leads to a recall of the specific immune response mounted during the initial exposure, not a completely different response.

3. Which of the following neurotransmitters slows down the activity of neurons, preventing them from becoming overexcited?

• A. Acetylcholine
• B. Dopamine
• C. GABA
• D. Serotonin

Correct answer: C

Rationale: The correct answer is C: GABA (gamma-aminobutyric acid). GABA acts as an inhibitory neurotransmitter that reduces neuronal activity, thus preventing overexcitation. Acetylcholine (choice A) is involved in muscle control and cognitive function, but it is not primarily responsible for slowing down neuronal activity. Dopamine (choice B) plays a role in reward-motivated behavior and motor control, rather than inhibiting neuronal firing. Serotonin (choice D) is involved in mood regulation, sleep, and appetite but does not primarily slow down neuronal activity to prevent overexcitation.

4. Which property remains constant despite possible changes to the element?

• A. Atomic number
• B. Number of electrons
• C. Atomic mass
• D. Isotopic form

Correct answer: A

Rationale: The correct answer is 'Atomic number' (A). The atomic number of an element remains constant as it defines the number of protons in the nucleus, which does not change despite various chemical reactions or physical processes affecting the element. The number of protons in the nucleus determines the identity of the element, and this fundamental property remains unchanged even if the element undergoes chemical reactions, forms ions, or changes its physical state. Choices B, C, and D are incorrect because the number of electrons (B) can change in chemical reactions, atomic mass (C) can vary with isotopes, and isotopic form (D) refers to variations in the number of neutrons in the nucleus, which can result in different isotopes of an element.

5. Which vitamin requires intrinsic factor for proper absorption?

• A. Vitamin A
• B. Vitamin C
• C. Vitamin D
• D. Vitamin B12

Correct answer: D

Rationale: Vitamin B12 requires intrinsic factor, a glycoprotein secreted by the parietal cells of the stomach, for proper absorption in the small intestine. Intrinsic factor binds to vitamin B12 and facilitates its absorption in the ileum. Deficiency in intrinsic factor can lead to pernicious anemia, a condition characterized by a lack of vitamin B12 absorption. Options A, B, and C are incorrect. Vitamin A is absorbed in the small intestine with the help of bile salts; Vitamin C is absorbed in the small intestine via active transport; Vitamin D is absorbed in the small intestine through a process involving bile salts and micelles. It is essential for students to understand this relationship as it highlights the importance of intrinsic factor in the absorption of specific vitamins and the consequences of its deficiency.

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