Nursing Elites

1. 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.

2. Which types of glial cells are found in the CNS?

• A. Schwann cells, satellite cells
• B. Astrocytes, microglia, ependymal cells, oligodendrocytes
• C. Satellite cells, microglia, oligodendrocytes
• D. Astrocytes, Schwann cells, satellite cells

Correct answer: B

Rationale: The correct answer is B. Glial cells in the CNS include astrocytes, microglia, ependymal cells, and oligodendrocytes. Schwann cells and satellite cells are found in the PNS. Astrocytes are the most abundant type of glial cells and are involved in nutrient support, repair, and maintenance of the extracellular environment. Microglia are the resident immune cells of the CNS, playing a role in immune defense. Ependymal cells line the ventricles of the brain and the central canal of the spinal cord, contributing to the production and circulation of cerebrospinal fluid. Oligodendrocytes are responsible for producing myelin, which insulates axons in the CNS. Understanding the specific functions of each type of glial cell is essential in grasping the complexity of the central nervous system's support and protective mechanisms.

3. Which type of joint connects the bones of the skull?

• A. Synovial
• B. Fibrous
• C. Cartilaginous
• D. Ball-and-socket

Correct answer: B

Rationale: Fibrous joints connect the bones of the skull. These joints are immovable or provide very limited movement, providing stability and protection to the brain. Synovial joints (Choice A) are found in the limbs and allow for a wide range of movements. Cartilaginous joints (Choice C) are connected by cartilage and allow limited movement. Ball-and-socket joints (Choice D) allow for a wide range of motion, such as the hip and shoulder joints, but they do not connect the bones of the skull.

4. Which of the following is the cardiac muscle layer that forms the bulk of the heart?

• A. Endocardium
• B. Epicardium
• C. Fibrous skeleton
• D. Myocardium

Correct answer: D

Rationale: The correct answer is D, Myocardium. The myocardium is the cardiac muscle layer that comprises the majority of the heart's muscle mass. It is responsible for the heart's contractions, allowing it to pump blood throughout the body. The endocardium is the innermost layer of the heart lining the chambers, while the epicardium is the outermost layer covering the heart. The fibrous skeleton provides structural support and serves as an attachment point for cardiac muscle fibers. Therefore, choices A, B, and C are incorrect as they do not represent the primary muscle layer of the heart.

5. Which of the following types of immunity is provided by the secretion of antibodies by B-cells?

• A. Cell-mediated
• B. Humoral
• C. Innate immunity
• D. Phagocytic

Correct answer: B

Rationale: The correct answer is B: Humoral. Humoral immunity involves B-cells secreting antibodies to fight pathogens. In this type of immunity, antibodies circulate in the blood and other body fluids to neutralize pathogens and prevent infections. Cell-mediated immunity, on the other hand, involves the activation of T-cells to directly attack infected or abnormal cells, not the secretion of antibodies. Innate immunity refers to the nonspecific defense mechanisms the body has in place from birth, such as physical barriers and inflammatory responses. Phagocytic immunity is not a recognized type of immunity; phagocytosis is a mechanism used by cells like macrophages to engulf and digest pathogens, but it is not a specific form of immunity like humoral or cell-mediated immunity.

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