Nursing Elites

1. Autoimmune diseases occur when the immune system mistakenly attacks healthy body tissues. What is a potential cause of autoimmune diseases?

• A. Deficiency in essential vitamins and minerals
• B. Exposure to environmental toxins
• C. Breakdown in immune cell self-tolerance mechanisms
• D. All of the above

Correct answer: C

Rationale: Autoimmune diseases result from a breakdown in immune cell self-tolerance mechanisms, leading to the immune system mistakenly attacking healthy body tissues. While deficiencies in essential vitamins and minerals or exposure to environmental toxins can impact overall health, they are not direct causes of autoimmune diseases. Deficiency in essential vitamins and minerals may weaken the immune system, making it more susceptible to various health issues but does not directly cause autoimmune diseases. Exposure to environmental toxins can trigger immune responses, but autoimmune diseases specifically stem from the breakdown of self-tolerance mechanisms within immune cells. Therefore, the correct answer is a breakdown in immune cell self-tolerance mechanisms.

2. Parkinson's disease is a neurodegenerative disorder affecting which neurotransmitter?

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

Correct answer: A

Rationale: Parkinson's disease is primarily caused by the loss of dopamine-producing neurons in the brain. Dopamine is a neurotransmitter that plays a crucial role in coordinating movement. The reduction of dopamine levels leads to the characteristic motor symptoms of Parkinson's disease, such as tremors, rigidity, and bradykinesia. Choice B, acetylcholine, is involved in functions like muscle contraction and autonomic nervous system regulation but is not primarily affected in Parkinson's disease. Serotonin (Choice C) is involved in mood regulation and sleep, not the main neurotransmitter affected in Parkinson's disease. Glutamate (Choice D) is the major excitatory neurotransmitter in the central nervous system and is not primarily implicated in Parkinson's disease pathophysiology.

3. What are the two main divisions of the skeletal system?

• A. Upper and lower body bones
• B. Axial and appendicular skeleton
• C. Long and short bones
• D. Compact and spongy bone

Correct answer: B

Rationale: The skeletal system is divided into two main divisions: the axial skeleton and the appendicular skeleton. The axial skeleton comprises the skull, vertebral column, and rib cage, providing structural support and protection for vital organs. On the other hand, the appendicular skeleton includes the bones of the upper and lower limbs, shoulder girdle, and pelvic girdle, facilitating movement and flexibility. The divisions are based on the location and function of the bones within the skeletal system, making choices A, C, and D incorrect as they do not represent the primary divisions of the skeletal system.

4. What type of immunity is acquired through vaccination?

• A. Passive natural immunity
• B. Active natural immunity
• C. Active artificial immunity
• D. Passive artificial immunity

Correct answer: C

Rationale: The correct answer is C, Active artificial immunity. Vaccination introduces a weakened or inactive form of the pathogen to stimulate the immune system, leading to the development of immunity. Active artificial immunity is the result of deliberate exposure to an antigen, such as through vaccination, to produce an immune response. Passive immunity, like receiving pre-formed antibodies, does not involve the immune system's activation. Natural immunity is typically acquired through exposure to the pathogen itself, not through vaccination.

5. What is the largest lymphatic vessel in the body?

• A. Jugular vein
• B. Thoracic duct
• C. Subclavian vein
• D. Aorta

Correct answer: B

Rationale: The thoracic duct is the largest lymphatic vessel in the body, responsible for draining lymph from most parts of the body except for the right upper quadrant. The jugular vein, subclavian vein, and aorta are not part of the lymphatic system; they are blood vessels and do not serve as lymphatic vessels. Therefore, choices A, C, and D are incorrect as they are not associated with the lymphatic system's transport of lymph.

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