Nursing Elites

1. T cells in the immune system can be categorized into different types. What type of T cell directly kills infected body cells?

• A. Helper T cells
• B. Cytotoxic T cells
• C. Regulatory T cells
• D. Memory T cells

Correct answer: B

Rationale: Cytotoxic T cells directly kill infected body cells by recognizing specific antigens on the surface of infected cells and releasing cytotoxic substances to induce cell death, eliminating the infected cells. Helper T cells assist in coordinating the immune response, regulatory T cells help maintain immune tolerance, and memory T cells mount a faster and stronger response upon re-exposure to a previously encountered antigen. Therefore, the correct answer is cytotoxic T cells as they play a crucial role in directly targeting and destroying infected cells.

2. What is the primary difference between ionic and metallic bonding?

• A. Ionic bonds involve electron transfer, while metallic bonds involve electron sharing.
• B. Ionic bonds are weak and directional, while metallic bonds are strong and non-directional.
• C. Ionic bonds exist between metals and non-metals, while metallic bonds exist only between metals.
• D. Ionic bonds form discrete molecules, while metallic bonds form extended structures.

Correct answer: B

Rationale: Ionic bonds involve electron transfer, where one atom completely donates an electron to another, resulting in discrete molecules. On the other hand, metallic bonds are non-directional and strong, formed by a 'sea' of delocalized electrons shared among all metal atoms. This shared electron cloud allows for strong bonding throughout the entire material, making metallic bonds non-directional and strong compared to the directional and weaker nature of ionic bonds. Choice A is incorrect because metallic bonds do not involve electron sharing but rather the sharing of a sea of delocalized electrons. Choice C is incorrect as metallic bonds can also exist between metal atoms, not just between metals and non-metals. Choice D is incorrect because metallic bonds do not form discrete molecules but rather extended structures due to the sharing of electrons among all metal atoms.

3. What is the role of hemoglobin in red blood cells?

• A. To carry carbon dioxide to the lungs
• B. To carry oxygen from the lungs to the body
• C. To regulate blood pressure
• D. To produce white blood cells

Correct answer: B

Rationale: Hemoglobin in red blood cells functions to carry oxygen from the lungs to tissues in the body. It binds to oxygen in the lungs and releases it to the body's cells, ensuring they have an adequate oxygen supply for metabolic processes. Choice A is incorrect because hemoglobin primarily carries oxygen, not carbon dioxide. Choice C is incorrect because hemoglobin's role is not related to blood pressure regulation. Choice D is incorrect because hemoglobin is not involved in the production of white blood cells.

4. What are the three layers of the heart?

• A. Endocardium, myocardium, epicardium
• B. Pericardium, endocardium, myocardium
• C. Epicardium, myocardium, endocardium
• D. Pericardium, myocardium, endocardium

Correct answer: C

Rationale: The correct answer is C: Epicardium, myocardium, endocardium. The heart wall consists of three layers: the outer layer is the epicardium, the middle muscular layer is the myocardium, and the inner layer is the endocardium. Understanding the layers of the heart is essential for comprehending its structure and function. Choices A, B, and D are incorrect because they do not present the layers of the heart in the correct order. The pericardium is the outermost layer that surrounds the heart, but it is not part of the heart wall itself. Therefore, choices B and D are incorrect. Choice A is incorrect as it presents the layers in the wrong order, starting with the endocardium instead of the epicardium, which is the outermost layer.

5. What potential consequences can chromosomal nondisjunction have on offspring?

• A. Down syndrome, caused by an extra copy of chromosome 21.
• B. Turner syndrome, characterized by the absence of one X chromosome in females.
• C. Klinefelter syndrome, featuring one or more extra X chromosomes in males.
• D. All of the above.

Correct answer: D

Rationale: - Chromosomal nondisjunction is the failure of homologous chromosomes or sister chromatids to separate properly during cell division, leading to an abnormal number of chromosomes in the resulting cells. - Down syndrome is caused by an extra copy of chromosome 21, resulting from nondisjunction during meiosis. Individuals with Down syndrome have three copies of chromosome 21 instead of the usual two. - Turner syndrome is characterized by the absence of one X chromosome in females, leading to a variety of physical and developmental features. - Klinefelter syndrome features one or more extra X chromosomes in males, typically resulting in infertility and other physical characteristics. Therefore, chromosomal nondisjunction can lead to various genetic disorders such as Down syndrome, Turner syndrome, and Klinefelter syndrome, making option D the correct answer.

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