Nursing Elites

1. How do vaccines stimulate the immune system to develop memory without causing full-blown illness? What type of molecule in a vaccine typically triggers the immune response?

• A. Toxins produced by the pathogen
• B. Live, attenuated (weakened) forms of the pathogen
• C. Inactivated (dead) forms of the pathogen
• D. Antigens (specific molecules) from the pathogen

Correct answer: D

Rationale: Vaccines work by triggering the immune system to develop memory without causing illness. They typically contain antigens, which are specific molecules from the pathogen. These antigens stimulate the immune system to produce a targeted immune response without causing full-blown sickness. By presenting these antigens, vaccines help the immune system create memory cells that remember the pathogen. This memory allows the immune system to respond more effectively if it encounters the pathogen in the future. Choices A, B, and C are incorrect because vaccines do not typically contain toxins, live pathogens, or inactivated forms of the pathogen. Instead, vaccines primarily rely on specific molecules (antigens) to induce an immune response.

2. What is the function of the pleurae?

• A. To compartmentalize and lubricate the lungs
• B. To facilitate the flow of air
• C. To produce mucus
• D. To serve as the passageway for air

Correct answer: A

Rationale: The pleurae play a crucial role in compartmentalizing and lubricating the lungs. The pleura is a double-layered membrane that surrounds the lungs and lines the chest cavity. This double-layered structure reduces friction between the lungs and the chest wall during breathing movements, allowing smooth expansion and contraction of the lungs. Options B, C, and D are incorrect. Option B, 'To facilitate the flow of air,' is incorrect because while the pleurae are involved in the respiratory process, their primary function is not to directly facilitate the flow of air. Option C, 'To produce mucus,' is incorrect as the production of mucus is not a primary function of the pleurae. Option D, 'To serve as the passageway for air,' is incorrect as the passageway for air refers to the air passages like the trachea and bronchi, not the pleurae. Therefore, option A is correct as it accurately describes the function of the pleurae.

3. Which neurotransmitter is involved in muscle movement?

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

Correct answer: B

Rationale: Acetylcholine is the neurotransmitter responsible for muscle movement. It is released from motor neurons at the neuromuscular junction and binds to receptors on muscle fibers, initiating muscle contraction. Dopamine, serotonin, and GABA serve different functions in the brain and body, such as regulating mood, sleep, and inhibitory signaling, respectively. Therefore, choices A, C, and D are incorrect in the context of muscle movement.

4. Identify the opposing muscle pair.

• A. Bicep and tricep (Arm flexion and extension)
• B. Hamstring and quadriceps (Knee extension and flexion)
• C. Pectoralis major and pectoralis minor (Chest muscles)
• D. Trapezius and deltoid (Shoulder movement)

Correct answer: A

Rationale: The correct answer is A. The bicep and tricep muscles form an antagonistic muscle pair, where one muscle contracts while the other relaxes. The bicep, located on the front of the upper arm, is responsible for arm flexion (bending the elbow), while the tricep, situated on the back of the upper arm, is responsible for arm extension (straightening the elbow). This opposing action allows for controlled movement at the elbow joint. Choice B, hamstring and quadriceps, are not opposing muscles in the context of the knee joint; the hamstring group flexes the knee, while the quadriceps group extends it. Choices C and D do not represent an opposing muscle pair related to joint movement.

5. The Minimum Inhibitory Concentration (MIC) of an antibiotic refers to:

• A. The lowest concentration that kills bacteria
• B. The dose required for 50% bacterial inhibition
• C. The time it takes for an antibiotic to work
• D. The spectrum of bacteria the antibiotic targets

Correct answer: B

Rationale: A) The lowest concentration that kills bacteria is known as the Minimum Bactericidal Concentration (MBC), not the Minimum Inhibitory Concentration (MIC). MIC is the lowest concentration of an antibiotic that inhibits visible growth of bacteria. B) The MIC of an antibiotic is the concentration at which bacterial growth is inhibited by 50%. This concentration is used to determine the effectiveness of an antibiotic against a specific bacterium. C) The time it takes for an antibiotic to work is not described by the MIC. MIC is a measure of concentration, not time. D) The spectrum of bacteria the antibiotic targets is not defined by the MIC. The MIC value is specific to a particular antibiotic and bacterium, regardless of the spectrum of activity of the antibiotic.

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