Nursing Elites

1. What is a gene, and what is the relationship between genes, genotype, and phenotype?

• A. A gene is a sequence of amino acids; genes make up proteins; genotype determines phenotype
• B. A gene is a portion of DNA; genes determine traits; genotype is the genetic makeup; phenotype is the physical manifestation
• C. A gene is a protein; proteins determine traits; genotype is the set of all genes
• D. A gene is a lipid; lipids determine traits; phenotype is the physical manifestation

Correct answer: B

Rationale: A gene is a portion of DNA that contains the instructions for a specific trait. Genotype refers to the genetic makeup of an organism, encompassing all its genes. Phenotype, on the other hand, is the observable physical manifestation resulting from the interaction between an organism's genotype and environmental factors. Choice A is incorrect because genes do not consist of amino acids directly; they are sequences of nucleotides. Choice C is incorrect as genes do not determine traits directly but provide the instructions for proteins that may influence traits. Choice D is incorrect as genes are not lipids, and lipids do not determine traits; they are a type of biomolecule with different functions.

2. What is the name of the microscopic finger-like projections that increase the surface area for absorption in the small intestine?

• A. Goblet cells
• B. Paneth cells
• C. Villi
• D. Crypts of Lieberkühn

Correct answer: C

Rationale: A) Goblet cells: Goblet cells are specialized cells that secrete mucus to protect the lining of the digestive tract. While important for maintaining the health of the intestines, goblet cells do not increase the surface area for absorption in the small intestine. B) Paneth cells: Paneth cells are specialized cells found in the small intestine that secrete antimicrobial peptides. They play a role in protecting the intestinal stem cells and maintaining the gut microbiota balance, but they do not increase the surface area for absorption. C) Villi: Villi are microscopic finger-like projections found in the small intestine that increase the surface area available for absorption of nutrients. Each villus contains blood vessels and lacteals (lymphatic vessels) that help absorb nutrients from digested food. D) Crypts of Lieberkühn: Crypts of Lieberkühn are small pits located between the villi

3. Which of the following best describes the process of osmosis?

• A. Movement of molecules against their concentration gradient
• B. Movement of water across a selectively permeable membrane
• C. Movement of water and solutes together
• D. Movement of large molecules through a membrane

Correct answer: B

Rationale: The correct answer is B. Osmosis is the process where water moves across a selectively permeable membrane from an area of low solute concentration to an area of high solute concentration. Choice A is incorrect because osmosis does not involve movement against the concentration gradient. Choice C is incorrect because osmosis primarily involves the movement of water, not water and solutes together. Choice D is incorrect as osmosis specifically refers to the movement of water molecules, not large molecules, through a membrane.

4. After exposure to a pathogen, the immune system develops memory. What type of immune cell is responsible for this immunological memory?

• A. B cells
• B. T cells (specifically memory T cells)
• C. Phagocytes
• D. Natural killer cells

Correct answer: A

Rationale: B cells are responsible for immunological memory. Memory B cells, a type of B cells, retain a 'memory' of specific pathogens, enabling them to rapidly produce antibodies upon re-exposure. This rapid antibody production facilitates a quicker and more effective immune response. Although memory T cells also contribute to immunological memory by mounting a swift and robust immune response upon re-exposure to the pathogen, it is primarily memory B cells that play a crucial role in producing antibodies. Phagocytes are important immune cells involved in engulfing and digesting pathogens, while natural killer cells are primarily responsible for recognizing and eliminating abnormal cells, such as virus-infected cells or tumor cells. However, when it comes to immunological memory and antibody production, B cells are key players.

5. How many tissue layers make up the uterus?

• A. One.
• B. Two.
• C. Three.
• D. Four.

Correct answer: C

Rationale: The correct answer is C, 'Three.' The uterus is composed of three tissue layers: the endometrium, myometrium, and perimetrium. The endometrium is the innermost layer that thickens during the menstrual cycle and sheds during menstruation or supports a developing embryo during pregnancy. The myometrium is the middle layer, consisting of muscle tissue that contracts during labor. The perimetrium is the outer layer that covers the uterus. These three layers work together to support the functions of the uterus, such as menstruation, pregnancy, and labor. Choices A, B, and D are incorrect because the uterus is not made up of just one or two layers but rather three distinct tissue layers.

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