Nursing Elites

1. Which of the following is not part of the body’s secondary defense system?

• A. Macrophages
• B. Leukocytes
• C. T cells
• D. Cilia

Correct answer: D

Rationale: Cilia are not part of the body's secondary defense system. They are hair-like structures primarily involved in movement and transporting substances across cell surfaces, such as in the respiratory tract for debris and pathogen removal. However, cilia do not play a direct role in the immune response mechanisms characteristic of the body's secondary defense system. Macrophages, leukocytes, and T cells are immune cells that actively participate in the secondary defense system by targeting and eliminating pathogens.

2. Which vitamin is essential for maintaining healthy skin and vision?

• A. Vitamin C
• B. Vitamin A
• C. Vitamin D
• D. Vitamin K

Correct answer: B

Rationale: Vitamin A is the correct answer. It is essential for maintaining healthy skin and vision, especially in low-light conditions. Vitamin A helps in the production of retinal pigments necessary for vision in dim light and supports skin health by promoting cell turnover and repair. Choice A, Vitamin C, is important for the immune system and collagen production but is not specifically known for maintaining skin and vision health. Choice C, Vitamin D, is crucial for bone health and immune function but is not directly related to skin and vision health. Choice D, Vitamin K, is necessary for blood clotting and bone health but does not play a significant role in maintaining healthy skin and vision.

3. What structures are likely torn in a rotator cuff tear?

• A. Tendon and possibly ligament
• B. Muscle and possibly tendon
• C. Ligament and possibly muscle
• D. Tendon only

Correct answer: A

Rationale: In a rotator cuff tear, the most common structures torn are the tendons of the rotator cuff muscles. In severe cases, the tear may also extend to involve the surrounding ligaments. Therefore, the correct answer is A, as it accurately represents the structures that are likely to be affected in a rotator cuff tear. Choice B is incorrect as muscles are not typically torn in a rotator cuff tear. Choice C is also incorrect as ligaments are not the primary structures involved in a rotator cuff tear. Choice D is incorrect because a rotator cuff tear typically involves more than just the tendons.

4. Which hormone is released in response to low blood glucose levels?

• A. Insulin
• B. Glucagon
• C. Cortisol
• D. Adrenaline

Correct answer: B

Rationale: Glucagon is the hormone released in response to low blood glucose levels. When blood glucose levels drop, the pancreas secretes glucagon to stimulate the liver to break down glycogen into glucose, increasing blood sugar levels. This helps to restore the body's glucose balance. Insulin, on the other hand, is released in response to high blood glucose levels to lower blood sugar by promoting glucose uptake by cells. Cortisol is a stress hormone, and adrenaline is released in response to stress or danger, not specifically to regulate blood glucose levels.

5. Where are B-lymphocytes produced?

• A. Thymus
• B. Red bone marrow
• C. Lymph nodes
• D. Spleen

Correct answer: B

Rationale: B-lymphocytes are produced in the red bone marrow. The red bone marrow is the primary site for B-cell development, where they mature before entering the circulation. The thymus is responsible for T-lymphocyte maturation, not B-lymphocytes. Lymph nodes and spleen play roles in immune responses but are not the primary sites for B-lymphocyte production.

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