Nursing Elites

1. What is the first event to occur in a primary immune response?

• A. Macrophages phagocytose pathogens and present their antigens.
• B. Neutrophils aggregate and act as cytotoxic, nonspecific killers of pathogens.
• C. B lymphocytes make pathogen-specific antibodies.
• D. Helper T cells secrete interleukins to activate pathogen-fighting cells.

Correct answer: A

Rationale: The correct answer is A. The initial event in a primary immune response is the phagocytosis of pathogens by macrophages and the subsequent presentation of their antigens, which is crucial for initiating the adaptive immune response. Neutrophils (Choice B) are also involved in the innate immune response, but they typically respond after macrophages. B lymphocytes (Choice C) produce antibodies later in the adaptive immune response, and Helper T cells (Choice D) help in coordinating the immune response but are not the first cells to act in a primary immune response.

2. What is the process of converting ammonia, a byproduct of protein digestion, into a less toxic form?

• A. Deamination
• B. Transamination
• C. Decarboxylation
• D. Hydrolysis

Correct answer: A

Rationale: Deamination is the correct answer. It is the process of removing an amino group from a molecule, like converting ammonia (NH3) into a less toxic form such as urea. Ammonia, a byproduct of protein digestion, must be converted into a less toxic form for excretion. Deamination is a crucial step that mainly occurs in the liver through the urea cycle. Transamination involves transferring an amino group from one molecule to another, not removing it as in deamination. Decarboxylation is the removal of a carboxyl group from a molecule, and hydrolysis is the breakdown of a compound by adding water.

3. What property of a substance refers to its ability to be drawn into thin wires?

• A. Conductivity
• B. Ductility
• C. Viscosity
• D. Malleability

Correct answer: B

Rationale: Ductility is the property of a substance that allows it to be drawn into thin wires without breaking. Conductivity refers to the ability of a substance to conduct electricity or heat, not to be drawn into wires. Viscosity is the measure of a fluid's resistance to flow, not related to the ability to be drawn into wires. Malleability is the property of a substance that allows it to be hammered or rolled into thin sheets, not specifically related to being drawn into wires. Therefore, the correct property for the ability to be drawn into thin wires is ductility.

4. In which regions of the digestive system is amylase produced?

• A. pancreas and salivary glands
• B. gall bladder and salivary glands
• C. gall bladder and liver
• D. pancreas and liver

Correct answer: A

Rationale: Amylase is an enzyme that breaks down carbohydrates into smaller sugars. It is produced in the pancreas and salivary glands. The salivary glands release amylase into the mouth during chewing, where it initiates the breakdown of carbohydrates. The pancreas also secretes amylase into the small intestine to further assist in carbohydrate digestion. Choices B, C, and D are incorrect as the gall bladder does not produce amylase, and the liver's primary function is not the production of amylase for carbohydrate breakdown.

5. Which of the following processes breaks down cellular components for recycling or waste removal?

• A. Photosynthesis
• B. Cellular respiration
• C. Cell division
• D. Phagocytosis

Correct answer: D

Rationale: The correct answer is D: Phagocytosis. Phagocytosis is the process by which cells engulf and break down cellular components or foreign particles for recycling or waste removal. It is a vital mechanism used by cells to maintain homeostasis and remove waste materials. Photosynthesis (A) is the process by which plants convert light energy into chemical energy to produce food, not for breaking down cellular components. Cellular respiration (B) is the process by which cells generate energy from nutrients, not for waste removal. Cell division (C) is the process by which cells replicate and divide to form new cells during growth, repair, or development, not for breaking down cellular components.

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