Nursing Elites

1. Which neurotransmitter is associated with pleasure, reward, and motivation, and is often implicated in conditions such as addiction?

• A. Acetylcholine
• B. Dopamine
• C. Serotonin
• D. GABA (Gamma-aminobutyric acid)

Correct answer: B

Rationale: Dopamine is the neurotransmitter associated with pleasure, reward, and motivation. It plays a crucial role in the brain's reward system and is often implicated in conditions such as addiction. Acetylcholine is involved in muscle movement and memory, serotonin is linked to mood regulation, and GABA is an inhibitory neurotransmitter that helps reduce neuronal excitability. Therefore, the correct answer is dopamine as it aligns with the neurotransmitter functions related to pleasure, reward, and motivation, distinct from the roles of acetylcholine, serotonin, and GABA.

2. Which of the following cations is found at the center of a heme?

• A. Cr (III)
• B. Cu (II)
• C. Iron (II)
• D. Iron (III)

Correct answer: C

Rationale: The correct answer is Iron (II) (Fe2+), which is the cation found at the center of a heme group. Heme contains an iron (II) ion that is coordinated within the porphyrin ring structure. This iron ion is crucial for the function of heme in binding and transporting oxygen in hemoglobin and myoglobin. Choice A (Cr (III)) is incorrect as chromium is not typically found at the center of a heme group. Choice B (Cu (II)) is incorrect as copper is not the cation typically present in heme. Choice D (Iron (III)) is also incorrect as heme predominantly contains iron (II) at its center, not iron (III).

3. Which of the following is a cluster of capillaries that functions as the main filter of the blood entering the kidney?

• A. The Bowman's capsule
• B. The Loop of Henle
• C. The glomerulus
• D. The nephron

Correct answer: C

Rationale: The correct answer is C, the glomerulus. The glomerulus is a cluster of capillaries in the kidney responsible for filtering blood as it enters the nephron. It plays a crucial role in the initial stages of urine formation by filtering waste products and excess substances from the blood. Choice A, the Bowman's capsule, is incorrect as it surrounds the glomerulus and captures the filtrate. Choice B, the Loop of Henle, is incorrect as it is part of the nephron responsible for water reabsorption. Choice D, the nephron, is incorrect as it comprises the functional unit of the kidney and includes the glomerulus, Bowman's capsule, and other structures.

4. What is the difference between active and passive immunity?

• A. Active immunity is short-lived, while passive immunity is long-lasting.
• B. Active immunity involves the body's own immune response, while passive immunity provides immediate protection through antibodies from another source.
• C. Active immunity only protects against bacterial infections, while passive immunity works against both bacteria and viruses.
• D. Passive immunity requires repeated vaccinations, while active immunity is a one-time process.

Correct answer: B

Rationale: Active immunity involves the body's own immune response, where the individual's immune system produces antibodies in response to exposure to a pathogen or vaccine. This type of immunity is long-lasting because the immune system 'remembers' the pathogen and can mount a rapid response upon re-exposure. In contrast, passive immunity provides immediate protection through the transfer of pre-formed antibodies from another source, such as through maternal antibodies crossing the placenta or receiving antibodies through an injection. Passive immunity is short-lived because the transferred antibodies eventually degrade and are not produced by the recipient's immune system. Choice A is incorrect because active immunity is generally long-lasting, as it involves the production of antibodies by the individual's immune system. Choice C is incorrect as both active and passive immunity can work against various pathogens, not limited to bacteria or viruses. Choice D is incorrect as passive immunity does not require repeated vaccinations but provides temporary protection through the transfer of antibodies from an external source.

5. Certain medications can suppress the immune system to treat autoimmune diseases or prevent organ rejection after transplants. What is a potential risk associated with immunosuppressive drugs?

• A. Increased risk of developing allergies
• B. Increased susceptibility to infections
• C. Both A and B
• D. Neither A nor B

Correct answer: B

Rationale: Immunosuppressive drugs work by suppressing the immune system's activity, which can increase the risk of infections as the body's ability to fight off pathogens is compromised. While allergies can be a side effect of some medications, the primary concern with immunosuppressive drugs is the increased susceptibility to infections. Therefore, the correct answer is B, increased susceptibility to infections. Choice A, 'Increased risk of developing allergies,' is incorrect as the primary risk associated with immunosuppressive drugs is not related to allergies. Choice C, 'Both A and B,' is incorrect as the main concern is the increased susceptibility to infections rather than developing allergies. Choice D, 'Neither A nor B,' is incorrect as there is a known risk of increased susceptibility to infections when using immunosuppressive drugs.

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