Nursing Elites

1. Which of the following correctly identifies a difference between the primary and secondary immune response?

• A. In the secondary response, macrophages migrate to the lymph nodes to present the foreign microorganism to helper T lymphocytes.
• B. The humoral immunity that characterizes the primary response is coordinated by B lymphocytes.
• C. The primary response is quicker and more powerful than the secondary response.
• D. Suppressor T cells are activated in the secondary response to prevent an overactive immune response.

Correct answer: C

Rationale: The correct answer is C. The primary immune response is slower and less powerful compared to the secondary immune response. During the primary response, immune cells encounter the antigen for the first time, necessitating the activation and proliferation of specific immune cells. In contrast, the secondary response benefits from memory cells that quickly recognize the antigen, enabling a faster and more potent immune response. Choices A, B, and D are incorrect. While macrophages play a role in presenting antigens to T cells, this is not a defining difference between primary and secondary responses. Humoral immunity involves B lymphocytes in both primary and secondary responses, so it does not differentiate the two. Suppressor T cells primarily function to regulate the immune response but are not a key factor distinguishing primary from secondary responses.

2. Which structure in the heart is responsible for preventing the backflow of blood from the left ventricle into the left atrium?

• A. Aortic valve
• B. Pulmonary valve
• C. Tricuspid valve
• D. Mitral valve

Correct answer: D

Rationale: The mitral valve, also known as the bicuspid valve, is located between the left atrium and the left ventricle of the heart. Its primary function is to prevent the backflow of blood from the left ventricle into the left atrium during ventricular contraction. The aortic valve (A) prevents the backflow of blood from the aorta into the left ventricle, the pulmonary valve (B) prevents the backflow of blood from the pulmonary artery into the right ventricle, and the tricuspid valve (C) prevents the backflow of blood from the right ventricle into the right atrium. Understanding the functions of these heart valves is crucial in maintaining proper blood flow through the heart and preventing regurgitation of blood into the wrong chambers.

3. Why is the lining of the stomach covered with rugae?

• A. Rugae increase the output of gastric juices.
• B. Rugae increase the surface area of the stomach.
• C. Rugae increase the permeability of the stomach walls.
• D. Rugae increase the types of nutrients that can diffuse.

Correct answer: B

Rationale: Rugae are folds in the stomach lining that increase its surface area. This increased surface area allows for more efficient digestion and absorption of nutrients in the stomach. Choice A is incorrect because rugae do not directly affect the output of gastric juices. Choice C is incorrect because rugae do not impact the permeability of the stomach walls. Choice D is incorrect because rugae do not influence the types of nutrients that can diffuse.

4. What is an alteration in the normal gene sequence called?

• A. DNA mutation
• B. Gene migration
• C. Polygenic inheritance
• D. Incomplete dominance

Correct answer: A

Rationale: A DNA mutation is the correct term used to describe an alteration in the normal gene sequence. It refers to changes in the DNA sequence that can result in different traits or characteristics. Gene migration involves the movement of genes between populations, polygenic inheritance refers to the inheritance of traits controlled by multiple genes, and incomplete dominance is a pattern of inheritance where neither allele is dominant.

5. Which hormone primarily triggers ovulation in the female menstrual cycle?

• A. Estrogen
• B. Progesterone
• C. Luteinizing hormone (LH)
• D. Follicle-stimulating hormone (FSH)

Correct answer: C

Rationale: Luteinizing hormone (LH) is the hormone primarily responsible for triggering ovulation in the female menstrual cycle. LH surge occurs around the middle of the menstrual cycle, causing the mature follicle to release an egg from the ovary. Estrogen and progesterone play crucial roles in regulating the menstrual cycle and preparing the endometrium for potential implantation of a fertilized egg, but they do not trigger ovulation directly. Follicle-stimulating hormone (FSH) is essential for the development of ovarian follicles but is not the primary hormone responsible for ovulation. Therefore, the correct answer is Luteinizing hormone (LH) as it directly initiates the release of the egg during ovulation.

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