Nursing Elites

1. Which of the following is NOT a component of the body's innate immune response?

• A. Physical barriers like skin and mucous membranes
• B. Phagocytes that engulf and destroy pathogens
• C. Inflammatory response to isolate and contain infection
• D. Production of antibodies specific to a particular pathogen

Correct answer: D

Rationale: The production of antibodies specific to a particular pathogen is a function of the adaptive immune response, not the innate immune response. Innate immunity involves nonspecific defense mechanisms like physical barriers, phagocytes, and inflammation, which provide immediate protection against pathogens without prior exposure. Antibody production is a characteristic of adaptive immunity, where the body generates specific antibodies in response to encountering a pathogen for the first time. Therefore, option D is the correct answer as it does not align with the immediate and nonspecific nature of the innate immune response.

2. The patella, commonly known as the kneecap, is an example of a:

• A. Sesamoid bone
• B. Long bone
• C. Short bone
• D. Irregular bone

Correct answer: A

Rationale: The patella, also known as the kneecap, is an example of a sesamoid bone. Sesamoid bones develop within tendons, such as the patellar tendon in this case. The patella is embedded in the tendon of the quadriceps muscle, enhancing the mechanical advantage of the muscle and protecting the knee joint. Long bones, like the femur, are characterized by their elongated shape with growth plates at the ends. Short bones, such as those in the wrist and ankle, are cube-shaped bones. Irregular bones, like vertebrae, do not fit into the other bone shape categories due to their unique shapes and functions.

3. What is the main function of the endoplasmic reticulum (ER) in the cell?

• A. To synthesize and transport proteins and lipids
• B. To package and transport proteins
• C. To break down macromolecules
• D. To store genetic material

Correct answer: A

Rationale: The endoplasmic reticulum (ER) is a network of membranes within the cell that plays a crucial role in protein and lipid synthesis. It consists of two types: rough ER, which is studded with ribosomes and involved in protein synthesis, and smooth ER, which is involved in lipid synthesis and detoxification. The ER's main function is to synthesize proteins and lipids, not just package and transport them. While the ER is involved in transporting these synthesized proteins and lipids to other parts of the cell or outside the cell, its primary role is in their synthesis. Breaking down macromolecules is primarily the function of lysosomes, which are membrane-bound organelles containing enzymes for digestion. Storing genetic material is the function of the nucleus, which houses the cell's DNA. The ER is not involved in storing genetic material.

4. What are substances that stimulate adaptive immunity called?

• A. Peptides
• B. Phagocytes
• C. Prions
• D. Platelets

Correct answer: A

Rationale: Substances that stimulate adaptive immunity are called peptides. Peptides are short chains of amino acids that play a crucial role in activating the immune response by interacting with immune cells such as T cells and B cells. Peptides are important in antigen presentation and recognition, leading to the development of specific immune responses against pathogens. Choice B, phagocytes, are cells that engulf and digest pathogens but are not substances that stimulate adaptive immunity. Choice C, prions, are infectious agents made of misfolded proteins and are not related to stimulating adaptive immunity. Choice D, platelets, are cell fragments involved in blood clotting and have no direct role in stimulating adaptive immunity.

5. Which muscle has involuntary cells that are branched and striated and connected by intercalated discs with gap junctions?

• A. Smooth muscle
• B. Cardiac muscle
• C. Skeletal muscle
• D. Epithelial muscle

Correct answer: B

Rationale: The correct answer is B: Cardiac muscle. Cardiac muscle cells fit the description provided in the question; they are involuntary, striated, and branched, with intercalated discs containing gap junctions that allow for synchronized contractions of the heart. Smooth muscle (choice A) lacks striations and is found in the walls of internal organs. Skeletal muscle (choice C) is voluntary and attaches to bones for movement. 'Epithelial muscle' (choice D) is not a valid muscle type, making it an incorrect choice.

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