Nursing Elites

1. Which of the following is NOT a type of antibody?

• A. IgA
• B. IgM
• C. Interferon
• D. IgG

Correct answer: C

Rationale: A) IgA: This is a type of antibody found in mucosal areas such as the gut, respiratory tract, and genitourinary tract. It plays a role in mucosal immunity. B) IgM: This is a type of antibody produced during the primary immune response and is the first antibody to be produced in response to an infection. C) Interferon: Interferons are signaling proteins produced by cells in response to viral infections. They play a role in the immune response by interfering with viral replication, but they are not antibodies. D) IgG: This is the most abundant type of antibody in the bloodstream and is involved in long-term immunity. Therefore, the correct answer is C) Interferon, as it is not a type of antibody.

2. Which of the following is a constant?

• A. The number of protons in an oxygen atom
• B. The temperature at which iron ore will melt
• C. The human population size
• D. The time the sun rises each day

Correct answer: A

Rationale: The number of protons in an oxygen atom is a constant. This value is determined by the atomic number of the element and does not change regardless of the isotope of oxygen. The number of protons defines the element and remains consistent under normal conditions. Choices B, C, and D are not constants. The temperature at which iron ore will melt can vary depending on factors like pressure, the human population size is constantly changing, and the time the sun rises each day varies with the seasons and location.

3. Which of the following types of immunity is provided by the secretion of antibodies by B-cells?

• A. Cell-mediated
• B. Humoral
• C. Innate immunity
• D. Phagocytic

Correct answer: B

Rationale: The correct answer is B: Humoral. Humoral immunity involves B-cells secreting antibodies to fight pathogens. In this type of immunity, antibodies circulate in the blood and other body fluids to neutralize pathogens and prevent infections. Cell-mediated immunity, on the other hand, involves the activation of T-cells to directly attack infected or abnormal cells, not the secretion of antibodies. Innate immunity refers to the nonspecific defense mechanisms the body has in place from birth, such as physical barriers and inflammatory responses. Phagocytic immunity is not a recognized type of immunity; phagocytosis is a mechanism used by cells like macrophages to engulf and digest pathogens, but it is not a specific form of immunity like humoral or cell-mediated immunity.

4. Where would a nonpregnant patient with normal anatomy most commonly have pain in acute appendicitis?

• A. Right upper quadrant.
• B. Left upper quadrant.
• C. Right lower quadrant.
• D. Left lower quadrant.

Correct answer: C

Rationale: In acute appendicitis, nonpregnant patients with normal anatomy commonly experience pain in the right lower quadrant of the abdomen. The pain usually starts around the umbilicus or epigastric area and then migrates to the right lower quadrant as inflammation progresses in the appendix. This classic migration of pain is known as McBurney's point tenderness and is a key clinical feature in diagnosing appendicitis.

5. Which enzyme found in saliva is responsible for breaking down carbohydrates into smaller molecules like sugars?

• A. Pepsin
• B. Amylase
• C. Lipase
• D. Trypsin

Correct answer: B

Rationale: The correct answer is B. Saliva contains an enzyme called amylase, which specifically targets carbohydrates and breaks them down into smaller molecules like sugars. Pepsin, choice A, is an enzyme found in the stomach that breaks down proteins, not carbohydrates. Lipase, choice C, is responsible for breaking down fats, not carbohydrates. Trypsin, choice D, is an enzyme that breaks down proteins in the small intestine, not carbohydrates. Therefore, choices A, C, and D are incorrect for this question.

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