Nursing Elites

1. 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.

2. Bile, stored in the gallbladder, aids in the digestion of which nutrient?

• A. Carbohydrates
• B. Proteins
• C. Fats
• D. Vitamins

Correct answer: C

Rationale: Bile, produced by the liver and stored in the gallbladder, aids in the digestion of fats. Bile emulsifies fats, breaking them down into smaller droplets to increase the efficiency of fat digestion by enzymes like lipase. This process enhances the absorption of fats in the small intestine, facilitating the body's utilization of essential fatty acids and fat-soluble vitamins. Carbohydrates are primarily broken down by enzymes like amylase, proteins by pepsin and other proteases, and vitamins have varying digestion and absorption processes, which do not involve bile. Therefore, the correct answer is fats as they are directly influenced by bile in the digestion process.

3. What is the purpose of sodium bicarbonate when released into the lumen of the small intestine?

• A. It works to chemically digest fats in the chyme.
• B. It decreases the pH of the chyme to prevent harm to the intestine.
• C. It works to chemically digest proteins in the chyme.
• D. It increases the pH of the chyme to prevent harm to the intestine.

Correct answer: D

Rationale: Sodium bicarbonate, when released into the lumen of the small intestine, functions to increase the pH of the acidic chyme coming from the stomach. This increase in pH helps neutralize the acidity of the chyme, creating a more optimal environment for the digestive enzymes in the small intestine to function properly. Maintaining a slightly basic pH in the small intestine is crucial for overall digestion and absorption of nutrients. Choices A, B, and C are incorrect. Sodium bicarbonate does not chemically digest fats or proteins in the chyme, and it does not decrease the pH of the chyme as it actually increases the pH to prevent harm to the intestine.

4. What is the role of the pancreas in digestion?

• A. To secrete bile
• B. To secrete digestive enzymes
• C. To absorb nutrients
• D. To transport waste

Correct answer: B

Rationale: The correct answer is B: 'To secrete digestive enzymes.' The pancreas plays a crucial role in digestion by secreting digestive enzymes that break down carbohydrates, proteins, and fats. This process aids in the breakdown of food into nutrients that can be absorbed by the small intestine. Choices A, C, and D are incorrect because the pancreas is not responsible for secreting bile (liver and gallbladder function), absorbing nutrients (small intestine function), or transporting waste (colon function) in the digestive system.

5. What are the four types of cells in the gastric glands of the stomach mucosa?

• A. Endocrine, parietal, chief, mucous cells
• B. Parietal, mucous, goblet, endocrine cells
• C. Chief, parietal, goblet, lymphoid cells
• D. Goblet, lymphoid, parietal, chief cells

Correct answer: A

Rationale: The correct answer is A: Endocrine, parietal, chief, mucous cells. In the gastric glands of the stomach mucosa, the four types of cells are endocrine (producing hormones), parietal (secreting acid and intrinsic factor), chief (responsible for producing digestive enzymes), and mucous cells (providing protection to the stomach lining). These cells play essential roles in the digestive processes and maintaining the health of the stomach mucosa. Choices B, C, and D are incorrect because they do not accurately represent the types of cells found in the gastric glands of the stomach mucosa. Parietal cells secrete acid and intrinsic factor, chief cells produce digestive enzymes, and mucous cells provide protection, making these the correct choices in the context of gastric gland cellular composition.

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