Nursing Elites

1. Which vitamin is synthesized in the skin upon exposure to sunlight?

• A. Vitamin A
• B. Vitamin C
• C. Vitamin D
• D. Vitamin E

Correct answer: C

Rationale: Vitamin D is synthesized in the skin upon exposure to sunlight. When the skin is exposed to sunlight, a form of cholesterol in the skin is converted into vitamin D3 (cholecalciferol) through a series of chemical reactions. Vitamin D plays a crucial role in calcium absorption and bone health. Choice A, Vitamin A, is not synthesized in the skin upon exposure to sunlight; it is obtained through dietary sources. Choice B, Vitamin C, is not synthesized in the skin upon exposure to sunlight either. Vitamin C is obtained through dietary sources like fruits and vegetables. Choice D, Vitamin E, is not synthesized in the skin upon exposure to sunlight. Vitamin E is a fat-soluble vitamin that acts as an antioxidant and is obtained through dietary sources like nuts, seeds, and vegetable oils.

2. Which vitamin deficiency can lead to a condition called pernicious anemia, affecting vitamin B12 absorption in the digestive system?

• A. Vitamin A
• B. Vitamin B12 (cobalamin)
• C. Vitamin D
• D. Vitamin E

Correct answer: B

Rationale: Pernicious anemia is caused by a deficiency in vitamin B12 (cobalamin). Vitamin B12 is essential for the production of red blood cells and for the proper functioning of the nervous system. Pernicious anemia occurs when there is a lack of intrinsic factor, a protein produced in the stomach that is necessary for the absorption of vitamin B12 in the digestive system. Vitamin A, Vitamin D, and Vitamin E deficiencies do not lead to pernicious anemia. Vitamin A deficiency can cause night blindness and skin issues, Vitamin D deficiency can lead to rickets or osteomalacia, and Vitamin E deficiency can result in neurological problems and muscle weakness.

3. What is the most common cause of aseptic meningitis?

• A. Bacteria
• B. Viruses
• C. Fungi
• D. Parasites

Correct answer: B

Rationale: Aseptic meningitis is typically caused by viral infections, such as enteroviruses (e.g., coxsackievirus, echovirus), herpes simplex virus, varicella-zoster virus, and others. These viruses can infect the meninges, leading to inflammation and symptoms of meningitis without the presence of bacteria. While bacterial meningitis is a serious and life-threatening condition, aseptic meningitis caused by viruses is usually less severe and has a better prognosis. Fungi and parasites are less common causes of meningitis compared to bacteria and viruses.

4. Which of the following statements regarding macrophages is incorrect?

• A. They are found abundantly in the blood
• B. They are larger than neutrophils
• C. They are long-lived
• D. They are made in the bone marrow as monocytes, called macrophages once they reach organs

Correct answer: A

Rationale: The correct answer is A. Macrophages are not found abundantly in the blood; they are present in tissues and organs. Macrophages are tissue-resident immune cells that play a key role in immune responses and are derived from monocytes produced in the bone marrow. Choice B is correct as macrophages are larger than neutrophils. Choice C is correct as macrophages are long-lived cells. Choice D is correct as macrophages originate in the bone marrow as monocytes and differentiate into macrophages once they migrate to various tissues and organs.

5. Which of the following is a function of the skeletal system?

• A. To produce red blood cells
• B. To provide structural support
• C. To transport nutrients
• D. To store fat

Correct answer: B

Rationale: The correct answer is B: To provide structural support. The skeletal system is primarily responsible for supporting the body's structure, protecting internal organs, facilitating movement, and storing minerals. While bones do play a role in producing red blood cells (hematopoiesis) in the bone marrow, the main function related to the question is providing structural support. Choices C and D are incorrect as the skeletal system is not involved in transporting nutrients or storing fat. The main functions of the skeletal system are related to support, protection, movement facilitation, mineral storage, and hematopoiesis.

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