Nokea
What is the primary mechanism by which innate immunity differentiates between self and non-self?
- A. Somatic recombination
- B. Recognition of PAMPs via PRRs
- C. Presentation of antigens by MHC molecules
- D. Production of antibodies
Correct Answer: B
Rationale: The correct answer is B: Recognition of PAMPs via PRRs. Innate immunity distinguishes self from non-self by recognizing Pathogen-Associated Molecular Patterns (PAMPs) via Pattern Recognition Receptors (PRRs). This recognition triggers an immediate response to eliminate potential threats. Choices A, C, and D are incorrect because somatic recombination is a process in adaptive immunity, MHC molecules present antigens for recognition by T cells in adaptive immunity, and antibody production is part of adaptive immunity involving B cells.
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T cells can recognize
- A. Linear peptides
- B. The shape of antigens
- C. Buried epitopes
- D. Soluble antigens
Correct Answer: B
Rationale: The correct answer is B: The shape of antigens. T cells recognize antigens based on their shape, specifically the conformational structure of the antigen. T cell receptors interact with the surface of antigens, forming a complex based on the shape complementarity. This interaction is crucial for T cell activation and immune response.
A: Linear peptides - While T cells can recognize linear peptides presented by MHC molecules, the primary mode of recognition is through the shape of antigens.
C: Buried epitopes - T cells typically recognize epitopes displayed on the surface of antigens rather than buried within the structure.
D: Soluble antigens - T cells can recognize both soluble and membrane-bound antigens, but the key factor is the shape rather than the solubility of the antigen.
Which of the following would have the highest priority in septic shock?
- A. Monitoring temperature.
- B. Monitoring airway,breathing,circulation (ABC).
- C. Monitoring pupillary reaction.
- D. Monitoring ANA and RF levels.
Correct Answer: B
Rationale: In septic shock, maintaining airway, breathing, and circulation (ABC) is critical because these systems ensure oxygenation and perfusion, which are compromised in shock states. Monitoring temperature and other parameters is secondary to stabilizing ABC.
What was atypical about the 2009 H1N1 pandemic?
- A. It emerged entirely as an assortment of human strains, while typical pandemics are caused by newly generated animal strains
- B. It was a newly assorted virus unrelated to the human strains that were circulating worldwide in 2009
- C. It was a variant of 1918 H1N1 that is still circulating in pigs
- D. It did not affect the very young, an age group typically struck by flu viruses
Correct Answer: B
Rationale: The correct answer is B because the 2009 H1N1 pandemic was caused by a newly assorted virus unrelated to existing human strains. This is atypical as typical pandemics are caused by animal strains. Option A is incorrect because the 2009 H1N1 pandemic did not emerge entirely as an assortment of human strains. Option C is incorrect as the 2009 H1N1 virus was not a variant of the 1918 H1N1 strain circulating in pigs. Option D is incorrect because the 2009 H1N1 pandemic did affect individuals across all age groups, including the very young.
What treatment is commonly used for anaphylaxis?
- A. Antihistamines only
- B. Epinephrine
- C. Corticosteroids only
- D. Antibiotics
Correct Answer: B
Rationale: The correct answer is B: Epinephrine. Epinephrine is the first-line treatment for anaphylaxis as it rapidly reverses the symptoms by constricting blood vessels, relaxing airway muscles, and increasing heart rate. It is crucial in preventing severe complications and can be life-saving. Antihistamines (choice A) only target histamine effects, which are not sufficient in managing anaphylaxis. Corticosteroids (choice C) are used as adjunct therapy but are not as immediate or critical as epinephrine. Antibiotics (choice D) are not indicated for anaphylaxis treatment. Therefore, epinephrine is the most appropriate choice for managing anaphylaxis effectively.
A patient with diarrhea has been diagnosed with Clostridium difficile. Along with standard precautions, which kind of transmission-based precautions will be used when the nurse is caring for this patient?
- A. Droplet precautions
- B. Contact precautions
- C. Isolation precautions
- D. Airborne precautions
Correct Answer: B
Rationale: Clostridium difficile spreads through direct contact with contaminated surfaces or hands. Therefore, contact precautions are necessary to prevent its transmission.