Nokea
A patient is scheduled to have a tunneled catheter placed for administration of chemotherapy for breast cancer. When preparing the patient for the catheter insertion, what does the nurse explain about this method of chemotherapy administration?
- A. Decreases the risk for extravasation at the infusion site
- B. Reduces the incidence of systemic side effects of the drug
- C. Does not become occluded as peripherally inserted catheters can
- D. Allows continuous infusion of the drug directly to the area of the tumor
Correct Answer: A
Rationale: Tunneled catheters reduce extravasation risks compared to peripheral lines by delivering medications centrally.
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A small molecule that combines with a specific allosteric protein so that both prevent RNA polymerase activity is called a(n):
- A. inducer
- B. repressor
- C. corepressor
- D. leader
Correct Answer: C
Rationale: The correct answer is C: corepressor. A corepressor is a small molecule that binds to an allosteric protein to inhibit its activity. In this case, the corepressor prevents RNA polymerase activity. The other choices are incorrect because:
A: Inducer activates gene expression.
B: Repressor inhibits gene expression by binding to DNA.
D: Leader is not a term related to allosteric regulation.
What is not true about Salmonella thyphimurium?
- A. It is the causal agent of "hamburger disease"
- B. It is the second most common cause of food poisoning
- C. It is able to induce its own uptake by manipulating the actin cytoskeleton of host cells
- D. It is able to survive inside the phagosomes by manipulating the host actin cytoskeleton
Correct Answer: A
Rationale: The correct answer is A: It is the causal agent of "hamburger disease." Salmonella typhimurium is not the causal agent of "hamburger disease." Instead, Escherichia coli O157:H7 is the primary causal agent of this particular foodborne illness. Salmonella typhimurium is commonly associated with causing salmonellosis. Therefore, choice A is incorrect. Choices B, C, and D are all true statements about Salmonella typhimurium. It is the second most common cause of food poisoning, it is able to induce its own uptake by manipulating the actin cytoskeleton of host cells, and it is able to survive inside the phagosomes by manipulating the host actin cytoskeleton.
Alumn is an adjuvant that triggers
- A. TLR4
- B. DAMPs formation
- C. NOD1
- D. TLR9
Correct Answer: B
Rationale: The correct answer is B: DAMPs formation. Alum is known to trigger the release of damage-associated molecular patterns (DAMPs), which are endogenous molecules released by damaged cells. This activation of DAMPs plays a crucial role in initiating and enhancing the immune response. The other choices, TLR4, NOD1, and TLR9, are receptors involved in recognizing specific pathogen-associated molecular patterns (PAMPs) rather than DAMPs. Therefore, they are not directly triggered by alum. This makes choice B the correct answer based on the known mechanism of action of alum as an adjuvant.
Which of the following is NOT a property of CD8+ T cells?
- A. They typically differentiate into cytotoxic T cells (Tc)
- B. They always recognize peptide antigen in association with an MHC molecule
- C. They are important in defense against intracellular pathogens
- D. They are the cell responsible for antibody-dependent cell-mediated cytotoxicity
Correct Answer: D
Rationale: The correct answer is D because CD8+ T cells are not responsible for antibody-dependent cell-mediated cytotoxicity. A is correct as CD8+ T cells differentiate into cytotoxic T cells. B is correct as CD8+ T cells recognize peptide antigens with MHC molecules. C is correct as CD8+ T cells are vital in defense against intracellular pathogens. D is incorrect as CD8+ T cells do not mediate cell cytotoxicity through antibodies.
Which of the following is not an outcome of phagocytosis in macrophages
- A. Respiratory burst
- B. Nitric oxide production
- C. Antigen presentation
- D. Complement activation
Correct Answer: D
Rationale: The correct answer is D: Complement activation. Phagocytosis by macrophages involves engulfing and digesting pathogens. Complement activation occurs through a separate pathway involving a series of proteins that enhance the immune response. Phagocytosis does not directly lead to complement activation. Choices A, B, and C are outcomes of phagocytosis in macrophages: Respiratory burst involves production of reactive oxygen species, nitric oxide production helps destroy pathogens, and antigen presentation is important for activating other immune cells.