Although the cause of autoimmune disorders is unknown, which factors are believed to be present in most conditions (select all that apply)?
- A. Younger age
- B. Male gender
- C. Inheritance of susceptibility genes
- D. Initiation of autoreactivity by triggers
Correct Answer: C
Rationale: Autoimmune disorders are often associated with genetic predisposition and environmental triggers that initiate autoreactivity.
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Many immune cells listed below are found in the absence of infection in the lamina propria of the gut with the exception of:
- A. Neutrophils
- B. Macrophages
- C. Plasma cells
- D. T cells
Correct Answer: A
Rationale: Neutrophils are typically not found in the lamina propria of the gut in the absence of infection because they are primarily involved in the acute inflammatory response to infections. Macrophages, plasma cells, and T cells are commonly present in the gut lamina propria to maintain immune homeostasis and respond to antigens. Neutrophils are more abundant in tissues during active infection due to their role in phagocytosis and inflammation. Therefore, the correct answer is A: Neutrophils.
What type of cell is responsible for carrying oxygen and carbon dioxide in the body?
- A. Red blood cell
- B. White blood cell
- C. Platelet
- D. Hematocrit
Correct Answer: A
Rationale: The correct answer is A: Red blood cell. Red blood cells, also known as erythrocytes, contain hemoglobin that binds to oxygen and carbon dioxide for transport in the bloodstream. They are specifically designed for gas exchange. White blood cells (B) are part of the immune system and fight infections. Platelets (C) are responsible for blood clotting. Hematocrit (D) refers to the proportion of red blood cells in the blood, not a specific type of cell responsible for gas transport.
Which factors will assist a patient in coping positively with having cancer (select all that apply)?
- A. Feeling of control
- B. Strong support system
- C. Internalization of feelings
- D. Possibility of cure or control
Correct Answer: B
Rationale: Factors such as feeling in control, having a strong support system, and the possibility of cure or control enhance positive coping with cancer.
The nurse determines that a patient has long-term immunity against a disease. Which part of the immune system should the nurse recognize is responsible for this patient's long-term immunity?
- A. IgE
- B. IgG
- C. Mast cells
- D. Plasma cells
Correct Answer: B
Rationale: The correct answer is B: IgG. IgG is an immunoglobulin that provides long-term immunity by recognizing and neutralizing pathogens. It is produced by plasma cells in response to an infection, allowing the body to remember the pathogen and mount a quicker and more effective immune response upon re-exposure. IgE is involved in allergic reactions, not long-term immunity. Mast cells are involved in allergic responses and inflammation, not long-term immunity. Plasma cells produce antibodies, including IgG, but the plasma cells themselves are not responsible for long-term immunity.
To raise antibodies that interfere with the interaction of HIV with CD4+ T cells, vaccines should target which of the following HIV antigens
- A. gp41
- B. Reverse transcriptase
- C. gp120
- D. Matrix proteins
Correct Answer: C
Rationale: The correct answer is C: gp120. This is because gp120 is a key HIV antigen that plays a crucial role in binding to CD4 receptors on T cells, facilitating viral entry. By targeting gp120, vaccines can induce antibodies that block this interaction, preventing HIV from infecting CD4+ T cells. Conversely, choices A, B, and D (gp41, Reverse transcriptase, Matrix proteins) are not as effective targets for interfering with the CD4+ T cell interaction, as they do not directly impact the initial binding and entry process of HIV into the cells.