For the patient with allergic rhinitis, which therapy should the nurse expect to be ordered first?
- A. Corticosteroids
- B. Immunotherapy
- C. Antipruritic drugs
- D. Sympathomimetic/decongestant drugs
Correct Answer: D
Rationale: Sympathomimetic/decongestant drugs are often used first to relieve nasal congestion in allergic rhinitis.
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The physician plans to prescribe trastuzumab (Herceptin) for the patient with breast cancer. What testing will the physician order before prescribing this medication?
- A. HER2 protein levels
- B. BRCA2 gene mutation
- C. BRCA1 gene mutation
- D. Stage II cancer identification
Correct Answer: A
Rationale: Trastuzumab targets HER2-positive breast cancers, so HER2 protein level testing is essential to determine eligibility.
What type of cells do natural killer (NK) cells target?
- A. Bacterial cells
- B. Virus-infected and cancerous cells
- C. Plasma cells
- D. Self-antigens
Correct Answer: B
Rationale: Natural killer (NK) cells target virus-infected and cancerous cells because they have the ability to recognize abnormal cells through activating receptors. These cells can identify changes in surface markers associated with viral infection or cancer, leading to their destruction. NK cells do not target bacterial cells (choice A), plasma cells (choice C), or self-antigens (choice D) as these are not typically recognized as threats by the immune system. NK cells play a crucial role in immune surveillance against abnormal cells, making choice B the correct answer.
Why is Edward Jenner's experiment on a young boy considered a scientific landmark?
- A. Jenner inoculated the young boy using material obtained from the scabs of a milkmaid who had suffered of a very mild form of smallpox. The boy never contracted the disease.
- B. Jenner inoculated the young boy first using material obtained from the scabs of a milkmaid who had suffered of a very mild form of smallpox; subsequently he inoculated the boy with virulent smallpox.
- C. Variolation was the crude practice of injecting smallpox in a way that would supposedly protect the recipient from getting a fatal form of the disease; Jenner instead injected the young boy with cowpox. The fact that the boy did not die proved that cowpox inoculation protects against smallpox
- D. Jenner noticed the milkmaids were protected from smallpox but were often affected by a mild disease caused by cowpox. He decided to inoculate a young boy with cowpox first and subsequently with smallpox to prove that exposing people to cowpox can make them immune from getting smallpox
Correct Answer: D
Rationale: Step 1: Jenner observed milkmaids were protected from smallpox due to prior exposure to cowpox.
Step 2: Jenner decided to inoculate a young boy with cowpox first.
Step 3: Jenner then inoculated the boy with smallpox to test immunity.
Step 4: The boy did not contract smallpox, demonstrating immunity.
Step 5: Conclusion: Jenner proved cowpox exposure can make individuals immune to smallpox.
Other choices are incorrect:
A: The boy never contracted smallpox, not just because of the mild form of smallpox in the milkmaid.
B: Inoculating with virulent smallpox first would not demonstrate cowpox immunity.
C: Jenner did not just substitute cowpox for smallpox; he specifically tested immunity by exposing the boy to both viruses.
DNA ligase catalyzes reactions that facilitate the formation of
- A. ester bonds
- B. DNA ligase
- C. phosphohydroxyl bonds
- D. amide bonds
Correct Answer: B
Rationale: DNA ligase catalyzes the formation of phosphodiester bonds between the sugar-phosphate backbone of DNA strands. The correct answer is B because DNA ligase specifically acts on these phosphodiester bonds to seal nicks in the DNA molecule during processes like DNA replication and repair. Option A, ester bonds, are not formed by DNA ligase. Option C, phosphohydroxyl bonds, is not a recognized type of bond in DNA ligation. Option D, amide bonds, are not formed by DNA ligase either. Thus, the correct answer is B as it aligns with the known function of DNA ligase.
Which isotype plays a major role in opsonization of antigens?
- A. IgM
- B. IgG
- C. IgA
- D. IgD
Correct Answer: B
Rationale: The correct answer is B: IgG. IgG plays a major role in opsonization by binding to antigens and marking them for phagocytosis. IgM is the first antibody produced in response to an infection but is not as effective in opsonization. IgA primarily protects mucosal surfaces. IgD is involved in the activation of B cells, not opsonization. In summary, IgG is the correct choice due to its specific role in opsonization compared to the other isotypes.