Macrophages differentiate
- A. From blood neutrophils
- B. In tissues
- C. From the common lymphoid progenitor
- D. In the bone marrow
Correct Answer: B
Rationale: Macrophages differentiate in tissues because they originate from monocytes which leave the bloodstream and mature into macrophages in various tissues. This process is essential for their diverse functions in immune response and tissue maintenance. Choices A, C, and D are incorrect because macrophages do not differentiate from blood neutrophils, the common lymphoid progenitor, or in the bone marrow.
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A protein-protein interaction domain present both in TLR-4 and MyD88 is:
- A. CARD
- B. TIR
- C. Leucine rich repeat (LRR)
- D. Immunoglobulin-like domain
Correct Answer: B
Rationale: The correct answer is B: TIR. This is because both TLR-4 and MyD88 contain a Toll/interleukin-1 receptor (TIR) domain, which mediates protein-protein interactions in the Toll-like receptor signaling pathway. The other options, such as A (CARD), C (LRR), and D (Immunoglobulin-like domain), are not present in both TLR-4 and MyD88 and do not play a significant role in their interaction in the signaling pathway. This makes B the most appropriate choice as it accurately identifies the common protein-protein interaction domain between TLR-4 and MyD88.
The physician is having difficulty finding the appropriate dose for the patient taking warfarin (Coumadin). What can the nurse suggest that may solve this problem?
- A. Pharmacogenetic testing
- B. Start bivalirudin (Angiomax) IV
- C. Change from warfarin (Coumadin) to clopidogrel (Plavix) and aspirin
- D. Change from warfarin (Coumadin) to enoxoparin (Lovenox) injections
Correct Answer: A
Rationale: Pharmacogenetic testing evaluates genetic variations affecting drug metabolism, helping optimize dosing for medications like warfarin.
What could happen to the woman’s serum osmolality as a result of this meal?
- A. Increased
- B. No change
- C. Decreased
- D. Unchanged
Correct Answer: B
Rationale: The meal contains high amounts of sodium from salt pork and gravy, which would increase serum osmolality due to increased sodium concentration in the blood.
Which nutrients aid in capillary synthesis and collagen production by the fibroblasts in wound healing?
- A. Fats
- B. Proteins
- C. Vitamin C
- D. Vitamin A
Correct Answer: C
Rationale: Vitamin C plays a crucial role in collagen synthesis, which is essential for wound healing. It supports the formation of new blood vessels (angiogenesis) and strengthens connective tissue.
What type of diseases does the immune system primarily defend against?
- A. Autoimmune diseases
- B. Infectious diseases
- C. Neurological disorders
- D. Cardiovascular diseases
Correct Answer: B
Rationale: The correct answer is B: Infectious diseases. The immune system's main function is to protect the body from foreign invaders such as bacteria, viruses, and parasites. It recognizes and eliminates these pathogens to prevent infections. Autoimmune diseases (A) occur when the immune system mistakenly attacks healthy cells. Neurological disorders (C) and cardiovascular diseases (D) are not primarily defended against by the immune system as they are not caused by external pathogens.