Nokea
Secondary lymphoid tissues are where:
- A. naïve lymphocytes become activated
- B. VDI gene rearrangement occurs
- C. Somatic hypermutation occurs
- D. Two of these options are correct
Correct Answer: D
Rationale: The correct answer is D because secondary lymphoid tissues are where both A and C processes occur. Naïve lymphocytes become activated in secondary lymphoid tissues through interactions with antigens, leading to their differentiation into effector cells. Somatic hypermutation also occurs in secondary lymphoid tissues, specifically in germinal centers of lymph nodes, leading to the generation of high-affinity antibodies. Option B, VDI gene rearrangement, does not occur in secondary lymphoid tissues; it is a process that happens in the primary lymphoid organs (bone marrow and thymus) during the development of lymphocytes. Thus, options A and C are correct, making the correct answer D.
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What is the name of a tumor from the embryonal mesoderm tissue of origin located in the anatomic site of the meninges that has malignant behavior?
- A. Meningitis
- B. Meningioma
- C. Meningocele
- D. Meningeal sarcoma
Correct Answer: D
Rationale: Meningeal sarcoma is a malignant tumor originating from the mesodermal tissue of the meninges.
What drives the emergence of immuno-resistant pathogen strains?
- A. Host immune system failure
- B. Slow mutation rates in pathogens
- C. Rapid pathogen reproduction and mutations
- D. Absence of host immune adaptation
Correct Answer: C
Rationale: The correct answer is C: Rapid pathogen reproduction and mutations drive the emergence of immuno-resistant pathogen strains. This is because the high rate of reproduction allows for more opportunities for mutations to occur, some of which may confer resistance to the host's immune system or medical interventions. Slow mutation rates in pathogens (B) would not lead to the rapid emergence of resistant strains. Host immune system failure (A) occurs after the pathogen has already developed resistance. The absence of host immune adaptation (D) does not directly drive the emergence of resistant strains as it is the rapid reproduction and mutations of pathogens that play a crucial role.
Priority Decision: The patient with advanced cancer is having difficulty controlling her pain. She says she is afraid she will become addicted to the opioids. What is the first thing the nurse should do for this patient?
- A. Administer a nonsteroidal antiinflammatory drug
- B. Assess the patient’s vital signs and behavior to determine the medication to use
- C. Have the patient keep a pain diary to better assess the patient’s potential addiction
- D. Obtain a detailed pain history including quality,location intensity duration and type of pain
Correct Answer: D
Rationale: A detailed pain history helps tailor pain management strategies and alleviates concerns about addiction.
When the clinic nurse starts to take the "air cast" off the grade 2 sprain, the patient asks why it is being removed since he still has pain. Which explanation is best?
- A. "Long-term immobilization can interfere with adequate circulation."
- B. "Long-term immobilization may increase long-term edema."
- C. "Long-term immobilization can cause permanent disability."
- D. "This cast will be replaced with a heavier cast."
Correct Answer: C
Rationale: The correct answer is C because long-term immobilization can indeed cause permanent disability in the case of a grade 2 sprain. Prolonged immobilization can lead to muscle atrophy, joint stiffness, and decreased range of motion, which can result in long-term disability. Choice A is incorrect because adequate circulation is more related to prolonged immobilization, not short-term removal for evaluation. Choice B is incorrect as edema is a short-term concern and not a direct result of long-term immobilization. Choice D is incorrect as there is no indication that a heavier cast will be used.
Which antibodies are involved in Type II hypersensitivity?
- A. IgE and IgA
- B. IgG and IgM
- C. IgD and IgG
- D. IgM and IgA
Correct Answer: B
Rationale: The correct answer is B (IgG and IgM) because in Type II hypersensitivity, antibodies target antigens on cell surfaces or tissues. IgG and IgM antibodies are involved in this type of immune response by binding to antigens and triggering cell destruction through complement activation or phagocytosis. IgE and IgA (choice A) are typically associated with Type I and Type III hypersensitivity, respectively. IgD (choice C) is primarily involved in B cell activation, while IgA (choice D) is more commonly associated with mucosal immunity.