Nokea
The MMR (Measles, MUMPs, Rubella) vaccine has been the object of controversy after a report (lately declared fraudulent) of an association with development of:
- A. Multiple sclerosis
- B. Autism
- C. Encephalitis
- D. Epilepsy
Correct Answer: B
Rationale: The correct answer is B: Autism. The controversy surrounding the MMR vaccine and autism emerged from a fraudulent report that falsely claimed a link between the two. Numerous scientific studies have since debunked this association, confirming the safety of the MMR vaccine. Autism is a neurodevelopmental disorder with a complex etiology, involving genetic and environmental factors, but not vaccines. Choices A, C, and D are incorrect as there is no proven causal link between the MMR vaccine and multiple sclerosis, encephalitis, or epilepsy.
You may also like to solve these questions
A major antibody-mediated mechanism of defense against parasitic worms involves:
- A. Neutrophil degranulation
- B. Opsonization
- C. Triggering of physiological responses (such as coughing) that expel the worm
- D. Neutralization by IgE along the mucosal surface of the gut
Correct Answer: D
Rationale: The correct answer is D because neutralization by IgE along the mucosal surface of the gut is a major antibody-mediated mechanism against parasitic worms. IgE binds to antigens on the worm's surface, leading to the release of histamine and other mediators that help expel the worm. Neutrophil degranulation (A) is more associated with bacterial infections, opsonization (B) is mainly for phagocytosis of pathogens, and triggering physiological responses (C) is not a direct antibody-mediated defense against parasitic worms.
You are working in an AIDS hospice facility that is also staffed with LPNs and nursing assistants. Which of these nursing actions is best to delegate to an LPN you are supervising?
- A. Assess patients’ nutritional needs and individualize diet plans to improve nutrition.
- B. Collect data about the patients’ response to medications used for pain and anorexia.
- C. Teach the nursing assistants about how to lower the risk for spreading infections.
- D. Assist patients with personal hygiene and other activities of daily living as needed.
Correct Answer: B
Rationale: LPNs are trained to collect data and monitor patients’ responses to medications which is within their scope of practice. Assessing nutritional needs and teaching about infection control are more complex tasks that typically require the expertise of an RN. Assisting with personal hygiene is usually delegated to nursing assistants.
If you were to observe the activity of methylated DNA, you would expect it to
- A. be unwinding in preparation for protein synthesis.
- B. be replicating nearly continuously.
- C. have turned off or slowed down the process of transcription.
- D. induce protein synthesis by not allowing repressors to bind to it.
Correct Answer: C
Rationale: The correct answer is C because methylation of DNA typically results in the inhibition or slowing down of transcription. Methylated DNA attracts proteins that bind to it, preventing transcription factors from accessing the DNA and initiating transcription. This interference with the transcription process leads to gene silencing or reduced gene expression.
A: DNA unwinding in preparation for protein synthesis is unrelated to DNA methylation.
B: Continuous replication is not a typical consequence of DNA methylation.
D: Methylation does not directly induce protein synthesis but rather affects transcription by influencing gene expression.
Which of the following is a feature of antigen recognition by B cells?
- A. Their antigen receptors are never secreted
- B. Their antigen receptors recognize a fragment of protein in combination with an MHC molecule
- C. Their receptors each have two identical antigen binding sites
- D. They recognize pattern associated molecular structures (PAMPs) that are unique to a particular pathogen
Correct Answer: C
Rationale: The correct answer is C because B cell receptors, known as antibodies, are Y-shaped proteins with two identical antigen-binding sites. This feature allows B cells to bind to specific antigens with high specificity. Each B cell receptor can bind to a unique antigen, leading to the initiation of an immune response.
Choice A is incorrect because B cell receptors can be secreted as antibodies to target antigens outside the cell.
Choice B is incorrect because B cell receptors recognize antigens directly, not in combination with MHC molecules.
Choice D is incorrect because B cells primarily recognize specific antigens rather than general PAMPs associated with pathogens.
Which of the following is the main reason why older clients with AIDS need more care than their younger counterparts?
- A. Because older clients lack in balanced diet and activity
- B. Because older clients lack knowledge about disorders
- C. Because older clients have a faster progression of disease
- D. Because older clients do not generally adhere to a therapy
Correct Answer: C
Rationale: Older clients with AIDS often experience a faster progression of the disease due to age-related declines in immune function.