Nokea
The patient is admitted from home with a stage II pressure ulcer. This wound is classified as a yellow wound using the red-yellow-black concept of wound care. What is the nurse likely to observe when she does her wound assessment?
- A. Serosanguineous drainage
- B. Adherent gray necrotic tissue
- C. Clean, moist granulating tissue
- D. Creamy ivory to yellow-green exudate
Correct Answer: B
Rationale: Yellow wounds typically exhibit adherent gray necrotic tissue, indicating partial-thickness tissue loss without slough or eschar.
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Hfr strains of bacteria:
- A. do not have an 'F' (fertility) factor.
- B. have an 'F' factor plasmid.
- C. have an 'F' factor integrated in the bacterial chromosome.
- D. transfer the genetic information to other bacteria with ow frequency.
Correct Answer: C
Rationale: The correct answer is C because Hfr strains of bacteria have the F factor integrated into their bacterial chromosome. This integration allows for the transfer of genetic material during conjugation. This integration results in a high frequency of genetic information transfer to recipient cells, which is a characteristic of Hfr strains.
Choice A is incorrect because Hfr strains do have the F factor, but it is integrated into their chromosome, not absent. Choice B is incorrect because Hfr strains do not just have an F factor plasmid; it is integrated into the chromosome. Choice D is incorrect because Hfr strains actually transfer genetic information with high frequency, not low frequency.
Which of the following is NOT true? The meeting of naïve T cells and dendritic cells:
- A. Is facilitated by the presence of naïve B cells
- B. Occurs in the paracortex of lymph nodes
- C. Is facilitated by movement of the T cell along connective tissue networks
- D. May supply the T cell with activation Signal 1
Correct Answer: A
Rationale: The correct answer is A because the meeting of naïve T cells and dendritic cells is not facilitated by the presence of naïve B cells. Naïve T cells interact with dendritic cells in the paracortex of lymph nodes, not with naïve B cells. The movement of T cells along connective tissue networks aids in their interaction with dendritic cells, and this interaction may supply the T cell with activation Signal 1, which is essential for T cell activation. Overall, the incorrect choices (B, C, and D) are actually true statements regarding the meeting of naïve T cells and dendritic cells, making them incorrect options.
Which of the statements below is NOT true. Integration is a stage of HIV life cycle that
- A. Utilizes a host enzyme called integrase
- B. Is a target of some anti-HIV drugs
- C. Allows duplication of proviral DNA when the infected cell divides
- D. Requires the formation of double stranded DNA
Correct Answer: A
Rationale: The correct answer is A. Integration is a stage of HIV life cycle that involves the insertion of viral DNA into the host cell's genome, facilitated by the enzyme integrase. To explain why A is incorrect, integrase is a viral enzyme, not a host enzyme.
B is correct as some anti-HIV drugs target the integration stage to prevent viral replication.
C is correct as integrated proviral DNA allows for duplication during cell division.
D is correct as integration requires the formation of double-stranded viral DNA.
Recognize the following that would be classified as a delayed hypersensitivity reaction.
- A. Anaphylaxis
- B. Allergic contact dermatitis
- C. Cytotoxic hypersensitivity
- D. Immune complex hypersensitivity
Correct Answer: B
Rationale: The correct answer is B: Allergic contact dermatitis. This is classified as a delayed hypersensitivity reaction because it involves activation of T cells, which takes time to develop. Anaphylaxis (A) is an immediate hypersensitivity reaction mediated by IgE. Cytotoxic hypersensitivity (C) involves antibodies attacking cells directly, not delayed. Immune complex hypersensitivity (D) involves immune complexes depositing in tissues, triggering inflammation, not T cell activation.
Flu neuraminidase is
- A. A protein that allows the virus to escape the host immune response
- B. A surface protein that allows the release of newly formed viral particles
- C. The target of Tamiflu
- D. Both B and C are correct
Correct Answer: D
Rationale: The correct answer is D because flu neuraminidase is a surface protein that allows the release of newly formed viral particles and it is also the target of Tamiflu. Neuraminidase helps the virus spread by cleaving sialic acid from host cells, facilitating the release of viral particles. Tamiflu inhibits neuraminidase, preventing the spread of the virus. Option A is incorrect because neuraminidase does not directly help the virus escape the host immune response. Option B is partially correct but incomplete without mentioning Tamiflu. Option C is also partially correct but incomplete without mentioning the role of neuraminidase in releasing viral particles.