Nokea
What accurately describes passive acquired immunity (select all that apply)?
- A. Pooled gamma globulin
- B. Immunization with antigen
- C. Temporary for several months
- D. Immediate, lasting several weeks
Correct Answer: C
Rationale: Passive acquired immunity involves the transfer of antibodies from one individual to another, such as pooled gamma globulin, maternal immunoglobulins, and immediate protection that lasts for weeks to months.
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The intestinal epithelial cells that specialize in the production of antimicrobial peptides are called:
- A. Goblet cells
- B. Enterocytes
- C. Paneth cells
- D. Epithelial stem cells
Correct Answer: C
Rationale: The correct answer is C: Paneth cells. Paneth cells are specialized intestinal epithelial cells located in the small intestine that produce antimicrobial peptides to help defend against pathogens. They play a crucial role in maintaining gut homeostasis. Goblet cells (A) secrete mucus, enterocytes (B) absorb nutrients, and epithelial stem cells (D) are responsible for cell regeneration, but they do not produce antimicrobial peptides like Paneth cells do.
Which of the following statements is NOT true?
- A. A B cell epitope will often be destroyed by denaturation
- B. A pathogen will often have more than one B cell epitope
- C. A B cell epitope is the part of the antibody molecule that contacts an antigen
- D. B cell epitopes are most commonly found on the surface of pathogens
Correct Answer: C
Rationale: The correct answer is C because a B cell epitope is not a part of the antibody molecule that contacts an antigen. B cell epitopes are specific regions on an antigen that bind to B cell receptors. Choice A is incorrect because denaturation can expose B cell epitopes. Choice B is incorrect because pathogens typically have multiple B cell epitopes. Choice D is incorrect because B cell epitopes can be found on various parts of pathogens, not just on the surface.
What is a compensatory mechanism for metabolic alkalosis?
- A. Shifting of bicarbonate into cells in exchange for chloride
- B. Kidney conservation of bicarbonate and excretion of hydrogen ions
- C. Deep,rapid respirations (Kussmaul respirations) to increase CO2 excretion
- D. Decreased respiratory rate and depth to retain CO2 and kidney excretion of bicarbonate
Correct Answer: D
Rationale: To compensate for metabolic alkalosis, the body decreases respiratory rate to retain CO2 and excretes bicarbonate via kidneys.
What is the primary mechanism by which innate immunity differentiates between self and non-self?
- A. Somatic recombination
- B. Recognition of PAMPs via PRRs
- C. Presentation of antigens by MHC molecules
- D. Production of antibodies
Correct Answer: B
Rationale: The correct answer is B: Recognition of PAMPs via PRRs. Innate immunity distinguishes self from non-self by recognizing Pathogen-Associated Molecular Patterns (PAMPs) via Pattern Recognition Receptors (PRRs). This recognition triggers an immediate response to eliminate potential threats. Choices A, C, and D are incorrect because somatic recombination is a process in adaptive immunity, MHC molecules present antigens for recognition by T cells in adaptive immunity, and antibody production is part of adaptive immunity involving B cells.
You are completing an assessment and health history for an HIV-positive patient who is considering starting antiretroviral therapy with several medications. Which patient information concerns you the most?
- A. Patient has been HIV positive for 8 years and has never been on any drug therapy for the HIV infection.
- B. Patient tells you that he never has been very consistent about taking medications in the past.
- C. Patient continues to be sexually active with multiple partners and says that he is careful to use condoms.
- D. Patient has many questions and concerns regarding how effective and safe the medications are.
Correct Answer: B
Rationale: Adherence to antiretroviral therapy is critical for its success. If the patient has a history of inconsistent medication use this raises concerns about the effectiveness of the therapy and the risk of developing drug resistance. The other information while important does not directly impact the success of the treatment as much as adherence does.