Nokea
Which of the following statements about the 2009 H1N1 pandemic is NOT true
- A. Caused by a virus originated from 4 different strains
- B. Individuals over 60 were especially affected
- C. A level 6 pandemic phase was declared by WHO in June 2009
- D. 2009 H1N1 is considered moderately virulent in terms of severity of disease
Correct Answer: B
Rationale: The correct answer is B. Individuals over 60 were not especially affected by the 2009 H1N1 pandemic. This is because older individuals had some level of immunity due to previous exposure to similar strains. The other choices are incorrect because: A: The 2009 H1N1 virus originated from a combination of 2 different strains, not 4. C: WHO declared a level 6 pandemic phase in June 2009. D: The 2009 H1N1 virus was considered less virulent compared to other strains.
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T regulatory cells are NOT
- A. Generated in the thymus upon expression of Foxp3
- B. Generated in the periphery in response to cytokines
- C. Able to inhibit effector T cells
- D. Able to cause immunity
Correct Answer: D
Rationale: The correct answer is D because T regulatory cells are known to suppress immune responses and promote immune tolerance, which is opposite to causing immunity. Choice A is incorrect because T regulatory cells are indeed generated in the thymus upon expression of Foxp3. Choice B is incorrect as T regulatory cells can also be generated in the periphery in response to cytokines. Choice C is incorrect as T regulatory cells are known to inhibit effector T cells to regulate immune responses.
Which of the following statements is NOT true?
- A. Plague or Black Death is the disease that devastated Europe in Medieval times (1350-1400) with about 50% of the European population having been wiped out.
- B. There are reports of Black Death dating as early as 1000 B.C. making plague probably the most ancient disease and the first recorded
- C. Plague is still endemic in some countries
- D. Plague can be cured with antibiotics
Correct Answer: B
Rationale: The correct answer is B because there are no reports of the Black Death dating back to 1000 B.C. The Black Death specifically refers to the pandemic outbreak of the bubonic plague in the 14th century. The first recorded pandemic of the Black Death occurred in the 14th century, not in 1000 B.C. The other choices are incorrect because A is true as the Black Death did devastate Europe in the 14th century, C is true as plague is still present in some countries, and D is true as plague can be treated with antibiotics if caught early.
Severe combined immunodeficiency (SCID) is a disease caused by:
- A. Infection with human immunodeficiency virus
- B. One of several inherited genetic mutations
- C. Deficiency of both innate and adaptive immune components
- D. Deficiency of hematopoietic stem cells
Correct Answer: B
Rationale: Step 1: SCID is a genetic disorder affecting the immune system.
Step 2: Inherited genetic mutations cause abnormalities in immune cells.
Step 3: These mutations lead to severe deficiencies in immune function.
Step 4: Choice B accurately reflects the genetic basis of SCID.
Summary: Choice A is incorrect because SCID is not caused by HIV. Choice C is incorrect as it oversimplifies the immune deficiencies in SCID. Choice D is incorrect because SCID primarily affects immune cells, not stem cells.
A patient is admitted with acute myelogenous leukemia and a history of Hodgkin’s lymphoma. What is the nurse likely to find in the patient’s history?
- A. Work as a radiation chemist
- B. Epstein-Barr virus diagnosed in vitro
- C. Intense tanning throughout the lifetime
- D. Alkylating agents for treating the Hodgkin’s lymphoma
Correct Answer: D
Rationale: Alkylating agents used to treat Hodgkin’s lymphoma can increase the risk of developing secondary malignancies like acute myelogenous leukemia.
What are the effects of histamine released from mast cells?
- A. Increased vascular permeability and bronchoconstriction
- B. Neutralization of antigens and opsonization
- C. Complement activation and T cell proliferation
- D. Direct lysis of pathogens
Correct Answer: A
Rationale: The correct answer is A because histamine released from mast cells causes increased vascular permeability, leading to edema, and bronchoconstriction, contributing to respiratory symptoms. This is a key mechanism in allergic reactions.
B: Neutralization of antigens and opsonization are functions of antibodies, not histamine.
C: Complement activation and T cell proliferation are separate immune responses not mediated by histamine.
D: Direct lysis of pathogens is typically carried out by immune cells like macrophages and natural killer cells, not histamine.