Nokea
Which of the following would help a client with allergic skin reaction reduce itching and maintain intact skin?
- A. Humidifying the environment
- B. Avoiding a skin lubricant
- C. Bathing with a bar soap that contains lye
- D. Bathing with hot water
Correct Answer: A
Rationale: Humidifying the environment helps to keep the skin moist reducing itching and preventing skin breakdown.
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The researcher that postulated the existence of 'pattern recognition receptors' on innate cells was:
- A. Susumu Tonegawa
- B. Ilya Metchnikoff
- C. Charles Janeway
- D. Ralph Steinman
Correct Answer: C
Rationale: The correct answer is C: Charles Janeway. He proposed the existence of pattern recognition receptors on innate cells in the 1980s, leading to the development of the concept of innate immunity. Janeway's hypothesis revolutionized our understanding of immune responses by emphasizing the role of pattern recognition in detecting pathogens. Tonegawa is known for his work on immune diversity; Metchnikoff discovered phagocytes; and Steinman identified dendritic cells. Janeway's contribution to immunology specifically focuses on pattern recognition receptors, making him the correct choice for this question.
Which of the following is not a systemic cytokine?
- A. TNF
- B. IL-1
- C. IL-6
- D. IL-8
Correct Answer: D
Rationale: The correct answer is D: IL-8. IL-8 is not a systemic cytokine because it mainly acts locally at the site of inflammation to recruit neutrophils. Systemic cytokines like TNF, IL-1, and IL-6 have widespread effects throughout the body, influencing various immune responses and inflammatory processes. IL-8's localized action distinguishes it from systemic cytokines, making it the correct choice. TNF, IL-1, and IL-6 are all systemic cytokines that play key roles in regulating the immune response and inflammation at a systemic level, unlike IL-8.
Many immune cells listed below are found in the absence of infection in the lamina propria of the gut with the exception of:
- A. Neutrophils
- B. Macrophages
- C. Plasma cells
- D. T cells
Correct Answer: A
Rationale: Neutrophils are typically not found in the lamina propria of the gut in the absence of infection because they are primarily involved in the acute inflammatory response to infections. Macrophages, plasma cells, and T cells are commonly present in the gut lamina propria to maintain immune homeostasis and respond to antigens. Neutrophils are more abundant in tissues during active infection due to their role in phagocytosis and inflammation. Therefore, the correct answer is A: Neutrophils.
The major role of the complement system is to work in conjunction with
- A. antibodies to lyse cells via the C8 and C9 components
- B. the major histocompatibility complex for cell recognition
- C. antibodies to opsonize cells
- D. the T-cell receptor for production of lymphokines
Correct Answer: A
Rationale: Rationale: The complement system is a group of proteins that enhance the ability of antibodies and phagocytic cells to clear pathogens. Choice A is correct because the C8 and C9 components of the complement system form the membrane attack complex which lyses cells. Choices B, C, and D are incorrect because the complement system primarily functions independently of the major histocompatibility complex, antibodies for opsonization, and T-cell receptor for lymphokine production.
Which of the following represents the correct sequence of host immune defenses as encountered by a pathogen?
- A. Innate responses; physical barriers; adaptive responses
- B. Physical barriers; innate responses; adaptive responses
- C. Adaptive responses; physical barriers; innate responses
- D. Physical barriers; adaptive responses; innate responses
Correct Answer: B
Rationale: The correct sequence is B: Physical barriers; innate responses; adaptive responses. Physical barriers like skin and mucous membranes are the first line of defense, followed by innate responses (e.g., inflammation, phagocytosis) that provide immediate, non-specific protection. Adaptive responses (e.g., antibody production, T cell activation) are the final defense mechanism, specifically targeting the pathogen. Choices A, C, and D are incorrect because they do not follow the correct chronological order of how host immune defenses are encountered by a pathogen. Option A and D have the innate and adaptive responses in the wrong order, while option C places adaptive responses before physical barriers, which is not accurate in terms of the sequence of host immune defenses.