ANSWERS WITH SOLUTIONS 2024
Which of the following phenomena would be least likely to result in activation of the complement
system? - ANSWER Recognition of an antibody bound to the surface of a microbe
The binding of mannose residues on microbial glycoproteins
*******Activation of Toll-like receptors (TLRs) on complement proteins
Direct recognition of microbial proteins
A tourist presented to a primary care health clinic complaining of malaise, fever, and headache. She has
subsequently been diagnosed with Rocky Mountain spotted fever, a pathology caused by Rickettsiaceae.
Which of the followed statements best captures a characteristic trait of Rickettsiaceae? - ANSWER They
are eukaryotic.
********They have both RNA and DNA.
They have a distinct spiral-shaped morphology.
They are neither gram-negative nor gram-positive.
A 23-year-old man has received a recent diagnosis of appendicitis following 24 hours of acute abdominal
pain. The nurse practitioner providing care for the man is explaining that while it is unpleasant, the
inflammation of his appendix is playing a role in his body's fight against the underlying infectious
process. Which of the following teaching points should the nurse practitioner eliminate from his teaching
for the patient? - ANSWER "Inflammation can help to remove the body tissue cells that have been
damaged by infection."
"Inflammation will start your body on the path to growing new, healthy tissue at the site of infection.
, ********"Inflammation helps your body to produce the right antibodies to fight the infection."
"Inflammation ultimately aids in eliminating the initial cause of the cell injury in your appendix."
Which of the following patients is most likely to benefit from transplantation of thymic tissue or major
histocompatibility complex (MHC)-compatible bone marrow? - ANSWER A 12-year-old girl with a history
of epilepsy and low IgG levels secondary to phenytoin use
*********A 7-year-old boy whose blood work indicates decreased IgA and IgG with increased IgM
A 6-year-old boy whose pre-B cells are incapable of translation to normal B cells
A 9-year-old girl who has a diagnosis of IgA deficiency
A nurse practitioner student is familiarizing herself with the overnight admissions to an acute medical
unit of a university hospital. Which of the following patients would the student recognize as being least
likely to have a diagnosis of antiphospholipid syndrome in his or her medical history? - ANSWER A 66-
year-old obese male with left-sided hemiplegia secondary to a cerebrovascular accident
A 90-year-old female resident of a long-term care facility who has been experiencing transient ischemic
attacks
A 30-year-old female with a diagnosis of left leg DVT and a pulmonary embolism
*********A 21-year-old male with a diagnosis of cellulitis and suspected endocarditis secondary to
intravenous drug use
A 60-year-old male patient with an acute viral infection is receiving interferon therapy. The nurse
practitioner is teaching the family of the patient about the diverse actions of the treatment and the ways
that it differs from other anti-infective therapies. Which of the following teaching points should the
nurse practitioner exclude? - ANSWER "Interferon can help your father's unaffected cells adjacent to his
infected cells produce antiviral proteins that limit the spread of the infection."