NATIONAL AND STATE NURSING EXAM- MCQ _MG_0079
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1. Blood cells that defend against bacterial and fungal infection:
a. Eosinophil
b. Neutrophil
c. T-lymphocytes
d. B-Lymphocytes
Answer: b. Neutrophil
Description:Neutrophils are a type of white blood cell, specifically a type of granulocyte, that plays a critical role in the body's defense against bacterial and fungal infections. They are part of the innate immune system and are among the first cells to arrive at the site of infection. Neutrophils engulf and destroy invading pathogens through a process called phagocytosis. They release antimicrobial substances and enzymes to kill and break down the pathogens. Eosinophils (option a) are another type of white blood cell that primarily defend against parasitic infections, such as helminths (worms), but they can also play a role in allergic reactions. T-lymphocytes (option c) and B-lymphocytes (option d) are types of white blood cells involved in the adaptive immune response. They primarily play a role in defending against viral infections, but they can also help with bacterial and fungal infections. T-lymphocytes are responsible for cell-mediated immunity, while B-lymphocytes produce antibodies to target and neutralize pathogens.
2. Myeloid stem cells given rise to all; EXCEPT:
a. Neutrophils
b. Eosinophil
c. Basophils
d. Lymphocyte
Answer: d. Lymphocyte
Description:Myeloid stem cells give rise to various types of mature blood cells, including neutrophils, eosinophils, and basophils. However, lymphocytes, which include B cells, T cells, and natural killer (NK) cells, arise from a different type of stem cell called the lymphoid stem cell. So, option d, lymphocyte, is not derived from myeloid stem c
3. Bone marrow components are:
a. Erythroid cells
b. Myeloid stem cells
c. Lymphoid cells
d. All of these
Answer: d. All of these
Description:Bone marrow contains all of these components: erythroid cells, myeloid stem cells, and lymphoid cells. Bone marrow is the soft, spongy tissue found inside the bones and is responsible for the production of blood cells. Erythroid cells give rise to red blood cells (erythrocytes), myeloid stem cells differentiate into various types of white blood cells (neutrophils, basophils, eosinophils, monocytes), and lymphoid cells give rise to lymphocytes, which play a crucial role in the immune response.
4. Highest number of bone marrow cells are:
a. Promyelocytes
b. Myeloid stem cells
c. Erythroid cells
d. Precursor
Answer: c. Erythroid cells
Description:Bone marrow is responsible for the production of various types of blood cells, including red blood cells (erythrocytes), white blood cells (leukocytes), and platelets (thrombocytes). The process of blood cell production in the bone marrow is called hematopoiesis. Among the options provided, myeloid stem cells are the highest in number within the bone marrow. Myeloid stem cells are multipotent cells that give rise to various types of blood cells, including red blood cells, granulocytes (neutrophils, basophils, and eosinophils), monocytes, and platelets. These myeloid stem cells can differentiate into more specialized progenitor cells, which then further differentiate and mature into the different types of blood cells. While erythroid cells (red blood cell precursors) are an important component of bone marrow, they are not the highest in number. Myeloid stem cells serve as the source for the production of all types of blood cells, making them the most numerous within the bone marrow.
5. Biconcave shape of RBC is maintained by………protein:
a. Albumin
b. Spectron
c. Globulin
d. Microfilament
Answer: b. Spectron
Description:The biconcave shape of red blood cells (RBCs) is maintained by a protein called spectrin. Spectrin is a cytoskeletal protein that forms a network of filaments underneath the cell membrane, providing structural support and maintaining the shape of the RBC. This network of spectrin filaments, along with other proteins, helps the RBC to withstand deformations as it squeezes through narrow capillaries and maintains its characteristic biconcave shape, which is important for its function in oxygen and carbon dioxide transport.
6. Hematopoietic site in fetus is:
a. Liver
b. Spleen
c. Bone marrow
d. Thymus
Answer: a. Liver
Description:In a developing fetus, hematopoiesis (the process of blood cell formation) initially occurs in the yolk sac during the early weeks of gestation. As development progresses, hematopoiesis shifts to other organs. During mid-gestation, the liver becomes the primary site of hematopoiesis in the fetus. The liver plays a crucial role in producing red blood cells, white blood cells, and platelets. However, as the fetus continues to mature, hematopoiesis transitions to the bone marrow. By the third trimester, the bone marrow becomes the main hematopoietic site, taking over the role from the liver. After birth, bone marrow remains the primary site for blood cell production throughout a person's lifetime. Therefore, while the liver does contribute to hematopoiesis in the fetus, it is not the definitive hematopoietic site. The correct answer is c. Bone marrow.
7. Color of hemosiderin is:
a. Black
b. Brown
c. Ash
d. Red
Answer: b. Brown
Description:The color of hemosiderin is indeed brown. Hemosiderin is a pigment that is derived from the breakdown of hemoglobin, which is responsible for transporting oxygen in red blood cells. When red blood cells are broken down, hemosiderin accumulates within cells, particularly in macrophages. This pigment gives a brown color to tissues where it is deposited, such as in areas of old hemorrhages or in certain diseases involving iron overload, like hemosiderosis.
8. Schistocytes are:
a. Material parasite
b. It indicates increased hemolysis
c. Fragmented RBC
d. Both b and c
Answer: d. Both b and c
Description:Schistocytes are fragmented red blood cells (RBCs) that can be observed in the bloodstream. They are formed when RBCs are physically sheared or fragmented due to certain conditions. This can happen as a result of mechanical trauma to the RBCs, such as when they pass through narrowed blood vessels with abnormal structures. The presence of schistocytes in the bloodstream is an indication of increased hemolysis, which refers to the accelerated destruction of red blood cells. Therefore, schistocytes are often seen in conditions associated with increased hemolysis, such as microangiopathic hemolytic anemia, disseminated intravascular coagulation (DIC), and certain types of thrombotic microangiopathies. To summarize, schistocytes are fragmented red blood cells that indicate increased hemolysis, making option d, "Both b and c," the correct answer.
9. Hemoglobin metabolism release all; EXCEPT:
a. Biliverdin
b. Bilirubin
c. Interferon
d. Urobilinogen
Answer: c. Interferon
Description:Hemoglobin metabolism involves the breakdown of hemoglobin, which is the oxygen-carrying protein in red blood cells. The breakdown of hemoglobin occurs in several steps, leading to the release of various byproducts. However, interferon is not one of the byproducts of hemoglobin metabolism. The correct byproducts released during hemoglobin metabolism are: a. Biliverdin: This is an intermediate product formed during the breakdown of heme, a component of hemoglobin. Biliverdin is green in color. b. Bilirubin: Biliverdin is further converted into bilirubin, which is a yellow pigment. Bilirubin is released into the bloodstream and is eventually processed by the liver and excreted in bile. d. Urobilinogen: After being excreted in bile, bilirubin undergoes further processing in the intestines by bacteria, leading to the formation of urobilinogen. Some urobilinogen is reabsorbed into the bloodstream and eventually excreted in urine, giving it a yellow color. It's important to note that interferons are signaling proteins released by host cells in response to viral infections or other immune challenges. They play a crucial role in the immune response, but they are not directly involved in hemoglobin metabolism.
10. Most sensitive cells to hypoxia is:
a. Myocardial cells
b. Neurons
c. Nephrons
d. Skeletal muscles
Answer: b. Neurons
Description:Neurons, which are the cells of the nervous system, are highly sensitive to hypoxia (lack of oxygen). These cells have high metabolic demands and require a constant supply of oxygen to function properly. When deprived of oxygen, neurons can quickly become damaged or die. Other cells, such as myocardial cells (cells of the heart), nephrons (cells of the kidney), and skeletal muscle cells, also rely on oxygen for their normal functioning. However, neurons are particularly vulnerable to oxygen deprivation and are considered to be among the most sensitive cells to hypoxia.
11. Chemical causing vasoconstriction is:
a. Endothelium releasing substance
b. Thromboxane A2
c. AFP
d. PGE2
Answer: b. Thromboxane A2
Description:Thromboxane A2 is a chemical that is released by platelets and causes vasoconstriction, which is the narrowing of blood vessels. It is produced during the clotting process and promotes platelet aggregation and the formation of blood clots. Thromboxane A2 also promotes inflammation and contributes to the progression of cardiovascular diseases. The other options listed do not directly cause vasoconstriction. a. Endothelium releasing substance refers to a group of chemicals released by the endothelium (the inner lining of blood vessels), some of which can cause vasodilation (relaxation of blood vessels) rather than vasoconstriction. c. AFP (Alpha-fetoprotein) is a protein produced by the liver and yolk sac of a developing fetus. It is not directly involved in vasoconstriction. d. PGE2 (Prostaglandin E2) is a type of prostaglandin that has a variety of effects in the body, including promoting vasodilation. It is not associated with vasoconstriction.
12. Chemical causing platelet aggregation is:
a. Endothelium releasing substance
b. Thromboxane A2
c. AFP
d. PGE2
Answer: b. Thromboxane A2
Description:Thromboxane A2 is a chemical compound that is released by activated platelets. It is a potent vasoconstrictor and causes platelet aggregation, which is the clumping together of platelets to form blood clots. Thromboxane A2 promotes the activation and recruitment of additional platelets to the site of injury or damage, leading to the formation of a stable blood clot to prevent excessive bleeding. Endothelium releasing substances, such as nitric oxide and prostacyclin, have the opposite effect. They inhibit platelet aggregation and promote vasodilation to maintain normal blood flow. AFP (alpha-fetoprotein) is a protein produced by the liver and yolk sac during fetal development and is not directly involved in platelet aggregation. PGE2 (prostaglandin E2) is another prostaglandin that has diverse effects, but it does not primarily cause platelet aggregation.
13. Immediate hemostatic mechanism just following the injury is:
a. Collagen formation
b. Vasoconstriction
c. Pro-thrombin will convert to thrombin
d. Fibrin deposition
Answer: b. Vasoconstriction
Description:Following an injury, the immediate hemostatic mechanism that occurs is vasoconstriction. Vasoconstriction refers to the narrowing of blood vessels in the injured area, which helps to reduce blood flow and limit the loss of blood from the site of injury. It is a rapid response triggered by the injury and is mediated by the contraction of smooth muscles in the blood vessel walls. While collagen formation, conversion of prothrombin to thrombin, and fibrin deposition are all important processes in the formation of a stable blood clot and subsequent wound healing, they occur after vasoconstriction has taken place. Vasoconstriction is the initial step in the immediate response to injury and helps to temporarily control bleeding until further hemostatic mechanisms can be activated.
14. The insufficiency of this substance in the blood may lead to edema of the body:
a. Albumin
b. Hormones
c. Electrolytes
d. Gases
Answer: a. Albumin
Description:The insufficiency of albumin in the blood may lead to edema of the body. Albumin is a protein produced by the liver and is responsible for maintaining the osmotic pressure of the blood. It helps to retain fluid within the blood vessels and prevents it from leaking out into the surrounding tissues. When the level of albumin in the blood is low, fluid can accumulate in the tissues, leading to edema. Edema is characterized by swelling and the retention of fluid in the body's tissues, typically in the legs, ankles, and feet.
15. Which of these types of plasma protein plays an important role in the formation of blood clots?
a. Albumin
b. Fibrinogen
c. Glycoprotein
d. Immunoglobulins
Answer: b. Fibrinogen
Description:Fibrinogen is the plasma protein that plays a crucial role in the formation of blood clots. When there is an injury or damage to blood vessels, fibrinogen is converted into fibrin, which forms a mesh-like structure to trap platelets and form a blood clot. This process is part of the body's natural defense mechanism to prevent excessive bleeding.
16. Blood cell which is responsible for coagulation is:
a. RBC
b. WBC
c. Platelet
d. Neutrophil
Answer: c. Platelet
Description:Platelets, also known as thrombocytes, are small, irregularly shaped cells that play a crucial role in the process of blood clotting or coagulation. When a blood vessel is damaged, platelets gather at the site of injury and form a plug to stop bleeding. They release certain substances that activate a cascade of clotting factors, leading to the formation of a fibrin clot, which helps in sealing the wound and preventing further blood loss. Without platelets, the blood would not be able to clot effectively, resulting in excessive bleeding and difficulty in wound healing
17. In coagulation, the platelets:
a. Activate the soluble fibrinogen to insoluble fibrin
b. Neutralize any free radicals circulating in the blood
c. Aggregate and become adhesive to the damaged vessel wall
d. Attract migration of fibroblasts to form fibrous connective tissues
Answer: c. Aggregate and become adhesive to the damaged vessel wall
Description:In coagulation, platelets play a crucial role in the formation of blood clots. When a blood vessel is damaged, platelets aggregate and become adhesive to the damaged vessel wall, forming a plug to stop bleeding. This process is known as platelet aggregation. The platelets also release certain chemicals that help in the activation of other clotting factors, leading to the formation of insoluble fibrin from soluble fibrinogen. This forms a meshwork that stabilizes the clot. Therefore, option c, "Aggregate and become adhesive to the damaged vessel wall," is the correct
18. The following are the essential requirements for efficient hemostasis; EXCEPT:
a. Intrinsic factor
b. Clotting factors
c. Calcium
d. Vitamin K
Answer: a. Intrinsic factor
Description:The essential requirements for efficient hemostasis include clotting factors, calcium, and vitamin K. Intrinsic factor, however, is not directly involved in the process of hemostasis. Intrinsic factor is a glycoprotein that is necessary for the absorption of vitamin B12 in the gastrointestinal tract. It is not directly related to the clotting cascade or the formation of blood clots.
19. Plasma protein which present in highest concentration is:
a. Albumin
b. Globulin
c. Thromboplastin
d. Fibrin
Answer: a. Albumin
Description:Albumin is the plasma protein present in the highest concentration. It is synthesized by the liver and contributes to the osmotic pressure of blood, maintaining proper fluid balance between the blood and tissues. Albumin also plays a role in transporting various substances, such as hormones, fatty acids, and drugs, throughout the body. Additionally, it helps regulate pH and acts as a buffer in the blood.
20. The main function of hemoglobin is to:
a. Maintain a normal erythrocyte sedimentation rate.
b. Neutralize any free radicals circulating in the blood
c. Bind to oxygen and transport it to the tissues
d. Absorb heart generated as a by-product of cell metabolism
Answer: c. Bind to oxygen and transport it to the tissues
Description:The main function of hemoglobin is to bind to oxygen and transport it to the tissues. Hemoglobin is a protein found in red blood cells that has a high affinity for oxygen. It picks up oxygen in the lungs, where oxygen concentration is high, and releases it in the tissues, where oxygen concentration is low. This allows for efficient oxygen delivery to the cells throughout the body. Hemoglobin also plays a role in carrying carbon dioxide, a waste product of cell metabolism, back to the lungs for removal from the body. However, its primary function is oxygen transport.
21. Excessive hemolysis may accumulate this substance in the body:
a. Bilirubin
b. Globulin
c. Haem
d. Mineral
Answer: a. Bilirubin
Description:Excessive hemolysis refers to the excessive breakdown of red blood cells, which can occur due to various conditions such as certain diseases, infections, or medications. When red blood cells break down, they release hemoglobin, which is a protein responsible for carrying oxygen in the blood. Hemoglobin contains heme, a component that is further broken down into bilirubin. Bilirubin is a yellowish pigment produced during the breakdown of heme. It is typically processed by the liver and excreted in the bile. However, in cases of excessive hemolysis, the liver may not be able to process the increased amount of bilirubin efficiently. As a result, bilirubin can accumulate in the body, leading to a condition called hyperbilirubinemia. Hyperbilirubinemia can cause the skin and whites of the eyes to appear yellow (jaundice). It can also result in other symptoms such as dark urine and pale stools. Monitoring and managing bilirubin levels are important to prevent complications associated with excessive hemolysis.
22. The primary stimulus to increase the rate of erythropoiesis is:
a. Hypoxia
b. Hypokalemia
c. Hyperthermia
d. Hypercapnia
Answer: a. Hypoxia
Description:The primary stimulus to increase the rate of erythropoiesis is hypoxia. When the body experiences a decrease in oxygen supply, it triggers the release of a hormone called erythropoietin (EPO) from the kidneys. EPO stimulates the bone marrow to produce more red blood cells, which helps increase the oxygen-carrying capacity of the blood. This response is an adaptive mechanism to maintain adequate oxygenation in the body's tissues. Hypokalemia (low potassium levels), hyperthermia (elevated body temperature), and hypercapnia (elevated carbon dioxide levels) are not direct stimuli for erythropoiesis
23. When a patient has a bacterial infection, which of theses blood cells will play an immediate and major role in combating the invading pathogens?
a. Lymphocytes
b. Thrombocytes
c. Basophils
d. Neutrophils
Answer: d. Neutrophils
Description:When a patient has a bacterial infection, neutrophils are the blood cells that play an immediate and major role in combating the invading pathogens. Neutrophils are a type of white blood cell and are the most abundant type of granulocytes in the bloodstream. They are part of the innate immune system and are highly effective at engulfing and destroying bacteria. Neutrophils are recruited to the site of infection, where they phagocytose (engulf) the bacteria, release antimicrobial substances, and generate an inflammatory response to help eliminate the pathogens.
24. The leukocytes which contain heparin and histamine in their granules and enter tissues as mast cell are:
a. Lymphocytes
b. Monocytes
c. Basophils
d. Neutrophils
Answer: c. Basophils
Description:Basophils are a type of leukocyte, also known as white blood cells, that contain heparin and histamine in their granules. These granules are released when basophils enter tissues, and they play a role in inflammatory and allergic reactions. Basophils are involved in the immune response and are responsible for releasing histamine, which contributes to the inflammatory response, and heparin, which acts as an anticoagulant. Lymphocytes, monocytes, and neutrophils are other types of leukocytes, but they do not contain heparin and histamine in their granules or function as mast cells.
25. Which of the following statements is true about hemopoiesis?
a. The megaloblast undergoes a series of differentiation in thrombopoiesis
b. All blood cells originate from multipotent stem cells
c. The formation of platelets is called neutropenia
d. Vitamin K is essential for erythropoiesis.
Answer: b. All blood cells originate from multipotent stem cells
Description:Hemopoiesis, also known as hematopoiesis, is the process of blood cell formation in the body. It occurs primarily in the bone marrow and involves the production of various types of blood cells, including red blood cells (erythrocytes), white blood cells (leukocytes), and platelets (thrombocytes). During hemopoiesis, all blood cells originate from multipotent stem cells known as hematopoietic stem cells (HSCs). These HSCs have the ability to differentiate into different lineages of blood cells, giving rise to the different cell types found in the bloodstream. Therefore, option b is the correct statement about hemopoiesis.
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