Removal of the _______ would be more harmful to a one-year-old child than an adult.
Spleen
lymph node
thymus
appendix
palatine tonsil
The Correct Answer is C
A. Spleen: While splenectomy increases the risk of overwhelming post-splenectomy infection (OPSI) in both children and adults, it is not the primary organ of early immune development. The spleen functions largely in filtering blood and recycling erythrocytes. Its loss is significant but manageable through prophylactic antibiotics and vaccinations at any age.
B. lymph node: The human body contains hundreds of lymph nodes distributed throughout various regional chains. The surgical removal of a single node or even a small group does not compromise systemic immune competence. Their redundancy ensures that lymphatic filtration and antigen presentation continue effectively despite the loss of individual nodes.
C. thymus: In a one-year-old, the thymus is at its peak physiological activity, driving the maturation and selection of the entire T cell repertoire. Early childhood thymectomy leads to profound and permanent immunodeficiency due to the lack of newly educated T cells. In adults, the thymus has already undergone involution and its removal is far less detrimental.
D. appendix: This structure contains a small amount of mucosa-associated lymphoid tissue but is not essential for systemic immune development. Its removal, typically performed during an appendectomy, does not result in measurable immunocompromise in infants or adults. It serves as a secondary rather than primary lymphoid organ.
E. palatine tonsil: Tonsillectomy is a common pediatric procedure that generally has no significant long-term impact on systemic health or immune function. While these tonsils assist in local oral immunity, other lymphoid tissues in Waldeyer's ring compensate for their absence. Their removal is not considered harmful to the overall development of the child.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Baroreceptors: These sensory nerve endings are located in the carotid sinuses and aortic arch to monitor systemic blood pressure. They detect mechanical stretch in the vessel walls to regulate cardiovascular reflexes. They do not directly sense the plasma osmolarity changes that trigger thirst.
B. Proprioceptors: These sensors are located in muscles, tendons, and joints to provide information regarding body position and movement. they allow the brain to track the spatial orientation of limbs. They are not involved in the monitoring of fluid balance or hypothalamic thirst regulation.
C. Nociceptors: These are specialized sensory receptors that respond to potentially damaging stimuli by sending signals to the spinal cord and brain. They are responsible for the perception of pain. They do not have a functional role in governing fluid intake or osmotic pressure.
D. Osmoreceptors: Located in the anterior hypothalamus, these specialized neurons detect changes in the osmotic pressure of the extracellular fluid. When plasma osmolarity increases, these cells shrink, triggering the sensation of thirst and the release of antidiuretic hormone. They are the primary regulators of fluid homeostasis.
E. Mechanoreceptors: These receptors respond to physical deformation such as touch, pressure, and vibration. While found throughout the skin and internal organs, they do not specifically monitor the chemical or osmotic status of the blood. They provide tactile and structural feedback rather than metabolic regulation.
Correct Answer is B
Explanation
A. Tongue: This muscular organ facilitates mechanical digestion and bolus formation within the oral cavity. It contains gustatory receptors and serous glands but lacks hepatocytes for biochemical synthesis. It does not participate in the production or secretion of biliary salts or pigments.
B. Liver: Hepatocytes synthesize bile acids from cholesterol to facilitate the emulsification of dietary lipids. This accessory organ secretes the fluid into the biliary tree for eventual transport to the duodenum. It is the primary site for the biochemical production of bile.
C. Pancreas: This dual-function gland secretes alkaline juice containing digestive enzymes and bicarbonate into the small intestine. Its exocrine component focuses on proteases, lipases, and amylases rather than bile. It regulates blood glucose via endocrine secretions but does not produce biliary fluids.
D. Salivary glands: These exocrine glands produce saliva containing ptyalin and lingual lipase for initial chemical digestion. They maintain oral hygiene and lubricate the food bolus for deglutition. They lack the specialized metabolic machinery required to synthesize bile acids or bilirubin.
E. Gallbladder: This hollow organ functions exclusively as a reservoir for the concentration and storage of bile. It undergoes cholecystokinin-induced contraction to release bile into the common bile duct. While it manages bile distribution, it possesses no secretory tissue for bile synthesis.
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