Where do most RBCs die?
Stomach and small intestine
Lymph nodes and thymus
Red bone marrow
Stomach and liver
Spleen and liver
The Correct Answer is E
A. Stomach and small intestine: the GI tract is not the normal major site of senescent RBC destruction.
B. Lymph nodes and thymus: lymph nodes filter lymph and the thymus is for T-cell maturation; they are not primary sites for normal RBC clearance.
C. Red bone marrow: red marrow produces RBCs and may phagocytose some defective cells, but it is not the main location where most senescent RBCs are removed.
D. Stomach and liver: the liver (Kupffer cells) does phagocytose some RBCs, but the stomach is not a primary site for RBC removal.
E. Spleen and liver: most senescent or damaged RBCs are removed by splenic macrophages (the spleen is the primary site) with additional clearance by liver (Kupffer) cells; RBC lifespan ≈120 days.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Correct answer: C
A. Decreased osteoclast activity: osteoclasts resorb bone and are involved in calcium homeostasis, not the primary sensor/effector for correcting hypoxemia.
B. Increased osteoblast activity: osteoblasts build bone (also related to calcium metabolism), not the mechanism that increases RBC production in response to low O₂.
C. Secretion of erythropoietin: hypoxemia stimulates renal production (secretion) of erythropoietin (EPO), which promotes erythropoiesis in red marrow to raise RBC mass and correct low O₂.
D. Secretion of gastroferritin: gastroferritin (a gastric iron-binding molecule) helps iron handling in the gut but is not the feedback signal used to correct hypoxemia.
Correct Answer is B
Explanation
A. A chemical messenger that is triggered by the binding of a ligand on the cell surface and causes a change in DNA transcription: This describes how some hormones act inside a cell, but it is not the definition of a hormone.
B. A chemical messenger transported by the bloodstream that stimulates target cells in another organ often a good distance away: This is the textbook definition of a hormone: an endocrine signal transported in the blood to distant target organs.
C. Chemical messengers that travel across a synapse to stimulate another cell: This describes neurotransmitters, not hormones.
D. Chemical messengers that diffuse from their point of origin locally to affect other cells physiology: This describes paracrine or autocrine signals, not hormones.
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