Which cells aid in the body's defense processes by secreting histamine and heparin?
Eosinophils
Basophils
Neutrophils
Platelets
Monocytes
The Correct Answer is B
A. Eosinophils: These granulocytes primarily function in the destruction of multicellular parasites and the modulation of inflammatory responses. While their granules contain various cytotoxic enzymes and cytokines, they are not the primary source of systemic histamine or heparin. Their role is more closely associated with IgE-mediated parasiticidal activity.
B. Basophils: These are the least abundant leukocytes and contain prominent cytoplasmic granules rich in histamine and heparin. Histamine acts as a potent vasodilator to increase blood flow to infected areas, while heparin functions as an anticoagulant to prevent localized clotting. These secretions facilitate the recruitment of other immune cells to the site of injury.
C. Neutrophils: These cells are the primary phagocytic responders to acute bacterial infections and utilize oxidative bursts to neutralize pathogens. Their primary granules contain myeloperoxidase and defensins rather than histamine or heparin. They focus on the direct destruction of microorganisms rather than the chemical modulation of vascular permeability.
D. Platelets: Also known as thrombocytes, these are cellular fragments essential for hemostasis and thrombus formation. While they release serotonin and clotting factors from their alpha and delta granules, they do not secrete heparin. In fact, platelets are involved in the coagulation cascade that heparin is designed to inhibit.
E. Monocytes: These agranulocytes serve as precursors to macrophages and lack the specific chemical-filled granules found in basophils. Their primary defensive contribution is through phagocytosis and the secretion of pro-inflammatory cytokines like tumor necrosis factor. They do not utilize histamine or heparin as their primary signaling or defense molecules.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. lymph nodes: These structures remain active throughout life, filtering lymph and facilitating immune responses to localized pathogens. While they may experience some architectural changes or fibrosis in very advanced age, they do not undergo programmatic involution. They persist as functional components of the secondary lymphatic system in adults.
B. thymus: This primary lymphoid organ is most active during infancy and childhood when it facilitates the maturation of the T cell repertoire. After puberty, the functional thymic tissue is gradually replaced by adipose and connective tissue in a process called involution. By late adulthood, its capacity for producing new T cells is significantly diminished.
C. spleen: The spleen generally maintains its anatomical integrity and physiological function in healthy aging individuals. While its efficiency in filtering senescent erythrocytes or mounting immune responses might slightly decline, it does not disappear or atrophy significantly. It does not follow the classic pattern of early developmental involution seen in the thymus.
D. pharyngeal tonsils: Commonly known as adenoids, these lymphoid tissues may shrink after childhood but do not undergo the total systemic degeneration characteristic of the thymus. They are part of the mucosa-associated lymphoid tissue that monitors the upper respiratory tract. Their reduction is more related to the maturation of the immune system.
E. appendix: This vestigial lymphoid structure remains present throughout the human lifespan unless surgically removed. Although it contains lymphatic nodules that may decrease in density as an individual ages, it does not undergo the massive tissue replacement seen in the thymus. It is not considered a primary organ of age-related involution.
Correct Answer is B
Explanation
A. chief cells; carbonic anhydrase (CAH); parietal cells: Chief cells correctly synthesize the zymogen pepsinogen, but carbonic anhydrase is an enzyme, not a direct activator. CAH facilitates the formation of protons within cells but does not catalyze extracellular protein cleavage. Pepsinogen requires a low pH environment for activation.
B. chief cells; hydrochloric acid (HCl); parietal cells: Gastric chief cells secrete inactive pepsinogen into the stomach lumen. Hydrochloric acid, produced by parietal cells via proton pumps, lowers the luminal pH to approximately 2. This acidic environment triggers the autocatalytic conversion of pepsinogen into the active protease pepsin.
C. parietal cells; hydrochloric acid (HCl): chief cells: This selection incorrectly reverses the cellular origins of the enzyme and the acid. Parietal cells are responsible for secreting hydrochloric acid and intrinsic factor, not the zymogen pepsinogen. Chief cells provide the protein substrate but do not produce the acid required.
D. parietal cells; carbonic anhydrase (CAH); chief cells: Carbonic anhydrase is an intracellular enzyme that provides the hydrogen ions for acid production. It is not the molecule that directly interacts with pepsinogen in the gastric lumen. Furthermore, parietal cells do not produce the pepsinogen zymogen required for this reaction.
E. enteroendocrine cells; carbonic anhydrase (CAH); parietal cells: Enteroendocrine cells, specifically G cells, secrete hormones like gastrin into the bloodstream rather than digestive zymogens. Carbonic anhydrase remains an intracellular catalyst for ion formation. This combination fails to describe the luminal activation of proteases necessary for protein degradation.
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