Which of the following is a function of the integumentary system?

Epithelial layer gets thinner.

Reasoning

As air travels from the trachea into smaller airways like the primary bronchi, secondary bronchi, tertiary bronchi, and eventually into the bronchioles, there are notable structural and functional changes in the airway walls to accommodate efficient air conduction and gas exchange. Among these changes, one key transition is the progressive thinning of the epithelial lining.

Explanation

1. Epithelial Layer Gets Thinner:
   • The airway epithelium begins as pseudostratified ciliated columnar epithelium in the trachea and primary bronchi. As the airways branch into smaller bronchi and then bronchioles, this epithelium gradually transitions to simple columnar, then to simple cuboidal epithelium in the terminal bronchioles. This thinning of the epithelial layer reduces airway resistance and facilitates easier gas exchange in the lower airways.
2. Cilia Become Less Plentiful:
   • Contrary to option 2, the number of cilia actually decreases as the airway branches. Ciliated cells are most abundant in the larger airways (trachea and bronchi) where they help move mucus upward. In the bronchioles, fewer ciliated cells are present.
3. Tube Diameter Decreases:
   • The diameter of the airways decreases, not increases, as you move from primary bronchi to bronchioles. The large bronchi have a wide lumen, but as the airways branch, they become narrower and more numerous, increasing total cross-sectional area.
4. Cartilage Rings Become Smaller and Disappear:
   • In larger airways (like the trachea and primary bronchi), cartilage rings provide structural support. As the airways get smaller, these rings become irregular plates and eventually disappear entirely in the bronchioles, which rely on smooth muscle instead.

The glomerulus is a key structure in each nephron, which is the functional unit of the kidney. It consists of a tuft of capillaries surrounded by Bowman’s capsule.

Main function:

• The glomerulus filters blood plasma under high pressure.
• It allows water and small solutes (like sodium, glucose, amino acids, and urea) to pass into the Bowman’s capsule, creating a fluid called glomerular filtrate.
• Large molecules and blood cells are too big to pass through and remain in the blood.

This filtrate then enters the renal tubule, where selective reabsorption and secretion take place to form urine.

Why the Other Options Are Incorrect:

1. Responds to presence of ADH to control water reabsorption and produce a concentrated urine

• Incorrect, because this describes the collecting duct, not the glomerulus.
• ADH (antidiuretic hormone) increases water reabsorption by making the collecting duct walls more permeable to water, concentrating the urine.
• The glomerulus does not respond to hormones like ADH; its role is purely filtration.

2. Reabsorbs water into the blood that increases blood pressure

• Incorrect, because water reabsorption occurs primarily in the proximal convoluted tubule, loop of Henle, and collecting duct, not in the glomerulus.
• The glomerulus only filters; it does not reabsorb water.
• While kidney function can influence blood pressure, the glomerulus itself does not directly reabsorb water to raise blood pressure.

4. Allows K⁺, Na⁺, and Cl⁻ to move out of the filtrate through both active and passive transport

• Incorrect, because this describes what happens in the loop of Henle and distal tubule.
• The glomerulus does not perform transport of ions through active or passive mechanisms; it simply filters them based on size and pressure.
• Ion regulation is a function of the tubular parts of the nephron, not the glomerulus.

Summary:

• The glomerulus acts like a sieve, initiating urine formation by filtering blood.
• The renal tubules then modify this filtrate by reabsorbing useful substances and secreting waste.

Clinical Relevance: Glomerular Function

Glomerular Filtration Rate (GFR)

• GFR is a critical indicator of kidney function.
• A low GFR may suggest renal impairment or chronic kidney disease.
• Influenced by blood pressure, hydration status, and conditions such as diabetes.

Glomerular Disorders

• Glomerulonephritis: Inflammation of the glomeruli, often presenting with protein and/or blood in the urine.
• Diabetic nephropathy: Long-term high blood sugar damages glomeruli, leading to progressive kidney dysfunction.

Nursing Considerations

• Monitor: Urine output, presence of proteinuria, and blood pressure, especially in high-risk patients.
• Educate: Patients on kidney-friendly diets—low in sodium and protein—to reduce glomerular stress.

Memory Trick
"Glomerulus = Gatekeeper"

• It filters blood, allowing water and small molecules to pass through.
• It does not reabsorb or secrete—those functions occur in the renal tubule.

DNA is composed of two complementary strands arranged in an antiparallel fashion, meaning one strand runs 5' to 3', and the other runs 3' to 5'. The bases pair according to base-pairing rules:

• A (adenine) pairs with T (thymine)
• G (guanine) pairs with C (cytosine)

RNA uses uracil (U) instead of thymine, but since this question pertains to DNA, T is used, not U.

Step-by-Step Complementation:

Given DNA strand:
5' AGCTAGCGT 3'

Complement base by base (using A↔T and C↔G):

Use the base pairing rules:

A → T

G → C

C → G

T → A

Step-by-Step Pairing:

| Original (5'→3') | A | G | C | T | A | G | C | G | T |
| Complementary (3'→5') | T | C | G | A | T | C | G | C | A |

Thus, the complementary strand is:3' TCGATCGCA 5'

Why the Other Options Are Wrong:

2.Incorrect: Matches the original strand (no complementarity).

3.Incorrect: Uses "U" (uracil, found in RNA) and has typos ("UTCGCU").

4.Incorrect: Uses "U" (RNA) and has the wrong directionality (5'→3' instead of 3'→5').

Carrying oxygen to other body cells.

Reasoning

Red blood cells (RBCs), also known as erythrocytes, are specialized cells in the blood with the primary role of transporting oxygen from the lungs to the tissues throughout the body. This function is critical for cellular respiration and energy production in all body cells.

1. Structure and Function:
   • RBCs are biconcave in shape, increasing their surface area for gas exchange.
   • They are filled with hemoglobin, a protein that binds oxygen in the lungs and releases it in tissues.
2. Oxygen Transport:
   • In the lungs, oxygen molecules bind to hemoglobin in the red blood cells.
   • RBCs then circulate through the bloodstream, delivering oxygen to cells for metabolism.
   • They also help transport carbon dioxide (a waste product) from tissues back to the lungs.
3. Why the Other Options Are Incorrect:
   • 1 (Fighting infection): This is the function of white blood cells (leukocytes).
   • 2 (Creating blood clots): This is primarily the role of platelets (thrombocytes) and clotting proteins.
   • 4 (Responding to antigens): This is part of the immune response, mainly involving white blood cells, particularly lymphocytes.

The integumentary system includes the skin, hair, nails, sweat glands, and sebaceous (oil) glands. One of its important components is the subcutaneous layer (hypodermis), which lies beneath the dermis. This layer contains adipose tissue (fat cells) that serves several functions, including:

• Energy storage
• Thermal insulation
• Cushioning to protect underlying organs

Why the Other Options Are Incorrect:

• A. Production of antibodies:
  This is a function of the immune system, specifically B cells (a type of white blood cell).
• C. Release of minerals:
  This is primarily a function of the skeletal system, especially during bone remodeling where calcium and phosphate are released into the bloodstream.
• D. Absorption of water:
  The skin acts as a barrier to water, preventing dehydration. It is not responsible for absorbing water—most water absorption occurs in the intestines.

Clinical & Nursing Relevance of the Integumentary System

Role of the Hypodermis (Subcutaneous Fat Layer):

• Acts as a cushion to protect internal organs.
• Provides insulation to help regulate body temperature.
• Serves as an energy reserve through fat storage.
• Clinical Note:
  • Obesity leads to excess subcutaneous fat.
  • Cachexia (wasting syndrome) results in noticeable fat loss in this layer.

Essential Integumentary Functions to Monitor in Patients:

1. Thermoregulation
   • Monitored through sweating and changes in blood vessel size (vasodilation/constriction).
2. Protection
   • Acts as a barrier against pathogens, UV radiation, and physical trauma.
3. Sensation
   • Contains sensory receptors that detect touch, pain, pressure, and temperature.
4. Vitamin D Production
   • Skin uses sunlight to convert cholesterol into vitamin D, important for calcium metabolism.

Fun fact:

The skin is the largest organ in the human body—making up about 16% of total body weight!

AN IMAGE OF THE INTEGUMENTARY SYSTEM

Fallopian tubes

Reasoning:

Fertilization in humans typically occurs in the fallopian tubes, also known as uterine tubes or oviducts. These are the narrow tubes that connect the ovaries to the uterus and serve as the site where the sperm meets the egg.

Here's how fertilization happens:

1. Ovulation:
   • An ovary releases a mature egg (ovum) during ovulation.
2. Egg enters the fallopian tube:
   • The fimbriae (finger-like projections at the end of the fallopian tube) help guide the egg into the tube.
3. Fertilization:
   • If sperm are present, fertilization typically occurs in the ampulla, the widest section of the fallopian tube.
   • The sperm penetrates the egg, forming a zygote.
4. Zygote travels to uterus:
   • The fertilized egg continues down the tube and enters the uterus, where it may implant in the uterine lining and develop into an embryo.

Other Options Explained:

• Ovaries: Produce and release eggs but are not where fertilization takes place.
• Vagina: The entry point for sperm during intercourse; not involved in fertilization directly.
• Uterus: The site of implantation and development after fertilization, but fertilization itself does not occur here.

Clinical Relevance:

• Ectopic pregnancy: If the embryo implants in the fallopian tube (often due to scarring or blockage), it can rupture the tube—a medical emergency.
• IVF (In vitro fertilization): Eggs and sperm are combinedoutsidethe body (in a lab), then the embryo is placed directly into the uterus.

Solid

Reasoning:

The volume a substance occupies depends on its state of matter, with gases typically taking up the most space and solids the least. Carbon dioxide can exist in several states—gas (CO₂), liquid (under pressure), or solid ("dry ice")—depending on temperature and pressure.

1. States of Carbon Dioxide & Volume:
   • Gas: In this state, CO₂ molecules are far apart and move freely, so they occupy the largest volume.
   • Liquid: Requires high pressure and low temperature. Molecules are closer together, so the volume is smaller than gas.
   • Solid (Dry Ice): Molecules are packed tightly in a fixed structure, so it occupies the least volume.
   • Plasma: Not relevant for normal CO₂ behavior; plasma refers to an ionized gas state, not typical for CO₂ in natural conditions.

1. Why Option 3 is Correct:
   • In the solid state, carbon dioxide has minimal kinetic energy, and its molecules are tightly packed, resulting in the least volume among all options.
   • Dry Ice (Solid CO₂):
     In its solid form, carbon dioxide molecules are packed tightly in a rigid crystalline lattice, making it the densest state of CO₂.

• Density Comparison:
  • Solid CO₂: ~1.6 g/cm³
  • Liquid CO₂: ~1.0 g/cm³
  • Gaseous CO₂ at STP: ~0.0018 g/cm³
• Volume by Mass:
  • 1 kg of CO₂ gas occupies approximately 560 liters
  • 1 kg of liquid CO₂ occupies approximately 1 liter
  • 1 kg of solid CO₂ occupies approximately 0.6 liters

3. Why the Other Options Are Incorrect

• 1. Plasma:
  Plasma is an ionized gas that exists only under extreme conditions (e.g., high energy in labs or stars). It occupies a greater volume than solids or liquids and is not a natural state for CO₂ on Earth.
• 2. Liquid:
  Liquid CO₂ is more compressed than gas but still less dense than solid CO₂.
• 4. Gas:
  Gaseous CO₂ has the lowest density because its molecules are spread far apart, occupying the most space.

4. Real-World Applications

• Dry Ice for Storage and Transport:
  Solid CO₂ (dry ice) is ideal for refrigeration and shipping due to its high density and ability to sublimate directly into gas, avoiding liquid messes.
• Carbon Capture and Storage (CCS):
  In environmental technologies, captured CO₂ is often compressed into liquid or solid form to reduce storage volume and space required.

H₂O has stronger intermolecular bonds than H₂S.

Reasoning

Although hydrogen sulfide (H₂S) and water (H₂O) are chemically similar due to their group placement in the periodic table (Group 16: chalcogens), they exhibit very different physical states at room temperature—H₂S is a gas, while H₂O is a liquid. The key reason lies in the strength and type of intermolecular forces between their molecules.

1. Nature of Intermolecular Forces:
   • H₂O exhibits hydrogen bonding, a particularly strong type of dipole-dipole interaction that occurs when hydrogen is bonded to a highly electronegative atom like oxygen.
   • H₂S, however, does not form hydrogen bonds. Sulfur is less electronegative than oxygen and too large in size to facilitate hydrogen bonding effectively. As a result, H₂S only exhibits weak van der Waals forces (London dispersion forces).
2. Impact of Hydrogen Bonding in Water:
   • In water, each molecule can form up to four hydrogen bonds with neighboring molecules, creating a tightly connected liquid network.
   • These strong intermolecular forces require more energy (heat) to break, resulting in higher boiling and melting points, and hence water remains a liquid at room temperature.
3. Why H₂S Is a Gas:
   • Lacking strong intermolecular forces, H₂S molecules separate easily and exist as a gas under the same conditions.
   • It has a significantly lower boiling point than water (-60°C vs. 100°C), confirming the weakness of its intermolecular interactions.
4. Incorrect Options Explained:
   • Option 1 (H₂S has stronger intermolecular bonds): Incorrect; its bonds are weaker than those in H₂O.
   • Option 2 and 4 (Ionic bonds): Both H₂O and H₂S are covalent, not ionic, compounds. These options are irrelevant to their physical states.

Urea

Reasoning:

When proteins are broken down in the body, a waste product called ammonia is formed. Since ammonia is toxic, the body converts it into urea, a less harmful substance. Urea is then eliminated from the body primarily by the kidneys through urine, but also in small amounts by sweat glands.

Here’s how it works:

1. Protein Catabolism
   • Proteins → Amino acids → Ammonia (NH₃)
   • Ammonia is highly toxic to cells and must be removed quickly.
2. Urea Formation
   • In the liver, ammonia is converted into urea via the urea cycle.
3. Excretion via Sweat
   • While the kidneys are the main organs responsible for filtering urea into urine, the sweat glands in the skin also excrete a small amount of urea.
   • This is why sweat can have a slightly ammonia-like odor during intense exercise or in people with kidney problems.
4. Other Options Explained:
   • Water: Also excreted in sweat, but not a direct byproduct of protein breakdown.
   • Sebum: An oily secretion from sebaceous glands, unrelated to nitrogen waste.
   • Lysozymes: Enzymes that kill bacteria, present in sweat but not related to protein catabolism.

Urea is the nitrogenous waste product excreted in small amounts by sweat glands after proteins are broken down and ammonia is formed. This helps the body safely eliminate excess nitrogen

Plasma

Explanation:

To determine whether solutes from an orally taken drug formulation enter the bloodstream, the plasma is the most appropriate sample to analyze.

Why Plasma?

• Plasma is the liquid component of blood that carries nutrients, hormones, waste products, and dissolved substances, including drugs.
• It makes up about 55% of total blood volume and is easily separated for testing.
• Measuring solute levels in plasma can show whether the drug has been absorbed through the digestive system and entered systemic circulation.

Why the Other Options Are Incorrect:

• 1. Bone marrow: Produces blood cells; not involved in initial drug absorption or general circulation.
• 2. White blood cells: Part of the immune system; not useful for detecting drug solutes unless they specifically accumulate there.
• 4. Lymph: Drains interstitial fluid and may carry some absorbed fats, but not the main route for drug solutes entering the bloodstream.

3. Important Factors in Drug Testing

• Bioavailability: Refers to the proportion of the drug that successfully enters the bloodstream and becomes available for therapeutic action. It is typically measured by analyzing drug levels in plasma.
• Peak Plasma Concentration: Indicates the time at which the drug reaches its highest concentration in the bloodstream, which varies based on the drug’s formulation and route of administration.
• Half-Life: Describes how long the drug stays in the plasma before its concentration is reduced by half, helping to predict how long the drug remains active in the body.

4. Clinical Significance

• Therapeutic Drug Monitoring (TDM): Involves measuring drug levels in plasma to ensure the concentration remains within a safe and effective range (especially important for drugs with narrow therapeutic windows, such as anticonvulsants or antibiotics).
• Pharmacokinetics: Plasma concentration data help determine optimal dosing frequency, ensuring consistent therapeutic effects while avoiding toxicity.