Nokea
Dobutamine is used in the treatment of:
- A. Hypertension
- B. Heart failure
- C. Glaucoma
- D. Arrhythmia
Correct Answer: B
Rationale: Dobutamine is a positive inotrope that increases cardiac contractility, making it a suitable choice for treating heart failure by improving cardiac output. It is not typically used for hypertension, glaucoma, or arrhythmias. Hypertension is usually managed with antihypertensive medications like ACE inhibitors or beta-blockers. Glaucoma is treated with medications that reduce intraocular pressure. Arrhythmias are commonly managed with antiarrhythmic drugs or procedures such as ablation. Therefore, choice B, heart failure, is the correct answer for the use of dobutamine.
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Which of the following produce antagonistic results?
- A. calcitonin and parathryroid hormone
- B. FSH and LH
- C. ADH and vasopressin
- D. oxytocin and prolactin
Correct Answer: A
Rationale: The correct answer is A: calcitonin and parathyroid hormone. Calcitonin decreases blood calcium levels, while parathyroid hormone increases blood calcium levels. They have opposing actions, thus producing antagonistic results.
Summary:
- FSH and LH (choice B) work together in the reproductive system.
- ADH and vasopressin (choice C) are different names for the same hormone.
- Oxytocin and prolactin (choice D) have complementary roles in milk production and breastfeeding.
Which is not a ductless gland?
- A. Adrenal
- B. Pituitary
- C. Thyroid
- D. Sweat
Correct Answer: D
Rationale: The correct answer is D: Sweat. Sweat glands are not considered ductless glands as they secrete sweat through ducts onto the skin surface. Adrenal, Pituitary, and Thyroid glands are all ductless endocrine glands that secrete hormones directly into the bloodstream. Adrenal glands produce hormones like cortisol and adrenaline, Pituitary gland secretes hormones that regulate various bodily functions, and Thyroid gland produces hormones that control metabolism. Therefore, sweat gland is the only option that does not fit the criteria of a ductless gland, making it the correct answer.
The pituitary hormone that stimulates the male testes to produce sperm and stimulates the development of the follicle in the female on a monthly cycle is:
- A. growth hormone
- B. luteinizing hormone
- C. prolactin
- D. follicle-stimulating hormone
Correct Answer: D
Rationale: The correct answer is D: follicle-stimulating hormone (FSH). FSH is produced by the pituitary gland and plays a crucial role in both male and female reproductive systems. In males, FSH stimulates the testes to produce sperm. In females, FSH stimulates the development of ovarian follicles, which contain eggs. This hormone is essential for the process of ovulation and the menstrual cycle.
A: Growth hormone is not directly involved in the reproductive system but rather promotes overall growth and development.
B: Luteinizing hormone (LH) is responsible for ovulation and the production of testosterone in males. It does not directly stimulate sperm production or follicle development.
C: Prolactin is primarily involved in milk production and has no direct role in sperm production or follicle development.
Which gland is responsible for the production of growth hormone?
- A. anterior pituitary
- B. thyroid
- C. adrenal medulla
- D. pancreas
Correct Answer: A
Rationale: The correct answer is A: anterior pituitary. The anterior pituitary gland is responsible for producing growth hormone, also known as somatotropin. This hormone plays a key role in promoting growth, cell regeneration, and overall development. The other choices are incorrect because the thyroid gland primarily produces thyroid hormones that regulate metabolism, the adrenal medulla produces adrenaline and noradrenaline in response to stress, and the pancreas produces insulin and glucagon to regulate blood sugar levels. Therefore, the correct answer is the anterior pituitary gland as it specifically produces growth hormone.
For the patient with pheochromocytoma, what physical assessment technique should you instruct the LPN/LVN to avoid?
- A. Palpation of the abdomen
- B. Auscultation of lung sounds
- C. Inspection of the skin for lesions
- D. Checking the peripheral pulses
Correct Answer: A
Rationale: Palpation of the abdomen should be avoided in patients with pheochromocytoma, as it can trigger the release of catecholamines and cause a hypertensive crisis.