Nokea
A deficiency of dietary iodine:
- A. lowers plasma calcium levels.
- B. causes low blood volume and shock.
- C. decreases the synthesis of calcitonin.
- D. causes a goiter.
Correct Answer: D
Rationale: The correct answer is D because a deficiency of dietary iodine leads to an insufficient production of thyroid hormones, which can result in the enlargement of the thyroid gland, known as a goiter. This is due to the thyroid gland working harder to try to produce more hormones.
A, B, and C are incorrect because a deficiency of dietary iodine does not directly affect plasma calcium levels, blood volume, or the synthesis of calcitonin. These are functions that are primarily regulated by other hormones and factors in the body, not by iodine deficiency.
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Target cells respond to hormones because ____________.
- A. they sit next to the cell that makes the hormone
- B. they made the hormone they are responding to
- C. they have receptors for that hormone
- D. all cells in the body respond to all hormones
Correct Answer: C
Rationale: The correct answer is C because target cells respond to hormones by possessing specific receptors for that hormone. These receptors bind to the hormone, initiating a cellular response. Option A is incorrect as proximity to hormone-producing cells is not the reason for response. Option B is incorrect as target cells do not make the hormones they respond to. Option D is incorrect as not all cells respond to all hormones; only target cells with specific receptors do.
Leptin is secreted by ________.
- A. lymphocytes
- B. adipocytes
- C. goblet cells
- D. fibroblasts
Correct Answer: B
Rationale: Leptin is primarily secreted by adipocytes, which are fat cells. Adipocytes play a crucial role in regulating energy balance and appetite through leptin secretion. Lymphocytes are immune cells, goblet cells secrete mucus, and fibroblasts are connective tissue cells, none of which are involved in leptin secretion.
The patient with adrenal insufficiency is to be discharged taking prednisone 10 mg orally each day. What will you be sure to teach the patient?
- A. Report excessive weight gain or swelling to the physician.
- B. Rapid changes of position may cause hypotension.
- C. A diet with foods high in potassium may be beneficial.
- D. Signs of hypoglycemia may occur while taking this drug.
Correct Answer: B
Rationale: Patients taking prednisone for adrenal insufficiency should be advised that rapid changes of position can lead to hypotension due to the body's decreased ability to regulate blood pressure.
Which of the following is not a therapeutic use of adrenaline:
- A. To prolong the action of local anesthetics
- B. To stop epistaxis
- C. To treat hypertension
- D. To treat anaphylaxis
Correct Answer: C
Rationale: The correct answer is C: To treat hypertension. Adrenaline, also known as epinephrine, is not typically used to treat hypertension because it can worsen high blood pressure due to its vasoconstrictive effects. Adrenaline is used to prolong the action of local anesthetics (A), stop epistaxis (B), and treat anaphylaxis (D) due to its ability to constrict blood vessels and increase heart rate in emergency situations.
A patient with renal failure and high magnesium level would later have ________ and
- A. Cardiac Arrest
- B. Respiratory Paralysis
- C. Liver Encephalopathy
- D. Death From Hemorrhage
Correct Answer: A
Rationale: The correct answer is A: Cardiac Arrest. High magnesium levels in renal failure can lead to cardiac arrest due to the inhibitory effect on neuromuscular transmission and cardiac muscle activity. Magnesium impairs calcium entry into cells, affecting muscle contraction, potentially leading to fatal arrhythmias and cardiac arrest. Respiratory paralysis (B) is unlikely as magnesium does not directly affect respiratory muscles. Liver encephalopathy (C) is unrelated to high magnesium levels. Death from hemorrhage (D) is not a typical consequence of elevated magnesium levels in renal failure.