Nokea
Hyposecretion of adrenal cortex hormones can lead to ___.
- A. Addison disease.
- B. diabetes mellitus.
- C. Cushing syndrome.
- D. cretinism.
Correct Answer: A
Rationale: The correct answer is A: Addison disease. Hyposecretion of adrenal cortex hormones can lead to Addison disease, characterized by fatigue, weight loss, low blood pressure, and skin discoloration. This is because insufficient cortisol and aldosterone production from the adrenal cortex can disrupt the body's stress response and electrolyte balance.
Summary of why other choices are incorrect:
B: Diabetes mellitus is primarily related to insulin regulation issues, not adrenal cortex hormones.
C: Cushing syndrome is caused by hypersecretion, not hyposecretion, of adrenal cortex hormones.
D: Cretinism is associated with thyroid hormone deficiency, not adrenal cortex hormone deficiency.
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A 78-year-old male with Parkinson’s disease experiences worsening of his symptoms. He is already taking levodopa. Since the disease is characterized by degeneration of dopaminergic neurons, leading to the lack of inhibition of cholinergic neurons, the addition of which medication is likely to help alleviate the patient’s symptoms?
- A. Benztropine
- B. Reserpine
- C. Doxazosin
- D. Timolol
Correct Answer: A
Rationale: The correct answer is A: Benztropine. Benztropine is an anticholinergic medication that helps alleviate Parkinson's disease symptoms by blocking the excess activity of acetylcholine, which is increased due to the lack of dopaminergic inhibition. This leads to a rebalancing of neurotransmitters in the brain, improving motor symptoms.
Choice B: Reserpine depletes neurotransmitters including dopamine, worsening Parkinson's symptoms.
Choice C: Doxazosin is an alpha-blocker used for hypertension, not Parkinson's disease.
Choice D: Timolol is a beta-blocker used for glaucoma, not Parkinson's disease.
Which hormones are produced by the posterior pituitary?
- A. oxytocin and antidiuretic hormone
- B. human growth hormone and thyroid-stimulating hormone
- C. prolactin and follicle-stimulating hormone
- D. glucocorticoids and androgens
Correct Answer: A
Rationale: The correct answer is A: oxytocin and antidiuretic hormone. The posterior pituitary stores and releases these hormones, which are produced in the hypothalamus. Oxytocin is involved in uterine contractions and milk ejection, while antidiuretic hormone regulates water balance. Choices B, C, and D are incorrect because human growth hormone and thyroid-stimulating hormone are produced by the anterior pituitary, prolactin and follicle-stimulating hormone are produced by the anterior pituitary, and glucocorticoids and androgens are produced by the adrenal glands, respectively.
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.
To assure accuracy of a urine test for glucose and acetone, the nurse instructs the patient to
- A. perform the urine test one-half hour after meals and at bedtime
- B. drink three glasses of water before the test
- C. void one-half hour before the test, then at the time of the test
- D. increase carbohydrate intake if the results are negative
Correct Answer: C
Rationale: To ensure accurate results, the patient should void before the test and then test the urine at the specified time.
Mr. R, a 52-year-old patient with hyperthyroidism, is experiencing a thyroid storm. Which of the following symptoms would indicate the need for immediate intervention?
- A. Hypothermia
- B. Low blood pressure
- C. Severe tachycardia
- D. Weight gain
Correct Answer: C
Rationale: Severe tachycardia is a hallmark of thyroid storm and requires immediate intervention to prevent life-threatening complications such as heart failure or stroke.