Nokea
A benign tumor of the adrenal medulla:
- A. causes life-threatening low blood pressure.
- B. is called a pheochromocytoma.
- C. causes Addison’s disease.
- D. causes excess secretion of cortisol.
Correct Answer: B
Rationale: The correct answer is B: A benign tumor of the adrenal medulla is called a pheochromocytoma. Pheochromocytomas are tumors that arise from the adrenal medulla, leading to overproduction of catecholamines like adrenaline and noradrenaline. This excess secretion can result in symptoms such as high blood pressure, palpitations, and sweating. Choices A and C are incorrect because a benign tumor of the adrenal medulla typically causes high blood pressure, not low blood pressure or Addison's disease. Choice D is incorrect because excess cortisol secretion is associated with conditions like Cushing's syndrome, not pheochromocytoma.
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What is a cause of primary hypothyroidism in adults?
- A. Malignant or benign thyroid nodules
- B. Surgical removal or failure of the pituitary gland
- C. Surgical removal or radiation of the thyroid gland
- D. Autoimmune-induced atrophy of the thyroid gland
Correct Answer: D
Rationale: Primary hypothyroidism in adults is commonly caused by autoimmune diseases such as Hashimoto's thyroiditis, which leads to thyroid tissue destruction.
Thyroid hormone (a small iodinated amine) enters target cells in a manner similar to ________.
- A. insulin, because insulin is a small peptide
- B. steroid hormones, because both diffuse easily into target cells
- C. growth hormone, because the thyroid works synergistically with thyroid hormone
- D. glucagon, because the structure of glucagon is similar to that of thyroid hormone
Correct Answer: B
Rationale: The correct answer is B: steroid hormones, because both diffuse easily into target cells. Thyroid hormone, being a small iodinated amine, can easily pass through the cell membrane and bind to intracellular receptors, similar to steroid hormones. Unlike insulin (choice A), which binds to cell surface receptors, thyroid hormone and steroid hormones enter the cell to exert their effects. Growth hormone (choice C) and glucagon (choice D) do not share the same mechanism of entry into target cells as thyroid hormone, making them incorrect choices.
Identify functions of calcium within the body.
- A. Clotting
- B. Hardens bone
- C. Nerve conduction and muscle contraction
- D. All of the above.
Correct Answer: D
Rationale: The correct answer is D because calcium plays essential roles in clotting, bone health, nerve conduction, and muscle contraction. Calcium is crucial for the coagulation cascade in clotting, is a key component of bone mineralization, is required for neurotransmitter release in nerve conduction, and is involved in muscle contraction by regulating the interactions between actin and myosin. Choices A, B, and C are incorrect individually because they only represent some of the functions of calcium, whereas choice D encompasses all the vital functions of calcium in the body.
The nurse reviews the function of thyroid gland hormones. What is the primary function of calcitonin?
- A. Sodium and potassium balance
- B. Magnesium balance
- C. Norepinephrine balance
- D. Calcium and phosphorus balance
Correct Answer: D
Rationale: The primary function of calcitonin is to regulate calcium and phosphorus balance in the body. Calcitonin works to decrease blood calcium levels by inhibiting bone breakdown and increasing calcium excretion by the kidneys. This helps maintain the overall balance of calcium and phosphorus in the body. Choices A, B, and C are incorrect as they do not align with the known function of calcitonin. Sodium and potassium balance, magnesium balance, and norepinephrine balance are not directly influenced by calcitonin.
Regulating hormones from the hypothalamus ________.
- A. enter venous circulation and travel to the heart, which pumps the hormone-containing blood to the pituitary
- B. enter the hepatic portal system, which feeds the pituitary
- C. travel by arteries to the pituitary
- D. first enter into the hypophyseal portal system
Correct Answer: D
Rationale: The correct answer is D because hormones from the hypothalamus first enter the hypophyseal portal system before reaching the pituitary gland. This system allows direct communication between the hypothalamus and the pituitary gland, enabling precise control over hormone release. Choices A, B, and C are incorrect because they do not accurately describe the normal pathway of hormone regulation from the hypothalamus to the pituitary gland. Option A is incorrect as hormones do not travel to the heart before reaching the pituitary. Option B is incorrect because hormones do not enter the hepatic portal system to reach the pituitary. Option C is incorrect as hormones do not travel to the pituitary through arteries.