Nokea
A nurse is teaching a client regarding a hormone that is released by beta islet cells in the pancreas. Which hormone is it?
- A. Progesterone
- B. Glucagon
- C. Insulin
- D. Parathormone
Correct Answer: C
Rationale: Insulin is released by beta cells in the pancreas and helps regulate blood sugar levels by promoting glucose uptake into cells.
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Which of the following drugs is a direct stimulant of β1 and β2 adrenoceptors:
- A. Noradrenaline
- B. Isoprenaline
- C. Salbutamol
- D. Amphetamine
Correct Answer: B
Rationale: The correct answer is B: Isoprenaline. Isoprenaline directly stimulates both β1 and β2 adrenoceptors. It is a non-selective β-adrenergic agonist, leading to increased heart rate (β1 stimulation) and bronchodilation (β2 stimulation).
Incorrect choices:
A: Noradrenaline mainly acts on α-adrenoceptors.
C: Salbutamol is a selective β2 agonist, not stimulating β1 receptors.
D: Amphetamine primarily acts on catecholamine release and reuptake inhibition, not direct β-adrenoceptor stimulation.
The relatively constant internal environment of the body is maintained by _______.
- A. negative feedback.
- B. positive feedback.
- C. homeostasis.
- D. metabolism.
Correct Answer: C
Rationale: The correct answer is C: homeostasis. Homeostasis refers to the body's ability to maintain a stable internal environment despite external changes. It involves various physiological mechanisms to regulate temperature, pH, blood sugar levels, and more. Negative feedback (choice A) is a key component of homeostasis, where the body reverses a deviation from the set point to restore balance. Positive feedback (choice B) amplifies a response and does not contribute to maintaining stability. Metabolism (choice D) is the sum of all chemical processes in the body and is necessary for homeostasis but does not directly regulate the internal environment.
Which of the following inhibits the secretion of growth hormone by the anterior pituitary?
- A. Sleep
- B. Stress
- C. Puberty
- D. Somatomedins
Correct Answer: D
Rationale: The correct answer is D: Somatomedins. Somatomedins, also known as insulin-like growth factors (IGFs), inhibit the secretion of growth hormone by negative feedback on the anterior pituitary. When somatomedins are present in sufficient levels, they signal to the pituitary gland to decrease the secretion of growth hormone.
A: Sleep does not directly inhibit the secretion of growth hormone. In fact, growth hormone is predominantly secreted during sleep.
B: Stress can stimulate the secretion of growth hormone, rather than inhibit it.
C: Puberty is a stage of development where growth hormone secretion is typically increased, not inhibited.
Which of the following statements regarding pituitary hormones is FALSE?
- A. Hyposecretion of follicle-stimulating hormone (FSH) or luteinizing hormone (LH) leads to sterility in both males and females.
- B. Antidiuretic hormone (ADH), released by the posterior pituitary, causes urine volume to increase as blood volume decreases.
- C. Oxytocin is released in significant amounts ONLY during childbirth and nursing in woman.
- D. Luteinizing hormone, an anterior pituitary hormone, triggers ovulation of an egg from the ovary and causes the ruptured follicle to produce progesterone and some estrogens.
Correct Answer: B
Rationale: The correct answer is B because antidiuretic hormone (ADH) actually causes urine volume to decrease as blood volume decreases, not increase. ADH acts on the kidneys to reabsorb water, leading to concentrated urine and conservation of body fluids.
Rationale summary:
A: True, hyposecretion of FSH or LH can lead to sterility in both males and females.
C: False, oxytocin is also released during sexual activity, breastfeeding, social bonding, and stress responses, not just during childbirth and nursing.
D: True, luteinizing hormone triggers ovulation and stimulates the production of progesterone and some estrogens.
The chemical classification of hormones does NOT include __________.
- A. glucose-containing hormones
- B. steroid hormones
- C. protein-based hormones
- D. amino acid-based hormones
Correct Answer: A
Rationale: The correct answer is A: glucose-containing hormones. Hormones are classified based on their chemical structure, and glucose-containing hormones do not fit into any of the main categories (steroid, protein-based, amino acid-based). Glucose is a sugar molecule and not typically found as the primary chemical structure of hormones. Steroid hormones are derived from cholesterol, protein-based hormones are made of amino acids, and amino acid-based hormones are derived from single amino acids or peptides. Therefore, glucose-containing hormones do not align with the traditional chemical classifications of hormones.