Nokea
Annabelle has been referred to an endocrinologist for evaluation of the following symptoms: infertility, hypogonadism, and delayed puberty. Which hormone(s) from the pituitary is/are lacking in Annabelle?
- A. FSH and LH.
- B. ACTH.
- C. TSH.
- D. Growth hormone.
Correct Answer: A
Rationale: Infertility, hypogonadism, and delayed puberty in women are commonly due to a deficiency in the pituitary hormones FSH and LH, which regulate reproductive function.
You may also like to solve these questions
Glucagon, growth hormone, cortisol, and epinephrine:
- A. are all secreted by the adrenal gland.
- B. expand blood volume.
- C. raise blood glucose levels.
- D. stimulate osteoclastic activity.
Correct Answer: C
Rationale: The correct answer is C: raise blood glucose levels. Glucagon, growth hormone, cortisol, and epinephrine all work together to increase blood glucose levels through various mechanisms. Glucagon stimulates the breakdown of glycogen into glucose, growth hormone promotes gluconeogenesis, cortisol increases blood sugar through gluconeogenesis and inhibiting glucose uptake, and epinephrine triggers glycogen breakdown and inhibits insulin release. Choices A, B, and D are incorrect because not all of these hormones are secreted by the adrenal gland, they do not directly expand blood volume, and they do not stimulate osteoclastic activity, respectively.
Atropine has the following side effects EXCEPT:
- A. Dry mouth
- B. Tachycardia
- C. Blurred vision
- D. Diarrhea
Correct Answer: D
Rationale: The correct answer is D: Diarrhea. Atropine is an anticholinergic drug that typically causes dry mouth, tachycardia, and blurred vision as side effects due to its mechanism of blocking acetylcholine receptors. However, diarrhea is not a common side effect of atropine. It is important to differentiate the expected side effects of a drug from those that are not commonly associated with it based on its pharmacological actions.
Which is INCORRECT regarding nerve supply to the gut?
- A. the blood vessels are known to have enteric, parasympathetic and sympathetic innervation
- B. the myenteric plexus lies between the longitudinal and circular muscle layers
- C. parasympathetic supply is via vagal and sacral nerve
- D. sympathetic supply is often inhibitory on cholinergic postganglionic fibres
Correct Answer: A
Rationale: The correct answer is A because blood vessels in the gut are not innervated by the enteric nervous system. The enteric nervous system primarily regulates gut motility, secretion, and blood flow, but it does not innervate blood vessels. The myenteric plexus lies between the longitudinal and circular muscle layers, making choice B correct. Parasympathetic supply to the gut comes from the vagus nerve and sacral nerves, supporting choice C. Sympathetic supply is often inhibitory on cholinergic postganglionic fibers, making choice D accurate. Therefore, A is incorrect as the enteric nervous system does not innervate blood vessels in the gut.
A patient who recently had a calcium oxalate renal stone had a bone density study, which showed a decrease in her bone density. What endocrine problem could this patient have?
- A. SIADH
- B. Cushing syndrome
- C. Hypothyroidism
- D. Hyperparathyroidism
Correct Answer: D
Rationale: Hyperparathyroidism can lead to bone demineralization, which may cause a decrease in bone density, and is often associated with kidney stones.
What is the speed of the wave?
- A. 1.5cm/s
- B. 3.0cm/s
- C. 300 cm/s
- D. 600 cm/s
Correct Answer: D
Rationale: The correct answer is D: 600 cm/s. The speed of a wave is determined by the formula speed = frequency x wavelength. Given that the frequency and wavelength are constant, the only way to increase the speed is to increase the frequency or the wavelength. Since both frequency and wavelength are fixed, the speed can only be increased by increasing both. Choice D, 600 cm/s, is double the speed of choice C, 300 cm/s, which indicates that both frequency and wavelength have been doubled, leading to the correct answer. Choices A and B are too low to be correct, as they are not consistent with the principles of wave speed calculation.