Nokea
Atropine has the following pharmacological effects EXCEPT:
- A. It increases the heart rate
- B. Stimulates the respiratory center
- C. Has a mydriatic effect
- D. Produces bronchoconstriction
Correct Answer: D
Rationale: The correct answer is D: Atropine does not produce bronchoconstriction. Atropine is an anticholinergic drug that blocks the action of acetylcholine, leading to increased heart rate (A), stimulation of the respiratory center (B), and mydriatic effect (C). Bronchoconstriction is not a pharmacological effect of atropine because it actually helps dilate the bronchi, making it a useful treatment in cases of bronchospasm.
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One of the two hormones made by the pituitary that help regulate reproductive cells is luteinizing hormone. The other hormone is .
- A. follicle-stimulating hormone
- B. epinephrine
- C. norepinephrine
- D. androgens
Correct Answer: A
Rationale: The correct answer is A: follicle-stimulating hormone (FSH). FSH is the other hormone made by the pituitary gland that helps regulate reproductive cells, along with luteinizing hormone (LH). FSH is responsible for stimulating the growth and maturation of ovarian follicles in females and spermatogenesis in males.
Explanation:
1. FSH is directly involved in the reproductive process by stimulating follicle development and sperm production.
2. Epinephrine and norepinephrine are not hormones produced by the pituitary gland and are involved in the stress response.
3. Androgens are male sex hormones produced primarily by the testes, not the pituitary gland.
In summary, FSH is the correct answer as it plays a crucial role in regulating reproductive cells, while the other choices are not involved in the reproductive system or are not produced by the pituitary gland.
A patient has been receiving a large dose of prednisone for the relief of arthritic pain for 6 months. He suddenly stops taking his medication. What is the most serious concern?
- A. His arthritic pain will recur.
- B. He will develop an acute adrenal insufficiency.
- C. He will continue to exhibit symptoms of Cushing syndrome.
- D. He will develop a moon face and buffalo hump.
Correct Answer: B
Rationale: The correct answer is B: He will develop an acute adrenal insufficiency. When a patient abruptly stops taking a large dose of prednisone after long-term use, it can suppress the body's natural production of cortisol. This sudden withdrawal can lead to adrenal insufficiency, a potentially life-threatening condition. The adrenal glands may not be able to produce enough cortisol to meet the body's needs, causing symptoms such as fatigue, weakness, low blood pressure, and even shock. This is a serious concern that requires medical attention.
Incorrect choices:
A: His arthritic pain will recur - While this is a valid concern, it is not the most serious issue compared to acute adrenal insufficiency.
C: He will continue to exhibit symptoms of Cushing syndrome - Cushing syndrome is a result of prolonged exposure to high levels of cortisol, not sudden withdrawal.
D: He will develop a moon face and buffalo hump - These are physical symptoms associated with Cushing syndrome, not acute adrenal
A patient with diabetes is learning to mix regular insulin and NPH insulin in the same syringe. The nurse determines that additional teaching is needed when the patient does what?
- A. Withdraws the NPH dose into the syringe first
- B. Injects air equal to the NPH dose into the NPH vial first
- C. Removes any air bubbles after withdrawing the first insulin
- D. Adds air equal to the insulin dose into the regular vial and withdraws the dose
Correct Answer: A
Rationale: When mixing insulin, the correct order is to draw up the regular insulin first, followed by NPH insulin.
Regarding thyroid hormones:
- A. little T3 is produced peripherally by deiodination T4
- B. albumin has more capacity to bind thyroid hormones than TBG
- C. TBG has less affinity for thyroid hormone than albumin
- D. thyroid hormones stimulate lipogenesis
Correct Answer: B
Rationale: Step 1: Albumin binds more thyroid hormones than TBG due to its higher concentration in the blood.
Step 2: TBG has higher affinity for thyroid hormones than albumin, leading to less free hormone.
Step 3: Hence, choice B is correct as albumin has more capacity to bind thyroid hormones.
Summary: Choice A is incorrect as significant T3 is produced peripherally. Choice C is incorrect as TBG has higher affinity. Choice D is incorrect as thyroid hormones stimulate lipolysis, not lipogenesis.
What is the mass of hydrogen chloride that reacts with 5.1 g of ammonia?
- A. 3.65g
- B. 10.95g
- C. 7.05g
- D. 21.15g
Correct Answer: B
Rationale: To find the mass of hydrogen chloride that reacts with 5.1g of ammonia, we need to use the stoichiometry of the balanced chemical equation. The balanced equation for the reaction between ammonia (NH3) and hydrogen chloride (HCl) is:
NH3 + HCl → NH4Cl
From the equation, we can see that 1 mole of NH3 reacts with 1 mole of HCl to form 1 mole of NH4Cl. Therefore, the molar ratio of NH3 to HCl is 1:1.
First, we need to convert the given mass of ammonia (5.1g) to moles using the molar mass of ammonia (17g/mol):
5.1g NH3 * (1 mol NH3 / 17g NH3) = 0.3 mol NH3
Since the molar ratio of NH3 to HCl is 1:1, the moles of HCl that react with