Nokea
Calcium level in the blood is regulated by the:
- A. Parathyroid and thyroid
- B. Adrenal medulla and pancreas
- C. Testes
- D. Parathyroid and thymus
Correct Answer: A
Rationale: The correct answer is A: Parathyroid and thyroid. The parathyroid glands secrete parathyroid hormone, which increases blood calcium levels by promoting calcium release from bones and increasing calcium absorption in the intestines. The thyroid gland produces calcitonin, which lowers blood calcium levels by inhibiting bone breakdown and increasing calcium excretion by the kidneys. The adrenal medulla and pancreas do not play a direct role in regulating calcium levels. Testes are not involved in calcium regulation. The thymus is responsible for developing T-cells and does not have a role in calcium regulation.
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Thyroid hormone exerts its influence by ________.
- A. entering some cells and binding to intracellular receptors within the nuclei
- B. exerting only a minor effect on body metabolism
- C. causing a reduction in the number of blood vessel adrenergic receptors, and therefore decreasing blood pressure
- D. acting to decrease basal metabolic rate
Correct Answer: A
Rationale: The correct answer is A because thyroid hormone is a lipid-soluble hormone that can diffuse across the cell membrane and bind to intracellular receptors within the nuclei. This binding activates gene transcription, leading to various metabolic effects. Choice B is incorrect because thyroid hormone actually has a significant impact on body metabolism. Choice C is incorrect as thyroid hormone does not directly affect blood vessel adrenergic receptors or blood pressure. Choice D is incorrect as thyroid hormone actually acts to increase basal metabolic rate, not decrease it.
A nurse educator is giving a presentation on hypothalamic hormones. Which of the following hypothalamic hormones when stimulated is controlled by another hypothalamic hormone?
- A. Thyroid-stimulating hormone
- B. Corticotropin-releasing hormone
- C. Follicle-stimulating hormone
- D. Growth hormone-releasing hormone
Correct Answer: D
Rationale: Growth hormone-releasing hormone (GHRH) is regulated by another hypothalamic hormone, somatostatin, which inhibits its release.
This is the Most Abundant Hormone Produced by the Anterior Pituitary
- A. LH
- B. TSH
- C. ACTH
- D. GH
Correct Answer: D
Rationale: The correct answer is D: GH (Growth Hormone). GH is the most abundant hormone produced by the anterior pituitary gland. It plays a crucial role in regulating growth, metabolism, and cell repair. LH, TSH, and ACTH are also hormones produced by the anterior pituitary, but they are not as abundant as GH and do not have the same wide-ranging effects on the body. LH is involved in reproductive functions, TSH regulates thyroid function, and ACTH stimulates the adrenal glands. Therefore, based on the function and abundance of hormones produced by the anterior pituitary, GH is the correct answer.
A drug useful in the treatment of acute attack of migraine is:
- A. Sumatriptan
- B. Ergometrine
- C. Dihydroergometrine
- D. Propranolol
Correct Answer: A
Rationale: Sumatriptan is the correct answer for treating acute migraine attacks as it is a specific serotonin receptor agonist that helps constrict blood vessels in the brain. Ergometrine and dihydroergometrine are ergot alkaloids used for other conditions, not migraine. Propranolol is a beta-blocker used for migraine prevention, not acute attacks.
Adrenaline is contraindicated in:
- A. Cardiac arrest
- B. Acute bronchial asthma
- C. Anaphylactic shock
- D. Hypertension
Correct Answer: D
Rationale: Adrenaline is contraindicated in hypertension because it can worsen high blood pressure and increase the risk of cardiovascular events. Adrenaline's vasoconstrictive effects can further elevate blood pressure in individuals with hypertension, potentially leading to severe complications. Therefore, it is crucial to avoid administering adrenaline in patients with hypertension to prevent adverse cardiovascular outcomes.
Summary:
- A: Adrenaline is indicated in cardiac arrest to improve cardiac output.
- B: Adrenaline is indicated in acute bronchial asthma to relax bronchial smooth muscles.
- C: Adrenaline is indicated in anaphylactic shock to reverse severe allergic reactions.
- D (Correct): Adrenaline is contraindicated in hypertension due to its vasoconstrictive effects.