Diabetes Insipidus is a deficiency of what hormone?
- A. Atrial Natriuretic Peptide
- B. Vasopressin
- C. Aldosterone
- D. Insulin
Correct Answer: B
Rationale: Diabetes Insipidus is a condition characterized by the body's inability to properly regulate water balance, leading to excessive urination and extreme thirst. This disorder is caused by a deficiency of vasopressin, also known as antidiuretic hormone (ADH). Vasopressin is a hormone produced by the hypothalamus and released by the pituitary gland to help regulate water balance in the body by controlling the amount of water reabsorbed by the kidneys. The lack of vasopressin in Diabetes Insipidus results in the kidneys producing a large volume of dilute urine, leading to dehydration and electrolyte imbalances.
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All the following are effects of hypercalcemia except
- A. Diarrhea
- B. Polyuria
- C. A shortened qt interval
- D. Nephrolithiasis
Correct Answer: C
Rationale: Hypercalcemia refers to elevated levels of calcium in the blood. The effects of hypercalcemia include increased urinary frequency (polyuria), gastrointestinal symptoms such as constipation rather than diarrhea, kidney stones (nephrolithiasis), and various cardiac abnormalities. One key cardiac abnormality associated with hypercalcemia is a prolonged QT interval rather than a shortened QT interval. Prolongation of the QT interval can predispose individuals to arrhythmias, particularly Torsades de pointes. Therefore, the correct answer is C, as a shortened QT interval is not a typical effect of hypercalcemia.
All of the following are potential causes of elevated LDL , except:
- A. Cirrhosis
- B. Hypothyroidism
- C. Nephrotic syndrome
- D. Thiazide diuretics
Correct Answer: A
Rationale: Cirrhosis is not a potential cause of elevated LDL cholesterol levels. The liver plays a significant role in cholesterol metabolism, and liver disease like cirrhosis can actually lead to decreased levels of LDL cholesterol. Elevated LDL cholesterol levels can be caused by conditions such as hypothyroidism, nephrotic syndrome, or the use of certain medications like thiazide diuretics.
Hormones are:
- A. biologically inert by themselves.
- B. used as an energy source
- C. incorporated as a structural moiety into another molecule
- D. always stored in secretory granules
Correct Answer: C
Rationale: Hormones are chemical messengers that are produced by various glands in the body and released into the bloodstream to signal and regulate the activity of specific target cells. Unlike energy sources that can be metabolized for energy production (like carbohydrates and fats), hormones are not typically used as an energy source themselves (Choice B). Hormones are typically not biologically inert by themselves (Choice A), as they have specific functions in regulating various physiological processes in the body. While some hormones may be stored in secretory granules before release, not all hormones are stored in this manner (Choice D). Additionally, hormones are not always released by exocytosis (Choice E), as some hormones can also be released through other mechanisms such as diffusion. The correct choice, therefore, is C: hormones are incorporated as a structural moiety into another molecule, as they bind to specific receptors on target cells to elicit a cellular response and regulate physiological functions.
Thyroid hormones (T3 and T4):
- A. increase metabolic rate.
- B. are hydrophilic as they are made from amino acids.
- C. contain iron atoms in ferrous form.
- D. stimulate the secretion of thyroid-stimulating hormone (TSH; thyrotropin).
Correct Answer: A
Rationale: Thyroid hormones, T3 (triiodothyronine) and T4 (thyroxine), play a crucial role in regulating metabolism in the body. They are responsible for increasing the metabolic rate of cells by influencing the production of proteins and controlling how the body uses energy. This increase in metabolic rate results in processes such as increased heart rate, enhanced nutrient breakdown, and higher body temperature. Thus, option A, "increase metabolic rate," is the correct statement regarding thyroid hormones (T3 and T4).
Anti-diuretic hormone secretion is:
- A. increased during stress.
- B. reduced during hemorrhage.
- C. reduced by increased blood osmolality.
- D. increased by alcohol.
Correct Answer: B
Rationale: Anti-diuretic hormone (ADH), also known as vasopressin, is a hormone released by the pituitary gland in response to changes in blood osmolality, blood volume, and blood pressure. During hemorrhage (significant blood loss), the body experiences a decrease in blood volume and blood pressure. In response to this decrease in blood volume, ADH secretion is increased to help the body retain water and maintain blood pressure levels. Therefore, it is incorrect to say that ADH secretion is reduced during hemorrhage.
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