Nokea
Hormones that bind to receptors inside of target cells are usually
- A. lipid soluble.
- B. water soluble.
- C. second messengers.
- D. proteins.
Correct Answer: A
Rationale: The correct answer is A: lipid soluble. Lipid-soluble hormones can easily pass through the cell membrane and bind to intracellular receptors. This binding activates gene expression and affects protein synthesis within the cell. Water-soluble hormones, like choice B, bind to cell surface receptors and activate signaling pathways through second messengers (choice C). Proteins (choice D) are not hormones but rather macromolecules that can act as signaling molecules or receptors. Lipid solubility is crucial for hormones to exert their effects inside target cells, making choice A the correct answer.
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A child visiting his grandfather at his farm returns home having fever, skin flush, dry mouth, constipation, dilated pupils, and increased heart rate. Which of the following could be the offending agent:
- A. Eating seeds containing atropine
- B. Exposure to malathion insecticide
- C. Wrong intake of echothiophate drops
- D. Ingestion of physostigmine
Correct Answer: A
Rationale: The correct answer is A: Eating seeds containing atropine. Atropine is a plant alkaloid commonly found in certain seeds that can cause symptoms such as fever, skin flush, dry mouth, constipation, dilated pupils, and increased heart rate when ingested. Atropine is known to have anticholinergic effects, which align with the symptoms presented by the child. Malathion (B) is an insecticide that typically causes different symptoms like nausea, vomiting, and diarrhea. Echothiophate drops (C) are cholinesterase inhibitors used in the treatment of glaucoma, which would not produce the described symptoms. Physostigmine (D) is a cholinesterase inhibitor that would not cause symptoms of anticholinergic toxicity seen in the child.
The secretions from which of these glands differs between males and females?
- A. Adrenal.
- B. Parathyroid.
- C. Gonadal.
- D. Pancreas.
Correct Answer: C
Rationale: The correct answer is C: Gonadal. The secretions from gonads (testes in males, ovaries in females) differ between males and females due to the production of sex hormones (testosterone in males, estrogen and progesterone in females). Adrenal glands (A) secrete similar hormones in both genders. Parathyroid (B) and Pancreas (D) do not secrete hormones that differ based on gender.
What Does Somatostatin Do?
- A. Inhibits release of insulin and glucagon
- B. Stimulates release of insulin and glucagon
- C. Stimulates glucagon release while inhibits insulin release
- D. Inhibits glucagon release while stimulates insulin release
Correct Answer: A
Rationale: The correct answer is A because somatostatin inhibits the release of both insulin and glucagon. This hormone acts as a regulator of the endocrine system by suppressing the secretion of these hormones. By inhibiting the release of insulin, somatostatin helps to prevent hypoglycemia, while inhibiting glucagon release helps to maintain blood glucose levels. Choices B, C, and D are incorrect because they do not accurately reflect the function of somatostatin in regulating the release of insulin and glucagon. B stimulates the release of both hormones, C stimulates glucagon while inhibits insulin, and D inhibits glucagon while stimulates insulin, which are all contradictory to the known actions of somatostatin.
All are characteristics of smooth muscle, except?
- A. Usually forms 2 layers at right angles to each other
- B. Utilizes troponin to help initiate muscle contraction
- C. Contains no striations
- D. Action potentials travel between muscle fibers quickly via tight junctions
Correct Answer: b
Rationale: The correct answer is B because smooth muscle does not utilize troponin to help initiate muscle contraction. Instead, smooth muscle contraction is regulated by calcium-calmodulin complex.
A: True - Smooth muscle usually forms 2 layers at right angles to each other.
C: True - Smooth muscle contains no striations.
D: False - Action potentials in smooth muscle travel slowly via gap junctions, not tight junctions.
When teaching the patient with diabetes about insulin administration, the nurse should include which instruction for the patient?
- A. Pull back on the plunger after inserting the needle to check for blood.
- B. Consistently use the same size of insulin syringe to avoid dosing errors.
- C. Clean the skin at the injection site with an alcohol swab before each injection.
- D. Rotate injection sites from arms to thighs to abdomen with each injection to prevent lipodystrophies.
Correct Answer: D
Rationale: Rotating injection sites is important to avoid lipodystrophies, which can impact insulin absorption.