Nokea
Identify an endocrine gland within the brain.
- A. Adrenal gland
- B. Pancreas
- C. Pituitary gland
- D. Parathyroid glands
Correct Answer: C
Rationale: The correct answer is C: Pituitary gland. The pituitary gland is an endocrine gland located at the base of the brain, below the hypothalamus. It secretes various hormones that regulate important functions in the body. The other choices are incorrect because:
A: Adrenal gland - located on top of the kidneys, not in the brain.
B: Pancreas - located in the abdomen, not in the brain.
D: Parathyroid glands - located in the neck, not in the brain.
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Cushing syndrome:
- A. may be caused by steroid (prednisone) therapy.
- B. is caused by adrenal insufficiency.
- C. is characterized by hypoglycemia and low blood volume.
- D. is treated with growth hormone.
Correct Answer: A
Rationale: The correct answer is A because Cushing syndrome is typically caused by prolonged exposure to high levels of cortisol, which can result from steroid therapy like prednisone. This leads to symptoms such as weight gain, high blood pressure, and muscle weakness. Adrenal insufficiency (B) is actually the opposite condition. Cushing syndrome is characterized by hyperglycemia and increased blood volume, making choices C incorrect. Growth hormone is not a primary treatment for Cushing syndrome, making choice D incorrect.
Eicosanoids are not true hormones because they __________.
- A. they act locally, not on distal organs as do true hormones
- B. don't have target organs
- C. mediate inflammatory reactions
- D. are lipid in nature
Correct Answer: A
Rationale: The correct answer is A. Eicosanoids are not true hormones because they act locally, not on distal organs like true hormones. Eicosanoids are produced and released in response to specific stimuli at the site of action, affecting nearby cells. This local action distinguishes them from true hormones, which are produced in one part of the body and travel through the bloodstream to distant target organs to elicit a response. Choices B, C, and D are incorrect because eicosanoids do have target organs (B), mediate inflammatory reactions (C), and are lipid in nature (D), but these characteristics do not define them as hormones.
A 35-year-old female presents to your office for a regular check-up. Her only complaint is recurrent migraine headaches, which have increased in frequency over the years. On examination, her blood pressure is elevated at 150/70. You decide to start her on antihypertensive therapy that is also used for prophylaxis of migraines. Which medication is it?
- A. Clonidine
- B. Prazosin
- C. Hydrochlorothiazide
- D. Propranolol
Correct Answer: D
Rationale: The correct answer is D: Propranolol. Propranolol is a beta-blocker that is commonly used for migraine prophylaxis. It helps reduce the frequency and severity of migraines by blocking the action of adrenaline on blood vessels in the brain. In this case, the patient has elevated blood pressure and migraines, so starting her on propranolol can address both issues effectively.
Choice A: Clonidine is an alpha-2 agonist used for hypertension, but it is not commonly used for migraine prophylaxis.
Choice B: Prazosin is an alpha-1 blocker primarily used for the treatment of hypertension, but it is not typically used for migraine prophylaxis.
Choice C: Hydrochlorothiazide is a diuretic used for hypertension by reducing blood volume, but it is not effective for migraine prophylaxis.
In summary, propranolol is the most appropriate choice as it addresses both the elevated blood pressure and the recurrent
The second-messenger mechanism of hormone action operates by ________.
- A. synthesizing more of the hormone than is actually needed
- B. increasing the basal metabolic rate in the target organ
- C. not responding to a feedback mechanism
- D. binding to specific receptors and employing the services of G proteins and cAMP
Correct Answer: D
Rationale: The correct answer is D because the second-messenger mechanism involves the hormone binding to specific receptors on the cell surface, activating G proteins, which then trigger the production of cyclic adenosine monophosphate (cAMP) inside the cell. cAMP acts as a secondary messenger to relay the hormone's signal and initiate a cellular response. Synthesizing more hormone than needed (A) is not related to the mechanism. Increasing basal metabolic rate (B) is not a direct result of the second-messenger system. Not responding to feedback (C) contradicts the regulatory nature of hormone actions.
During discharge teaching for the patient with Addison's disease, which statement by the patient indicates that the nurse needs to do additional teaching?
- A. I should always call the doctor if I develop vomiting or diarrhea.
- B. If my weight goes down, my dosage of steroid is probably too high.
- C. I should double or triple my steroid dose if I undergo rigorous physical exercise.
- D. I need to carry an emergency kit with injectable hydrocortisone in case I can't take my medication by mouth.
Correct Answer: B
Rationale: A decrease in weight does not typically indicate that steroid dosage is too high; the patient should understand how to adjust steroids for illness, stress, or physical activity.