Nokea
In addition to promoting the transport of glucose from the blood into the cell, what does insulin do?
- A. Enhances the breakdown of adipose tissue for energy
- B. Stimulates hepatic glycogenolysis and gluconeogenesis
- C. Prevents the transport of triglycerides into adipose tissue
- D. Accelerates the transport of amino acids into cells and their synthesis into protein
Correct Answer: D
Rationale: Insulin promotes the transport of glucose into cells and also enhances the transport of amino acids into cells, aiding protein synthesis.
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Which of the following is most likely to cause the secretion of calcitonin?
- A. Hypocalcemia
- B. Hyperglycemia
- C. Dehydration
- D. Elevated plasma calcium level
Correct Answer: D
Rationale: The correct answer is D: Elevated plasma calcium level. Calcitonin is released from the thyroid gland in response to high levels of calcium in the blood. When plasma calcium levels are elevated, calcitonin is secreted to help regulate calcium homeostasis by promoting calcium deposition in bones. Choices A, B, and C are incorrect because hypocalcemia (low calcium levels), hyperglycemia (high blood sugar levels), and dehydration do not directly stimulate the secretion of calcitonin.
Selective β2 agonists produce all of the following EXCEPT:
- A. Stimulate β2 > β1
- B. Bronchodilation
- C. Decrease of blood pressure
- D. Stimulate uterine contraction
Correct Answer: D
Rationale: The correct answer is D: Stimulate uterine contraction. Selective β2 agonists primarily target β2 receptors in the lungs, leading to bronchodilation. They have minimal effect on β1 receptors, thus do not significantly impact heart rate or blood pressure. However, β2 receptors in the uterus can cause uterine relaxation, not contraction. Therefore, selective β2 agonists do not stimulate uterine contractions. Choices A, B, and C are incorrect as they align with the typical effects of selective β2 agonists.
A deficiency of dietary iodine:
- A. lowers plasma calcium levels.
- B. causes low blood volume and shock.
- C. decreases the synthesis of calcitonin.
- D. causes a goiter.
Correct Answer: D
Rationale: The correct answer is D because a deficiency of dietary iodine leads to an insufficient production of thyroid hormones, which can result in the enlargement of the thyroid gland, known as a goiter. This is due to the thyroid gland working harder to try to produce more hormones.
A, B, and C are incorrect because a deficiency of dietary iodine does not directly affect plasma calcium levels, blood volume, or the synthesis of calcitonin. These are functions that are primarily regulated by other hormones and factors in the body, not by iodine deficiency.
Mr. R, a 52-year-old patient with hyperthyroidism, is experiencing a thyroid storm. Which of the following symptoms would indicate the need for immediate intervention?
- A. Hypothermia
- B. Low blood pressure
- C. Severe tachycardia
- D. Weight gain
Correct Answer: C
Rationale: Severe tachycardia is a hallmark of thyroid storm and requires immediate intervention to prevent life-threatening complications such as heart failure or stroke.
Eicosanoids do not include ________.
- A. paracrines
- B. leukotrienes
- C. hydrocortisones
- D. prostaglandins
Correct Answer: C
Rationale: The correct answer is C: hydrocortisones. Eicosanoids are signaling molecules derived from fatty acids, including prostaglandins and leukotrienes, which act as paracrines. Hydrocortisone is a steroid hormone, not an eicosanoid. It functions differently from eicosanoids, which act locally as signaling molecules. Therefore, hydrocortisones do not belong to the eicosanoid category. Choices A, B, and D are incorrect because paracrines, leukotrienes, and prostaglandins are all types of eicosanoids with specific functions in the body.