Nokea
In Which of the Following Pairs, the Hormone of Endocrine Glands and Its Primary Action Is Incorrect or Mismatched?
- A. Calcitonin - Lower blood calcium levels
- B. Parathyroid - Raises blood calcium levels
- C. Somatostatin - Inhibits release of glucagon
- D. Melatonin - Regulates the rate of cellular metabolism
Correct Answer: D
Rationale: The correct answer is D - Melatonin - Regulates the rate of cellular metabolism. Melatonin is a hormone primarily involved in regulating sleep-wake cycles, not cellular metabolism.
A: Calcitonin - Lower blood calcium levels - Correct. Calcitonin is released by the thyroid gland to lower blood calcium levels.
B: Parathyroid - Raises blood calcium levels - Correct. Parathyroid hormone is released by the parathyroid glands to raise blood calcium levels.
C: Somatostatin - Inhibits release of glucagon - Correct. Somatostatin inhibits the release of glucagon and insulin.
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α-1 adrenergic receptors are selectively blocked by:
- A. Phentolamine
- B. Prazosin
- C. Propranolol
- D. Ergotamine
Correct Answer: B
Rationale: The correct answer is B: Prazosin. α-1 adrenergic receptors are selectively blocked by prazosin. Prazosin is a selective α-1 adrenergic receptor antagonist, specifically targeting these receptors. It works by blocking the effects of norepinephrine, leading to vasodilation and reduced blood pressure.
A: Phentolamine is a non-selective α-adrenergic receptor antagonist, blocking both α-1 and α-2 receptors.
C: Propranolol is a non-selective β-adrenergic receptor antagonist, blocking β-1 and β-2 receptors.
D: Ergotamine is a medication used for the treatment of migraines and has vasoconstrictive properties but does not selectively block α-1 adrenergic receptors.
The element essential for normal thyroid function is:
- A. Potassium
- B. Sodium
- C. Iodine
- D. Calcium
Correct Answer: C
Rationale: The correct answer is C: Iodine. Iodine is essential for the production of thyroid hormones T3 and T4. These hormones regulate metabolism, growth, and development. Potassium (A), Sodium (B), and Calcium (D) do not play a direct role in thyroid function. Potassium and Sodium are electrolytes important for nerve function and fluid balance, while Calcium is crucial for bone health and muscle function. Therefore, the correct answer is Iodine as it is specifically required for normal thyroid function.
On swallowing, the food leaves the mouth as a round mass called a bolus, into which structure does it pass?
- A. Pharynx
- B. Oesophagus
- C. Stomach
- D. Trachea
Correct Answer: B
Rationale: The correct answer is B: Oesophagus. After swallowing, the food bolus passes through the pharynx and enters the oesophagus, a muscular tube that connects the mouth to the stomach. The oesophagus helps transport the bolus to the stomach for further digestion. The pharynx is a common pathway for both food and air, but the food should not enter the trachea (D) as it leads to the lungs, causing choking. The stomach (C) is the final destination for the food bolus after passing through the oesophagus.
Hormone release stops when the stimulus that triggered it – like thirst or high blood sugar is satisfied or corrected. This is called:
- A. positive feedback system
- B. negative feedback system
- C. lock and key system
- D. solar system
Correct Answer: B
Rationale: The correct answer is B: negative feedback system. In a negative feedback system, the body's response to a stimulus works to counteract the initial stimulus, bringing the body back to its set point. In the context of the question, hormone release stops when the stimulus is satisfied, which is characteristic of a negative feedback system. A: Positive feedback system amplifies the initial stimulus rather than counteracting it. C: Lock and key system refers to how enzymes bind to specific substrates, not related to hormone regulation. D: Solar system is unrelated to physiological processes.
A patient suspected of having acromegaly has an elevated plasma growth hormone (GH) level. In acromegaly, what would the nurse also expect the patient's diagnostic results to indicate?
- A. Hyperinsulinemia
- B. Plasma glucose of <70 mg/dL (3.9 mmol/L)
- C. Decreased GH levels with an oral glucose challenge test
- D. Elevated levels of plasma insulin-like growth factor-1 (IGF-1)
Correct Answer: D
Rationale: In acromegaly, elevated plasma IGF-1 levels are expected, as it is a key mediator of GH effects.