Nokea
Ingestion takes place in the?
- A. Stomach
- B. Small intestine
- C. Mouth
- D. Large intestine
Correct Answer: C
Rationale: The correct answer is C: Mouth. Ingestion is the process of taking food or liquid into the body through the mouth. The mouth is responsible for chewing and breaking down food into smaller pieces, mixing it with saliva to start the digestion process. The stomach (A), small intestine (B), and large intestine (D) are not where ingestion takes place; they are involved in further digestion, absorption, and processing of nutrients. The mouth is the initial site of digestion and the starting point of the digestive process.
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Which of the following has no muscarinic blocking activity:
- A. Amitriptyline
- B. Meperidine
- C. Ipratropium
- D. Edrophonium
Correct Answer: D
Rationale: The correct answer is D, Edrophonium. Edrophonium is a short-acting cholinesterase inhibitor used in the diagnosis of myasthenia gravis. It does not possess muscarinic blocking activity, as its mechanism of action involves inhibition of acetylcholinesterase leading to increased acetylcholine levels at the neuromuscular junction. The other choices, Amitriptyline (A) is a tricyclic antidepressant with anticholinergic properties, Meperidine (B) has weak antimuscarinic effects, and Ipratropium (C) is an anticholinergic medication used in respiratory conditions. These choices exhibit muscarinic blocking activity, unlike Edrophonium.
Nicotinic receptors are blocked by which of the following:
- A. Propranolol
- B. Trimetaphan
- C. Prazosin
- D. Pilocarpine
Correct Answer: B
Rationale: The correct answer is B: Trimetaphan. Nicotinic receptors are blocked by non-depolarizing neuromuscular blockers like Trimetaphan. Propranolol (A) is a beta-blocker, Prazosin (C) is an alpha-1 blocker, and Pilocarpine (D) is a muscarinic agonist, none of which block nicotinic receptors. Therefore, Trimetaphan (B) is the only choice that directly blocks nicotinic receptors.
A 38-year-old man with galactorrhea is treated with bromocriptine, which eliminates the galactorrhea. The basis for the therapeutic action of bromocriptine is that it
- A. antagonizes the action of prolactin on the breast
- B. enhances the action of prolactin on the breast
- C. inhibits prolactin release from the anterior pituitary
- D. inhibits prolactin release from the hypothalamus
Correct Answer: C
Rationale: Step-by-step rationale:
1. Bromocriptine is a dopamine agonist.
2. Dopamine inhibits prolactin release from the anterior pituitary.
3. Galactorrhea is often caused by excess prolactin.
4. By inhibiting prolactin release, bromocriptine reduces prolactin levels and eliminates galactorrhea.
Summary:
A: Incorrect - Bromocriptine does not antagonize prolactin action.
B: Incorrect - Bromocriptine does not enhance prolactin action.
D: Incorrect - Prolactin is not released from the hypothalamus.
While awaiting surgery for removal of an adrenal tumor that has produced Cushing syndrome, Mrs. A. has been placed on a strict diet to help manage her symptoms. The nurse's evaluation that the diet has been helpful includes observations that Mrs. A.
- A. has gained 5 lb
- B. has consistently low blood sugar values
- C. maintains blood pressure within normal limits
- D. becomes more moody
Correct Answer: C
Rationale: Maintaining normal blood pressure is an important goal in the management of Cushing syndrome.
The endocrine system works together with the ________ system to maintain the body’s equilibrium?
- A. digestive system
- B. nervous system
- C. respiratory system
- D. reproductive system
Correct Answer: B
Rationale: The correct answer is B: nervous system. The endocrine system and nervous system work together in maintaining the body's equilibrium through communication and regulation of bodily functions. The nervous system controls rapid responses, while the endocrine system regulates slower, long-term responses through hormones. The digestive system (A) primarily focuses on breaking down food and absorbing nutrients. The respiratory system (C) is responsible for gas exchange. The reproductive system (D) is involved in reproduction and hormone production, but not in maintaining the body's equilibrium.