Nokea
Mr. D, a 60-year-old male with hypothyroidism, is being discharged on levothyroxine therapy. Which of the following symptoms would indicate that he needs immediate follow-up care?
- A. Dry skin
- B. Cold intolerance
- C. Chest pain
- D. Constipation
Correct Answer: C
Rationale: Chest pain could be a sign of angina or other cardiac issues, and it warrants immediate evaluation in a patient with hypothyroidism, especially if on thyroid hormone replacement therapy.
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Adonis arrives at the gym and spots a dumbbell he wants to use. When attempting to lift the weight, his biceps brachii contract, but the weight is not moved because it is too heavy. This is called?
- A. Isometric contraction
- B. Concentric contraction
- C. Eccentric contraction
- D. Incomplete tetanus
Correct Answer: a
Rationale: The correct answer is A: Isometric contraction. In isometric contraction, the muscle contracts but there is no movement at the joint. In this scenario, Adonis's biceps brachii contract but the weight is not moved, indicating an isometric contraction. In concentric contraction (B), the muscle shortens to move the weight upward. In eccentric contraction (C), the muscle lengthens while under tension, controlling the descent of the weight. Incomplete tetanus (D) refers to a state where muscle fibers are stimulated rapidly but not at the maximum rate to produce sustained contractions.
Mole for mole, which of the following has the greatest effect on Na+ excretion?
- A. Progesterone
- B. Cortisol
- C. Vasopressin
- D. Aldosterone
Correct Answer: D
Rationale: The correct answer is D: Aldosterone. Aldosterone directly influences the reabsorption of sodium in the kidney tubules, leading to increased Na+ excretion. Progesterone (A) does not have a significant effect on Na+ excretion. Cortisol (B) mainly affects glucose metabolism and has minimal impact on Na+ excretion. Vasopressin (C) primarily regulates water reabsorption, not Na+ excretion. Therefore, Aldosterone has the greatest effect on Na+ excretion due to its specific role in sodium reabsorption in the kidneys.
Which of these is not an endocrine property?
- A. hormones reach targets through the blood
- B. effects are slow and cyclic
- C. rapid acting effects
- D. effects caused by chemicals.
Correct Answer: C
Rationale: The correct answer is C: rapid acting effects. Endocrine properties involve hormones reaching targets through the blood, causing slow and cyclic effects. Rapid acting effects are more characteristic of the nervous system, not the endocrine system. Endocrine effects are caused by chemicals, so choice D is incorrect.
Most hormones of the endocrine system are regulated by a:
- A. Negative feedback mechanism.
- B. Positive feedback mechanism.
- C. Hormone-receptor complex.
- D. Hormone-gene complex.
Correct Answer: A
Rationale: The correct answer is A: Negative feedback mechanism. This is because most hormones in the endocrine system are regulated by a negative feedback loop, where the release of a hormone is inhibited once a certain level of that hormone is reached in the body. This helps maintain homeostasis.
Incorrect choices:
B: Positive feedback mechanism - This is less common in hormone regulation as it leads to amplification of a response rather than maintaining balance.
C: Hormone-receptor complex - While hormones bind to receptors to exert their effects, this is not the primary mechanism of hormone regulation.
D: Hormone-gene complex - While hormones can affect gene expression, this is not the primary mechanism of hormone regulation in the endocrine system.
The adrenal medulla:
- A. is an extension of the “feed-and-breed†division of the autonomic nervous system.
- B. secretes epinephrine and norepinephrine.
- C. secretes steroids.
- D. causes Cushing syndrome when it is overactive.
Correct Answer: B
Rationale: The correct answer is B because the adrenal medulla secretes epinephrine and norepinephrine, which are hormones involved in the body's response to stress or danger. These hormones help increase heart rate, blood pressure, and energy levels. Choices A, C, and D are incorrect because:
A: The adrenal medulla is actually part of the sympathetic division of the autonomic nervous system, which is responsible for the "fight-or-flight" response, not the "feed-and-breed" division.
C: Steroids are produced by the adrenal cortex, not the adrenal medulla.
D: Cushing syndrome is caused by overactivity of the adrenal cortex, not the adrenal medulla.