Nokea
Mr. Olson, a 55-year-old, adult-onset, non-insulin-dependent diabetic is on a 1500 diabetic diet. He wants to have his nightly bourbon and water. The nurse should explain that
- A. each ounce of alcohol contains approximately 50 calories
- B. the bourbon should be mixed with 7-Up or ginger-ale rather than water
- C. the caloric content of the alcohol must be subtracted from the total diet prescription
- D. Fermented spirits (beer, wine) would be better if he insists on a nightly drink
Correct Answer: A
Rationale: Alcohol contains approximately 50 calories per ounce, and this must be considered in the patient's daily caloric intake.
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Being lipid soluble, steroids can do all the following EXCEPT:
- A. catalyze cyclic AMP
- B. diffuse through the plasma membranes of target cells
- C. enter the nucleus
- D. activate genes to transcribe mRNA for protein synthesis
Correct Answer: A
Rationale: Step 1: Steroids are lipid-soluble molecules, allowing them to easily diffuse through the plasma membrane of target cells.
Step 2: Once inside the cell, steroids can enter the nucleus to bind to specific receptors and regulate gene expression.
Step 3: Steroids do not catalyze cyclic AMP; this function is typically associated with non-steroid hormones like adrenaline.
Step 4: Therefore, the correct answer is A because steroids do not catalyze cyclic AMP, unlike other hormones.
Hypothyroidism in children:
- A. Cretinism
- B. Myxoedema
- C. Graves disease
- D. Acromegaly
Correct Answer: A
Rationale: The correct answer is A: Cretinism. Cretinism is a condition of severe hypothyroidism during childhood, leading to stunted growth, intellectual disability, and physical deformities. Myxoedema refers to severe hypothyroidism in adults, not children. Graves disease is a form of hyperthyroidism, opposite of hypothyroidism. Acromegaly is a condition caused by excess growth hormone, not related to thyroid dysfunction. Therefore, Cretinism is the correct answer for hypothyroidism in children due to its specific characteristics and presentation.
A girl presents with delayed puberty, absent secondary sexual characteristics, and primary amenorrhea. She also appears to be hypertensive and hypokalemia. Which of the following enzymes is increased if there is virilization of a person?
- A. 11b-Hydroxylase
- B. 17a-Hydroxylase
- C. 21b-Hydroxylase
- D. Pyruvate Kinase
Correct Answer: A
Rationale: The correct answer is A: 11b-Hydroxylase. In cases of virilization, increased androgen production occurs. 11b-Hydroxylase is involved in the synthesis of cortisol and aldosterone. When there is a deficiency in this enzyme, excess androgens are diverted towards the production of testosterone, leading to virilization. In contrast, choices B (17a-Hydroxylase) and C (21b-Hydroxylase) deficiencies result in decreased androgen production. Choice D, Pyruvate Kinase, is not related to steroid hormone synthesis. Therefore, the correct enzyme in this scenario is 11b-Hydroxylase.
The posterior pituitary stores and releases:
- A. Growth hormone and prolactin.
- B. Prolactin and oxytocin.
- C. Oxytocin and antidiuretic hormone (ADH).
- D. ADH and growth hormone.
Correct Answer: C
Rationale: The correct answer is C: Oxytocin and antidiuretic hormone (ADH). The posterior pituitary stores and releases oxytocin and ADH, also known as vasopressin. Oxytocin is involved in uterine contractions and milk ejection, while ADH regulates water reabsorption in the kidneys. Choices A, B, and D are incorrect because the posterior pituitary does not store or release growth hormone or prolactin.
Which row identifies the chemical product of the fuel cell and the type of energy used to power the vehicles?
- A. hydrogen, electrical
- B. hydrogen, thermal
- C. water, electrical
- D. water, thermal
Correct Answer: C
Rationale: The correct answer is C because in a fuel cell, the chemical product is water (H2O) produced from the reaction of hydrogen and oxygen, and the energy used to power the vehicles is electrical energy generated from the electrochemical reaction in the fuel cell. Choice A (hydrogen, electrical) is incorrect because hydrogen is the input fuel, not the output product. Choice B (hydrogen, thermal) is incorrect because thermal energy is not the primary form of energy produced in a fuel cell. Choice D (water, thermal) is incorrect because while water is the product, the energy produced is electrical, not thermal.