Nokea
Mr. T, who has Cushing syndrome, is being treated with corticosteroids for an extended period. He has been instructed to avoid sudden discontinuation of the drug. Why should this instruction be given?
- A. To prevent adrenal crisis
- B. To increase potassium retention
- C. To reduce sodium retention
- D. To avoid an overdose of the medication
Correct Answer: A
Rationale: Discontinuing corticosteroids abruptly can lead to adrenal insufficiency or adrenal crisis because the adrenal glands cannot produce cortisol quickly enough after being suppressed.
You may also like to solve these questions
Adrenaline is contraindicated in:
- A. Cardiac arrest
- B. Acute bronchial asthma
- C. Anaphylactic shock
- D. Hypertension
Correct Answer: D
Rationale: Adrenaline is contraindicated in hypertension because it can worsen high blood pressure and increase the risk of cardiovascular events. Adrenaline's vasoconstrictive effects can further elevate blood pressure in individuals with hypertension, potentially leading to severe complications. Therefore, it is crucial to avoid administering adrenaline in patients with hypertension to prevent adverse cardiovascular outcomes.
Summary:
- A: Adrenaline is indicated in cardiac arrest to improve cardiac output.
- B: Adrenaline is indicated in acute bronchial asthma to relax bronchial smooth muscles.
- C: Adrenaline is indicated in anaphylactic shock to reverse severe allergic reactions.
- D (Correct): Adrenaline is contraindicated in hypertension due to its vasoconstrictive effects.
Which gland is responsible for the production of insulin?
- A. ovaries
- B. testes
- C. hypothalamus
- D. islets of Langerhans
Correct Answer: D
Rationale: The correct answer is D: islets of Langerhans. These clusters of cells within the pancreas are responsible for producing insulin. Insulin is a hormone that regulates blood sugar levels. The ovaries (A) and testes (B) are not responsible for insulin production. The hypothalamus (C) plays a role in regulating many bodily functions, but it is not directly involved in insulin production.
Which of the following arteries supply the tail of pancreas?
- A. Inferior pancreaticoduodenal
- B. Left gastroepiploic artery
- C. Splenic artery
- D. Superior pancreaticoduodenal
Correct Answer: C
Rationale: The correct answer is C: Splenic artery. The splenic artery supplies the tail of the pancreas through its branches. The splenic artery runs along the superior border of the pancreas and gives off multiple branches that supply various parts of the pancreas, including the tail.
A: Inferior pancreaticoduodenal artery supplies the inferior part of the pancreas.
B: Left gastroepiploic artery supplies the greater curvature of the stomach.
D: Superior pancreaticoduodenal artery supplies the pancreatic head and duodenum.
Therefore, the splenic artery is the correct answer as it specifically supplies the tail of the pancreas.
Which gland secretes two hormones, one that elevates blood glucose levels and another that decreases blood glucose levels?
- A. Pancreas
- B. Adenohypophysis
- C. Thyroid
- D. Adrenal cortex
Correct Answer: A
Rationale: The correct answer is A: Pancreas. The pancreas secretes insulin to decrease blood glucose levels and glucagon to elevate blood glucose levels. Insulin helps cells absorb glucose for energy, while glucagon triggers the release of stored glucose into the bloodstream. Adenohypophysis (B) secretes various hormones but not related to blood glucose regulation. Thyroid (C) secretes hormones that regulate metabolism, not directly impacting blood glucose levels. Adrenal cortex (D) secretes hormones like cortisol and aldosterone, which are not primarily involved in blood glucose regulation.
Which endocrine gland normally produces insulin?
- A. Adrenal
- B. Parathyroid
- C. Pancreas
- D. Liver
Correct Answer: C
Rationale: The correct answer is C: Pancreas. The pancreas is the endocrine gland responsible for producing insulin, which regulates blood sugar levels. It is located behind the stomach and plays a crucial role in maintaining glucose balance in the body. The other choices, A: Adrenal, B: Parathyroid, and D: Liver, do not normally produce insulin. Adrenal glands produce hormones like adrenaline and cortisol, the parathyroid regulates calcium levels, and the liver performs various metabolic functions but does not produce insulin. Therefore, the pancreas is the correct choice for insulin production.