Nokea
Obesity:
- A. antagonizes insulin.
- B. elevates blood glucose levels.
- C. increases blood pressure.
- D. all is applicable.
Correct Answer: D
Rationale: The correct answer is D because obesity can lead to insulin resistance, which antagonizes insulin, causing elevated blood glucose levels. Additionally, obesity is associated with increased risk of hypertension, leading to increased blood pressure. Therefore, all choices are applicable in describing the effects of obesity on the body.
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The following drugs can depress the sympathetic activity EXCEPT:
- A. Clonidine
- B. Reserpine
- C. Phenylephrine
- D. Labetalol
Correct Answer: C
Rationale: The correct answer is C: Phenylephrine. Phenylephrine is a sympathomimetic drug that stimulates the sympathetic nervous system, leading to vasoconstriction and increased heart rate. In contrast, choices A, B, and D all work to depress sympathetic activity by different mechanisms. Clonidine is an alpha-2 adrenergic agonist that decreases sympathetic outflow. Reserpine inhibits the storage of norepinephrine, leading to decreased sympathetic activity. Labetalol is a non-selective beta blocker that blocks beta-adrenergic receptors, reducing sympathetic effects. Therefore, Phenylephrine is the only drug among the options that does not depress sympathetic activity.
Pituitary Hormone Triggering the Male Testes to Generate Sperm and in Females, Triggering Follicular Development Every Month Is
- A. Prolactin
- B. Growth hormone
- C. Follicle-stimulating hormone
- D. Luteinizing hormone
Correct Answer: C
Rationale: The correct answer is C: Follicle-stimulating hormone (FSH). FSH is responsible for triggering follicular development in females and sperm production in males. In females, FSH stimulates the growth and maturation of ovarian follicles, leading to the release of an egg during ovulation. In males, FSH stimulates the Sertoli cells in the testes to support the development of sperm.
A: Prolactin is not involved in the process of follicular development or sperm production.
B: Growth hormone is not directly related to the regulation of reproductive functions.
D: Luteinizing hormone (LH) is responsible for ovulation in females and testosterone production in males, but it is not the hormone that triggers follicular development or sperm production.
Intravenous administration of epinephrine to a patient results in a severe decrease in diastolic pressure and an increase in cardiac output. Which of the following drugs might the patient have previously taken that could account for this unexpected effect?
- A. Propranolol
- B. Atropine
- C. Phenylephrine
- D. Prazosin
Correct Answer: D
Rationale: The correct answer is D: Prazosin. Prazosin is an alpha-1 adrenergic receptor antagonist, which blocks the vasoconstrictor effect of catecholamines like epinephrine, leading to vasodilation and a decrease in diastolic pressure. The unexpected effect of a decrease in diastolic pressure and an increase in cardiac output after epinephrine administration suggests that the patient might have taken a drug that blocks alpha-1 receptors. Propranolol (A) is a beta-blocker, which would not cause this effect. Atropine (B) is a muscarinic receptor antagonist and would not explain the observed effects. Phenylephrine (C) is an alpha-1 agonist, so it would not result in the described response. Therefore, Prazosin (D) is the most likely drug the patient previously took to account for the unexpected effects of epinephrine administration.
Which of the following agents might mask the hypoglycemic reaction in treated diabetic patients?
- A. Beta-adrenergic agonists
- B. Alpha-adrenergic antagonists
- C. Alpha-adrenergic agonists
- D. Beta-adrenergic antagonists
Correct Answer: D
Rationale: The correct answer is D: Beta-adrenergic antagonists. Beta-blockers can mask the typical signs and symptoms of hypoglycemia such as tremors, palpitations, and sweating by inhibiting the adrenergic response to low blood sugar levels. Other choices (A, B, C) are incorrect as they do not have the same mechanism of action in masking hypoglycemic reactions in diabetic patients.
The pancreas:
- A. secretes steroids that are concerned with sugar, salt, and sex.
- B. is controlled by the adenohypophysis.
- C. secretes hormones that affect blood glucose levels.
- D. secretes iodine-containing hormones that regulate the basal metabolic rate.
Correct Answer: C
Rationale: Step-by-step rationale for why Choice C is correct:
1. The pancreas secretes hormones like insulin and glucagon.
2. Insulin lowers blood glucose levels, while glucagon raises them.
3. These hormones play a crucial role in regulating blood glucose levels.
4. Disruption in their secretion can lead to diseases like diabetes.
Summary:
Choice A is incorrect because the pancreas does not secrete steroids related to sugar, salt, and sex. Choice B is incorrect because the pancreas is not controlled by the adenohypophysis. Choice D is incorrect because the pancreas does not secrete iodine-containing hormones that regulate the basal metabolic rate.