Peptide hormones _______________.
- A. are hydrophilic
- B. cannot enter the target cell
- C. bind to a receptor on the cell surface
- D. all of these
Correct Answer: D
Rationale: The correct answer is D because peptide hormones are hydrophilic molecules that cannot pass through the cell membrane, so they bind to receptors on the cell surface to initiate signaling pathways within the cell. Therefore, they are unable to enter the target cell like lipid-soluble hormones do. By binding to specific receptors on the cell surface, peptide hormones trigger a series of events that ultimately lead to a cellular response. Therefore, all of the given statements are true, making D the correct choice.
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PTH:
- A. lowers plasma calcium.
- B. stimulates osteoclastic activity.
- C. is an iodine-containing hormone.
- D. stimulates osteoblastic activity and causes blood calcium levels to increase.
Correct Answer: B
Rationale: The correct answer is B: stimulates osteoclastic activity. Parathyroid hormone (PTH) acts on bones to stimulate osteoclasts, which are responsible for breaking down bone tissue to release calcium into the bloodstream. This process helps increase blood calcium levels. Choices A, C, and D are incorrect because PTH actually increases plasma calcium levels, is not an iodine-containing hormone, and does not stimulate osteoblastic activity.
A patient is admitted to the hospital with a diagnosis of Cushing syndrome. On physical assessment of the patient, what should the nurse expect to find?
- A. Hypertension, peripheral edema, and petechiae
- B. Weight loss, buffalo hump, and moon face with acne
- C. Abdominal and buttock striae, truncal obesity, and hypotension
- D. Anorexia, signs of dehydration, and hyperpigmentation of the skin
Correct Answer: A
Rationale: Cushing syndrome typically presents with signs such as hypertension, peripheral edema, petechiae, and striae due to the effects of excess cortisol.
The only insulin that can be administered intravenously is
- A. Lente
- B. Semi-Lente
- C. regular
- D. NPH
Correct Answer: C
Rationale: Only regular insulin is approved for intravenous administration due to its rapid onset and shorter duration of action.
Pilocarpine is used in the treatment of:
- A. Increased salivary secretion
- B. Glaucoma
- C. Intestinal colic
- D. Cardiac arrhythmias
Correct Answer: B
Rationale: The correct answer is B: Glaucoma. Pilocarpine is a cholinergic agonist that works by causing constriction of the pupil and increasing the outflow of aqueous humor in the eye, thereby reducing intraocular pressure in glaucoma. Increased salivary secretion (A) is a side effect of pilocarpine use. Pilocarpine is not indicated for treating intestinal colic (C) or cardiac arrhythmias (D).
The anterior pituitary gland:
- A. is called the neurohypophysis.
- B. releases ADH and oxytocin.
- C. secretes releasing hormones.
- D. is connected to the hypothalamus by the portal capillaries.
Correct Answer: D
Rationale: Step-by-step rationale:
1. The anterior pituitary gland is connected to the hypothalamus by the portal capillaries.
2. This connection allows for the transport of releasing hormones from the hypothalamus to the anterior pituitary.
3. Releasing hormones stimulate the anterior pituitary to release specific hormones.
4. This communication pathway is essential for regulating hormone production and maintaining homeostasis.
Summary of other choices:
A: Incorrect. The neurohypophysis refers to the posterior pituitary, not the anterior pituitary.
B: Incorrect. ADH and oxytocin are released from the posterior pituitary, not the anterior pituitary.
C: Incorrect. Releasing hormones are produced by the hypothalamus, not the anterior pituitary.
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