Nokea
Pilocarpine is used in the treatment of:
- A. Heart failure
- B. Bronchial asthma
- C. Urinary obstruction
- D. Glaucoma
Correct Answer: D
Rationale: Pilocarpine is a parasympathomimetic agent that stimulates the muscarinic receptors in the eye, causing pupillary constriction and reducing intraocular pressure. This mechanism of action makes it effective in treating glaucoma. Heart failure (A), bronchial asthma (B), and urinary obstruction (C) are not indications for pilocarpine use based on its pharmacological properties and effects.
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In the pancreas, which are the cells that secrete insulin?
- A. Alpha
- B. Beta
- C. Delta
- D. None
Correct Answer: B
Rationale: The correct answer is B: Beta cells. Beta cells in the pancreas are responsible for secreting insulin. Insulin helps regulate blood sugar levels. Alpha cells (A) secrete glucagon, Delta cells (C) secrete somatostatin, both involved in glucose metabolism, but not insulin secretion. Choice D is incorrect as the pancreas does contain cells that secrete insulin.
Enlargement of the thyroid gland:
- A. is called a goiter.
- B. causes Addisonian crisis.
- C. makes a person appear cushingoid.
- D. causes hypocalcemic tetany.
Correct Answer: A
Rationale: Step-by-step rationale for why choice A is correct:
1. Enlargement of the thyroid gland is known as a goiter.
2. A goiter can result from various conditions like iodine deficiency or thyroid disorders.
3. It is a common sign of thyroid dysfunction.
4. Goiter may or may not cause symptoms depending on the underlying cause.
5. Therefore, choice A is the correct answer.
Summary:
- Choice B (Addisonian crisis) is incorrect as it is associated with adrenal insufficiency, not thyroid enlargement.
- Choice C (cushingoid appearance) is incorrect as it is related to excess cortisol production, not thyroid enlargement.
- Choice D (hypocalcemic tetany) is incorrect as it is due to low calcium levels, not thyroid enlargement.
Which of the following drugs has muscarinic and nicotinic actions and is resistant to hydrolysis by both true and pseudo cholinesterase:
- A. Acetylcholine
- B. Carbachol
- C. Bethanechol
- D. Succinylcholine
Correct Answer: B
Rationale: Step-by-step rationale for why B (Carbachol) is the correct answer:
1. Carbachol is a cholinergic drug that acts on both muscarinic and nicotinic receptors.
2. It is resistant to hydrolysis by both true and pseudo cholinesterase enzymes.
3. Acetylcholine (A) is rapidly hydrolyzed by both cholinesterases.
4. Bethanechol (C) is a muscarinic agonist but not a nicotinic agonist.
5. Succinylcholine (D) is a depolarizing neuromuscular blocking agent, not a cholinergic agonist.
Summary:
Carbachol is the only drug among the choices that has both muscarinic and nicotinic actions and is resistant to hydrolysis by cholinesterases. Acetylcholine is rapidly hydrolyzed, Bethanechol does not have nicotinic actions, and Succinyl
Which pair contains two of these colours in order of increasing frequency (lower frequency first)?
- A. green, red
- B. green, violet
- C. violet, yellow
- D. yellow, red
Correct Answer: B
Rationale: The correct answer is B (green, violet) because green has a lower frequency than violet in the visible light spectrum. Green light has a wavelength longer than violet light, meaning it has lower frequency. This is based on the electromagnetic spectrum where colors are arranged in order of increasing frequency from red (lowest) to violet (highest). Other choices are incorrect because they do not follow the order of increasing frequency as per the visible light spectrum.
Identify the growth factor that is released by cancer cells to create a capillary network that aids the cancer growth.
- A. macrophage colony-stimulating factor
- B. platelet derived growth factor
- C. tumor angiogenesis factor
- D. epidermal growth factor
Correct Answer: C
Rationale: The correct answer is C, tumor angiogenesis factor. Cancer cells release this growth factor to promote the formation of new blood vessels (angiogenesis) around the tumor, providing a supply of nutrients and oxygen to support their growth. This process is essential for cancer progression.
A: Macrophage colony-stimulating factor is involved in the production and differentiation of macrophages, not in angiogenesis.
B: Platelet-derived growth factor promotes cell growth and division, but it is not specifically responsible for angiogenesis in the context of cancer.
D: Epidermal growth factor is a signaling molecule that promotes cell proliferation and differentiation but is not the primary factor released by cancer cells to induce angiogenesis.