Regarding starvation:
- A. glycogen provides enough fuel for 48 hours
- B. ketoacids derived from fats, are used by the brain and other tissues
- C. hypoglycaemia has a protein sparing effect
- D. average time until death is 40 days
Correct Answer: B
Rationale: Step-by-step rationale for the correct answer (B):
1. During starvation, the body shifts to using ketoacids derived from fats for fuel.
2. The brain and other tissues can utilize these ketoacids.
3. This process helps to spare protein and prevent muscle breakdown.
4. Therefore, choice B is correct as ketoacids play a crucial role in providing energy during starvation.
Summary of why other choices are incorrect:
A: Glycogen stores are depleted within 24 hours, not 48 hours.
C: Hypoglycemia during starvation does not have a protein sparing effect.
D: The average time until death from starvation is typically much shorter than 40 days.
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As a precaution for vocal cord paralysis from damage to the recurrent laryngeal nerve during thyroidectomy surgery, what equipment should be in the room in case it is needed for this emergency situation?
- A. Tracheostomy tray
- B. IV calcium gluconate
- C. Oxygen equipment
- D. Paper and pencil for communication
Correct Answer: A
Rationale: A tracheostomy tray should be readily available in case of airway obstruction due to vocal cord paralysis following thyroid surgery.
Which of the following glands disappears during old age?
- A. Thymus
- B. Parathyroid
- C. Thyroid
- D. Pituitary
Correct Answer: A
Rationale: The thymus gland is the correct answer because it involutes or shrinks with age, leading to decreased immune function. The parathyroid, thyroid, and pituitary glands do not disappear with old age but may undergo changes in function. The parathyroid regulates calcium levels, the thyroid controls metabolism, and the pituitary gland secretes various hormones. Therefore, the thymus gland is the only gland that disappears during old age, making it the correct answer.
Which of the following nerves is related to the medial surface of thyroid gland?
- A. External laryngeal nerve
- B. Hypoglossal nerve
- C. Internal laryngeal nerve
- D. Vagus nerve
Correct Answer: A
Rationale: The correct answer is A: External laryngeal nerve. This nerve runs along the medial surface of the thyroid gland, providing motor innervation to the cricothyroid muscle. The other choices are incorrect because: B: Hypoglossal nerve innervates the tongue, C: Internal laryngeal nerve supplies sensory innervation to the larynx, and D: Vagus nerve innervates various organs in the thorax and abdomen.
Which stimulates parietal cell secretion?
- A. prostaglandins
- B. aspirin
- C. vinegar
- D. acetylcholine
Correct Answer: D
Rationale: The correct answer is D: acetylcholine. Acetylcholine directly stimulates parietal cells in the stomach to secrete hydrochloric acid. It binds to muscarinic receptors on parietal cells, leading to an increase in acid production. Prostaglandins (A) inhibit acid secretion, aspirin (B) can cause gastric irritation and ulcers, and vinegar (C) does not directly stimulate parietal cells.
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.