Nokea
The adenohypophysis:
- A. secretes ADH and oxytocin.
- B. refers to the anterior pituitary gland.
- C. secretes releasing hormones.
- D. secretes glucocorticoids, mineralocorticoids, and androgens.
Correct Answer: B
Rationale: The correct answer is B because the adenohypophysis refers specifically to the anterior pituitary gland, which secretes various hormones like growth hormone, prolactin, and thyroid-stimulating hormone. Choice A is incorrect because ADH and oxytocin are actually secreted by the neurohypophysis (posterior pituitary). Choice C is incorrect because releasing hormones are secreted by the hypothalamus, not the adenohypophysis. Choice D is incorrect because glucocorticoids, mineralocorticoids, and androgens are actually secreted by the adrenal cortex, not the anterior pituitary gland.
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Hyoscine produces all of the following actions EXCEPT:
- A. Sedation
- B. Antiemetic action
- C. Stimulation of the respiratory center
- D. Increase of salivary secretion
Correct Answer: D
Rationale: Hyoscine, also known as scopolamine, is an anticholinergic drug that acts by blocking muscarinic receptors. It produces sedation by crossing the blood-brain barrier and affecting the central nervous system. Its antiemetic action is due to its ability to inhibit the vomiting center in the brain. Stimulation of the respiratory center is not a typical action of hyoscine. Lastly, hyoscine decreases salivary secretion due to its anticholinergic effects. Therefore, the correct answer is D (Increase of salivary secretion) as it is inconsistent with the pharmacological actions of hyoscine.
A patient presents with weight loss, sweating, palpitations, tachycardia, tremors, lid lag, exopthalmosis, and a goiter. Upon taking a thyroid scan, there appears to be an increased amount of iodine. What is the pathogenesis of his disease?
- A. Autoimmune Mediated
- B. Immune Complex Mediated
- C. Unknown
- D. Infection
Correct Answer: A
Rationale: The correct answer is A: Autoimmune Mediated. In this case, the patient is presenting with symptoms of hyperthyroidism along with a goiter, which is indicative of Graves' disease, an autoimmune disorder where antibodies stimulate the thyroid gland to produce excess thyroid hormones. The presence of increased iodine uptake in the thyroid scan supports this diagnosis. On the other hand, immune complex mediated diseases typically involve tissue damage caused by immune complexes, not thyroid hormone excess. The cause being unknown or infection-related are not consistent with the symptoms and thyroid scan findings in this case.
Which of the following is a function of parathyroid hormone?
- A. It causes the excretion of calcium in the urine.
- B. It stimulates osteoblastic activity to form bone.
- C. It stimulates the thyroid gland to secrete calcitonin.
- D. It increases plasma levels of calcium.
Correct Answer: D
Rationale: The correct answer is D: It increases plasma levels of calcium. Parathyroid hormone (PTH) acts to increase calcium levels in the blood by stimulating the release of calcium from bones, enhancing calcium absorption in the intestines, and reducing calcium excretion in the kidneys. This process helps maintain proper calcium levels in the blood. Choices A, B, and C are incorrect because PTH does not cause the excretion of calcium in the urine (A), stimulate osteoblastic activity to form bone (B), or stimulate the thyroid gland to secrete calcitonin (C).
Which of the following is NOT a major endocrine organ, but produces hormones in addition to its major function?
- A. pancreas
- B. thymus
- C. kidneys
- D. pituitary
Correct Answer: C
Rationale: The correct answer is C: kidneys. The kidneys are not considered a major endocrine organ, but they do produce hormones such as erythropoietin and renin as part of their major function of regulating fluid balance and blood pressure. The pancreas (A) is a major endocrine organ producing insulin and glucagon. The thymus (B) is involved in immune function and produces hormones like thymosin. The pituitary (D) is often referred to as the master gland and secretes various hormones that regulate other endocrine glands.
What assessment findings, specific to the endocrine glands, should a nurse observe while inspecting the skin of a client during a physical examination?
- A. Skin breaks that heal quickly
- B. Excessive hair growth or loss
- C. Increased thickness
- D. Rashes with no underlying cause
Correct Answer: B
Rationale: Excessive hair growth or loss can be indicative of endocrine imbalances, such as those seen in conditions like hyperthyroidism or polycystic ovary syndrome (PCOS).