Nokea
The chemical break down of starch begins in?
- A. The mouth
- B. The oesophagus
- C. The small intestine
- D. The stomach
Correct Answer: A
Rationale: The correct answer is A: The mouth. Starch digestion begins in the mouth due to the enzyme amylase present in saliva. Amylase breaks down starch into maltose. This process initiates digestion before food reaches the stomach or small intestine. The other choices are incorrect because oesophagus primarily serves as a passage for food, the small intestine is where most digestion and nutrient absorption occur, and the stomach's main role is to break down proteins with the enzyme pepsin, not starch.
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A patient presents with tiredness, weakness, anorexia, apathy, abdominal pain, hyperpigmentation and postural hypertension. Upon infection he appears to be in cardiogenic shock and his blood volume is depleted. His sodium levels are low, potassium levels are high. Which of the following would also be elevated?
- A. TSH
- B. T4
- C. Adrenal hormone
- D. ACTH
Correct Answer: D
Rationale: The correct answer is D: ACTH. In this scenario, the patient is exhibiting symptoms of adrenal insufficiency, specifically Addison's disease. ACTH levels would be elevated due to the lack of negative feedback from cortisol, which is typically low in adrenal insufficiency. TSH (A) and T4 (B) would be normal or low due to the hypofunction of the adrenal gland, not the thyroid. Adrenal hormones (C) would be low in adrenal insufficiency, not elevated.
Priority Decision: What is the priority nursing intervention during the management of the patient with pheochromocytoma?
- A. Administering IV fluids
- B. Administering β-adrenergic blockers
- C. Monitoring blood pressure
- D. Monitoring intake and output and daily weights
Correct Answer: B
Rationale: In managing pheochromocytoma, monitoring and controlling blood pressure is the priority intervention due to the risk of hypertensive crises caused by catecholamine secretion from the tumor.
Water-soluble hormones exhibit the shortest __________.
- A. half-life
- B. activation time
- C. molecule
- D. chain of amino acids
Correct Answer: A
Rationale: The correct answer is A: half-life. Water-soluble hormones have a shorter half-life compared to lipid-soluble hormones because they are quickly metabolized and excreted from the body. The other choices are incorrect because:
B: Activation time is not directly related to the solubility of hormones.
C: The size of the hormone molecule doesn't determine its solubility in water.
D: The chain of amino acids may vary in different types of hormones, but it doesn't necessarily dictate their solubility.
One of the two hormones made by the pituitary that help regulate reproductive cells is luteinizing hormone. The other hormone is _______.
- A. Androgens
- B. Follicle stimulating hormone
- C. Epinephrine
- D. Norepinephrine
Correct Answer: B
Rationale: The correct answer is B: Follicle stimulating hormone. The pituitary gland produces luteinizing hormone and follicle stimulating hormone to regulate reproductive cells. Luteinizing hormone triggers ovulation and testosterone production, while follicle stimulating hormone stimulates egg development in females and sperm production in males. Choice A (Androgens) are male sex hormones produced by the testes, not by the pituitary gland. Choices C (Epinephrine) and D (Norepinephrine) are hormones produced by the adrenal glands and are not involved in regulating reproductive cells.
Which of the following structures connects the hypothalamus and the adenohypophysis?
- A. Islets of Langerhans
- B. Portal capillaries
- C. Corpus callosum
- D. Medulla oblongata
Correct Answer: B
Rationale: The correct answer is B: Portal capillaries. The hypothalamus and adenohypophysis are connected by a system of blood vessels called the hypothalamic-pituitary portal system, which includes portal capillaries. These capillaries carry releasing and inhibiting hormones from the hypothalamus to the adenohypophysis to regulate the secretion of pituitary hormones. The other choices are incorrect because:
A: Islets of Langerhans are clusters of cells in the pancreas involved in insulin and glucagon production, not connected to the hypothalamus or adenohypophysis.
C: The corpus callosum is a structure that connects the two cerebral hemispheres and is not related to the hypothalamus or adenohypophysis.
D: The medulla oblongata is part of the brainstem responsible for autonomic functions and is not involved in connecting the hypothalamus and adenohypophysis.