Nokea
The nurse is assessing a client who exhibits spontaneous spasm of the fingers or toes, mouth twitching or jaw tightening when he taps the cheek anteriorly to the earlobe. What sign does the nurse identify to document in the chart that is consistent with tetany?
- A. Lhermitte's sign
- B. Trousseau's sign
- C. Chvostek's sign
- D. Bulge sign
Correct Answer: C
Rationale: Chvostek's sign is a positive sign of tetany, where tapping the cheek causes twitching of the facial muscles, indicating low calcium levels.
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Factors that inhibit TSH release do not include ________.
- A. growth hormone-inhibiting hormone (GHIH)
- B. rising levels of glucocorticoids
- C. somatostatin
- D. excessively high blood iodine concentrations
Correct Answer: D
Rationale: The correct answer is D: excessively high blood iodine concentrations. High blood iodine levels do not inhibit TSH release; they actually stimulate it. Growth hormone-inhibiting hormone (GHIH), rising levels of glucocorticoids, and somatostatin are all factors that inhibit TSH release. GHIH inhibits TSH release by acting on the pituitary gland. Glucocorticoids have a negative feedback effect on the hypothalamus and pituitary gland, reducing TSH release. Somatostatin inhibits the release of various hormones, including TSH.
Steroid hormones _____________________.
- A. bind to a receptor inside the target cell
- B. are made from cholesterol
- C. cause the cell to make new proteins
- D. all of these
Correct Answer: D
Rationale: The correct answer is D because steroid hormones bind to a receptor inside the target cell, are made from cholesterol, and cause the cell to make new proteins. This is known as the mechanism of steroid hormone action. Choice A is correct as steroid hormones need to bind to intracellular receptors to exert their effects. Choice B is also correct as steroid hormones are derived from cholesterol. Choice C is correct as one of the main actions of steroid hormones is to regulate gene expression and induce the synthesis of new proteins within the cell. Therefore, all of these statements are true regarding steroid hormones, making choice D the correct answer.
Mole for mole, which of the following has the greatest effect on plasma osmolality?
- A. Progesterone
- B. Cortisol
- C. Vasopressin
- D. Aldosterone
Correct Answer: C
Rationale: Plasma osmolality is primarily regulated by the concentration of solutes in the blood. Vasopressin, also known as antidiuretic hormone (ADH), plays a key role in regulating water reabsorption in the kidneys, thus affecting plasma osmolality. When plasma osmolality increases, vasopressin is released to increase water reabsorption, leading to a decrease in plasma osmolality. Progesterone, cortisol, and aldosterone do not directly influence water reabsorption and therefore do not have as significant an impact on plasma osmolality as vasopressin.
Insulin:
- A. stimulates the formation of glycogen.
- B. increases the transport of glucose into a cell.
- C. stimulates the synthesis of proteins and fats.
- D. all is applicable.
Correct Answer: D
Rationale: Certainly! The correct answer is D because insulin plays a crucial role in various metabolic processes. Firstly, insulin stimulates the formation of glycogen by promoting the uptake of glucose into the liver and muscles for storage. Secondly, it increases the transport of glucose into cells, regulating blood sugar levels. Lastly, insulin also stimulates the synthesis of proteins and fats by promoting the uptake of amino acids and fatty acids into cells. Therefore, all the statements in option D are correct based on the functions of insulin.
Since Adonis was unable lift the dumbbell, he decided to use the exercise bike for a cardiovascular workout. During maximum exertion on the exercise bike, Adonis began to breathe heavily and felt 'the burn' in his legs. The skeletal muscles of his legs were using primarily which form of respiration at maximum exertion?
- A. Aerobic respiration
- B. Electron transport chain
- C. Oxidative phosphorylation
- D. Glycolysis
Correct Answer: d
Rationale: The correct answer is D: Glycolysis. During maximum exertion, skeletal muscles rely on glycolysis to quickly generate ATP without oxygen. This process breaks down glucose into pyruvate, producing a small amount of ATP. Since Adonis was feeling 'the burn' in his legs, it indicates the accumulation of lactic acid from glycolysis. Choice A (Aerobic respiration) requires oxygen and is not efficient during high-intensity exercise. Choices B (Electron transport chain) and C (Oxidative phosphorylation) are part of aerobic respiration and occur in mitochondria, which are less active during intense exercise compared to glycolysis.