Nokea
The posterior pituitary stores and releases:
- A. Growth hormone and prolactin.
- B. Prolactin and oxytocin.
- C. Oxytocin and antidiuretic hormone (ADH).
- D. ADH and growth hormone.
Correct Answer: C
Rationale: The correct answer is C: Oxytocin and antidiuretic hormone (ADH). The posterior pituitary stores and releases oxytocin and ADH, also known as vasopressin. Oxytocin is involved in uterine contractions and milk ejection, while ADH regulates water reabsorption in the kidneys. Choices A, B, and D are incorrect because the posterior pituitary does not store or release growth hormone or prolactin.
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Which drug is most likely to cause muscle tremor:
- A. Ipratropium
- B. Terbutaline
- C. Atenolol
- D. Nicotinic acid
Correct Answer: B
Rationale: The correct answer is B: Terbutaline. Terbutaline is a beta-2 adrenergic agonist used as a bronchodilator. It can stimulate beta-2 receptors in skeletal muscle, leading to muscle tremors as a common side effect. Ipratropium (A) is an anticholinergic bronchodilator and typically does not cause muscle tremors. Atenolol (C) is a beta-blocker and is not associated with muscle tremors. Nicotinic acid (D) is used to treat dyslipidemia and does not commonly cause muscle tremors. Therefore, Terbutaline is the most likely drug to cause muscle tremor among the options provided.
The pituitary gland is related laterally to:
- A. The cavernous sinus
- B. Hypothalamus
- C. Diaphragma sellae
- D. Optic chiasma
Correct Answer: A
Rationale: Step 1: The pituitary gland is located in the sella turcica of the sphenoid bone.
Step 2: The cavernous sinus is a venous sinus located on each side of the sella turcica.
Step 3: The pituitary gland lies laterally to the cavernous sinus.
Step 4: Therefore, the correct answer is A: The cavernous sinus.
Summary: B is incorrect as the hypothalamus is superior to the pituitary gland. C is incorrect as the diaphragma sellae is a part of the dura mater covering the pituitary gland. D is incorrect as the optic chiasma is located superior to the pituitary gland.
Which of the following hormones come from anterior lobe of the pituitary gland?
- A. Inhibin
- B. Adrenocorticotropic hormone
- C. Triiodothyronine
- D. Oxytocin
Correct Answer: b
Rationale: The correct answer is B: Adrenocorticotropic hormone (ACTH). ACTH is produced by the anterior lobe of the pituitary gland and stimulates the adrenal cortex to secrete cortisol. Inhibin is produced in the ovaries and testes, not the pituitary gland. Triiodothyronine is a thyroid hormone produced by the thyroid gland, not the pituitary gland. Oxytocin is produced by the posterior lobe of the pituitary gland, not the anterior lobe. Therefore, the correct answer is B because it is the hormone that originates from the anterior lobe of the pituitary gland.
Regarding basal metabolic rate:
- A. it is higher in women
- B. it is determined at rest within 12 hours after the last meal
- C. increases by 18% for each 1°C of fever
- D. is about 40Kcal/m2/h in an average man
Correct Answer: D
Rationale: Basal metabolic rate (BMR) is the energy expended by the body at rest to maintain basic physiological functions. Choice D is correct because it states that BMR is about 40Kcal/m2/h in an average man, which is a commonly accepted value. This is based on the energy needed for essential bodily functions such as breathing, circulation, and cell production. Choices A, B, and C are incorrect because: A) BMR is generally higher in men due to their higher muscle mass; B) BMR is measured after an overnight fast, not within 12 hours after the last meal; C) Fever typically increases BMR by around 7% per 1°C rise, not 18%.
In relation to noradrenaline, all of the following are true EXCEPT:
- A. It stimulates α and β receptors
- B. It decreases heart rate
- C. It decreases blood pressure
- D. Causes vasoconstriction
Correct Answer: C
Rationale: Rationale:
- Noradrenaline stimulates both α and β receptors, leading to increased heart rate and vasoconstriction.
- It does not decrease heart rate; it actually increases heart rate due to its actions on β receptors.
- Noradrenaline causes vasoconstriction by activating α receptors, leading to increased blood pressure.
- The incorrect statement is C, as noradrenaline actually increases blood pressure by causing vasoconstriction.