Nokea
The tongue plays an important part in:
- A. Digestion, mastication, swallowing
- B. Ingestion, taste, digestion
- C. Mastication, elimination, swallowing
- D. Swallowing, mastication, taste
Correct Answer: D
Rationale: The correct answer is D because the tongue is primarily involved in swallowing, mastication (chewing), and taste perception. Swallowing is a crucial function of the tongue as it helps move food towards the throat. Mastication involves the tongue's movement to mix food with saliva and initiate the digestion process. Taste buds on the tongue are responsible for detecting different flavors. Choices A, B, and C are incorrect as they do not accurately describe the key functions of the tongue.
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Catecholamines:
- A. include cortisol, aldosterone, and testosterone.
- B. are secreted by the adrenal cortex.
- C. lower plasma glucose levels.
- D. include epinephrine (adrenalin) and norepinephrine.
Correct Answer: D
Rationale: Rationale for Correct Answer D: Catecholamines include epinephrine and norepinephrine. These hormones are produced by the adrenal medulla in response to stress and play a crucial role in the fight-or-flight response. Epinephrine increases heart rate and blood flow to muscles, while norepinephrine helps maintain blood pressure. These actions help the body respond to stressful situations.
Summary of Other Choices:
A: Incorrect. Cortisol, aldosterone, and testosterone are not catecholamines. They are steroid hormones produced by the adrenal cortex.
B: Incorrect. Adrenal cortex secretes cortisol and aldosterone, not catecholamines.
C: Incorrect. Catecholamines actually increase plasma glucose levels to provide energy during stress.
You assess a patient with Cushing's disease. For which finding will you notify the physician immediately?
- A. Purple striae present on abdomen and thighs
- B. Weight gain of 1 pound since the previous day
- C. #ERROR!
- D. Crackles bilaterally in lower lobes of lungs
Correct Answer: D
Rationale: Crackles in the lungs may indicate fluid overload or heart failure, which requires immediate intervention, especially in a patient with Cushing's disease, who is at risk for fluid retention.
What is the hormone produced by adipose tissue which signals satiety?
- A. melatonin
- B. leptin
- C. thymosins
- D. glucagons
Correct Answer: B
Rationale: Leptin is the correct answer because it is a hormone produced by adipose tissue that signals satiety to the brain, helping regulate energy balance and food intake. Melatonin is a hormone that regulates sleep-wake cycles, not hunger. Thymosins are involved in immune function. Glucagon is a hormone that increases blood sugar levels, not related to satiety.
Blood levels of which of the following substances is decreased in Graves disease?
- A. Triiodothyronine (T3)
- B. Thyroxine (T4)
- C. Diiodotyrosine (DIT)
- D. Thyroid-stimulating hormone (TSH)
Correct Answer: D
Rationale: In Graves disease, there is an overproduction of thyroid hormones due to autoimmune stimulation. Thyroid-stimulating hormone (TSH) is decreased because the excessive thyroid hormones suppress its production through negative feedback. A and B are incorrect because both T3 and T4 levels are elevated in Graves disease. C is incorrect as DIT is a precursor to thyroid hormones and its levels may not necessarily be decreased in Graves disease.
The transcription of new messenger RNA is a function of __________.
- A. pancreatic hormones
- B. steroid hormones
- C. catecholamines
- D. pituitary gland hormones
Correct Answer: B
Rationale: The correct answer is B: steroid hormones. Steroid hormones are known to regulate gene expression by binding to specific receptors and influencing transcription processes. They can directly affect the transcription of new messenger RNA in the cell. Pancreatic hormones (A), catecholamines (C), and pituitary gland hormones (D) are not directly involved in the transcription of new messenger RNA. Pancreatic hormones primarily regulate blood sugar levels, catecholamines are involved in the fight-or-flight response, and pituitary gland hormones regulate various functions such as growth, reproduction, and metabolism.