Nokea
What accurately demonstrates that hormones of one gland influence the function of hormones of another gland?
- A. Increased insulin levels inhibit the secretion of glucagon.
- B. Increased cortisol levels stimulate the secretion of insulin.
- C. Increased testosterone levels inhibit the release of estrogen.
- D. Increased atrial natriuretic peptide (ANP) levels inhibit the secretion of aldosterone.
Correct Answer: A
Rationale: Increased insulin levels inhibit the secretion of glucagon, demonstrating the interaction between these hormones in maintaining glucose balance.
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Alpha methyl dopa can produce:
- A. Inhibition of decarboxylase enzyme
- B. Increases renin
- C. Stimulation of Alpha2 receptor centrally
- D. Decreases blood pressure
Correct Answer: D
Rationale: Step 1: Alpha methyl dopa is a centrally acting antihypertensive medication.
Step 2: It is a prodrug that is converted to alpha-methyl norepinephrine in the brain.
Step 3: This metabolite stimulates alpha2 receptors in the brain, leading to decreased sympathetic outflow.
Step 4: Decreased sympathetic outflow results in decreased peripheral vascular resistance and ultimately decreases blood pressure.
Summary: Option D is correct because alpha methyl dopa decreases blood pressure by acting centrally on alpha2 receptors. Options A, B, and C are incorrect as alpha methyl dopa does not inhibit decarboxylase enzyme, increase renin, or stimulate alpha2 receptors centrally.
Identify the hormone that stimulates uterine contraction and the release of milk during nursing.
- A. ADH.
- B. glucagon
- C. oxytocin
- D. prolactin
Correct Answer: C
Rationale: Rationale:
1. Oxytocin is the hormone responsible for stimulating uterine contractions during labor and delivery.
2. Oxytocin also triggers the release of milk during nursing by causing contraction of the cells around the milk-filled alveoli.
3. ADH (A) regulates water balance, glucagon (B) regulates blood sugar levels, and prolactin (D) stimulates milk production but not milk release.
Summary: Oxytocin is the correct answer because it specifically stimulates uterine contractions and milk release during nursing, while the other choices are not directly related to these functions.
Why is the posterior pituitary gland called the neurohypophysis?
- A. The posterior pituitary gland is an extension of the hypothalamus.
- B. The neurohypophysis secretes releasing hormones.
- C. The posterior pituitary gland secretes hormones that regulate adenohypophyseal function.
- D. The posterior pituitary gland secretes releasing hormones.
Correct Answer: A
Rationale: The correct answer is A because the posterior pituitary gland is an extension of the hypothalamus. The hypothalamus produces hormones that are stored and released by the posterior pituitary gland. This connection between the two structures allows for direct neural control over hormone release.
Option B is incorrect because the neurohypophysis does not secrete releasing hormones; rather, it releases hormones produced by the hypothalamus. Option C is incorrect because the posterior pituitary gland does not regulate adenohypophyseal function; instead, it stores and releases hormones produced by the hypothalamus. Option D is incorrect because the posterior pituitary gland does not secrete releasing hormones; it releases hormones produced by the hypothalamus.
Each of the following types of receptors is correctly matched with the response resulting from its stimulation EXCEPT:
- A. Muscarinic receptors - decreased heart rate
- B. Nicotinic receptors - decreased gastric acid secretion
- C. Alpha adrenergic receptors - increased blood pressure
- D. Beta adrenergic receptors - bronchodilation
Correct Answer: B
Rationale: The correct answer is B. Nicotinic receptors are not associated with decreased gastric acid secretion, but rather with muscle contraction at neuromuscular junctions. A: Muscarinic receptors stimulation leads to decreased heart rate via parasympathetic activation. C: Activation of alpha adrenergic receptors causes vasoconstriction and increased blood pressure. D: Stimulation of beta adrenergic receptors results in bronchodilation and increased heart rate. Therefore, choice B is the exception as it does not match the typical response of nicotinic receptors.
The patient with adrenal insufficiency is to be discharged taking prednisone 10 mg orally each day. What will you be sure to teach the patient?
- A. Report excessive weight gain or swelling to the physician.
- B. Rapid changes of position may cause hypotension.
- C. A diet with foods high in potassium may be beneficial.
- D. Signs of hypoglycemia may occur while taking this drug.
Correct Answer: B
Rationale: Patients taking prednisone for adrenal insufficiency should be advised that rapid changes of position can lead to hypotension due to the body's decreased ability to regulate blood pressure.