Nokea
When blood calcium levels are high, ____ is released from the thyroid gland to deposit the excess calcium into the bones.
- A. parathyroid hormone
- B. calcitonin
- C. oxytocin
- D. glucagon
Correct Answer: B
Rationale: Calcitonin is the correct answer because it is released from the thyroid gland in response to high blood calcium levels to deposit the excess calcium into the bones, decreasing blood calcium levels. Parathyroid hormone (A) works in the opposite way, increasing blood calcium levels by releasing calcium from bones. Oxytocin (C) is a hormone involved in labor and breastfeeding, not calcium regulation. Glucagon (D) is released from the pancreas to increase blood glucose levels, not calcium levels. Therefore, calcitonin is the most suitable choice for regulating high blood calcium levels by promoting calcium deposition in the bones.
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Pilocarpine is used in the treatment of:
- A. Increased salivary secretion
- B. Glaucoma
- C. Intestinal colic
- D. Cardiac arrhythmias
Correct Answer: B
Rationale: The correct answer is B: Glaucoma. Pilocarpine is a cholinergic agonist that works by causing constriction of the pupil and increasing the outflow of aqueous humor in the eye, thereby reducing intraocular pressure in glaucoma. Increased salivary secretion (A) is a side effect of pilocarpine use. Pilocarpine is not indicated for treating intestinal colic (C) or cardiac arrhythmias (D).
This is Not a Function of Insulin
- A. Decreasing glycogenolysis
- B. Lipogenesis
- C. Gluconeogenesis
- D. Glycogenesis
Correct Answer: C
Rationale: The correct answer is C: Gluconeogenesis is not a function of insulin. Insulin's main role is to lower blood glucose levels by promoting glucose uptake and storage. Gluconeogenesis is the process of synthesizing glucose from non-carbohydrate sources, such as amino acids and glycerol, to increase blood glucose levels. Insulin inhibits gluconeogenesis by suppressing the enzymes involved in this process. Choices A, B, and D are all functions of insulin: A) Decreasing glycogenolysis - insulin promotes glycogen synthesis by inhibiting glycogen breakdown, B) Lipogenesis - insulin enhances the conversion of excess glucose into fatty acids for storage, and D) Glycogenesis - insulin increases the formation of glycogen from glucose for storage.
Osteitis fibrosa cystica is caused by __________.
- A. an increase in calcitonin
- B. an increase in ADH
- C. an increase in the growth hormone in an adult
- D. an increase in the parathyroid hormone
Correct Answer: D
Rationale: Osteitis fibrosa cystica is caused by an increase in the parathyroid hormone (PTH). Elevated PTH levels lead to increased calcium release from bones, resulting in bone resorption and cyst formation. Other choices (A) calcitonin, (B) ADH, and (C) growth hormone do not directly impact calcium metabolism and bone resorption like PTH does.
Which produces the majority of salivary volume?
- A. lingual glands
- B. sublingual
- C. parotid
- D. submandibular
Correct Answer: D
Rationale: The correct answer is D, submandibular glands, as they produce the majority of salivary volume. These glands are the largest of the major salivary glands and secrete saliva rich in enzymes and mucin, contributing significantly to the total saliva volume. The lingual glands (A) are minor salivary glands located in the tongue and contribute a small portion of saliva. The sublingual glands (B) are also minor salivary glands located beneath the tongue, producing a smaller volume compared to the submandibular glands. The parotid glands (C) are another major salivary gland, but they produce a lesser volume of saliva compared to the submandibular glands.
Mrs. J, a 40-year-old woman, was recently diagnosed with hypothyroidism. Which of the following is most likely to be included in her treatment plan?
- A. A high-protein diet
- B. Thyroid hormone replacement therapy
- C. A high-fiber diet
- D. Low-sodium medications
Correct Answer: B
Rationale: Thyroid hormone replacement therapy is the mainstay of treatment for hypothyroidism to restore normal thyroid function.