Nokea
Where Are Islets of Langerhans Found?
- A. Anterior pituitary
- B. Cortex
- C. Spleen
- D. Endocrine pancreas
Correct Answer: D
Rationale: The Islets of Langerhans are clusters of cells in the pancreas that regulate blood sugar levels. Choice D, Endocrine pancreas, is correct because the Islets of Langerhans are specifically located in the pancreas. Choices A, B, and C are incorrect because the Islets of Langerhans are not found in the anterior pituitary, cortex, or spleen. The pancreas is the primary organ associated with blood sugar regulation, making it the correct location for the Islets of Langerhans.
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How much gastric juice is secreted daily?
- A. 1.5 litres
- B. 3 litres
- C. 4 litres
Correct Answer: B
Rationale: The correct answer is B (3 litres). The average adult human stomach secretes about 2-3 liters of gastric juice per day. This amount is necessary for the effective digestion of food, as gastric juice contains hydrochloric acid, enzymes, and mucus. Option A (1.5 litres) is too low for daily gastric juice secretion. Option C (4 litres) is too high and could lead to hypersecretion or other digestive issues. Option D is incomplete and does not provide a valid answer. Therefore, option B is the most accurate in reflecting the average daily secretion of gastric juice.
Which patient should the nurse plan to teach how to prevent or delay the development of diabetes?
- A. An obese 50-year-old Hispanic woman
- B. A child whose father has type 1 diabetes
- C. A 34-year-old woman whose parents both have type 2 diabetes
- D. A 12-year-old boy whose father has maturity onset diabetes of the young (MODY)
Correct Answer: A
Rationale: An obese 50-year-old Hispanic woman is at high risk for developing type 2 diabetes and would benefit from education on prevention.
A floor nurse pages you about a patient who is having chest pain. You order an electrocardiogram and rush to see the patient. He describes the pain as tight pressure and is demonstrably sweating and gasping for air. The ECG comes back with acute ST-segment elevations in inferior leads, and you diagnose a myocardial infarction. You start giving the patient oxygen and give him sublingual nitroglycerin and morphine for pain. You also give him another medication, which you have read may prolong his survival in this situation. What class of medication is it?
- A. β-Blocker
- B. α-Agonist
- C. Muscarinic agonist
- D. Neuromuscular blocker
Correct Answer: A
Rationale: The correct answer is A: β-Blocker. β-Blockers are indicated in the management of myocardial infarction as they help reduce myocardial oxygen demand by decreasing heart rate, blood pressure, and contractility. This results in less strain on the heart muscle and can improve survival outcomes. Additionally, β-blockers can prevent arrhythmias and reduce the risk of recurrent infarction. In this scenario, where the patient is experiencing an acute myocardial infarction with ST-segment elevations, the use of a β-blocker is crucial in managing the condition and improving the patient's prognosis.
Summary of other choices:
B: α-Agonist - Not indicated in the management of myocardial infarction.
C: Muscarinic agonist - Not indicated in the management of myocardial infarction.
D: Neuromuscular blocker - Not indicated in the management of myocardial infarction.
Thyroxine is a peptide hormone, but its mechanism is different from other peptide hormones. Which of the following statements is true concerning this difference?
- A. It causes positive feedback.
- B. It does not require a second messenger to effect a response.
- C. It is very specific in the cell type it targets.
- D. It is a stimulant of cellular metabolism and targets all cells.
Correct Answer: B
Rationale: The correct answer is B: Thyroxine does not require a second messenger to effect a response. Thyroxine is a non-peptide hormone derived from the amino acid tyrosine, not a peptide hormone. It acts directly on the cell by binding to nuclear receptors, which then bind to specific regions of DNA to regulate gene expression. This mechanism is different from peptide hormones, which typically require second messengers like cAMP or calcium to transmit their signal inside the cell. Therefore, choice B is correct. Choices A, C, and D are incorrect because thyroxine does not cause positive feedback, is not highly specific in cell targeting, and does not target all cells for cellular metabolism stimulation.
Identify a gland that is controlled by an anterior pituitary hormone.
- A. pancreas
- B. parathyroid
- C. adrenal medulla
- D. ovary
Correct Answer: D
Rationale: The correct answer is D: ovary. The anterior pituitary gland secretes follicle-stimulating hormone (FSH) and luteinizing hormone (LH) that regulate the function of the ovaries. FSH stimulates the growth of ovarian follicles, while LH triggers ovulation and stimulates the production of progesterone and estrogen. The pancreas (A) is mainly controlled by insulin and glucagon from the pancreas itself. The parathyroid gland (B) is regulated by parathyroid hormone (PTH) secreted by the parathyroid glands. The adrenal medulla (C) is controlled by the sympathetic nervous system, not by anterior pituitary hormones.